| Autor: |
Wachen JS; National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA.; Department of Psychiatry, Boston University School of Medicine, Boston, MA, USA., Dondanville KA; Department of Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA., Young-McCaughan S; Department of Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA., Mintz J; Department of Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.; Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA., Lapiz-Bluhm MD; Department of Family and Community Health Systems, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.; Center for Biomedical Neuroscience, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA., Pruiksma KE; Department of Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA., Yarvis CJS; Carl R. Darnall Army Medical Center, Fort Hood, TX, USA., Peterson AL; Department of Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.; Research and Development Service, South Texas Veterans Health Care System, San Antonio, TX, USA.; Department of Psychology, University of Texas at San Antonio, San Antonio, TX, USA., Resick PA; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA. |
| Abstrakt: |
Combat-related trauma exposures have been associated with increased risk for posttraumatic stress disorder (PTSD) and comorbid mental health conditions. Cognitive Processing Therapy (CPT) is a 12-session manualized cognitive-behavioral therapy that has emerged as one of the leading evidence-based treatments for combat-related PTSD among military personnel and veterans. However, rates of remission have been less in both veterans and active duty military personnel compared to civilians, suggesting that studies are needed to identify strategies to improve upon outcomes in veterans of military combat. There is existing evidence that varying the number of sessions in the CPT protocol based on patient response to treatment improves outcomes in civilians. This paper describes the rationale, design, and methodology of a clinical trial examining a variable-length CPT intervention in a treatment-seeking active duty sample with PTSD to determine if some service members would benefit from a longer or shorter dose of treatment, and to identify predictors of length of treatment response to reach good end-state functioning. In addition to individual demographic and trauma-related variables, the trial is designed to evaluate factors related to internalizing/externalizing personality traits, neuropsychological measures of cognitive functioning, and biological markers as predictors of treatment response. This study attempts to develop a personalized approach to achieving positive treatment outcomes for service members suffering from PTSD. Determining predictors of treatment response can help to develop an adaptable treatment regimen that returns the greatest number of service members to full functioning in the shortest amount of time. |
