At follow-up , CBT/exposure led to greater reductions in depression ( B [ SE ] , 0.35 [ 0.12 ] ; t112 .65 = 2.83 [ 95 % CI , 0.11-0 .60 ] ; P = .005 ) , negative appraisals ( B [ SE ] , 0.68 [ 0.25 ] ; t109 .98 = 2.66 [ 95 % CI , 0.17-1 .18 ] ; P = .009 ) , and functional impairment ( B [ SE ] , 0.24 [ 0.08 ] ; t111 .40 = 3.01 [ 95 % CI , 0.08-0 .40 ] ; P = .003 ) than CBT alone .