OBJECTIVE: To determine whether group therapy improves symptoms of posttraumatic stress disorder (PTSD), this randomized clinical trial compared efficacy of group cognitive processing therapy (cognitive only version; CPT-C) with group present-centered therapy (PCT) for active duty military personnel. METHOD: Patients attended 90-min groups twice weekly for 6 weeks at Fort Hood, Texas. Independent assessments were administered at baseline, weekly before sessions, and 2 weeks, 6 months, and 12 months posttreatment. A total of 108 service members (100 men, 8 women) were randomized. Inclusion criteria included PTSD following military deployment and medication stability. Exclusion criteria included suicidal/homicidal intent or other severe mental disorders requiring immediate treatment. Follow-up assessments were administered regardless of treatment completion. Primary outcome measures were the PTSD Checklist (Stressor Specific Version; PCL-S) and Beck Depression Inventory-II. The Posttraumatic Stress Symptom Interview (PSS-1) was a secondary measure. RESULTS: Both treatments resulted in large reductions in PTSD severity, but improvement was greater in CPT-C. CPT-C also reduced depression, with gains remaining during follow-up. In PCT, depression only improved between baseline and before Session 1. There were few adverse events associated with either treatment. CONCLUSIONS: Both CPT-C and PCT were tolerated well and reduced PTSD symptoms in group format, but only CPT-C improved depression. This study has public policy implications because of the number of active military needing PTSD treatment, and demonstrates that group format of treatment of PTSD results in significant improvement and is well tolerated. Group therapy may an important format in settings in which therapists are limited. (c) 2015 APA, all rights reserved).
RCT Entities:
OBJECTIVE: To determine whether group therapy improves symptoms of posttraumatic stress disorder (PTSD), this randomized clinical trial compared efficacy of group cognitive processing therapy (cognitive only version; CPT-C) with group present-centered therapy (PCT) for active duty military personnel. METHOD:Patients attended 90-min groups twice weekly for 6 weeks at Fort Hood, Texas. Independent assessments were administered at baseline, weekly before sessions, and 2 weeks, 6 months, and 12 months posttreatment. A total of 108 service members (100 men, 8 women) were randomized. Inclusion criteria included PTSD following military deployment and medication stability. Exclusion criteria included suicidal/homicidal intent or other severe mental disorders requiring immediate treatment. Follow-up assessments were administered regardless of treatment completion. Primary outcome measures were the PTSD Checklist (Stressor Specific Version; PCL-S) and Beck Depression Inventory-II. The Posttraumatic Stress Symptom Interview (PSS-1) was a secondary measure. RESULTS: Both treatments resulted in large reductions in PTSD severity, but improvement was greater in CPT-C. CPT-C also reduced depression, with gains remaining during follow-up. In PCT, depression only improved between baseline and before Session 1. There were few adverse events associated with either treatment. CONCLUSIONS: Both CPT-C and PCT were tolerated well and reduced PTSD symptoms in group format, but only CPT-C improved depression. This study has public policy implications because of the number of active military needing PTSD treatment, and demonstrates that group format of treatment of PTSD results in significant improvement and is well tolerated. Group therapy may an important format in settings in which therapists are limited. (c) 2015 APA, all rights reserved).
Authors: Joan M Cook; Paula P Schnurr; Vanessa Simiola; Richard Thompson; Rani Hoff; Ilan Harpaz-Rotem Journal: Psychiatr Serv Date: 2019-04-10 Impact factor: 3.084
Authors: Vanessa M Jacoby; Willie Hale; Kirsten Dillon; Katherine A Dondanville; Jennifer Schuster Wachen; Jeffrey S Yarvis; Brett T Litz; Jim Mintz; Stacey Young-McCaughan; Alan L Peterson; Patricia A Resick Journal: J Trauma Stress Date: 2019-08-28
Authors: Katherine A Dondanville; Brooke A Fina; Casey L Straud; Erin P Finley; Hannah Tyler; Vanessa Jacoby; Tabatha H Blount; John C Moring; Kristi E Pruiksma; Abby E Blankenship; Wyatt R Evans; Mariya Zaturenskaya Journal: Community Ment Health J Date: 2020-07-14
Authors: Edna B Foa; Carmen P McLean; Yinyin Zang; David Rosenfield; Elna Yadin; Jeffrey S Yarvis; Jim Mintz; Stacey Young-McCaughan; Elisa V Borah; Katherine A Dondanville; Brooke A Fina; Brittany N Hall-Clark; Tracey Lichner; Brett T Litz; John Roache; Edward C Wright; Alan L Peterson Journal: JAMA Date: 2018-01-23 Impact factor: 56.272
Authors: Kirsten H Dillon; Willie J Hale; Stefanie T LoSavio; Jennifer S Wachen; Kristi E Pruiksma; Jeffrey S Yarvis; Jim Mintz; Brett T Litz; Alan L Peterson; Patricia A Resick Journal: Behav Ther Date: 2019-06-28
Authors: Adrian J Bravo; Michelle L Kelley; Richard Mason; Sarah Ehlke; Christine Vinci; Lt Jason C Redman Ret Journal: Traumatology (Tallahass Fla) Date: 2019-05-16