Group-Delivered Cognitive/Exposure Therapy for PTSD in Women Veterans: A Randomized Controlled Trial
被引:31
作者:
Castillo, Diane T.
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机构:
New Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USA
VISN 17 Ctr Excellence, Waco, TX USANew Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USA
Castillo, Diane T.
[1
,2
]
Chee, Christine L.
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h-index: 0
机构:
New Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USANew Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USA
Chee, Christine L.
[1
]
Nason, Erica
论文数: 0引用数: 0
h-index: 0
机构:
Univ New Mexico, Albuquerque, NM 87131 USANew Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USA
Nason, Erica
[3
]
Keller, Jenna
论文数: 0引用数: 0
h-index: 0
机构:
Biomed Res Inst New Mexico, Albuquerque, NM USANew Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USA
Keller, Jenna
[4
]
Baca, Janet C'de
论文数: 0引用数: 0
h-index: 0
机构:
New Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USANew Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USA
Baca, Janet C'de
[1
]
Qualls, Clifford
论文数: 0引用数: 0
h-index: 0
机构:
Univ New Mexico, Clin & Translat Sci Ctr, Albuquerque, NM 87131 USANew Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USA
Qualls, Clifford
[5
]
Fallon, Stephanie K.
论文数: 0引用数: 0
h-index: 0
机构:
New Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USA
Univ New Mexico, Sch Med, Albuquerque, NM 87131 USANew Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USA
Fallon, Stephanie K.
[1
,6
]
Haaland, Kathleen Y.
论文数: 0引用数: 0
h-index: 0
机构:
New Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USA
Univ New Mexico, Sch Med, Albuquerque, NM 87131 USANew Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USA
Haaland, Kathleen Y.
[1
,6
]
Miller, Mark W.
论文数: 0引用数: 0
h-index: 0
机构:
Boston Vet Affairs Hlth Care Syst, Boston, MA USA
Boston Univ, Sch Med, Boston, MA 02215 USANew Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USA
Miller, Mark W.
[7
,8
]
Keane, Terence M.
论文数: 0引用数: 0
h-index: 0
机构:
Boston Vet Affairs Hlth Care Syst, Boston, MA USA
Boston Univ, Sch Med, Boston, MA 02215 USANew Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USA
Keane, Terence M.
[7
,8
]
机构:
[1] New Mexico Vet Affairs Hlth Care Syst, Albuquerque, NM USA
[2] VISN 17 Ctr Excellence, Waco, TX USA
[3] Univ New Mexico, Albuquerque, NM 87131 USA
[4] Biomed Res Inst New Mexico, Albuquerque, NM USA
[5] Univ New Mexico, Clin & Translat Sci Ctr, Albuquerque, NM 87131 USA
[6] Univ New Mexico, Sch Med, Albuquerque, NM 87131 USA
[7] Boston Vet Affairs Hlth Care Syst, Boston, MA USA
Objective: Group delivery of posttraumatic stress disorder (PTSD) treatment has several advantages, however group research is not comparable to individual trials. This study extends the group literature by improving methodology in examining the efficacy of a 3-module (cognitive, exposure, skills) group treatment for PTSD, establishes a format for the delivery of group exposure therapy, and compares 3 treatment modules within the group. Method: Eighty-six Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) women veterans were randomized to a 16-week, 3-member group treatment (Tx) or a waitlist (WL) condition. The primary (Clinician Administered PTSD Scale [CAPS]) and secondary (Medical Outcomes Study Short Form-36 [SF-36], Quality of Life Inventory [QOLI], and PTSD Checklist [PCL]) outcome measures were administered at baseline, post Tx/WL, and at 3- and 6-months post Tx (PCL additionally at pre/post for each treatment module). Results: PTSD symptoms significantly improved in Tx arm participants (p < .001, ES = 1.72; unit of analysis group: n = 14), as did mental and physical life functioning (SF-36; p < .001), and quality of life (QOLI; p < .001). The WL significantly improved on the SF-36 (mental; p = .04) and QOLI (p = .02). Clinical improvement (CAPS) in the Tx arm reflected a treatment response (>= 10-point decrease) in 77% and loss of PTSD diagnosis (<45) in 52% of participants, comparable to individual prolonged exposure (PE) treatment. Finally, PCL scores significantly lowered in exposure and cognitive modules. Conclusions: This study supports the use of group format for PTSD with 3 modules using improved methodology, with a novel, 3-member group which allows repeated in-session weekly imaginal exposures. The results suggest future examination of group delivered PE.
机构:
New Mexico VA Hlth Care Syst, Behav Hlth Care Line, 1501 San Pedro SE, Albuquerque, NM 87108 USA
Univ New Mexico, Sch Med, Dept Psychiat, Albuquerque, NM 87131 USANew Mexico VA Hlth Care Syst, Behav Hlth Care Line, 1501 San Pedro SE, Albuquerque, NM 87108 USA
Castillo, Diane T.
Lacefield, Katharine
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h-index: 0
机构:
Washington DC VA Med Ctr, Dept Psychol, Washington, DC 20422 USANew Mexico VA Hlth Care Syst, Behav Hlth Care Line, 1501 San Pedro SE, Albuquerque, NM 87108 USA
Lacefield, Katharine
Baca, Janet C'de
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h-index: 0
机构:
New Mexico VA Hlth Care Syst, Behav Hlth Care Line, 1501 San Pedro SE, Albuquerque, NM 87108 USANew Mexico VA Hlth Care Syst, Behav Hlth Care Line, 1501 San Pedro SE, Albuquerque, NM 87108 USA
Baca, Janet C'de
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机构:
Blankenship, Abby
Qualls, Clifford
论文数: 0引用数: 0
h-index: 0
机构:
Univ New Mexico, CTSC, Albuquerque, NM 87131 USANew Mexico VA Hlth Care Syst, Behav Hlth Care Line, 1501 San Pedro SE, Albuquerque, NM 87108 USA
机构:
New Mexico VA Hlth Care Syst, Behav Hlth Care Line, 1501 San Pedro SE, Albuquerque, NM 87108 USA
Univ New Mexico, Sch Med, Dept Psychiat, Albuquerque, NM 87131 USANew Mexico VA Hlth Care Syst, Behav Hlth Care Line, 1501 San Pedro SE, Albuquerque, NM 87108 USA
Castillo, Diane T.
Lacefield, Katharine
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h-index: 0
机构:
Washington DC VA Med Ctr, Dept Psychol, Washington, DC 20422 USANew Mexico VA Hlth Care Syst, Behav Hlth Care Line, 1501 San Pedro SE, Albuquerque, NM 87108 USA
Lacefield, Katharine
Baca, Janet C'de
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h-index: 0
机构:
New Mexico VA Hlth Care Syst, Behav Hlth Care Line, 1501 San Pedro SE, Albuquerque, NM 87108 USANew Mexico VA Hlth Care Syst, Behav Hlth Care Line, 1501 San Pedro SE, Albuquerque, NM 87108 USA
Baca, Janet C'de
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机构:
Blankenship, Abby
Qualls, Clifford
论文数: 0引用数: 0
h-index: 0
机构:
Univ New Mexico, CTSC, Albuquerque, NM 87131 USANew Mexico VA Hlth Care Syst, Behav Hlth Care Line, 1501 San Pedro SE, Albuquerque, NM 87108 USA