Impact of Cognitive Processing Therapy on Suicide Risk Among Active Duty Military Personnel

2012 ◽  
Author(s):  
Tracy Clemans ◽  
Craig Bryan ◽  
Patricia Resick ◽  
Katherine Dondanville ◽  
Jennifer Schuster ◽  
...  
Keyword(s):  
Cognitive Processing ◽  
Military Personnel ◽  
Suicide Risk ◽  
Active Duty ◽  
Cognitive Processing Therapy ◽  
Active Duty Military

scholarly journals Weekly Changes in Blame and PTSD Among Active-Duty Military Personnel Receiving Cognitive Processing Therapy

2020 ◽  
Vol 51 (3) ◽  
pp. 386-400
Author(s):  
Kirsten H. Dillon ◽  
Willie J. Hale ◽  
Stefanie T. LoSavio ◽  
Jennifer S. Wachen ◽  
Kristi E. Pruiksma ◽  
...  
Keyword(s):  
Cognitive Processing ◽  
Military Personnel ◽  
Active Duty ◽  
Cognitive Processing Therapy ◽  
Active Duty Military

It's about time: Examining the role of session timing in Cognitive Processing Therapy in active duty military personnel

2020 ◽  
Vol 30 (3) ◽  
pp. 231-239
Author(s):  
C.J. Eubanks Fleming ◽  
Matt Hawrilenko ◽  
Jennifer Schuster Wachen ◽  
Alan L. Peterson ◽  
Jeffrey S. Yarvis ◽  
...  
Keyword(s):  
Cognitive Processing ◽  
Military Personnel ◽  
Active Duty ◽  
Cognitive Processing Therapy ◽  
Active Duty Military

730 Prevalence and impact of sleep problems in active duty military personnel receiving Cognitive Processing Therapy for PTSD

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A285-A285
Author(s):  
Kristi Pruiksma ◽  
Daniel Taylor ◽  
Jennifer Schuster Wachen ◽  
Casey Straud ◽  
Willie Hale ◽  
...  
Keyword(s):  
Cognitive Processing ◽  
Military Personnel ◽  
Excessive Daytime Sleepiness ◽  
Daytime Sleepiness ◽  
Sleep Problems ◽  
Active Duty ◽  
Cognitive Processing Therapy ◽  
Ptsd Treatment ◽  
Active Duty Military ◽  
Clinically Significant

Abstract Introduction Sleep disturbances are common in active duty military personnel and play a key role in the development and maintenance of posttraumatic stress disorder (PTSD). Research indicates that although insomnia and nightmares improve with successful PTSD treatment, they may remain clinically significant. Few previous PTSD studies have assessed sleep disorder constructs using validated instruments. The objectives of this study were to examine the proportion of active duty military personnel seeking treatment for PTSD who reported clinically significant insomnia, nightmares, sleep duration, and excessive daytime sleepiness and to examine the impact PTSD treatment had on these sleep constructs using validated self-report questionnaires. Methods Sleep was evaluated in 223 active duty service members participating in a randomized clinical trial comparing group and individual Cognitive Processing Therapy (CPT) for PTSD. Sleep constructs were assessed using the Insomnia Severity Index (ISI), Trauma-Related Nightmare Survey (TRNS), Self-Assessment of Sleep (SAS), and Epworth Sleepiness Scale (ESS) at baseline and 2 weeks posttreatment. Results At baseline, 82% of participants reported clinically significant insomnia and 75% reported at least 1 moderately severe nightmare per week. Participants reported averaging 4.76 hours of sleep per night, and 65% reported excessive daytime sleepiness. Over the course of PTSD treatment, there were statistically significant improvements in insomnia, nightmares, and excessive daytime sleepiness, but scores remained in clinically significant ranges. Minimal increases were seen in sleep duration. Of the participants who no longer met criteria for PTSD at posttreatment, 50% continued to report clinically significant insomnia, 52% continued to report clinically significant nightmares, and 44% continued to report excessive daytime sleepiness. Conclusion Consistent with previous research, sleep problems persisted for a significant number of service members who completed treatment for PTSD. Insomnia, nightmare, and sleep extension interventions are likely an important part of comprehensive PTSD treatment plans. Support (if any) Funding for this work was made possible by the U.S. Department of Defense through the U.S. Army Medical Research and Materiel Command, Congressionally Directed Medical Research Programs, Psychological Health and Traumatic Brain Injury Research Program awards W81XWH-08-02-109 (Alan Peterson), W81XWH-08-02-0116 (Patricia Resick), W81XWH-10-1-0828 (Daniel Taylor), and W81XWH-08-02-0114 (Brett Litz).

scholarly journals Identifying suicidal subtypes and dynamic indicators of increasing and decreasing suicide risk in active duty military personnel: Study protocol

2021 ◽  
Vol 21 ◽  
pp. 100752
Author(s):  
Lily A. Brown ◽  
Craig J. Bryan ◽  
Jonathan E. Butner ◽  
Jeffrey V. Tabares ◽  
Stacey Young-McCaughan ◽  
...  
Keyword(s):  
Study Protocol ◽  
Military Personnel ◽  
Suicide Risk ◽  
Active Duty ◽  
Active Duty Military ◽  
Dynamic Indicators

Ethical Issues in the Treatment of Suicidal Military Personnel and Veterans

2017 ◽  
pp. 121-130
Author(s):  
W. Brad Johnson ◽  
Gerald P. Koocher
Keyword(s):  
Risk Assessment ◽  
Suicidal Ideation ◽  
Military Personnel ◽  
Suicide Risk ◽  
Ethical Issues ◽  
Military Veterans ◽  
Active Duty ◽  
Suicide Risk Assessment ◽  
Active Duty Military ◽  
The Military

This chapter reviews the key ethical issues involved in treating active duty military personnel and military veterans who present with suicidal ideation. The primary issue is striving to help while minimizing harm. Central ethical issues involve competence in suicide risk assessment and intervention, confidentiality, and multiple role situations. All of these play out differently from civilian situations because of contextual demands associated with military settings and rules governing patients and providers in the military context. Critical strategies for addressing these issues include using appropriate consent processes and understanding how best to respect the needs of the patient within the constraints of the military context.

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