Effectiveness of Cognitive Processing Therapy and Prolonged Exposure in the Department of Veterans Affairs
| Autor: | Mary E. Oehlert, James W. Lichtenberg, Thomas S. Krieshok, Benjamin T. Rutt |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 050103 clinical psychology medicine.medical_specialty medicine.medical_treatment Exposure therapy Implosive Therapy Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Outcome Assessment Health Care medicine Humans 0501 psychology and cognitive sciences Psychiatry Veterans Affairs General Psychology Aged Retrospective Studies Veterans Prolonged exposure therapy Cognitive Behavioral Therapy 05 social sciences Middle Aged Veterans health United States 030227 psychiatry Prolonged exposure Clinical Practice United States Department of Veterans Affairs Emergency medicine Cognitive therapy Cognitive processing therapy Female Psychology |
| Zdroj: | Psychological Reports. 121:282-302 |
| ISSN: | 1558-691X 0033-2941 |
| Popis: | Objective This study evaluated the effectiveness of cognitive processing therapy and prolonged exposure in conditions reflective of current clinical practice within the Veterans Health Administration. Method This study involved a retrospective review of 2030 charts. A total of 750 veterans from 10 U.S. states who received cognitive processing therapy or prolonged exposure in individual psychotherapy were included in the study (participants in cognitive processing therapy, N = 376; participants in prolonged exposure, N = 374). The main dependent variable was self-reported posttraumatic stress disorder symptoms as measured by total scores on the Posttraumatic Stress Disorder Checklist. The study used multilevel modeling to evaluate the absolute and relative effectiveness of both treatments and determine the relationship between patient-level variables and total Posttraumatic Stress Disorder Checklist scores during treatment. Results Cognitive processing therapy and prolonged exposure were equally effective at reducing total Posttraumatic Stress Disorder Checklist scores. Veterans who completed therapy reported significantly larger reductions in the Posttraumatic Stress Disorder Checklist than patients who did not complete therapy. There were no significant differences in the improvement of posttraumatic stress disorder symptoms with respect to age and three racial/ethnic groups (Caucasian, African American, and Hispanic). Conclusions Cognitive processing therapy and prolonged exposure were shown to be effective in conditions highly reflective of clinical practice and with a highly diverse sample of veterans. Challenges related to dropout from trauma focused therapy should continue to be researched. |
| Databáze: | OpenAIRE |
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