Interpersonal psychotherapy for posttraumatic stress disorder due to military sexual trauma: A case report.

2018 ◽  
Vol 28 (4) ◽  
pp. 556-566
Author(s):  
Melissa Peskin ◽  
John C. Markowitz ◽  
JoAnn Difede
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Case Report ◽  
Posttraumatic Stress ◽  
Sexual Trauma ◽  
Stress Disorder ◽  
Interpersonal Psychotherapy ◽  
Military Sexual Trauma

Patterns and temporal precedence of symptom change during cognitive processing therapy for military sexual trauma-related posttraumatic stress disorder

2019 ◽  
Vol 47 (5) ◽  
pp. 541-547
Author(s):  
Nicholas Holder ◽  
Ryan Holliday ◽  
Jessica Wiblin ◽  
Alina Surís
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Cognitive Processing ◽  
Sexual Trauma ◽  
Stress Disorder ◽  
Ptsd Symptom ◽  
Cognitive Processing Therapy ◽  
Military Sexual Trauma ◽  
Ptsd Symptoms ◽  
Symptom Criteria

AbstractBackground:Cognitive processing therapy (CPT) is an effective treatment for posttraumatic stress disorder (PTSD), including for veterans with military sexual trauma (MST)-related PTSD. Most CPT research to date has focused on pre- to post-treatment change in total PTSD symptoms; however, PTSD symptom criteria may not change equivalently over the course of treatment. For example, changes in re-experiencing symptoms have been shown to precede changes in other PTSD criteria during other PTSD treatments (i.e. virtual reality exposure therapy, venlafaxine ER). An improved understanding of the mechanism of change in PTSD symptoms during CPT may assist in optimizing treatment.Aims:The purpose of this study was to identify the pattern and temporal precedence of change in PTSD symptom criteria during and after CPT using cross-lagged panel analyses.Method:Data from veterans (n = 32) enrolled in a randomized clinical trial investigating the effectiveness of CPT for MST-related PTSD were utilized for this secondary analysis. Using hierarchical linear modelling, each symptom criterion was entered as a predictor of subsequent change in the other PTSD symptom criteria.Results:All symptom criteria followed a logarithmic pattern of change. Hyperarousal symptoms were found to both predict and temporally precede change in avoidance symptoms, but not re-experiencing symptoms. Re-experiencing and avoidance symptoms did not predict change in other PTSD symptom criteria.Conclusions:These findings provide initial support that targeting and reducing hyperarousal symptoms may be a key component of PTSD intervention with CPT. Additional research is needed to identify factors that predict change in PTSD-related re-experiencing symptoms.

Treatment of Posttraumatic Stress Disorder Related to Military Sexual Trauma

2020 ◽  
Vol 50 (10) ◽  
pp. 432-436
Author(s):  
Lindsey Matt ◽  
Kaitlin Thompson ◽  
Ashton M. Lofgreen ◽  
Rebecca Van Horn
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Sexual Trauma ◽  
Stress Disorder ◽  
Military Sexual Trauma

A Reexamination of Military Sexual Trauma and Posttraumatic Stress Disorder

2017 ◽  
Vol 47 (3) ◽  
pp. 134-138 ◽  
Author(s):  
Meredith L. C. Williamson ◽  
Ryan Holliday ◽  
Nicholas Holder ◽  
Carol S. North ◽  
Alina Surís
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Sexual Trauma ◽  
Stress Disorder ◽  
Military Sexual Trauma

Context Matters: Posttraumatic Stress Disorder Symptom Associations With Military Sexual Trauma Event Characteristics and Dual Histories of Interpersonal Trauma

2019 ◽  
Vol 34 (1) ◽  
pp. 69-84 ◽  
Author(s):  
Diana C. Bennett ◽  
Edward J. Thomas ◽  
Katherine E. Porter ◽  
Rachel B. Broman ◽  
Sheila A. M. Rauch ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Partner Violence ◽  
Sexual Trauma ◽  
Stress Disorder ◽  
Military Sexual Trauma ◽  
Phenotypic Differences ◽  
Clinical Presentations ◽  
History Of ◽  
Disorder Symptom

Despite the high rates of military sexual trauma (MST) experienced by service members and veterans, little is known about how contextual features of the MST event or concurrent histories of other interpersonal traumas are associated with diverse clinical presentations. This study examined contextual factors of MST events (number of perpetrators, location of MST, relationship to perpetrator, location of MST) and dual history of interpersonal traumas (including sexual abuse or assault throughout the lifespan, repeated MST, and intimate partner violence) in relation to total symptoms and symptom clusters of Posttraumatic Stress Disorder (PTSD). MST involving multiple perpetrators was related to higher avoidance and hyperarousal. MST while combat-deployed was associated with higher hyperarousal. Veterans endorsing a history of partner violence presented with higher reexperiencing and avoidance. Recognition of phenotypic differences may assist providers in treatment planning and optimizing outcomes.

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