scholarly journals Comparative effectiveness of prolonged exposure and cognitive processing therapy for military service members in an intensive treatment program.

2020 ◽  
Author(s):  
Elizabeth M. Goetter ◽  
Allyson M. Blackburn ◽  
Cory Stasko ◽  
Yijie Han ◽  
Lauren H. Brenner ◽  
...  
Keyword(s):  
Cognitive Processing ◽  
Treatment Program ◽  
Comparative Effectiveness ◽  
Military Service ◽  
Prolonged Exposure ◽  
Intensive Treatment ◽  
Service Members ◽  
Cognitive Processing Therapy ◽  
Military Service Members

Military Culture Considerations in Prolonged Exposure Therapy With Active-Duty Military Service Members

2019 ◽  
Vol 26 (2) ◽  
pp. 335-350 ◽  
Author(s):  
Brittany N. Hall-Clark ◽  
Edward C. Wright ◽  
Brooke A. Fina ◽  
Tabatha H. Blount ◽  
Wyatt R. Evans ◽  
...  
Keyword(s):  
Military Service ◽  
Prolonged Exposure ◽  
Exposure Therapy ◽  
Military Culture ◽  
Active Duty ◽  
Service Members ◽  
Active Duty Military ◽  
Prolonged Exposure Therapy ◽  
Military Service Members

Treatment Response and Predictors of Change for Military Service Members in Intensive Treatment

2013 ◽  
Author(s):  
Jennifer A. Webb-Murphy ◽  
Susan F. Fesperman ◽  
Elizabeth A. Vishnyak ◽  
Scott C. Roesch ◽  
Eileen M. Delaney ◽  
...  
Keyword(s):  
Treatment Response ◽  
Military Service ◽  
Intensive Treatment ◽  
Service Members ◽  
Military Service Members ◽  
Predictors Of Change

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.

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