Evaluating patterns and predictors of symptom change during a three-week intensive outpatient treatment for veterans with PTSD
| Autor: | Dale L. Smith, Thad S. Rydberg, Niranjan S. Karnik, Patricia Normand, Mark H. Pollack, Philip Held, Alyson K. Zalta, Michael B. Brennan, Ashton M. Lofgreen, Randy A. Boley, Brian J. Klassen |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 050103 clinical psychology Mindfulness lcsh:RC435-571 medicine.medical_treatment Psychological intervention Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Cognition lcsh:Psychiatry Military Psychoeducation medicine Humans 0501 psychology and cognitive sciences Depression (differential diagnoses) Aged Veterans Intensive outpatient program Depressive Disorder Military sexual trauma Cognitive Behavioral Therapy Veteran business.industry Yoga 05 social sciences Sex Offenses Combat Cognitive processing therapy Posttraumatic stress disorder Middle Aged 030227 psychiatry Psychiatry and Mental health Cohort Cognitive therapy Psychotherapy Group Female Intensive treatment business Clinical psychology Research Article |
| Zdroj: | BMC Psychiatry BMC Psychiatry, Vol 18, Iss 1, Pp 1-15 (2018) Zalta, AK; Held, P; Smith, DL; Klassen, BJ; Lofgreen, AM; Normand, PS; et al.(2018). Evaluating patterns and predictors of symptom change during a three-week intensive outpatient treatment for veterans with PTSD. BMC PSYCHIATRY, 18. doi: 10.1186/s12888-018-1816-6. UC Irvine: Retrieved from: http://www.escholarship.org/uc/item/3t94h2ct |
| ISSN: | 1471-244X |
| DOI: | 10.1186/s12888-018-1816-6. |
| Popis: | Background Intensive delivery of evidence-based treatment for posttraumatic stress disorder (PTSD) is becoming increasingly popular for overcoming barriers to treatment for veterans. Understanding how and for whom these intensive treatments work is critical for optimizing their dissemination. The goals of the current study were to evaluate patterns of PTSD and depression symptom change over the course of a 3-week cohort-based intensive outpatient program (IOP) for veterans with PTSD, examine changes in posttraumatic cognitions as a predictor of treatment response, and determine whether patterns of treatment outcome or predictors of treatment outcome differed by sex and cohort type (combat versus military sexual trauma [MST]). Method One-hundred ninety-one veterans (19 cohorts: 12 combat-PTSD cohorts, 7 MST-PTSD cohorts) completed a 3-week intensive outpatient program for PTSD comprised of daily group and individual Cognitive Processing Therapy (CPT), mindfulness, yoga, and psychoeducation. Measures of PTSD symptoms, depression symptoms, and posttraumatic cognitions were collected before the intervention, after the intervention, and approximately every other day during the intervention. Results Pre-post analyses for completers (N = 176; 92.1% of sample) revealed large reductions in PTSD (d = 1.12 for past month symptoms and d = 1.40 for past week symptoms) and depression symptoms (d = 1.04 for past 2 weeks). Combat cohorts saw a greater reduction in PTSD symptoms over time relative to MST cohorts. Reduction in posttraumatic cognitions over time significantly predicted decreases in PTSD and depression symptom scores, which remained robust to adjustment for autocorrelation. Conclusion Intensive treatment programs are a promising approach for delivering evidence-based interventions to produce rapid treatment response and high rates of retention. Reductions in posttraumatic cognitions appear to be an important predictor of response to intensive treatment. Further research is needed to explore differences in intensive treatment response for veterans with combat exposure versus MST. |
| Databáze: | OpenAIRE |
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