Influence of comorbid social anxiety disorder in PTSD treatment outcomes for Prolonged Exposure in female military sexual trauma survivors with PTSD.

Autor: Gros DF; Mental Health Service, Ralph H. Johnson VA Healthcare System, Charleston, South Carolina, USA.; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA., Allan NP; Department of Psychiatry and Behavioral Health, Ohio State University, Columbus, Ohio, USA.; VA Center of Excellence for Suicide Prevention, VA Finger Lakes Healthcare System Canandaigua, New York, USA., Koscinski B; Department of Psychology, Ohio University, Athens, Ohio, USA., Keller S; Mental Health Service, Ralph H. Johnson VA Healthcare System, Charleston, South Carolina, USA.; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA., Acierno R; Mental Health Service, Ralph H. Johnson VA Healthcare System, Charleston, South Carolina, USA.; Louis Faillace Department of Psychiatry, University of Texas Health Science Center at Houston, Houston, USA.
Jazyk: angličtina
Zdroj: Journal of clinical psychology [J Clin Psychol] 2023 Apr; Vol. 79 (4), pp. 1039-1050. Date of Electronic Publication: 2022 Nov 18.
DOI: 10.1002/jclp.23456
Abstrakt: Objective: Posttraumatic stress disorder (PTSD) is a common psychiatric disorder that frequently presents alongside other comorbid diagnoses. Although several evidence-based psychotherapies have been well-studied for PTSD, limited research has focused on the influence of diagnostic comorbidity on their outcomes. The present study sought to investigate the influence of comorbid social anxiety disorder on treatment outcomes in patients with PTSD.
Methods: One hundred and twelve treatment-seeking female veteran participants with PTSD completed baseline assessments and received 12-15 sessions of Prolonged Exposure. Symptom measures were completed biweekly as well as at immediate posttreatment, 3-month, and 6-month follow-ups.
Results: Thirty (26.8%) participants seeking PTSD treatment also met diagnostic criteria for social anxiety disorder. Multilevel modeling was used to examine effects of social anxiety disorder diagnosis on post-intervention symptoms and revealed significantly worse outcomes for symptoms of PTSD and depression in participants with comorbid PTSD and social anxiety disorder.
Conclusion: Consistent with previous studies of co-occurring PTSD and depression, present findings suggest that comorbid diagnoses may adversely affect disorder-specific treatment outcomes. As such, the presence of diagnostic comorbidity may merit further consideration and potential adaptions to the traditional, disorder-specific assessment and treatment practices for PTSD.
(Published 2022. This article is a U.S. Government work and is in the public domain in the USA.)
Databáze: MEDLINE
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