OBJECTIVE: This retrospective study examined treatment adherence in Cognitive Processing Therapy (CPT) for combat-related posttraumatic stress disorder (PTSD) in Veterans of Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) with and without history of mild traumatic brain injury (mTBI). METHOD: Medical record review of consecutive referrals to an outpatient PTSD clinic identified veterans diagnosed with combat-related PTSD who began treatment with CPT. The sample (N = 136) was grouped according to positive (n = 44) and negative (n = 92) mTBI history. Groups were compared in terms of presenting symptoms and treatment adherence. RESULTS: The groups were not different on a pretreatment measure of depression, but self-reported and clinician-rated PTSD symptoms were higher in veterans with history of mTBI. The treatment completion rate was greater than 61% in both groups. The number of sessions attended averaged 9.6 for the PTSD group and 7.9 for the mTBI/PTSD group (p = .05). IMPLICATIONS: Given the lack of marked group differences in treatment adherence, these initial findings suggest that standard CPT for PTSD may be a tolerable treatment for OEF/OIF veterans with a history of PTSD and mTBI as well as veterans with PTSD alone.
OBJECTIVE: This retrospective study examined treatment adherence in Cognitive Processing Therapy (CPT) for combat-related posttraumatic stress disorder (PTSD) in Veterans of Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) with and without history of mild traumatic brain injury (mTBI). METHOD: Medical record review of consecutive referrals to an outpatientPTSD clinic identified veterans diagnosed with combat-related PTSD who began treatment with CPT. The sample (N = 136) was grouped according to positive (n = 44) and negative (n = 92) mTBI history. Groups were compared in terms of presenting symptoms and treatment adherence. RESULTS: The groups were not different on a pretreatment measure of depression, but self-reported and clinician-rated PTSD symptoms were higher in veterans with history of mTBI. The treatment completion rate was greater than 61% in both groups. The number of sessions attended averaged 9.6 for the PTSD group and 7.9 for the mTBI/PTSD group (p = .05). IMPLICATIONS: Given the lack of marked group differences in treatment adherence, these initial findings suggest that standard CPT for PTSD may be a tolerable treatment for OEF/OIF veterans with a history of PTSD and mTBI as well as veterans with PTSD alone.
Authors: Daniel F Gros; Cynthia L Lancaster; Michael David Horner; Derek D Szafranski; Sudie E Back Journal: Compr Psychiatry Date: 2017-07-17 Impact factor: 3.735
Authors: M Wright Williams; Brooks King-Casas; Pearl H Chiu; Nicole Sciarrino; Matthew Estey; Christopher Hunt; Katherine McCurry; David P Graham Journal: J Clin Psychol Date: 2022-02-16
Authors: Eric Vermetten; Neil Greenberg; Manon A Boeschoten; Roos Delahaije; Rakesh Jetly; Carl A Castro; Alexander C McFarlane Journal: Eur J Psychotraumatol Date: 2014-08-14
Authors: Shannon R Miles; Juliette M Harik; Natalie E Hundt; Joseph Mignogna; Nicholas J Pastorek; Karin E Thompson; Jessica S Freshour; Hong J Yu; Jeffrey A Cully Journal: PLoS One Date: 2017-09-08 Impact factor: 3.240