@article{ref1,
title="Is adherence to dialectic behaviour therapy for post-traumatic stress disorder (PTSD) and cognitive processing therapy related to treatment outcome in PTSD after childhood abuse?",
journal="European journal of psychotraumatology",
year="2023",
author="Steil, Regina and Weiss, Judith and Müller-Engelmann, Meike and Dittmann, Clara and Priebe, Kathlen and Kleindienst, Nikolaus and Fydrich, Thomas and Stangier, Ulrich",
volume="14",
number="2",
pages="e2260293-e2260293",
abstract="BACKGROUND: Literature on the association between therapist adherence and treatment success in the treatment of post-traumatic stress disorder (PTSD) is scarce, and the results are mixed.<br><br>OBJECTIVE: To examine the relationship between therapist adherence to dialectical behaviour therapy for PTSD (DBT-PTSD) and cognitive processing therapy (CPT) on treatment outcome in women with PTSD and emotion regulation difficulties after interpersonal childhood abuse.<br><br>METHOD: Videotaped therapy sessions from 160 female participants of a large randomized controlled trial [Bohus, M., Kleindienst, N., Hahn, C., Müller-Engelmann, M., Ludäscher, P., Steil, R., Fydrich, T., Kuehner, C., Resick, P. A., Stiglmayr, C., Schmahl, C., & Priebe, K. (2020). Dialectical behavior therapy for posttraumatic stress disorder (DBT-PTSD) compared with cognitive processing therapy (CPT) in complex presentations of PTSD in women survivors of childhood abuse. JAMA Psychiatry, 77(12), 1235. jamapsychiatry.2020.2148] were rated. Adherence to CPT and DBT-PTSD was assessed using two specifically developed rating scales.<br><br>RESULTS: Higher therapist adherence was associated with a greater reduction of clinician-rated PTSD symptom severity. This effect was more pronounced in the CPT group than in the DBT-PTSD group. Adherence was also related to a greater reduction of self-rated PTSD symptoms, borderline symptoms, and dissociation intensity.<br><br>CONCLUSION: Our results indicate that higher therapist adherence can lead to better treatment outcomes in PTSD treatments, especially in CPT.<p /> <p>Language: en</p>",
language="en",
issn="2000-8198",
doi="10.1080/20008066.2023.2260293",
url="http://dx.doi.org/10.1080/20008066.2023.2260293"
}