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Changes in PTSD patients' narratives during prolonged exposure therapy: A replication and extension
Author(s) -
van Minnen Agnes,
Wessel Ineke,
Dijkstra Ton,
Roelofs Karin
Publication year - 2002
Publication title -
journal of traumatic stress
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.259
H-Index - 134
eISSN - 1573-6598
pISSN - 0894-9867
DOI - 10.1023/a:1015263513654
Subject(s) - extension (predicate logic) , replication (statistics) , narrative , psychology , exposure therapy , clinical psychology , psychiatry , medicine , anxiety , art , computer science , programming language , literature , virology
Following E. B. Foa, C. Molnar, and L. Cashman (1995), narrative changes from the first to the last exposure session were compared for improved and nonimproved PTSD patients on fragmentation, organization, internal, and external events. Improved (n = 8) and nonimproved ( n = 12) patients did not differ regarding changes in fragmentation or organized thoughts. However, improved patients showed a greater decrease in disorganized thoughts during treatment. Furthermore, all patients, independent of improvement, showed significant changes in the same direction: a decrease in disorganized thoughts and external events and an increase in internal events. Although previous results were partly replicated, it is concluded that narrative changes may he due to exposure treatment itself rather than to changes in memory representation.