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Journal Article

Posttraumatic growth during cognitive behavioural therapy for posttraumatic stress disorder: Relationship to symptom change and introduction of significant other assessment

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Schubert,  Christine F.
Max Planck Institute of Psychiatry, Max Planck Society;

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Schmidt,  Ulrike
Max Planck Institute of Psychiatry, Max Planck Society;

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Gall-Kleebach,  Dominique
Max Planck Institute of Psychiatry, Max Planck Society;

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Citation

Schubert, C. F., Schmidt, U., Comtesse, H., Gall-Kleebach, D., & Rosner, R. (2019). Posttraumatic growth during cognitive behavioural therapy for posttraumatic stress disorder: Relationship to symptom change and introduction of significant other assessment. STRESS AND HEALTH, 35(5), 617-625. doi:10.1002/smi.2894.


Cite as: https://hdl.handle.net/21.11116/0000-0009-7E0B-F
Abstract
Posttraumatic growth (PTG) may play a role in the treatment of posttraumatic stress disorder (PTSD) as it is supposed to have either beneficial or dysfunctional effects on treatment-related PTS symptom (PTSS) changes. This study examined whether cognitive behavioral therapy (CBT) for PTSD patients can foster PTG assessed by self-reports and reports from significant others. Forty-eight PTSD patients participating in trauma-focused CBT were assessed twice: at the beginning of therapy (T1) and after 3 months of therapy (T2, N = 34). We used the Clinician Administered PTSD Scale and the Posttraumatic Growth Inventory (PTGI), and constructed a significant other version of the PTGI (PTGI-SOA). The PTSS severity declined during the course of treatment, whereas PTG levels remained stable. Both the PTGI and PTGI-SOA were associated with higher PTSS reduction at T2. The results suggest that PTG is associated with greater improvement in PTSS during trauma-focused CBT, even though treatment could not directly enhance PTG. Significant other assessments seem to be a promising approach to improve PTG measurement.