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J Behav Ther Exp Psychiatry. 2004 Dec;35(4):307-18.

Metacognitive therapy for PTSD: a preliminary investigation of a new brief treatment.

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Department of Clinical Psychology, University of Manchester, Rawnsley Building, MRI, Oxford Road, Manchester, M13 9WL, UK.


The effectiveness of a new treatment for post traumatic stress disorder (PTSD) is addressed. Treatment was based on a metacognitive theory of mechanisms by which natural traumatic processing is enabled or hindered by coping strategies. It suggests that elimination of worry/rumination, of maladaptive attention strategies, and enhancing metacognitive flexibility, will permit natural processing and a return to normal cognition. An A-B direct replication series (n = 6) with follow-up assessments at 3, 6, and 18-41 months was implemented. Treatment commenced 3-10 months post-trauma. All patients showed large and statistically significant improvements in general emotion and specific PTSD measures. Gains were maintained at follow-up. Two further consecutively referred patients were treated at 8 and 12 months post-trauma to add to sample size (n = 8). Overall Post treatment effect sizes were large, ranging from 3.0 to 5.0. Further evaluations are clearly warranted.

[Indexed for MEDLINE]

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