Schumm, HannahHannahSchummKrüger-Gottschalk, AntjeAntjeKrüger-GottschalkDyer, AnneAnneDyerPittig, AndreAndrePittigCludius, BarbaraBarbaraCludiusTakano, KeisukeKeisukeTakanoAlpers, Georg W.Georg W.AlpersEhring, ThomasThomasEhring2023-03-142023-03-142022-01https://resolver.sub.uni-goettingen.de/purl?gro-2/122603Cognitive behavioral therapy (CBT) has been well established in the treatment of posttraumatic stress disorder (PTSD). In recent years, researchers have begun to investigate its underlying mechanisms of change. Dysfunctional cognitive content, i.e. excessively negative appraisals of the trauma or its consequences, has been shown to predict changes in PTSD symptoms over the course of treatment. However, the role of change in cognitive processes, such as trauma-related rumination, needs to be addressed. The present study investigates whether changes in rumination intensity precede and predict changes in symptom severity. We also explored the extent to which symptom severity predicts rumination.enMechanisms of Change in Trauma-Focused Treatment for PTSD: The Role of Ruminationjournal_article10.1016/j.brat.2021.10400934823161