Pharmacological enhancement of exposure-based treatment in PTSD: a qualitative review

There is a good amount of evidence that exposure therapy is an effective treatment for posttraumatic stress disorder (PTSD). Notwithstanding its efficacy, there is room for improvement, since a large proportion of patients does not benefit from treatment. Recently, an interesting new direction in th...

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Main Authors: Rianne A. de Kleine, Barbara O. Rothbaum, Agnes van Minnen
Format: Article
Language:English
Published: Taylor & Francis Group 2013-10-01
Series:European Journal of Psychotraumatology
Subjects:
Online Access:http://www.ejpt.net/index.php/ejpt/article/download/21626/pdf_1
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author Rianne A. de Kleine
Barbara O. Rothbaum
Agnes van Minnen
author_facet Rianne A. de Kleine
Barbara O. Rothbaum
Agnes van Minnen
author_sort Rianne A. de Kleine
collection DOAJ
description There is a good amount of evidence that exposure therapy is an effective treatment for posttraumatic stress disorder (PTSD). Notwithstanding its efficacy, there is room for improvement, since a large proportion of patients does not benefit from treatment. Recently, an interesting new direction in the improvement of exposure therapy efficacy for PTSD emerged. Basic research found evidence of the pharmacological enhancement of the underlying learning and memory processes of exposure therapy. The current review aims to give an overview of clinical studies on pharmacological enhancement of exposure-based treatment for PTSD. The working mechanisms, efficacy studies in PTSD patients, and clinical utility of four different pharmacological enhancers will be discussed: D-cycloserine, MDMA, hydrocortisone, and propranolol.
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spelling doaj.art-619e2f739e234b3ba29d50c3fc8e60ab2022-12-22T01:17:13ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662013-10-014011510.3402/ejpt.v4i0.21626Pharmacological enhancement of exposure-based treatment in PTSD: a qualitative reviewRianne A. de KleineBarbara O. RothbaumAgnes van MinnenThere is a good amount of evidence that exposure therapy is an effective treatment for posttraumatic stress disorder (PTSD). Notwithstanding its efficacy, there is room for improvement, since a large proportion of patients does not benefit from treatment. Recently, an interesting new direction in the improvement of exposure therapy efficacy for PTSD emerged. Basic research found evidence of the pharmacological enhancement of the underlying learning and memory processes of exposure therapy. The current review aims to give an overview of clinical studies on pharmacological enhancement of exposure-based treatment for PTSD. The working mechanisms, efficacy studies in PTSD patients, and clinical utility of four different pharmacological enhancers will be discussed: D-cycloserine, MDMA, hydrocortisone, and propranolol.www.ejpt.net/index.php/ejpt/article/download/21626/pdf_1Posttraumatic stress disordercognitive enhancerstreatment efficacyexposure therapy
spellingShingle Rianne A. de Kleine
Barbara O. Rothbaum
Agnes van Minnen
Pharmacological enhancement of exposure-based treatment in PTSD: a qualitative review
European Journal of Psychotraumatology
Posttraumatic stress disorder
cognitive enhancers
treatment efficacy
exposure therapy
title Pharmacological enhancement of exposure-based treatment in PTSD: a qualitative review
title_full Pharmacological enhancement of exposure-based treatment in PTSD: a qualitative review
title_fullStr Pharmacological enhancement of exposure-based treatment in PTSD: a qualitative review
title_full_unstemmed Pharmacological enhancement of exposure-based treatment in PTSD: a qualitative review
title_short Pharmacological enhancement of exposure-based treatment in PTSD: a qualitative review
title_sort pharmacological enhancement of exposure based treatment in ptsd a qualitative review
topic Posttraumatic stress disorder
cognitive enhancers
treatment efficacy
exposure therapy
url http://www.ejpt.net/index.php/ejpt/article/download/21626/pdf_1
work_keys_str_mv AT rianneadekleine pharmacologicalenhancementofexposurebasedtreatmentinptsdaqualitativereview
AT barbaraorothbaum pharmacologicalenhancementofexposurebasedtreatmentinptsdaqualitativereview
AT agnesvanminnen pharmacologicalenhancementofexposurebasedtreatmentinptsdaqualitativereview