Temporal relationship between change in subjective distress and PTSD symptom decrease during prolonged exposure therapy for posttraumatic stress disorder

CM Hoeboer, DAC Oprel, MJ Kooistra, M Schoorl… - Behavior Therapy, 2022 - Elsevier
There is growing evidence that change in distress is an indicator of change during
Prolonged Exposure (PE) for posttraumatic stress disorder (PTSD). However, temporal
sequencing studies investigating whether change in distress precedes PTSD symptom
decline are lacking. These studies are essential since the timeline between indicators of
change and treatment outcome is a key assumption for mediation. The aim of the present
study was to assess the temporal relationship between within-and between-session change …
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