The comparative effectiveness of cognitive processing therapy for male veterans treated in a VHA posttraumatic stress disorder residential rehabilitation program.

2011 ◽  
Vol 79 (5) ◽  
pp. 590-599 ◽  
Author(s):  
Jennifer Alvarez ◽  
Caitlin McLean ◽  
Alex H. S. Harris ◽  
Craig S. Rosen ◽  
Josef I. Ruzek ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Cognitive Processing ◽  
Comparative Effectiveness ◽  
Stress Disorder ◽  
Rehabilitation Program ◽  
Cognitive Processing Therapy ◽  
Male Veterans ◽  
Residential Rehabilitation

scholarly journals Effectiveness and comparative effectiveness of evidence-based psychotherapies for posttraumatic stress disorder in clinical practice

2021 ◽  
pp. 1-10
Author(s):  
Shira Maguen ◽  
Erin Madden ◽  
Nicholas Holder ◽  
Yongmei Li ◽  
Karen H. Seal ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Cognitive Processing ◽  
Comparative Effectiveness ◽  
Stress Disorder ◽  
Prolonged Exposure ◽  
Patient Treatment ◽  
Cognitive Processing Therapy ◽  
Symptom Improvement ◽  
Evidence Based

Abstract Background While evidence-based psychotherapy (EBP) for posttraumatic stress disorder (PTSD) is a first-line treatment, its real-world effectiveness is unknown. We compared cognitive processing therapy (CPT) and prolonged exposure (PE) each to an individual psychotherapy comparator group, and CPT to PE in a large national healthcare system. Methods We utilized effectiveness and comparative effectiveness emulated trials using retrospective cohort data from electronic medical records. Participants were veterans with PTSD initiating mental healthcare (N = 265 566). The primary outcome was PTSD symptoms measured by the PTSD Checklist (PCL) at baseline and 24-week follow-up. Emulated trials were comprised of ‘person-trials,’ representing 112 discrete 24-week periods of care (10/07–6/17) for each patient. Treatment group comparisons were made with generalized linear models, utilizing propensity score matching and inverse probability weights to account for confounding, selection, and non-adherence bias. Results There were 636 CPT person-trials matched to 636 non-EBP person-trials. Completing ⩾8 CPT sessions was associated with a 6.4-point greater improvement on the PCL (95% CI 3.1–10.0). There were 272 PE person-trials matched to 272 non-EBP person-trials. Completing ⩾8 PE sessions was associated with a 9.7-point greater improvement on the PCL (95% CI 5.4–13.8). There were 232 PE person-trials matched to 232 CPT person-trials. Those completing ⩾8 PE sessions had slightly greater, but not statistically significant, improvement on the PCL (8.3-points; 95% CI 5.9–10.6) than those completing ⩾8 CPT sessions (7.0-points; 95% CI 5.5–8.5). Conclusions PTSD symptom improvement was similar and modest for both EBPs. Although EBPs are helpful, research to further improve PTSD care is critical.

scholarly journals Pilot Cases of Combined Cognitive Processing Therapy and Smoking Cessation for Smokers With Posttraumatic Stress Disorder

2016 ◽  
Vol 47 (1) ◽  
pp. 54-65 ◽  
Author(s):  
Eric A. Dedert ◽  
Patricia A. Resick ◽  
Miles E. McFall ◽  
Paul A. Dennis ◽  
Maren Olsen ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Smoking Cessation ◽  
Posttraumatic Stress ◽  
Cognitive Processing ◽  
Stress Disorder ◽  
Cognitive Processing Therapy
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