Posttraumatic stress disorder and chronic pain arising from motor vehicle accidents: efficacy of interoceptive exposure plus trauma-related exposure therapy

Cognitive Behaviour Therapy
Jaye WaldClaudio Sica

Abstract

Preliminary data are presented on the pattern of treatment response of combining interoceptive exposure (IE) with trauma-related exposure therapy (TRE) in five female patients with posttraumatic stress disorder (PTSD) and comorbid chronic musculoskeletal pain originating from motor vehicle accidents. Treatment consisted of four sessions of IE followed by eight sessions of TRE. Four participants reported a reduction in PTSD symptoms after completing treatment, and three no longer met diagnostic criteria for PTSD. Although both interventions were associated with reductions in PTSD symptoms, TRE was associated with greater reductions in PTSD symptoms than IE and was particularly effective at reducing avoidance. IE was associated with larger reductions in anxiety sensitivity than TRE. Pain symptoms lessened slightly during IE and then worsened following TRE. Anxiety decreased after completing treatment, whereas panic and depressive symptoms responded less so. Three individuals completed a 3-month follow-up assessment. There was no change in their PTSD diagnostic status, and all experienced a slight loss of pre-post gains, particularly involving the return of pain. Clinical and research implications are discussed.

References

Jan 1, 1995·Journal of Traumatic Stress·D D BlakeT M Keane
Mar 10, 2000·Psychiatry Research·B BandelowE Rüther
Jan 30, 2003·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Gordon J G AsmundsonJoel Katz
Apr 18, 2003·Journal of Consulting and Clinical Psychology·Steven TaylorJohn Ogrodniczuk
Oct 31, 2003·Journal of Traumatic Stress·Jillian C ShipherdJennifer B Freeman
Apr 9, 2005·The Clinical Journal of Pain·Melanie P Duckworth, Tony Iezzi
Feb 10, 2006·Journal of Anxiety Disorders·Brett Deacon, Jonathan Abramowitz
Jun 3, 2006·Cancer Research·Barry S TaylorArul M Chinnaiyan
Dec 26, 2006·Cognitive Behaviour Therapy·Margo C WattLindsay S Uman
Jun 7, 2007·Journal of Rehabilitation Research and Development·Jillian C ShipherdErica Duncan
Dec 21, 2007·Journal of Anxiety Disorders·Kelsey C CollimoreGordon J G Asmundson
Mar 28, 2008·Cognitive Behaviour Therapy·Gerhard Andersson, Gordon J G Asmundson

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Citations

Jun 12, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Jane M PlaggeSteven K Dobscha
Nov 26, 2015·Journal of Behavior Therapy and Experimental Psychiatry·Hannah BoettcherDavid H Barlow
Mar 29, 2011·European Journal of Pain : EJP·Steven De PeuterJohan W S Vlaeyen
Aug 14, 2013·European Journal of Pain : EJP·M K NicholasC Brooker
Dec 25, 2012·The Journal of Pain : Official Journal of the American Pain Society·Michel A ThibodeauGordon J G Asmundson
Nov 3, 2012·Behavior Modification·Elliot Weiner, Dean McKay
Oct 25, 2011·Spine·Justin Kenardy, Rachael Dunne

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