Prolonged exposure and cognitive restructuring PTSD treatment: Always a good idea?

2010 ◽  
Author(s):  
J. S. Moser ◽  
S. P. Cahill ◽  
E. B. Foa
Keyword(s):  
Prolonged Exposure ◽  
Cognitive Restructuring ◽  
Ptsd Treatment

scholarly journals Expanding the Reach of Effective PTSD Treatment Into Primary Care: Prolonged Exposure for Primary Care

2017 ◽  
Vol 15 (4) ◽  
pp. 406-410 ◽  
Author(s):  
Sheila A. M. Rauch ◽  
Jeffrey Cigrang ◽  
David Austern ◽  
Ashley Evans ◽  
Keyword(s):  
Primary Care ◽  
Prolonged Exposure ◽  
Ptsd Treatment

Comparing PTSD treatment retention among survivors of military sexual trauma utilizing clinical video technology and in-person approaches

2019 ◽  
Vol 26 (7-8) ◽  
pp. 443-451 ◽  
Author(s):  
Lisa M Valentine ◽  
Shannon D Donofry ◽  
Rachel B Broman ◽  
Erin R Smith ◽  
Sheila AM Rauch ◽  
...  
Keyword(s):  
Cognitive Processing ◽  
Sexual Trauma ◽  
Prolonged Exposure ◽  
Cognitive Processing Therapy ◽  
Military Sexual Trauma ◽  
Health Administration ◽  
Video Technology ◽  
Post Traumatic Stress ◽  
Ptsd Treatment ◽  
Delivery Format

Introduction Interventions such as Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT) have demonstrated efficacy for the treatment of post-traumatic stress disorder (PTSD) following military sexual trauma (MST). However, MST survivors report a number of logistical and social barriers that impede treatment engagement. In an effort to address these barriers, the Veterans Health Administration offers remote delivery of services using clinical video technology (CVT). Evidence suggests PE and CPT can be delivered effectively via CVT. However, it is unclear whether rates of veteran retention in PTSD treatment for MST delivered remotely is comparable to in-person delivery in standard care. Methods Data were drawn from veterans ( N = 171, 18.1% CVT-enrolled) with PTSD following MST who were engaged in either PE or CPT delivered either via CVT or in person. Veterans chose their preferred treatment modality and delivery format in collaboration with providers. Data were analysed to evaluate full completion (FP) of the protocol and completion of a minimally adequate care (MAC) number of sessions. Results FP treatment completion rates did not differ significantly by treatment delivery format. When evaluating receipt of MAC care, CVT utilizers were significantly less likely to complete. Kaplan–Meier analyses of both survival periods detected significant differences in attrition speed, with the CVT group having higher per-session attrition earlier in treatment. Discussion Disengagement from CVT-delivered treatment generally coincided with early imaginal exposures and writing of trauma narratives. CVT providers may have to take special care to develop rapport and problem-solve anticipated barriers to completion to retain survivors in effective trauma-focused interventions.

scholarly journals Sexual Desire among Veterans Receiving Prolonged Exposure Therapy for PTSD: Does Successful PTSD Treatment Also Yield Improvements in Sexual Desire?

Psychiatry ◽  
2019 ◽  
Vol 83 (1) ◽  
pp. 70-83
Author(s):  
Christal L. Badour ◽  
Keith S. Cox ◽  
Jessica R. M. Goodnight ◽  
Jessica Flores ◽  
Peter W. Tuerk ◽  
...  
Keyword(s):  
Sexual Desire ◽  
Prolonged Exposure ◽  
Exposure Therapy ◽  
Ptsd Treatment ◽  
Prolonged Exposure Therapy

Comparison of Accelerated Resolution Therapy for PTSD Between Veterans With and Without Prior PTSD Treatment

2021 ◽  
Author(s):  
Tiantian Pang ◽  
Lindsay Murn ◽  
Dana Williams ◽  
Maayan Lawental ◽  
Anya Abhayakumar ◽  
...  
Keyword(s):  
Cognitive Processing ◽  
Prolonged Exposure ◽  
Traumatic Event ◽  
South Florida ◽  
Service Members ◽  
Ptsd Symptoms ◽  
First Line ◽  
Ptsd Treatment ◽  
Treatment Naïve

ABSTRACT Introduction Post-traumatic stress disorder (PTSD) is a psychiatric disorder commonly caused by a traumatic event(s) and prevalent among service members and veterans. Accelerated Resolution Therapy (ART) is an emerging “mind-body” psychotherapy for PTSD that is generally briefer and less expensive than current first-line treatments, such as cognitive processing therapy (CPT) and prolonged exposure (PE) therapy. This study examined the results of ART for treatment of military-related PTSD, with stratification by prior PTSD treatment types, including service members/veterans with reported residual PTSD symptoms following receipt of first-line recommended psychotherapy. Materials and Methods Four groups were constructed and compared based on self-reported prior PTSD treatment history: treatment-naïve (n = 33), pharmacotherapy only (n = 40), first-line psychotherapy (CPT and/or PE) (n = 33), and other psychotherapy (n = 42). Participants were assessed for PTSD symptoms at baseline, post-treatment, and 6-month follow-up using the 17-item Military PTSD Checklist (PCL-M), as well as assessment of depressive, anxiety, and sleep symptoms. The study was approved by the Institutional Review Board at University of South Florida. Results Among 148 veterans/service members who enrolled and started treatment with ART, 106 (71.6%) completed treatment in a mean of 3.5 treatment sessions, and 55 (51.9%) provided 6-month follow-up data. Mean age was 43.8 years, 95% were male, and 84% were of white race. Within-group standardized effect sizes for pre-to-post changes in PTSD scores (PCL-M) were large at 1.48, 1.11, 1.88, and 1.03 for the treatment-naïve, pharmacotherapy only, first-line psychotherapy, and other psychotherapy groups, respectively. Among treatment completers, the clinically significant treatment response rate (reduction of ≥10 points on the PCL-M) was highest in the treatment-naïve (83%) and first-line psychotherapy (88%) groups. Similar significant symptom reductions were observed for measures of depression and anxiety, and favorable treatment effects were generally sustained at 6-month follow-up. Conclusion In a brief treatment period, ART appears to result in substantial reductions in symptoms of PTSD among veterans, including those with residual PTSD symptoms after prior treatment with first-line psychotherapies endorsed by the U.S. Department of Defense and Veterans Affairs. These results suggest that ART be considered as a potential first-line treatment modality for veterans with PTSD.

