Philippe Shnaider1, Nicole D Pukay-Martin2, Shankari Sharma1, Tiffany Jenzer3, Steffany J Fredman4, Alexandra Macdonald5, Candice M Monson1. 1. Department of Psychology, Ryerson University, Toronto, Ontario, Canada. 2. Trauma Recovery Center, Cincinnati VA Medical Center, Cincinnati, Ohio, USA. 3. Department of Psychology, University at Buffalo, Buffalo, New York, USA. 4. Department of Human Development and Family Studies, Pennsylvania State University, University Park, Pennsylvania, USA. 5. Women's Health Sciences Division, U.S. VA National Center for PTSD, Boston, Massachusetts, USA; Department of Psychiatry, Boston University, Boston, Massachusetts, USA.
Abstract
OBJECTIVE: The primary goal of the present study was to investigate whether pre-treatment relationship satisfaction predicted treatment drop-out and posttraumatic stress disorder (PTSD) symptom outcomes within a trial of cognitive-behavioral conjoint therapy (CBCT) for PTSD (Monson & Fredman, 2012). Additionally, we examined the influence of pre-treatment relationship distress on relationship outcomes. METHOD: Thirty-seven patients and their intimate partners who participated in a course of CBCT for PTSD were assessed for PTSD symptoms with the Clinician-Administered PTSD Scale and PTSD Checklist, and for intimate relationship functioning with the Dyadic Adjustment Scale. CBCT for PTSD is a conjoint therapy designed to improve PTSD symptoms and enhance relationship functioning. Patients had to meet diagnostic criteria for PTSD to be included in the study; however, couples were not required to be in distressed relationships to receive treatment. RESULTS: Neither patients' nor partners' pre-treatment relationship satisfaction, nor their interaction, predicted treatment drop-out (ORs = .97-1.01) or completing patients' post-treatment PTSD symptom severity (sr2 ≤ .03). However, participants who were in distressed relationships prior to treatment made greater gains in relationship satisfaction compared with those who began treatment in more satisfied relationships (g = 1.02). CONCLUSIONS: Among patients receiving CBCT for PTSD, treatment drop-out and improvements in PTSD symptoms may be independent of pre-treatment relationship functioning, whereas improvements in relational functioning may be greater among those distressed prior to treatment.
OBJECTIVE: The primary goal of the present study was to investigate whether pre-treatment relationship satisfaction predicted treatment drop-out and posttraumatic stress disorder (PTSD) symptom outcomes within a trial of cognitive-behavioral conjoint therapy (CBCT) for PTSD (Monson & Fredman, 2012). Additionally, we examined the influence of pre-treatment relationship distress on relationship outcomes. METHOD: Thirty-seven patients and their intimate partners who participated in a course of CBCT for PTSD were assessed for PTSD symptoms with the Clinician-Administered PTSD Scale and PTSD Checklist, and for intimate relationship functioning with the Dyadic Adjustment Scale. CBCT for PTSD is a conjoint therapy designed to improve PTSD symptoms and enhance relationship functioning. Patients had to meet diagnostic criteria for PTSD to be included in the study; however, couples were not required to be in distressed relationships to receive treatment. RESULTS: Neither patients' nor partners' pre-treatment relationship satisfaction, nor their interaction, predicted treatment drop-out (ORs = .97-1.01) or completing patients' post-treatment PTSD symptom severity (sr2 ≤ .03). However, participants who were in distressed relationships prior to treatment made greater gains in relationship satisfaction compared with those who began treatment in more satisfied relationships (g = 1.02). CONCLUSIONS: Among patients receiving CBCT for PTSD, treatment drop-out and improvements in PTSD symptoms may be independent of pre-treatment relationship functioning, whereas improvements in relational functioning may be greater among those distressed prior to treatment.
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: Patricia A Resick; Tara E Galovski; Mary O'Brien Uhlmansiek; Christine D Scher; Gretchen A Clum; Yinong Young-Xu Journal: J Consult Clin Psychol Date: 2008-04
Authors: Megan E Shepherd-Banigan; Abigail Shapiro; Jennifer R McDuffie; Mira Brancu; Nina R Sperber; Courtney H Van Houtven; Andrzej S Kosinski; Neha N Mehta; Avishek Nagi; John W Williams Journal: J Gen Intern Med Date: 2018-05-07 Impact factor: 5.128