{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T17:03:59Z","timestamp":1767891839158,"version":"3.49.0"},"reference-count":52,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T00:00:00Z","timestamp":1715731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Cognitive Behavior Therapy (CBT) is an effective treatment for anxiety and depression disorders. Nonetheless, nearly 50% of all patients do not respond. Besides other factors, nonresponse may be linked to traumatic life events. This study aims to assess the relationship between trauma history, applied therapy interventions, and therapy outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed data from 340 CBT outpatients diagnosed with a depression or anxiety disorder and possibly a trauma history treated under naturalistic conditions. Based on their therapy files, we collected information on trauma history, diagnoses, applied interventions, and severity of depression and anxiety symptoms at the start and end of therapy. The relationship between trauma, diagnoses, and intervention use and the development of depression and anxiety symptoms was analyzed using Linear Mixed Models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients with a trauma history reported higher pre\u2010 and posttreatment symptom severity than those without trauma. No differences in applied interventions or decrease in symptom severity were found between patients with and without a trauma history. Specialized interventions were seldom applied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although no differences between patients with and without a trauma history were found in therapy response, patients with a trauma history maintained higher levels of symptom severity. These results indicate a need for more personalized interventions and evidence\u2010based guidelines to personalize CBT for patients with a trauma history and high symptom severity.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.23702","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T12:05:41Z","timestamp":1715774741000},"page":"1937-1948","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Trauma history and course of therapy in a naturalistic cognitive behavior therapy outpatient sample: An archive data study"],"prefix":"10.1002","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9931-1532","authenticated-orcid":false,"given":"Franziska","family":"Epe\u2010Jungeblodt","sequence":"first","affiliation":[{"name":"Department of Psychology, Biological Psychology, Clinical Psychology, and Psychotherapy, Faculty of Human Sciences Julius\u2010Maximilians\u2010Universit\u00e4t W\u00fcrzburg (JMU) W\u00fcrzburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Pauli","sequence":"additional","affiliation":[{"name":"Department of Psychology, Biological Psychology, Clinical Psychology, and Psychotherapy, Faculty of Human Sciences Julius\u2010Maximilians\u2010Universit\u00e4t W\u00fcrzburg (JMU) W\u00fcrzburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Schwab","sequence":"additional","affiliation":[{"name":"Department of Media Psychology, Institute Human\u2010Computer\u2010Media,\u00a0Faculty of Human Sciences Julius\u2010Maximilians\u2010Universit\u00e4t W\u00fcrzburg (JMU) W\u00fcrzburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Andreatta","sequence":"additional","affiliation":[{"name":"Department of General Psychiatry and Psychotherapy University Hospital\u00a0T\u00fcbingen T\u00fcbingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1891\/jcop.20.1.7"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_4_1","volume-title":"Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder (PTSD) in adults: (501872017\u2010001) [data set]","author":"American Psychological Association","year":"2017"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/cpsp.12266"},{"key":"e_1_2_11_6_1","volume-title":"Bildung in Deutschland: ein indikatorengest\u00fctzter Bericht mit einer Analyse zu Bildung in einer digitalisierten Welt","author":"Autorengruppe Bildungsberichterstattung","year":"2020"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-199703000-00012"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/10926771.2021.1970673"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22112"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1201\/9780429492259"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22728"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2017.10.005"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.13335"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.21069"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0254778"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-017-0404-7"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-057672"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12120"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3758\/BF03193146"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12970"},{"key":"e_1_2_11_21_1","volume-title":"Handbuch der Prolongierten Exposition: Basiskonzepte und Anwendung \u2010 eine Anleitung f\u00fcr Therapeuten","author":"Foa E. 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