scholarly journals An Examination of Social Support and PTSD Treatment Response During Prolonged Exposure

Psychiatry ◽  
2018 ◽  
Vol 81 (3) ◽  
pp. 258-270 ◽  
Author(s):  
Matthew Price ◽  
Cynthia Luethcke Lancaster ◽  
Daniel F. Gros ◽  
Alison C. Legrand ◽  
Katherine van Stolk-Cooke ◽  
...  
Keyword(s):  
Social Support ◽  
Treatment Response ◽  
Prolonged Exposure ◽  
Ptsd Treatment

Prolonged exposure and EMDR for PTSDv. a PTSD waiting-list condition: effects on symptoms of psychosis, depression and social functioning in patients with chronic psychotic disorders

2016 ◽  
Vol 46 (11) ◽  
pp. 2411-2421 ◽  
Author(s):  
P. A. J. M. de Bont ◽  
D. P. G. van den Berg ◽  
B. M. van der Vleugel ◽  
C. de Roos ◽  
A. de Jongh ◽  
...  
Keyword(s):  
Social Functioning ◽  
Psychotic Disorder ◽  
Psychotic Disorders ◽  
Prolonged Exposure ◽  
Post Treatment ◽  
Waiting List ◽  
List Condition ◽  
Auditory Verbal Hallucinations ◽  
Ptsd Treatment

BackgroundIn patients with psychotic disorders, the effects of psychological post-traumatic stress disorder (PTSD) treatment on symptoms of psychosis, depression and social functioning are largely unknownMethodIn a single-blind randomized controlled trial (RCT) 155 outpatients in treatment for psychosis (61.3% schizophrenic disorder, 29% schizoaffective disorder) were randomized to eight sessions prolonged exposure (PE;n= 53) or eye movement desensitization and reprocessing (EMDR) (n= 55), or a waiting-list condition (WL,n= 47) for treatment of their co-morbid PTSD. Measures were performed on (1) psychosis: severity of delusions (PSYRATS-DRS), paranoid thoughts (GPTS), auditory verbal hallucinations (PSYRATS-AHRS), and remission from psychotic disorder (SCI-SR-PANSS); (2) depression (BDI-II); (3) social functioning (PSP). Outcomes were compared at baseline, post-treatment, 6-month follow-up and over all data points.ResultsBoth PE and EMDR were significantly associated with less severe paranoid thoughts post-treatment and at 6-month follow-up, and with more patients remitting from schizophrenia, at post-treatment (PE and EMDR) and over time (PE). Moreover, PE was significantly associated with a greater reduction of depression at post-treatment and at 6-month follow-up. Auditory verbal hallucinations and social functioning remained unchanged.ConclusionsIn patients with chronic psychotic disorders PE and EMDR not only reduced PTSD symptoms, but also paranoid thoughts. Importantly, in PE and EMDR more patients accomplished the status of their psychotic disorder in remission. Clinically, these effects are highly relevant and provide empirical support to the notion that delivering PTSD treatment to patients with psychotic disorders and PTSD deserves increasing recognition and acceptance among clinicians.

scholarly journals Prolonged Exposure Therapy in the Time of COVID-19: Modifying PTSD Treatment for a Military Sexual Trauma Survivor Who Contracted COVID-19 Mid-Treatment

2021 ◽  
pp. 153465012199354
Author(s):  
Anne N. Banducci
Keyword(s):  
Sexual Trauma ◽  
Standard Treatment ◽  
Prolonged Exposure ◽  
Military Sexual Trauma ◽  
Treatment Delivery ◽  
Ptsd Treatment ◽  
Global Pandemic ◽  
Prolonged Exposure Therapy ◽  
Treatment Considerations ◽  
Clinically Significant

Prolonged exposure (PE) therapy is a gold-standard treatment for posttraumatic stress disorder (PTSD) that can be effectively delivered via telehealth modalities. The following case report describes a course of PE delivered to a veteran seeking PTSD treatment for military sexual trauma (MST), who contracted COVID-19 mid-treatment. Considerations for selecting PE as a treatment modality; modifications made due to the COVID-19 pandemic and transition to telehealth more broadly, and following the veteran contracting COVID-19 more specifically; strategies to increase treatment engagement; and assessment of progress over time, are discussed. In particular, treatment considerations during a global pandemic are explored at the patient-, provider-, and systems level, to inform treatment delivery for other providers during this ongoing pandemic. Although there were numerous technological, environmental, and pandemic-related difficulties, the veteran described here persisted through a course of PE and experienced clinically significant reductions in symptoms of PTSD and a great degree of functional recovery.

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