Ofir Levi1,2,3, Yair Bar-Haim4, Yitshak Kreiss1, Eyal Fruchter1. 1. Mental Health Division, Unit for Treatment of Combat-Related PTSD (UTC-PTSD), Israel Defense Forces, Medical Corps, Ramat Gan, Israel. 2. Social Work Department, Ruppin Academic Center, Emek Hefer, Israel. 3. The Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel. 4. School of Psychological Sciences and The Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.
Abstract
UNLABELLED: This study compared the effectiveness of two psychotherapy approaches for treating combat veterans with chronic post-traumatic stress disorder (PTSD): cognitive-behavioural therapy (CBT) and psychodynamic psychotherapy (PDT). These treatments are routinely used by the Unit for Treatment of Combat-Related PTSD of the Israel Defense Forces (IDF). IDF veterans with chronic PTSD were assigned to either CBT (n = 148) or PDT (n = 95) based on the nature of their complaint and symptoms. Psychiatric status was assessed at baseline, post-treatment and 8-12 months follow-up using the Clinician-Administered PTSD Scale, the PTSD Questionnaire, the Montgomery and Asberg Depression Rating Scale and the Psychotherapy Outcome Assessment and Monitoring System-Trauma Version assessment questionnaire. Both treatment types resulted in significant reduction in symptoms and with improved functioning from pre-treatment to post-treatment, which were maintained at follow-up. No differences between the two treatments were found in any the effectiveness measures. At post-treatment, 35% of the CBT patients and 45% of the PDT patients remitted, with no difference between the groups. At follow-up, remission rates were 33% and 36% for the CBT and PDT groups, respectively. The study recommends further randomized controlled trials to determine treatment efficacy.
UNLABELLED: This study compared the effectiveness of two psychotherapy approaches for treating combat veterans with chronic post-traumatic stress disorder (PTSD): cognitive-behavioural therapy (CBT) and psychodynamic psychotherapy (PDT). These treatments are routinely used by the Unit for Treatment of Combat-Related PTSD of the Israel Defense Forces (IDF). IDF veterans with chronic PTSD were assigned to either CBT (n = 148) or PDT (n = 95) based on the nature of their complaint and symptoms. Psychiatric status was assessed at baseline, post-treatment and 8-12 months follow-up using the Clinician-Administered PTSD Scale, the PTSD Questionnaire, the Montgomery and Asberg Depression Rating Scale and the Psychotherapy Outcome Assessment and Monitoring System-Trauma Version assessment questionnaire. Both treatment types resulted in significant reduction in symptoms and with improved functioning from pre-treatment to post-treatment, which were maintained at follow-up. No differences between the two treatments were found in any the effectiveness measures. At post-treatment, 35% of the CBT patients and 45% of the PDT patients remitted, with no difference between the groups. At follow-up, remission rates were 33% and 36% for the CBT and PDT groups, respectively. The study recommends further randomized controlled trials to determine treatment efficacy.
Authors: Amit Lazarov; Benjamin Suarez-Jimenez; Ofir Levi; Daniel D L Coppersmith; Gadi Lubin; Daniel S Pine; Yair Bar-Haim; Rany Abend; Yuval Neria Journal: Psychol Med Date: 2019-08-27 Impact factor: 7.723
Authors: Mytra Haerizadeh; Jennifer A Sumner; Jeffrey L Birk; Christopher Gonzalez; Reuben Heyman-Kantor; Louise Falzon; Liliya Gershengoren; Peter Shapiro; Ian M Kronish Journal: J Psychosom Res Date: 2019-12-19 Impact factor: 3.006