{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T16:01:37Z","timestamp":1768924897823,"version":"3.49.0"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,12,12]],"date-time":"2019-12-12T00:00:00Z","timestamp":1576108800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"German Federal Ministry of Education and Research","award":["01KR1204A"],"award-info":[{"award-number":["01KR1204A"]}]},{"name":"German Federal Ministry of Education and Research","award":["01KR1204C"],"award-info":[{"award-number":["01KR1204C"]}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Cognitive processing therapy (CPT) is a psychotherapy for post\u2010traumatic stress disorder (PTSD) with a broad evidence base. Change in trauma\u2010related cognitions is considered its primary working mechanism. When trying to integrate a traumatic event into existing cognitive schemas, the adaptive mechanism is changing the schema (accommodation). However, PTSD patients frequently either change their schemas too much (over\u2010accommodation), or cognitively distort the event (assimilation). We aimed to test the hypothesized connections between the three types of cognition and symptom load.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This study adds to the literature using \u2018impact statements\u2019, essays on their trauma\u2010related thoughts written by patients at the beginning and end of CPT, to investigate cognitive change and its relationship to symptomatic outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analysed statements written by 31 adolescents and young adults who received developmentally adapted CPT (a longer treatment where CPT is the core component) in a randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>As expected, post\u2010CPT statements contained more accommodated and fewer over\u2010accommodated and assimilated clauses than pre\u2010CPT statements. Correlations between cognition frequencies and concurrent symptom load were as expected for assimilation, and, in part, over\u2010accommodation and accommodation. Decreased PTSD and depressive symptoms were correlated with increased accommodated thoughts. For over\u2010accommodation and assimilation, however, expected correlations could not be shown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our results support the notion that cognitive change is an important mechanism of change in CPT in a sample of younger, non\u2010English\u2010speaking clients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.12263","type":"journal-article","created":{"date-parts":[[2019,12,12]],"date-time":"2019-12-12T23:44:51Z","timestamp":1576194291000},"page":"33-44","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Young people\u2019s trauma\u2010related cognitions before and after cognitive processing therapy for post\u2010traumatic stress disorder"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6267-337X","authenticated-orcid":false,"given":"Julia","family":"K\u00f6nig","sequence":"first","affiliation":[{"name":"Catholic University of Eichst\u00e4tt\u2010Ingolstadt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brigitte","family":"Kopp","sequence":"additional","affiliation":[{"name":"Catholic University of Eichst\u00e4tt\u2010Ingolstadt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Ziegelmeier","sequence":"additional","affiliation":[{"name":"Catholic University of Eichst\u00e4tt\u2010Ingolstadt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eline","family":"Rimane","sequence":"additional","affiliation":[{"name":"Catholic University of Eichst\u00e4tt\u2010Ingolstadt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Regina","family":"Steil","sequence":"additional","affiliation":[{"name":"Goethe University Frankfurt am Main Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Babette","family":"Renneberg","sequence":"additional","affiliation":[{"name":"Freie Universit\u00e4t Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Rosner","sequence":"additional","affiliation":[{"name":"Catholic University of Eichst\u00e4tt\u2010Ingolstadt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12,12]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Practical statistics for medical research","author":"Altman D. 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