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Early in-session predictors of response to trauma-focused cognitive therapy

Brady, F; Brady, F; (2014) Early in-session predictors of response to trauma-focused cognitive therapy. Doctoral thesis (D.Clin.Psy), UCL (University College London). Green open access

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Abstract

Volume 1 of this thesis examines the predictors of response to trauma-focused treatment for posttraumatic stress disorder (PTSD). It is presented in three parts. Part 1 is a literature review of research evaluating the impact of trauma-focused therapy for PTSD on comorbid symptoms of depression. The Downs and Black (1998) checklist was used to assess study quality. Results indicated that both trauma-focused CBT and EMDR treatments were effective in reducing comorbid depression symptoms. However, as interventions varied widely and some studies were affected by significant methodological problems, the generalisability of these results may be limited, and thus areas for further research are also suggested. Part 2 is an empirical study exploring early in-session client and therapist factors that predict later response to treatment. Audio and video recordings of the first or second therapy session of 54 known treatment responders or non-responders were blind-rated for client perseverative thinking, therapist adherence and therapeutic alliance. Results revealed that more perseverative thinking was observed for non-responders than responders to treatment. No group differences were found in regards to therapist adherence or therapeutic alliance. Exploratory analyses revealed that across the sample as a whole, perseverative thinking was associated with reduced therapist adherence to the treatment manual and poorer therapeutic alliance. As this study is one of the first of its kind in this area, recommendations were made for future research opportunities to explore these findings further. Part 3 is a critical appraisal of the empirical study. This elaborates on the main findings of this project and discusses the methodological challenges involved in undertaking this type of research, particularly developing and applying a novel coding frame.

Type: Thesis (Doctoral)
Qualification: D.Clin.Psy
Title: Early in-session predictors of response to trauma-focused cognitive therapy
Open access status: An open access version is available from UCL Discovery
Language: English
Keywords: Posttraumatic stress disorder, cognitive behaviour therapy, Treatment outcomes.
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/1449253
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