Prolonged Exposure Therapy With Veterans and Active Duty Personnel Diagnosed With PTSD and Traumatic Brain Injury.

Autor: Wolf GK; Mental Health & Behavioral Sciences, James A. Haley Veterans Affairs Medical Center, Tampa, Florida, USA., Kretzmer T; Mental Health & Behavioral Sciences, James A. Haley Veterans Affairs Medical Center, Tampa, Florida, USA., Crawford E; VA Mid-Atlantic Region Mental Illness Research, Education and Clinical Center, Durham, North Carolina, USA.; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA., Thors C; Mental Health & Behavioral Sciences, James A. Haley Veterans Affairs Medical Center, Tampa, Florida, USA., Wagner HR; VA Mid-Atlantic Region Mental Illness Research, Education and Clinical Center, Durham, North Carolina, USA.; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA., Strom TQ; Mental Health Services for Minneapolis, Department of Veterans Affairs Medical Center, Minneapolis, Minnesota, USA.; Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota, USA., Eftekhari A; Dissemination and Training Division, National Center for PTSD, VA Palo Alto HCS, Menlo Park, California, USA., Klenk M; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA., Hayward L; Department of Psychology, Syracuse VA Medical Center, Syracuse, New York, USA., Vanderploeg RD; Mental Health & Behavioral Sciences, James A. Haley Veterans Affairs Medical Center, Tampa, Florida, USA.; Departments of Psychiatry and Neurosciences, and Psychology, University of South Florida, Tampa, Florida, USA.
Jazyk: angličtina
Zdroj: Journal of traumatic stress [J Trauma Stress] 2015 Aug; Vol. 28 (4), pp. 339-47. Date of Electronic Publication: 2015 Jul 22.
DOI: 10.1002/jts.22029
Abstrakt: The present study used archival clinical data to analyze the delivery and effectiveness of prolonged exposure (PE) and ancillary services for posttraumatic stress disorder (PTSD) among Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn veterans (N = 69) with histories of mild to severe traumatic brain injury (TBI). Data from standard clinical assessments of veterans and active duty personnel treated in both inpatient and outpatient programs at 2 Department of Veteran Affairs medical centers were examined. Symptoms were assessed with self-report measures of PTSD (PTSD Checklist) and depression (Beck Depression Inventory-II) before and throughout therapy. Mixed linear models were utilized to determine the slope of reported symptoms throughout treatment, and the effects associated with fixed factors such as site, treatment setting (residential vs. outpatient), and TBI severity were examined. Results demonstrated significant decreases in PTSD, B = -3.00, 95% CI [-3.22, -2.78]; t(210) = -13.5; p < .001, and in depressive symptoms, B = -1.46, 95% CI [-1.64, -1.28]; t(192) = -8.32; p < .001. The effects of PE treatment did not differ by clinical setting and participants with moderate to severe injuries reported more rapid gains than those with a history of mild TBI. The results provide evidence that PE may well be effective for veterans with PTSD and TBI.
(Copyright © 2015 International Society for Traumatic Stress Studies.)
Databáze: MEDLINE
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