Research: MÜLLER-ENGELMANN and STEIL,

Listed in Issue 268

Abstract

MÜLLER-ENGELMANN and STEIL, 1. Department of Clinical Psychology and Psychotherapy, Institute of Psychology, Goethe University Frankfurt, Varrentrappstr. 40-42, D-60486 Frankfurt/Main, Germany.  mueller-engelmann@psych.uni-frankfurt.de ; 2. Department of Clinical Psychology and Psychotherapy, Institute of Psychology, Goethe University Frankfurt, Varrentrappstr. 40-42, D-60486 Frankfurt/Main, Germany. steil@psych.uni-frankfurt.de  conducted a pilot study to assess the effects of a cognitive restructuring and imagery modification procedure for PTSD (CRIM-PTSD).

Background

Cognitive restructuring and imagery modification for PTSD (CRIM-PTSD) is a new short intervention. It consists of the cognitive restructuring of core trauma-related dysfunctional beliefs about the self and the use of imagery to encourage more functional beliefs. A randomized controlled trial showed that CRIM was effective for reducing posttraumatic stress disorder (PTSD) in survivors of childhood sexual abuse (CSA) when it focused on the feeling of being contaminated. For this study, CRIM was adapted to treat PTSD symptoms more generally and after various types of trauma by addressing the patients' negative self-concept.

Methodology

Ten patients with PTSD received two assessment sessions, two treatment sessions, and a booster session. The Clinician-Administered PTSD Scale (CAPS) was administered prior to and four weeks after treatment. Self-ratings, e.g., the Posttraumatic Diagnostic Scale (PDS) and the Posttraumatic Cognitions Inventory (PTCI), were administered at baseline, immediately posttreatment, and four weeks after treatment.

Results

The participants showed significant improvements in both clinician-rated (d = 2.55; p < 0.01) and self-reported PTSD symptoms (d = 1.47; p < 0.01). One month after treatment, 9 patients no longer fully met the diagnostic criteria for PTSD. Limitations: The results are limited by the small sample size and the lack of a control group.

Conclusion

This pilot study suggests that addressing the negative self-concept of PTSD patients using a combination of cognitive techniques and imagery modification can effectively reduce PTSD symptoms. Further research is needed to assess the treatment's effects and stability in a randomized controlled trial.

References

Müller-Engelmann M1, Steil R2. Cognitive restructuring and imagery modification for posttraumatic stress disorder (CRIM-PTSD): A pilot study. J Behav Ther Exp Psychiatry. 54:44-50. Mar 2017. DOI: 10.1016/j.jbtep.2016.06.004  . Epub Jun 17 2016.

IJCA 2018 New Skyscraper

Scientific and Medical Network 2

Royal Rajasthan Cycle 2021

Amazon Wilderness Trek 2022

Cycle Kilimanjaro to the Coast 2022

top of the page