The Impact of Personality Disorders on Treatment Outcome for Veterans in a Posttraumatic Stress Disorder Residential Treatment Program

被引:22
作者
Walter, Kristen H. [1 ]
Bolte, Teri Ann [2 ]
Owens, Gina P. [3 ]
Chard, Kathleen M. [1 ,4 ]
机构
[1] Cincinnati VA Med Ctr, Ft Thomas PTSD & Anxiety Disorders Div, Ft Thomas, KY 41075 USA
[2] Cincinnati VA Med Ctr, Subst Dependence Program, Cincinnati, OH 45220 USA
[3] Univ Tennessee, Knoxville, TN USA
[4] Univ Cincinnati, Cincinnati, OH USA
关键词
PTSD; CPT; Personality disorders; Treatment outcome; COGNITIVE-PROCESSING THERAPY; FEMALE RAPE VICTIMS; PROLONGED EXPOSURE; COMBAT VETERANS; SEXUAL-ABUSE; CHRONIC PTSD; COMORBIDITY; DEPRESSION; WOMEN;
D O I
10.1007/s10608-011-9393-8
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This study evaluated the effect of comorbid personality disorders on treatment outcome for male and female Veterans with posttraumatic stress disorder (PTSD). One hundred and sixty-six Veterans participated in a PTSD Residential Rehabilitation Program, which included cognitive processing therapy (CPT) provided in a combined individual and group format. Sixty-six percent of participants met criteria at pre-treatment for at least one personality disorder. No difference was found between participants with and without personality disorders on pre-treatment demographic variables, self-reported PTSD symptoms, or clinician-assessed PTSD symptoms. However, differences were found between the groups on self-reported depression symptoms. When controlling for pre-treatment self-reported depression symptoms, results indicated that both groups had significant reductions on PTSD outcome measures, regardless of the presence of a personality disorder. Additionally, a comparable number of participants with and without personality disorders no longer met criteria for PTSD following treatment. Findings suggest that Veterans with personality disorders can benefit from a CPT-based PTSD residential program.
引用
收藏
页码:576 / 584
页数:9
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