Hypnotherapy and cognitive behaviour therapy of acute stress disorder: a 3-year follow-up.
The long-term benefits of cognitive behaviour therapy (CBT) for trauma survivors with acute stress disorder were investigated by assessing patients 3 years after treatment. Civilian trauma survivors (n=87) were randomly allocated to six sessions of CBT, CBT combined with hypnosis, or supportive counselling (SC), 69 completed treatment, and 53 were assessed 2 years post-treatment for post-traumatic stress disorder (PTSD) with the Clinician-Administered PTSD Scale. In terms of treatment completers, 2 CBT patients (10%), 4 CBT/hypnosis patients (22%), and 10 SC patients (63%) met PTSD criteria at 2-years follow-up. Intent-to-treat analyses indicated that 12 CBT patients (36%), 14 CBT/hypnosis patients (46%), and 16 SC patients (67%) met PTSD criteria at 2-year follow-up. Patients who received CBT and CBT/hypnosis reported less re-experiencing and less avoidance symptoms than patients who received SC. These findings point to the long-term benefits of early provision of CBT in the initial month after trauma.
Bryant
Richard A
RA
School of Psychology, University of New South Wales, NSW 2052, Sydney, Australia. r.bryant@unsw.edu.au
Moulds
Michelle L
ML
Nixon
Reginald D V
RD
Mastrodomenico
Julie
J
Felmingham
Kim
K
Hopwood
Sally
S
D000293:Adolescent; D000328:Adult; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D003376:Counseling; D005500:Follow-Up Studies; D006801:Humans; D006990:Hypnosis; D008875:Middle Aged; D040701:Stress Disorders, Traumatic, Acute / Q000628:therapy*; D016896:Treatment Outcome