Evaluating treatment of posttraumatic stress disorder with cognitive processing therapy and prolonged exposure therapy in a VHA specialty clinic
Autor: | Emma L. Mata-Galán, Hector A. Garcia, Timothy O. Rentz, Prakash V. Nair, Courtney Reinfeld, Matthew D Jeffreys |
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Rok vydání: | 2014 |
Předmět: |
Adult
Male medicine.medical_specialty Evidence-based practice endocrine system diseases Specialty Implosive Therapy Ambulatory Care Facilities Stress Disorders Post-Traumatic Young Adult Chart review medicine Humans heterocyclic compounds neoplasms health care economics and organizations Aged Retrospective Studies Veterans Prolonged exposure therapy Cognitive Behavioral Therapy business.industry Middle Aged Mental health United States digestive system diseases Prolonged exposure United States Department of Veterans Affairs Psychiatry and Mental health Clinical Psychology Posttraumatic stress Treatment Outcome Psychotherapy Group Physical therapy Cognitive processing therapy Female business Clinical psychology |
Zdroj: | Journal of Anxiety Disorders. 28:108-114 |
ISSN: | 0887-6185 |
DOI: | 10.1016/j.janxdis.2013.04.010 |
Popis: | This retrospective chart review evaluates the effectiveness of manualized cognitive processing therapy (CPT) protocols (individual CPT, CPT group only, and CPT group and individual combined) and manualized prolonged exposure (PE) therapy on veterans' posttraumatic stress disorder (PTSD) symptoms in one Veterans Health Administration (VHA) specialty clinic. A total of 517 charts were reviewed, and analyses included 178 charts for CPT and 85 charts for PE. Results demonstrated CPT and PE to significantly reduce PTSD Checklist (PCL) scores. However, PE was significantly more effective than CPT after controlling for variables of age, service era, and ethnicity. Additional findings included different outcomes among CPT formats, decreased treatment dropouts for older veterans, and no significant differences in outcome between Hispanic and White veterans. Study limitations and future research directions are discussed. |
Databáze: | OpenAIRE |
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