{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T01:19:44Z","timestamp":1787620784176,"version":"build-2736575974"},"reference-count":52,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T00:00:00Z","timestamp":1784332800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002974","name":"Daimler und Benz Stiftung","doi-asserted-by":"publisher","award":["32\u201012\/4"],"award-info":[{"award-number":["32\u201012\/4"]}],"id":[{"id":"10.13039\/501100002974","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Post\u2010traumatic stress disorder (PTSD) is maintained by dysfunctional trauma\u2010related appraisals. Cognitive Bias Modification for Appraisals (CBM\u2010APP) aims to train more functional trauma\u2010related appraisals and has been shown to reduce PTSD symptoms. However, little is known about how this training affects the interrelations among symptoms and cognitive appraisals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this secondary analysis of a randomized controlled trial involving 77 adult patients diagnosed with PTSD (CBM\u2010APP:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200937; control training:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200940), we applied repeated cross\u2010sectional network analysis to examine changes in the structure and centrality of associations among PTSD symptom clusters (re\u2010experiencing, avoidance, negative cognition and mood, hyperarousal, assessed with the PTSD Checklist for DSM\u20105) and trauma\u2010related cognitive measures, all assessed at both pre\u2010 and post\u2010training. To capture multiple levels of cognitive processing, we included responses during a scenario task (reflective, idiosyncratic, spontaneous appraisals) and the Implicit Association Test (automatic self\u2010associations). Four cross\u2010sectional Gaussian Graphical Models were estimated for the training and control group and both timepoints (pre\u2010\/post\u2010training\u2009\u00d7\u2009CBM\u2010APP vs. control group).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      While overall network connectivity did not differ significantly across networks, descriptive patterns indicated that\n                      <jats:italic>Alterations in Cognition and Mood<\/jats:italic>\n                      emerged as the most central node in both groups at post\u2010training assessment. Further, in the CBM\u2010APP group, the centrality of implicit trauma\u2010related associations decreased pre\u2010 to post\u2010training, suggesting potential weaker associations of automatic negative self\u2010associations with symptom activation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Given the small sample and moderate network stability, findings are preliminary but suggest that CBM\u2010APP may influence the relational structure of PTSD symptoms and cognitions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cpp.70308","type":"journal-article","created":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T08:36:21Z","timestamp":1784363781000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Does Cognitive Bias Modification for Appraisals Change Symptom\u2010Cognition Relations in PTSD? Preliminary Evidence from Network Analysis in a Randomized Controlled Trial"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5916-3694","authenticated-orcid":false,"given":"Pascal","family":"Schlechter","sequence":"first","affiliation":[{"name":"Institute of Psychology University of M\u00fcnster  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thole H.","family":"Hoppen","sequence":"additional","affiliation":[{"name":"Institute of Psychology University of M\u00fcnster  Germany"},{"name":"Department of Clinical Psychology and Psychotherapy University of G\u00f6ttingen  G\u00f6ttingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon E.","family":"Blackwell","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Experimental Psychopathology University of G\u00f6ttingen  G\u00f6ttingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcella L.","family":"Woud","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Experimental Psychopathology University of G\u00f6ttingen  G\u00f6ttingen Germany"},{"name":"Mental Health Research and Treatment Center, Faculty of Psychology Ruhr University Bochum  Bochum Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,18]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291719002253"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2019.1700614"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12144\u2010021\u201002441\u20109"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20375"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010clinpsy\u2010050212\u2010185608"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s43586\u2010021\u201000055\u2010w"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u2010295X.103.4.670"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608\u2010018\u20109938\u20101"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467\u20109280.2005.01608.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u2010006X.75.5.812"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/met0000471"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2016.07.005"},{"key":"e_1_2_9_15_1","volume-title":"German Version of the Clinician\u2010Administered PTSD Scale for DSM\u20105 (CAPS\u20105)","author":"Cwik J. 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