| Citation: |
Grunert, B. K., Smucker, M. R., Weis, J. M., & Rusch, M. D. (2003). When prolonged exposure fails: Adding an imagery-based cognitive restructuring component in the treatment of industrial accident victims suffering from PTSD.
Cognitive and Behavioral Practice, 10
(4),
333-346.
|
| Title: |
When prolonged exposure fails: Adding an imagery-based cognitive restructuring component in the treatment of industrial accident victims suffering from PTSD |
| Authors: |
Grunert, B. K., Smucker, M. R., Weis, J. M., & Rusch, M. D. |
| Year: |
2003 |
|
Journal/Publication:
|
Cognitive and Behavioral Practice |
| Publisher: |
Association for Advancement of Behavior |
| DOI: |
https://doi.org/10.1016/S1077-7229(03)80051-2
|
| Full text: |
http://proxy.library.vcu.edu/login?url=http://www.sciencedirect.com...
|
| Peer-reviewed? |
Yes
|
| NIDILRR-funded? |
Not reported
|
|
Research design:
|
Case history review
|
| Background: |
Accidents within the work place affect a large number of individuals each year. The most frequently studied traumas have involved victims of combat,physical and sexual assault, natural disaster, and motor vehicle accidents. (p.333) |
|
Purpose:
|
The purpose of this study is to examine the efficacy of adding an imagery-based, cognitive restructuring component to the treatment of two victims of work-related injuries suffering from PTSD who and failed to improve from prolonged exposure alone. |
|
Setting:
|
The study took place in individual treatment sessions provided by the senior author. |
|
Study sample: |
This article reviews 2 case studies of individuals receiving Imagery Re-scripting and Reprocessing Therapy (IRRT) in addition to Prolonged Exposure (PE). |
|
Intervention:
|
The intervention was Imagery Re-scripting and Reprocessing Therapy (IRRT) and Prolonged Exposure (PE). |
|
Control or comparison condition:
|
There was no control or comparison condition. |
|
Data collection and analysis:
|
The BDI, IES, State-Trait Anxiety Scale, and the WMS-R Digit Span Sub-test were administered at pre and post-treatment, and again at 1-month, 3-month, and 6 month follow-ups. SUDS ratings were recorded throughout each treatment session as well as at intake, post treatment, and each of the follow-ups. |
|
Findings:
|
Imagery Rescripting and Reprocessing Therapy appeared to facilitate and foster a significant cognitive shift, which resulted in successful emotional processing and an immediate alleviation of PTSD symptoms. (p.343) |
|
Conclusions:
|
Prolonged exposure is more likely to be an effective PTSD treatment when fear is the primary emotion and avoidance is the primary coping strategy.
An imagery based cognitive-restructuring treatment (IRRT) is likely to be an effective PTSD treatment when non-fear emotions are primary. |
