OBJECTIVE: To identify the extent to which evidence-based psychotherapy (EBP) and psychopharmacologic treatments for posttraumatic stress disorder (PTSD) are provided to U.S. service members in routine practice, and the degree to which they are consistent with evidence-based treatment guidelines. METHOD: We surveyed the majority of Army behavioral health providers (n = 2,310); surveys were obtained from 543 (26%). These clinicians reported clinical data on a total sample of 399 service member patients. Of these patients, 110 (28%) had a reported PTSD diagnosis. Data were weighted to account for sampling design and nonresponses. RESULTS: Army providers reported 86% of patients with PTSD received evidence-based psychotherapy (EBP) for PTSD. As formal training hours in EBPs increased, reported use of EBPs significantly increased. Although EBPs for PTSD were reported to be widely used, clinicians who deliver EBP frequently reported not adhering to all core procedures recommended in treatment manuals; less than half reported using all the manualized core EBP techniques. CONCLUSIONS: Further research is necessary to understand why clinicians modify EBP treatments, and what impact this has on treatment outcomes. More data regarding the implications for treatment effectiveness and the role of clinical context, patient preferences, and clinical decision-making in adapting EBPs could help inform training efforts and the ways that these treatments may be better adapted for the military.
OBJECTIVE: To identify the extent to which evidence-based psychotherapy (EBP) and psychopharmacologic treatments for posttraumatic stress disorder (PTSD) are provided to U.S. service members in routine practice, and the degree to which they are consistent with evidence-based treatment guidelines. METHOD: We surveyed the majority of Army behavioral health providers (n = 2,310); surveys were obtained from 543 (26%). These clinicians reported clinical data on a total sample of 399 service member patients. Of these patients, 110 (28%) had a reported PTSD diagnosis. Data were weighted to account for sampling design and nonresponses. RESULTS: Army providers reported 86% of patients with PTSD received evidence-based psychotherapy (EBP) for PTSD. As formal training hours in EBPs increased, reported use of EBPs significantly increased. Although EBPs for PTSD were reported to be widely used, clinicians who deliver EBP frequently reported not adhering to all core procedures recommended in treatment manuals; less than half reported using all the manualized core EBP techniques. CONCLUSIONS: Further research is necessary to understand why clinicians modify EBP treatments, and what impact this has on treatment outcomes. More data regarding the implications for treatment effectiveness and the role of clinical context, patient preferences, and clinical decision-making in adapting EBPs could help inform training efforts and the ways that these treatments may be better adapted for the military.
Authors: Shannon Wiltsey Stirman; Alexis Matza; Jennifer Gamarra; Katherine Toder; Regina Xhezo; Arthur C Evans; Matthew Hurford; Aaron T Beck; Paul Crits-Christoph; Torrey Creed Journal: Psychiatr Serv Date: 2015-03-31 Impact factor: 3.084
Authors: Erin P Finley; Hector A Garcia; Norma S Ketchum; Donald D McGeary; Cindy A McGeary; Shannon Wiltsey Stirman; Alan L Peterson Journal: Psychol Serv Date: 2014-11-24
Authors: Andrea Varias; Peter van Roessel; Maryam Parsiani; Maria Filippou-Frye; Thomas C Neylan; Peter Nagele; Jerome Yesavage; J David Clark; Carolyn I Rodriguez Journal: J Clin Psychiatry Date: 2020-06-30 Impact factor: 4.384
Authors: Shannon Wiltsey Stirman; Erin P Finley; Norman Shields; Joan Cook; Rachel Haine-Schlagel; James F Burgess; Linda Dimeff; Kelly Koerner; Michael Suvak; Cassidy A Gutner; David Gagnon; Tasoula Masina; Matthew Beristianos; Kera Mallard; Vanessa Ramirez; Candice Monson Journal: Implement Sci Date: 2017-03-06 Impact factor: 7.327