The Impact of Hazardous Drinking Among Active Duty Military With Posttraumatic Stress Disorder: Does Cognitive Processing Therapy Format Matter?

Author(s):  
Casey L. Straud ◽  
Katherine A. Dondanville ◽  
Willie J. Hale ◽  
Jennifer S. Wachen ◽  
Jim Mintz ◽  
...  
2017 ◽  
Vol 74 (1) ◽  
pp. 28 ◽  
Author(s):  
Patricia A. Resick ◽  
Jennifer Schuster Wachen ◽  
Katherine A. Dondanville ◽  
Kristi E. Pruiksma ◽  
Jeffrey S. Yarvis ◽  
...  

2021 ◽  
pp. 103846
Author(s):  
Patricia A. Resick ◽  
Jennifer Schuster Wachen ◽  
Katherine A. Dondanville ◽  
Stefanie T. LoSavio ◽  
Stacey Young-McCaughan ◽  
...  

2016 ◽  
Vol 30 (3) ◽  
pp. 203-220
Author(s):  
Rachel E. Wiley

Cognitive processing therapy (CPT) is an effective treatment for posttraumatic stress disorder (PTSD) in the active duty and veteran population. This case study provides a thorough example of the use of this therapeutic modality with an active duty military service member who was exposed to several traumatic events. Over the course of 13 sessions, “Master Sergeant Smith,” a middle-aged, White male, made significant progress on his treatment plan goals and reductions in PTSD symptoms. This case study describes the theoretical and research basis for treatment and course of treatment and illustrates the use of CPT in an outpatient setting while describing important areas of focus and how to overcome clinical challenges.


2021 ◽  
pp. 088626052110550
Author(s):  
Nicole M. Christ ◽  
Rachel C. Blain ◽  
Nicole D. Pukay-Martin ◽  
Jessica M. Petri ◽  
Kathleen M. Chard

The Veterans Health Administration (VHA) has called for improved assessment and intervention for survivors of military sexual trauma (MST) to mitigate deleterious sequalae, including posttraumatic stress disorder (PTSD). Research on the impact of MST-related PTSD (MST-IT) on men is limited, and few studies have examined the differential effects of treatment across genders and MST-IT. Additionally, studies have utilized varying definitions of MST (e.g., sexual assault only vs. including sexual harassment), contributing to disparate outcomes across studies. Utilizing data from 343 veterans seeking residential cognitive processing therapy (CPT) for PTSD in VHA, this study examined the impact of MST-IT and gender on differences in demographic characteristics; pre-treatment severity of PTSD (overall and clusters), depression, and negative posttraumatic cognitions (NPCs); and post-treatment severity of these variables after accounting for pre-treatment severity. Results from 2x2 factorial ANOVAs found no differences in pre-treatment depression or overall PTSD by MST-IT, gender, or their interaction; however, MST-IT survivors presented with greater pre-treatment avoidance, global NPCs, and self-blame. Results from hierarchical linear regression models found only pre-treatment symptom severity significantly predicted post-treatment severity for overall PTSD and all NPCs. These findings suggest veteran survivors of MST-IT appear to benefit similarly from CPT delivered in a VHA residential PTSD program compared to veterans with other index traumas, regardless of gender. Although there were minimal post-treatment differences in PTSD and NPCs by MST-IT status and gender, residual symptoms related to negative cognitions and mood appear to differ across gender and MST-IT status. Specifically, in individuals without MST-IT, post-treatment PTSD symptoms of negative alterations in cognition and mood were higher in men than women. Moreover, women with MST-IT reported more symptoms of depression than both men with MST-IT and women without MST-IT. These findings suggest depressive symptoms decrease through residential PTSD treatment differentially by MST-IT status and gender and warrant further examination.


Sign in / Sign up

Export Citation Format

Share Document