Posttraumatic stress disorder (PTSD) represents the most common psychiatric
condition following exposure to violence. Although an increasing number of
cognitive behavioral therapy (CBT) studies point to efficacy of this appro
ach in ameliorating PTSD following violence, the methodological rigor of ma
ny studies has not been optimal. Further, a significant proportion of traum
atized individuals does not benefit from CBT. This article reviews CBT outc
ome studies, discusses the methodological limitations of CBT studies for PT
SD, and offers suggestions for future research. This review highlights the
need for more systematic studies of components of CBT with a range of traum
a populations to delineate the parameters of effective CBT for individuals
with PTSD. (C) 1999 Elsevier Science Ltd. All rights reserved.