Depression Suppresses Treatment Response for Traumatic Loss–Related Posttraumatic Stress Disorder in Active Duty Military Personnel

Autor:	Brett T. Litz, Jennifer Schuster Wachen, Willie J. Hale, Alan L. Peterson, Patricia A. Resick, Jim Mintz, Jeffrey S Yarvis, Katherine A. Dondanville, Kirsten H. Dillon, Stacey Young-McCaughan, Vanessa M. Jacoby
Rok vydání:	2019
Předmět:	050103 clinical psychology Mediation (statistics) medicine.medical_specialty Active duty media_common.quotation_subject behavioral disciplines and activities law.invention Prolonged grief disorder 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law mental disorders medicine 0501 psychology and cognitive sciences Psychiatry Depression (differential diagnoses) media_common business.industry 05 social sciences 030227 psychiatry Clinical trial Psychiatry and Mental health Clinical Psychology Cognitive processing therapy Grief business
Zdroj:	Journal of Traumatic Stress. 32:774-783
ISSN:	1573-6598 0894-9867
Popis:	There are multiple well-established evidence-based treatments for posttraumatic stress disorder (PTSD). However, recent clinical trials have shown that combat-related PTSD in military populations is less responsive to evidence-based treatments than PTSD in most civilian populations. Traumatic death of a close friend or colleague is a common deployment-related experience for active duty military personnel. When compared with research on trauma and PTSD in general, research on traumatic loss suggests that it is related to higher prevalence and severity of PTSD symptoms. Experiencing a traumatic loss is also related to the development of prolonged grief disorder, which is highly comorbid with depression. This study examined the association between having traumatic loss-related PTSD and treatment response to cognitive processing therapy in active duty military personnel. Participants included 213 active duty service members recruited across two randomized clinical trials. Results showed that service members with primary traumatic loss-related PTSD (n = 44) recovered less from depressive symptoms than those who reported different primary traumatic events (n = 169), B = -4.40. Tests of mediation found that less depression recovery suppressed recovery from PTSD symptoms in individuals with traumatic loss-related PTSD, B = 3.75. These findings suggest that evidence-based treatments for PTSD should better accommodate loss and grief in military populations.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::a46fbdc1b2c771f085211a1b7056d6b0 https://doi.org/10.1002/jts.22441 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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