A randomized controlled trial of cognitive-behavioral therapy for the treatment of PTSD in the context of chronic whiplash.

摘要: Whiplash-associated disorders (WAD) are common and involve both physical psychological impairments. Research has shown that persistent posttraumatic stress symptoms associated with poorer functional recovery therapy outcomes. Trauma-focused cognitive-behavioral (TF-CBT) moderate effectiveness in chronic pain samples. However, to date, there have been no clinical trials within WAD. Thus, this study will report on the of TF-CBT individuals meeting criteria for current WAD disorder (PTSD). Twenty-six participants were randomly assigned either or a waitlist control, treatment effects evaluated at posttreatment 6-month follow-up using structured interview, self-report questionnaires, measures physiological arousal sensory thresholds. Clinically significant reductions PTSD found group compared postassessment, further gains noted follow-up. The was also clinically improvements neck disability, physical, emotional, social functioning reactivity trauma cues, whereas limited changes This provides support target finding resulted disability quality life cold thresholds highlights complex interrelating mechanisms underlie PTSD. Clinical implications findings future research directions discussed.