Impact of Intensive Treatment Programs for Posttraumatic Stress Disorder on Suicidal Ideation in Veterans and Service Members

被引：8

作者：

Post, Loren M. ^{[1
]}

Held, Philip ^{[2
]}

Smith, Dale L. ^{[2
]}

Black, Kathryn ^{[1
]}

Van Horn, Rebecca ^{[2
]}

Pollack, Mark H. ^{[2
]}

Rothbaum, Barbara O. ^{[1
]}

Rauch, Sheila A. M. ^{[1
,3
]}

机构：

[1] Emory Univ, Sch Med, Dept Psychiat & Behav Sci, Atlanta, GA 30322 USA

[2] Rush Univ, Dept Psychiat & Behav Sci, Med Ctr, Chicago, IL 60612 USA

[3] Atlanta VA Healthcare Syst, Mental Hlth Serv Line, Decatur, GA USA

来源：

PSYCHOLOGICAL SERVICES | 2021年 / 18卷 / 04期

基金：

美国国家卫生研究院;

关键词：

posttraumatic stress disorder; suicidal ideation; intensive treatment programs; veterans; traumafocused CBT; COGNITIVE-BEHAVIORAL THERAPY; RANDOMIZED CONTROLLED-TRIAL; PROLONGED EXPOSURE; RISK-FACTORS; PTSD; DEPRESSION; OUTCOMES; PHQ-9; ARMY; RESILIENCE;

D O I：

10.1037/ser0000518

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Intensive treatment programs (ITPs) are treating veterans with posttraumatic stress disorder (PTSD) and suicidal ideation (SI). The reduction of SI is a target to the abatement of suicide risk. This study examined whether ITPs utilizing PTSD treatments reduce SI and whether SI reduction is associated with PTSD symptom improvement. Veterans (N = 684) enrolled in a 2-week Prolonged Exposure (PE)-ITP or a 3-week Cognitive Processing Therapy (CPT)-ITP. Study data were drawn from self-report measures [PTSD Checklist for DSM-5 (PCL-5); item 9 of the Patient Health Questionnaire-9 (PHQ-9)] administered at intake and throughout treatment. The ITPs produced large treatment effects for PTSD. SI scores also decreased over time. Lower PTSD symptom severity was associated with less severe SI in both the PE-ITP and CPT-ITP. In conclusion, both PE- and CPT-ITPs effectively treat PTSD and reduce SI among veterans in as little as 2 weeks of intensive PTSD treatment.

引用

页码：671 / 678

页数：8

共 50 条

[41] Contribution of Perceived Cognitive Functioning to Quality of Life in Service Members and Veterans With Posttraumatic Stress Disorder [J].

Silverberg, Noah D. ;

Wojtowicz, Magdalena ;

Bui, Eric ;

Wershba, Rebecca ;

Zafonte, Ross ;

Laifer, Lauren M. ;

Simon, Naomi M. ;

Iverson, Grant L. .

JOURNAL OF TRAUMATIC STRESS, 2017, 30 (03) :318-322

[42] Elevated rates of memory impairment in military service-members and veterans with posttraumatic stress disorder [J].

Stricker, Nikki H. ;

Lippa, Sara M. ;

Green, Deborah L. ;

McGlynn, Susan M. ;

Grande, Laura J. ;

Milberg, William P. ;

McGlinchey, Regina E. .

JOURNAL OF CLINICAL AND EXPERIMENTAL NEUROPSYCHOLOGY, 2017, 39 (08) :768-785

[43] Genetic predictor of current suicidal ideation in US service members deployed to Iraq and Afghanistan [J].

Zhang, Lei ;

Hu, Xian-Zhang ;

Benedek, David M. ;

Fullerton, Carol S. ;

Forsten, Robert D. ;

Naifeh, James A. ;

Li, Xiaoxia ;

Wynn, Gary ;

Russell, Dale W. ;

Ursano, Robert J. .

JOURNAL OF PSYCHIATRIC RESEARCH, 2019, 113 :65-71

[44] Traditional Masculinity Ideology, Posttraumatic Stress Disorder {PTSD ) Symptom Severity, and Treatment in Service Members and Veterans: A Systematic Review [J].

Neilson, Elizabeth C. ;

Singh, R. Sonia ;

Harper, Kelly L. ;

Teng, Ellen J. .

PSYCHOLOGY OF MEN & MASCULINITIES, 2020, 21 (04) :578-592

[45] A Systematic Review of Posttraumatic Stress and Resilience Trajectories: Identifying Predictors for Future Treatment of Veterans and Service Members [J].

Pavlacic, Jeffrey M. ;

Buchanan, Erin M. ;

McCaslin, Shannon E. ;

Schulenberg, Stefan E. ;

Young, John N. .

PROFESSIONAL PSYCHOLOGY-RESEARCH AND PRACTICE, 2022, 53 (03) :266-275

[46] Mediation of suicide ideation in prolonged exposure therapy for posttraumatic stress disorder [J].

Brown, Lily A. ;

Zang, Yinyin ;

Benhamou, Kathy ;

Taylor, Daniel J. ;

Bryan, Craig J. ;

Yarvis, Jeffrey S. ;

Dondanville, Katherine A. ;

Litz, Brett T. ;

Mintz, Jim ;

Roache, John D. ;

Pruiksma, Kristi E. ;

Fina, Brooke A. ;

Young-McCaughan, Stacey ;

Peterson, Alan L. ;

Foa, Edna B. .

BEHAVIOUR RESEARCH AND THERAPY, 2019, 119

[47] Perspectives of Family and Veterans on Family Programs to Support Reintegration of Returning Veterans With Posttraumatic Stress Disorder [J].

Fischer, Ellen P. ;

Sherman, Michelle D. ;

McSweeney, Jean C. ;

Pyne, Jeffrey M. ;

Owen, Richard R. ;

Dixon, Lisa B. .

PSYCHOLOGICAL SERVICES, 2015, 12 (03) :187-198

[48] Hopelessness and Suicidal Ideation in Iraq and Afghanistan War Veterans Reporting Subthreshold and Threshold Posttraumatic Stress Disorder [J].

Jakupcak, Matthew ;

Hoerster, Katherine D. ;

Varra, Alethea ;

Vannoy, Steven ;

Felker, Bradford ;

Hunt, Stephen .

JOURNAL OF NERVOUS AND MENTAL DISEASE, 2011, 199 (04) :272-275

[49] Posttraumatic Stress Disorder, Suicidal ideation, and Stress: The Moderating Role of Dysfunctional and Recovery Cognitions [J].

Gomes, Kimberly D. ;

Collette, Tyler L. ;

Schlenk, Michael ;

Judkins, Jason ;

Sanchez-Cardona, Israel ;

Channer, Bianca ;

Ross, Patricia ;

Fredrick, George ;

Moore, Brian A. .

ARCHIVES OF SUICIDE RESEARCH, 2024, 28 (02) :569-584

[50] Sleep disturbances and suicidal ideation in a sample of treatment-seeking Canadian Forces members and veterans [J].

Richardson, J. Don ;

Cyr, Kate St. ;

Nelson, Charles ;

Elhai, Jon D. ;

Sareen, Jitender .

PSYCHIATRY RESEARCH, 2014, 218 (1-2) :118-123

← 1 2 3 4 5 →