Steffany J Fredman1, Nicole D Pukay-Martin2, Alexandra Macdonald3, Anne C Wagner4, Valerie Vorstenbosch5, Candice M Monson4. 1. Department of Human Development and Family Studies, The Pennsylvania State University. 2. Trauma Recovery Center, Cincinnati VA Medical Center. 3. Women's Health Sciences Division, National Center for PTSD. 4. Department of Psychology, Ryerson University. 5. Eating Disorders Program, Homewood Health Centre.
Abstract
OBJECTIVE: Partner accommodation of posttraumatic stress disorder (PTSD) symptoms (i.e., altering one's own behaviors to minimize patient distress and/or relationship conflict due to patients' PTSD symptoms) has been shown to be positively associated with patient and partner psychopathology and negatively associated with patient and partner relationship satisfaction cross-sectionally. However, the prognostic value of partner accommodation in treatment outcomes is unknown. The goals of the present study were to determine if partner accommodation decreases as a function of couple therapy for PTSD and if pretreatment partner accommodation moderates the efficacy of couple therapy for PTSD. METHOD: Thirty-nine patients with PTSD and their intimate partners (n = 39) were enrolled in a randomized controlled trial of cognitive-behavioral conjoint therapy (CBCT) for PTSD (Monson & Fredman, 2012) and received CBCT for PTSD immediately or after 3 months of waiting. Blinded assessors determined clinician-rated PTSD symptoms and patient-rated PTSD and depressive symptoms and relationship satisfaction at baseline, midtreatment/4 weeks of waiting, and posttreatment/12 weeks of waiting. RESULTS: Contrary to expectation, partner accommodation levels did not change over time for either treatment condition. However, baseline partner accommodation significantly moderated treatment outcomes. Higher levels of partner accommodation were associated with greater improvements in PTSD, depressive symptoms, and relationship satisfaction among patients receiving CBCT for PTSD compared with waiting list. At lower levels of partner accommodation, patients in both groups improved or remained at low levels of these outcomes. CONCLUSIONS:Individuals with PTSD who have more accommodating partners may be particularly well-suited for couple therapy for PTSD. (c) 2015 APA, all rights reserved).
RCT Entities:
OBJECTIVE: Partner accommodation of posttraumatic stress disorder (PTSD) symptoms (i.e., altering one's own behaviors to minimize patient distress and/or relationship conflict due to patients' PTSD symptoms) has been shown to be positively associated with patient and partner psychopathology and negatively associated with patient and partner relationship satisfaction cross-sectionally. However, the prognostic value of partner accommodation in treatment outcomes is unknown. The goals of the present study were to determine if partner accommodation decreases as a function of couple therapy for PTSD and if pretreatment partner accommodation moderates the efficacy of couple therapy for PTSD. METHOD: Thirty-nine patients with PTSD and their intimate partners (n = 39) were enrolled in a randomized controlled trial of cognitive-behavioral conjoint therapy (CBCT) for PTSD (Monson & Fredman, 2012) and received CBCT for PTSD immediately or after 3 months of waiting. Blinded assessors determined clinician-rated PTSD symptoms and patient-rated PTSD and depressive symptoms and relationship satisfaction at baseline, midtreatment/4 weeks of waiting, and posttreatment/12 weeks of waiting. RESULTS: Contrary to expectation, partner accommodation levels did not change over time for either treatment condition. However, baseline partner accommodation significantly moderated treatment outcomes. Higher levels of partner accommodation were associated with greater improvements in PTSD, depressive symptoms, and relationship satisfaction among patients receiving CBCT for PTSD compared with waiting list. At lower levels of partner accommodation, patients in both groups improved or remained at low levels of these outcomes. CONCLUSIONS: Individuals with PTSD who have more accommodating partners may be particularly well-suited for couple therapy for PTSD. (c) 2015 APA, all rights reserved).
Authors: Nicole D Pukay-Martin; Lindsey Torbit; Meredith S H Landy; Sonya G Wanklyn; Philippe Shnaider; Jeanine E M Lane; Candice M Monson Journal: J Clin Psychol Date: 2015-02-24
Authors: Candice M Monson; Steffany J Fredman; Alexandra Macdonald; Nicole D Pukay-Martin; Patricia A Resick; Paula P Schnurr Journal: JAMA Date: 2012-08-15 Impact factor: 56.272
Authors: Philippe Shnaider; Nicole D Pukay-Martin; Shankari Sharma; Tiffany Jenzer; Steffany J Fredman; Alexandra Macdonald; Candice M Monson Journal: Couple Family Psychol Date: 2015-12
Authors: Laura A Meis; Siamak Noorbaloochi; Emily M Hagel Campbell; Christopher R Erbes; Melissa A Polusny; Tina L Velasquez; Ann Bangerter; Andrea Cutting; Afsoon Eftekhari; Craig S Rosen; Peter W Tuerk; Lori B Burmeister; Michele R Spoont Journal: J Consult Clin Psychol Date: 2019-03
Authors: Candice M Monson; Skye Fitzpatrick; Anne C Wagner; Robert Valela; Kristen M Whitfield; Sonya Varma; Meredith S H Landy; Alyssa Di Bartolomeo; Alexander O Crenshaw; Lindsay Fulham; Leslie Morland; Kayla Knopp; Don W Proctor; Alec Toller; Katelyn Webster; Brian D Doss Journal: Eur J Psychotraumatol Date: 2021-05-25