Examining the effectiveness of an intensive, 2-week treatment program for military personnel and veterans with PTSD: Results of a pilot, open-label, prospective cohort trial

被引:45
作者
Bryan, Craig J. [1 ]
Leifker, Feea R. [1 ]
Rozek, David C. [1 ]
Bryan, AnnaBelle O. [1 ]
Reynolds, Mira L. [1 ]
Oakey, D. Nicolas [1 ]
Roberge, Erika [1 ]
机构
[1] Univ Utah, Natl Ctr Vet Studies, Salt Lake City, UT USA
关键词
cognitive processing therapy; military; posttraumatic stress disorder; psychotherapy; veteran; POSTTRAUMATIC-STRESS-DISORDER; COGNITIVE-PROCESSING THERAPY; RANDOMIZED CLINICAL-TRIAL; MENTAL-HEALTH PROBLEMS; WAR VETERANS; IRAQ WAR; CARE; AFGHANISTAN; BARRIERS; DUTY;
D O I
10.1002/jclp.22651
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective This study aimed to examine the effectiveness of cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) when administered on a daily basis during a 2-week period of time. Method In an open-label, prospective cohort pilot trial, 20 U.S. military personnel and veterans diagnosed with PTSD or subthreshold PTSD participated in 12 daily sessions of CPT. Primary outcomes included Clinician Administered PTSD Scale for DSM-5 and PTSD Checklist for DSM-5 scores. Secondary outcomes included Patient Health Questionnaire-8 and Beck Scale for Suicide Ideation (BSSI) scores. Interviews and self-report scales were completed at pretreatment, posttreatment, and 6 months after the treatment. Results Relative to baseline, PTSD symptom severity and rates of PTSD diagnosis were significantly reduced at posttreatment and 6-month follow-up. Depression symptom severity did not significantly improve, but suicide ideation significantly decreased at 6-month follow-up. Conclusions Daily administration of CPT is associated with significant reductions in PTSD and suicide ideation.
引用
收藏
页码:2070 / 2081
页数:12
相关论文
共 43 条
[1]  
Acosta JD., 2014, MENTAL HLTH STIGMA M
[2]  
[Anonymous], 2007, Traumatology, DOI DOI 10.1177/1534765607309950
[3]  
[Anonymous], 2008, INVISIBLE WOUNDS WAR
[4]  
[Anonymous], 2017, VA DOD CLIN PRACT GU
[5]  
[Anonymous], 2012, Treatment for posttraumatic stress disorder in military and veteran populations: Final assessment, P165, DOI DOI 10.17226/13364
[6]  
[Anonymous], 2013, CLIN ADM PTSD SCAL D
[7]   Substance use disorders and PTSD: An exploratory study of treatment preferences among military veterans. [J].
Back, Sudie E. ;
Killeen, Therese K. ;
Teer, Andrew P. ;
Hartwell, Emily E. ;
Federline, Amanda ;
Beylotte, Frank ;
Cox, Elizabeth .
ADDICTIVE BEHAVIORS, 2014, 39 (02) :369-373
[8]   ASSESSMENT OF SUICIDAL INTENTION - SCALE FOR SUICIDE IDEATION [J].
BECK, AT ;
KOVACS, M ;
WEISSMAN, A .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1979, 47 (02) :343-352
[9]   A survey of psychologists' attitudes towards and utilization of exposure therapy for PTSD [J].
Becker, CB ;
Zayfert, C ;
Anderson, E .
BEHAVIOUR RESEARCH AND THERAPY, 2004, 42 (03) :277-292
[10]   The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and Initial Psychometric Evaluation [J].
Blevins, Christy A. ;
Weathers, Frank W. ;
Davis, Margaret T. ;
Witte, Tracy K. ;
Domino, Jessica L. .
JOURNAL OF TRAUMATIC STRESS, 2015, 28 (06) :489-498