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Gepubliceerd in: Cognitive Therapy and Research 4/2013

01-08-2013 | Brief Report

Sudden Gains During Patient-Directed Expressive Writing Treatment Predicts Depression Reduction in Women with History of Childhood Sexual Abuse: Results from a Randomized Clinical Trial

Auteurs: Tierney A. Lorenz, Carey S. Pulverman, Cindy M. Meston

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2013

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Abstract

Sudden gains are large reductions in symptoms measured in a single between-session interval and are positively associated with long-term treatment outcomes. To date, sudden gains have mostly been observed in therapist-directed psychotherapies. There are currently mixed findings surrounding the mechanisms underlying sudden gains, with some support for a cognitive mechanism and some support for therapist characteristics such as the therapeutic alliance. In this study of 77 female survivors of childhood sexual abuse, sudden gains in trauma symptoms were found in a randomized clinical trial of a patient-directed expressive writing intervention. Women in the active treatment condition (who wrote about their beliefs related to sexuality or trauma) exhibiting sudden gains in trauma symptoms showed larger improvements in depression than those in the control condition (who merely wrote about their daily needs). The extension of sudden gains from psychotherapy to a client-directed treatment refines our understanding of the mechanisms underlying these gains, and supports the hypothesis that cognitive change is a likely mechanism underlying sudden gains.
Voetnoten
1
Tang and DeRubeis (1999) and subsequent replications of their design stipulate all sudden gains must be stable across the next three sessions; however, given that our therapy was limited to five sessions, we adapted this requirement to fit the original conceptual intent.
 
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Metagegevens
Titel
Sudden Gains During Patient-Directed Expressive Writing Treatment Predicts Depression Reduction in Women with History of Childhood Sexual Abuse: Results from a Randomized Clinical Trial
Auteurs
Tierney A. Lorenz
Carey S. Pulverman
Cindy M. Meston
Publicatiedatum
01-08-2013
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 4/2013
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-012-9510-3

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