Intrusive Memory Frequency and Related Inner Tension Following Dialectical Behavior Therapy or Cognitive Processing Therapy for Posttraumatic Stress Disorder: An e-Diary Study Background: Intrusive memories are a core symptom of posttraumatic stress disorder (PTSD), yet their retrospective assessment is prone to biases, making real-time methods such as e-diaries essential. While trauma-focused treatments target intrusive symptoms, their efficacy has not yet been evaluated using real-time assessments. Objective: We aimed to use e-diaries to assess and compare the effects of dialectical behavior therapy for PTSD (DBT-PTSD) and cognitive processing therapy (CPT) on intrusive memories and related inner tension in a large sample of PTSD patients. Methods: In a multicenter randomized controlled trial (RCT; German Clinical Trials registration number: DRKS00005578), 193 women with PTSD related to childhood sexual or physical abuse were randomized to receive either DBT-PTSD or CPT. E-diary assessments were conducted at three time points: before treatment, after six months, and after twelve months of therapy. At each time point, participants reported intrusive memories and related inner tension over five consecutive days using an event-based design. Results: Both intrusive memories and related inner tension decreased significantly over time (intrusions: ß = -.53, P

JMIR Mental Health: Intrusive Memory Frequency and Related Inner Tension Following Dialectical Behavior Therapy or Cognitive Processing Therapy for Posttraumatic Stress Disorder: An e-Diary Study #PTSD #MentalHealth #TraumaRecovery #Ediaries #CognitiveTherapy