Intensive, Multi-Couple Group Therapy for PTSD: A Nonrandomized Pilot Study With Military and Veteran Dyads

被引：38

作者：

Fredman, Steffany J. ^{[1
]}

Macdonald, Alexandra ^{[2
]}

Monson, Candice M. ^{[3
]}

Dondanville, Katherine A. ^{[4
]}

Blount, Tabatha H. ^{[4
]}

Hall-Clark, Brittany N. ^{[4
]}

Fina, Brooke A. ^{[4
]}

Mintz, Jim ^{[4
]}

Litz, Brett T. ^{[5
,6
]}

Young-McCaughan, Stacey ^{[4
]}

Hancock, Allison K. ^{[4
]}

Rhoades, Galena K. ^{[7
]}

Yarvis, Jeffrey S. ^{[8
]}

Resick, Patricia A. ^{[9
]}

Roache, John D. ^{[4
]}

Le, Yunying ^{[1
]}

Wachen, Jennifer S. ^{[5
,6
,10
]}

Niles, Barbara L. ^{[5
,6
,10
]}

McGeary, Cindy A. ^{[4
]}

Keane, Terence M. ^{[5
,6
,10
]}

Peterson, Alan L. ^{[4
,11
,12
]}

机构：

[1] Penn State Univ, University Pk, PA 16802 USA

[2] The Citadel, Mil Coll South Carolina, Chicago, IL USA

[3] Ryerson Univ, Toronto, ON, Canada

[4] Univ Texas Hlth Sci Ctr San Antonio, San Antonio, TX 78229 USA

[5] VA Boston Healthcare Syst, Boston, MA USA

[6] Boston Univ, Sch Med, Boston, MA 02118 USA

[7] Univ Denver, Denver, CO 80208 USA

[8] Carl R Darnall Army Med Ctr, Ft Hood, TX USA

[9] Duke Univ, Durham, NC 27706 USA

[10] Natl Ctr PTSD, Boston, MA USA

[11] South Texas Vet Hlth Care Syst, San Antonio, TX USA

[12] Univ Texas San Antonio, San Antonio, TX USA

来源：

BEHAVIOR THERAPY | 2020年 / 51卷 / 05期

关键词：

PTSD; treatment; couples; massed; retreat; POSTTRAUMATIC-STRESS-DISORDER; COGNITIVE PROCESSING THERAPY; BEHAVIORAL CONJOINT THERAPY; COUPLES; PARTNERS; COMBAT;

D O I：

10.1016/j.beth.2019.10.003

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Cognitive-behavioral conjoint therapy for posttraumatic stress disorder (CBCT for PTSD; Monson & Fredman, 2012) is efficacious in improving PTSD symptoms and relationship adjustment among couples with PTSD. However, there is a need for more efficient delivery formats to maximize engagement and retention and to achieve faster outcomes in multiple domains. This nonrandomized trial was designed to pilot an abbreviated, intensive, multi-couple group version of CBCT for PTSD (AIM-CBCT for PTSD) delivered over a single weekend for 24 couples that included an active-duty service member or veteran with PTSD who had deployed in support of combat operations following September 11, 2001. All couples completed treatment. Assessments conducted by clinical evaluators 1 and 3 months after the intervention revealed significant reductions in clinician-rated PTSD symptoms (ds = -0.77 and -0.98, respectively) and in patients' self-reported symptoms of PTSD (ds = -0.73 and -1.17, respectively), depression (ds = -0.60 and -0.75, respectively), anxiety (ds = -0.63 and -0.73, respectively), and anger (ds = -0.45 and -0.60, respectively), relative to baseline. By 3-month follow-up, partners reported significant reductions in patients' PTSD symptoms (d = -0.56), as well as significant improvements in their own depressive symptoms (d = -0.47), anxiety (d = -0.60), and relationship satisfaction (d = 0.53), relative to baseline. Delivering CBCT for PTSD through an abbreviated, intensive multi-couple group format may be an efficient strategy for improving patient, partner, and relational wellbeing in military and veteran couples with PTSD.

引用

页码：700 / 714

页数：15

共 45 条

[1]

American Psychiatric Association, 2013, DIAGNOSTIC STAT MANU, V5, DOI 10.1176/appi.books.9780890425596

[2]

Attkisson C. C., 2004, USE PSYCHOL TESTING, P1333

[3] Common Data Elements in the Assessment of Military-Related PTSD Research Applied in the Consortium to Alleviate PTSD [J].

Ben Barnes, J. ;

Presseau, Candice ;

Jordan, Alexander H. ;

Kline, Nora K. ;

Young-McCaughan, Stacey ;

Keane, Terence M. ;

Peterson, Alan L. ;

Litz, Brett T. ;

Abdallah, Chadi G. ;

Averill, Lynnette A. ;

Bryan, Craig J. ;

Cigrang, Jeffrey A. ;

Fox, Peter T. ;

Fredman, Steffany J. ;

Krystal, John H. ;

McDevitt-Murphy, Meghan E. ;

McGeary, Donald D. ;

Pruiksma, Kristi E. ;

Resick, Patricia A. ;

Roache, John D. ;

Taylor, Daniel J. .

MILITARY MEDICINE, 2019, 184 (5-6) :E218-E226

[4] Predictors of attendance and dropout in three randomized controlled trials of PTSD treatment for active duty service members [J].

Berke, Danielle S. ;

Kline, Nora K. ;

Wachen, Jennifer Schuster ;

McLean, Carmen P. ;

Yarvis, Jeffrey S. ;

Mintz, Jim ;

Young-McCaughan, Stacey ;

Petersong, Alan L. ;

Foa, Edna ;

Resick, Patricia A. ;

Litz, Brett T. .

BEHAVIOUR RESEARCH AND THERAPY, 2019, 118 :7-17

[5] A Daily Diary Study of Posttraumatic Stress Symptoms and Romantic Partner Accommodation [J].

Campbell, Sarah B. ;

Renshaw, Keith D. ;

Kashdan, Todd B. ;

Curby, Timothy W. ;

Carter, Sarah P. .

BEHAVIOR THERAPY, 2017, 48 (02) :222-234

[6]

Cohen J., 1988, Statistical Power Analysis for the Behavioral Sciences., V2nd, DOI [DOI 10.1007/978-1-4684-5439-0_2, DOI 10.4324/9780203771587, 10.4324/9780203771587]

[7]

Davis L., 2015, ANN M AM PSYCH ASS A

[8] A Randomized Controlled Trial of 7-Day Intensive and Standard Weekly Cognitive Therapy for PTSD and Emotion-Focused Supportive Therapy [J].