Prolonged exposure therapy: past, present, and future

@article{Foa2011ProlongedET,
  title={Prolonged exposure therapy: past, present, and future},
  author={Edna B. Foa},
  journal={Depression and Anxiety},
  year={2011},
  volume={28}
}
  • E. Foa
  • Published 1 December 2011
  • Psychology
  • Depression and Anxiety
Edna B. Foa, Ph.D., is a professor of Clinical Psychology in Psychiatry at the University of Pennsylvania and Director of the Center for the Treatment and Study of Anxiety. Dr. Foa devoted her academic career to study the psychopathology and treatment of anxiety disorders, primarily obsessive–compulsive disorder (OCD) and posttraumatic stress disorder (PTSD). Her research, aimed at delineating theoretical frameworks, targeted treatments, and treatment mechanisms of pathological anxiety has been… 
View on Wiley
law.upenn.edu
215 Citations
Highly Influential Citations
24
Background Citations
87
Methods Citations
21

215 Citations

Treating posttraumatic stress disorder with MDMA-assisted psychotherapy: A preliminary meta-analysis and comparison to prolonged exposure therapy
TLDR
A comparison of the cumulative effect size of the MDMA-AP studies with those of PE and the dropout rates of PE were compared, revealing that MDMA- AP had a considerably lower percentage of patients dropping out than PE did.
An Examination of Therapeutic Alliance During Prolonged Exposure in the Treatment of a Comorbid PTSD and SUD Population
TLDR
Findings suggest that rather than harming the alliance, prolonged exposure techniques strengthen the alliance instead.
Five Efficacious Treatments for Posttraumatic Stress Disorder: An Empirical Review
Posttraumatic stress disorder (PTSD) is known to be a debilitating disorder and for some a lifelong complaint. Although there are many treatment options, determining which treatments are not only…
Worry and rumination: a rationale for a transdiagnostic approach to treatment
Worry and rumination are implicated in various disorders and are believed to contribute to the symptoms that create and maintain psychopathology. The current critical review will examine worry and…
Quetiapine augmentation of prolonged exposure therapy in veterans with PTSD and a history of mild traumatic brain injury: design and methodology of a pilot study
TLDR
Positive efficacy results in a full- scale trial should inform new VA guidelines for clinical practice by showing that quetiapine-related improvements in patient engagement and retention may be the most effective approach to assure that VA resources achieve the best possible outcome for veterans.
Foa, Edna B. (b. 1937)
Edna B. Foa (b. 1937) has made seminal contributions to the understanding and treatment of anxiety disorders. Dr. Foa's empirical work and theoretical contributions have advanced the treatment of…
Long-Term Outcomes of Prolonged Exposure and Naltrexone for Patients with Comorbid Posttraumatic Stress Disorder and Alcohol Dependence
LONG-TERM OUTCOMES OF PROLONGED EXPOSURE AND NALTREXONE FOR PATIENTS WITH COMORBID POSTTRAUMATIC STRESS DISORDER AND ALCOHOL DEPENDENCE By Shelley B. Avny, M.S. A dissertation submitted in partial…
Psychotherapy for Perinatal Mood and Anxiety Disorders
TLDR
Therapeutic modalities that have an evidence base for mood and anxiety symptoms common during the perinatal period include cognitive behavioral therapy, interpersonal therapy, listening visits, dialectical behavior therapy, acceptance and commitment therapy, and couple therapy.
A New Approach to Fear of Falls From Connections With the Posttraumatic Stress Disorder Literature
TLDR
It is argued that the presence or absence of anxiety determines whether FoF becomes maladaptive or adaptive, respectively, and that enhancing self-efficacy is key to optimizing postfall psychological recovery.
Management of Chronic Pain and PTSD in Veterans With tDCS+Prolonged Exposure: A Pilot Study.
INTRODUCTION Chronic pain and posttraumatic stress disorder (PTSD) are prevalent comorbid conditions, particularly in Veterans; however, there are few integrated treatments for chronic pain and PTSD.…
...
...

References

SHOWING 1-10 OF 34 REFERENCES
A meta-analytic review of prolonged exposure for posttraumatic stress disorder.
A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims.
TLDR
Cognitive-processing therapy with prolonged exposure and a minimal attention condition for the treatment of posttraumatic stress disorder (PTSD) and depression had similar results except that CPT produced better scores on 2 of 4 guilt subscales.
Cognitive-behavior therapy vs exposure therapy in the treatment of PTSD in refugees.
Dissemination of evidence-based psychological treatments for posttraumatic stress disorder in the Veterans Health Administration.
TLDR
VA's national CPT and PE training initiatives are examined and initial patient, therapist, and system-level program evaluation results are reported, and key issues, lessons learned, and next steps for maximizing impact and sustainability are addressed.
Randomized trial of prolonged exposure for posttraumatic stress disorder with and without cognitive restructuring: outcome at academic and community clinics.
TLDR
Treatment in the hands of counselors with minimal cognitive- behavioral therapy (CBT) experience was as efficacious as that of CBT experts and treatment gains were maintained at follow-up, although a minority of patients received additional treatment.
A comparison of exposure therapy, stress inoculation training, and their combination for reducing posttraumatic stress disorder in female assault victims.
TLDR
In the intent-to-treat sample, PE was superior to SIT and PE-SIT on posttreatment anxiety and global social adjustment at follow-up and had larger effect sizes on PTSD severity, depression, and anxiety.
Treatment of posttraumatic stress disorder by exposure and/or cognitive restructuring: a controlled study.
TLDR
Both prolonged exposure and cognitive restructuring were each therapeutic on their own, were not mutually enhancing when combined, and were each superior to relaxation.
Do Patients Drop Out Prematurely from Exposure Therapy for PTSD?
TLDR
The results indicated no difference in dropout rates among exposure therapy, cognitive therapy, stress inoculation training, and EMDR, consistent with previous research about the tolerability of exposure therapy.
Efficacy of exposure therapy for Japanese patients with posttraumatic stress disorder due to mixed traumatic events: A randomized controlled study.
TLDR
The authors examined the efficacy of Prolonged Exposure (PE) therapy in Japanese patients with posttraumatic stress disorder and found the PE group achieved significantly greater reduction than the control group at posttreatment in either PTSD or depressive symptoms.
Treatment of complicated grief: a randomized controlled trial.
TLDR
Complicated grief treatment is an improved treatment over interpersonal psychotherapy, showing higher response rates and faster time to response.
...
...