Re:CAPS vs PDS

Take a look at Marylene Cloitre's recent study of DBT followed by exposure therapy vs. WL for suvivors of childhood assault with PTSD. She used the following measures:

CAPS

Modfied PSS-Self Report (Patty Resick Modified Edna's self-report measure of PTSD to assess frequency and severity separately).

General Expectancy for Negative Mood Regulation Scale

BDI

STAI-S (State portion of the State-Trait Anxiety Inventory)

Anger Expression subscale of the State-Trait Anger Expression Inventory

John Briere's Dissociation Scale

Toronto Alexithymia Scale (20 Item version)

Social Adjustment Scale - Self-Report

These measures assessed the traditional domains of PTSD, anxiety, and depression, plus several domains thought to be more relevent to survivors of childhood abuse than to other trauma types. All these measures showed significant change with the program, but not waitlist. However, the pattern of change was not quite as would have been predicted from her hypothesis regarding the use of DBT to prepare patients for exposure therapy. PTSD, anxiety, and depression did not improve much during the DBT phase, but improved significantly after exposure. Contrary to expectation, several affect regulation skills measures did not move during DBT but did so during exposure.

Cloitre, M., Koenen, K., Cohen, L. R., & Han, H. (2002). Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuse. Journal of Consulting and Clinical Psychology, 70, 1067-1074.

Replies:

Re:CAPS vs PDS, by Sandra Paulsen Inobe PhD, 05/01/03

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