Variable-length Cognitive Processing Therapy for posttraumatic stress disorder in active duty military: Outcomes and predictors
Cognitive Processing Therapy (CPT) is an evidence-based therapy recommended for posttraumatic stress disorder (PTSD). However, rates of improvement and remission are lower in veterans and active duty military compared to civilians. Although CPT was developed as a 12-session therapy, varying the numb...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Resick, Patricia A. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2021transfer abstract |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: A novel hesitant-fuzzy-based group decision approach for outsourcing risk - Yazdani, Morteza ELSEVIER, 2021, Amsterdam [u.a.] |
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| Übergeordnetes Werk: |
volume:141 ; year:2021 ; pages:0 |
| Links: |
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| DOI / URN: |
10.1016/j.brat.2021.103846 |
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| 520 | |a Cognitive Processing Therapy (CPT) is an evidence-based therapy recommended for posttraumatic stress disorder (PTSD). However, rates of improvement and remission are lower in veterans and active duty military compared to civilians. Although CPT was developed as a 12-session therapy, varying the number of sessions based on patient response has improved outcomes in a civilian study. This paper describes outcomes of a clinical trial of variable-length CPT among an active duty sample. Aims were to determine if service members would benefit from varying the dose of treatment and identify predictors of treatment length needed to reach good end-state (PTSD Checklist-5 ≤ 19). This was a within-subjects trial in which all participants received CPT (N = 127). Predictor variables included demographic, symptom, and trauma-related variables; internalizing/externalizing personality traits; and readiness for change. Varying treatment length resulted in more patients achieving good end-state. Best predictors of nonresponse or needing longer treatment were pretreatment depression and PTSD severity, internalizing temperament, being in precontemplation stage of readiness for change, and African American race. Controlling for differences in demographics and initial PTSD symptom severity, the outcomes using a variable-length CPT protocol were superior to the outcomes of a prior study using a fixed, 12-session CPT protocol. | ||
| 520 | |a Cognitive Processing Therapy (CPT) is an evidence-based therapy recommended for posttraumatic stress disorder (PTSD). However, rates of improvement and remission are lower in veterans and active duty military compared to civilians. Although CPT was developed as a 12-session therapy, varying the number of sessions based on patient response has improved outcomes in a civilian study. This paper describes outcomes of a clinical trial of variable-length CPT among an active duty sample. Aims were to determine if service members would benefit from varying the dose of treatment and identify predictors of treatment length needed to reach good end-state (PTSD Checklist-5 ≤ 19). This was a within-subjects trial in which all participants received CPT (N = 127). Predictor variables included demographic, symptom, and trauma-related variables; internalizing/externalizing personality traits; and readiness for change. Varying treatment length resulted in more patients achieving good end-state. Best predictors of nonresponse or needing longer treatment were pretreatment depression and PTSD severity, internalizing temperament, being in precontemplation stage of readiness for change, and African American race. Controlling for differences in demographics and initial PTSD symptom severity, the outcomes using a variable-length CPT protocol were superior to the outcomes of a prior study using a fixed, 12-session CPT protocol. | ||
| 650 | 7 | |a PTSD |2 Elsevier | |
| 650 | 7 | |a Posttraumatic stress disorder |2 Elsevier | |
| 650 | 7 | |a Cognitive processing therapy |2 Elsevier | |
| 650 | 7 | |a Treatment predictors |2 Elsevier | |
| 650 | 7 | |a Military |2 Elsevier | |
| 700 | 1 | |a Wachen, Jennifer Schuster |4 oth | |
| 700 | 1 | |a Dondanville, Katherine A. |4 oth | |
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| 700 | 1 | |a Young-McCaughan, Stacey |4 oth | |
| 700 | 1 | |a Yarvis, Jeffrey S. |4 oth | |
| 700 | 1 | |a Pruiksma, Kristi E. |4 oth | |
| 700 | 1 | |a Blankenship, Abby |4 oth | |
| 700 | 1 | |a Jacoby, Vanessa |4 oth | |
| 700 | 1 | |a Peterson, Alan L. |4 oth | |
| 700 | 1 | |a Mintz, Jim |4 oth | |
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10.1016/j.brat.2021.103846 doi /cbs_pica/cbs_olc/import_discovery/elsevier/einzuspielen/GBV00000000001383.pica (DE-627)ELV053926161 (ELSEVIER)S0005-7967(21)00045-0 DE-627 ger DE-627 rakwb eng 004 VZ 54.72 bkl Resick, Patricia A. verfasserin aut Variable-length Cognitive Processing Therapy for posttraumatic stress disorder in active duty military: Outcomes and predictors 2021transfer abstract nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Cognitive Processing Therapy (CPT) is an evidence-based therapy recommended for posttraumatic stress disorder (PTSD). However, rates of improvement and remission are lower in veterans and active duty military compared to civilians. Although CPT was developed as a 12-session therapy, varying the number of sessions based on patient response has improved outcomes in a civilian study. This paper describes outcomes of a clinical trial of variable-length CPT among an active duty sample. Aims were to determine if service members would benefit from varying the dose of treatment and identify predictors of treatment length needed to reach good end-state (PTSD Checklist-5 ≤ 19). This was a within-subjects trial in which all participants received CPT (N = 127). Predictor variables included demographic, symptom, and trauma-related variables; internalizing/externalizing personality traits; and readiness for change. Varying treatment length resulted in more patients achieving good end-state. Best predictors of nonresponse or needing longer treatment were pretreatment depression and PTSD severity, internalizing temperament, being in precontemplation stage of readiness for change, and African American race. Controlling for differences in demographics and initial PTSD symptom severity, the outcomes using a variable-length CPT protocol were superior to the outcomes of a prior study using a fixed, 12-session CPT protocol. Cognitive Processing Therapy (CPT) is an evidence-based therapy recommended for posttraumatic stress disorder (PTSD). However, rates of improvement and remission are lower in veterans and active duty military compared to civilians. Although CPT was developed as a 12-session therapy, varying the number of sessions based on patient response has improved outcomes in a civilian study. This paper describes outcomes of a clinical trial of variable-length CPT among an active duty sample. Aims were to determine if service members would benefit from varying the dose of treatment and identify predictors of treatment length needed to reach good end-state (PTSD Checklist-5 ≤ 19). This was a within-subjects trial in which all participants received CPT (N = 127). Predictor variables included demographic, symptom, and trauma-related variables; internalizing/externalizing personality traits; and readiness for change. Varying treatment length resulted in more patients achieving good end-state. Best predictors of nonresponse or needing longer treatment were pretreatment depression and PTSD severity, internalizing temperament, being in precontemplation stage of readiness for change, and African American race. Controlling for differences in demographics and initial PTSD symptom severity, the outcomes using a variable-length CPT protocol were superior to the outcomes of a prior study using a fixed, 12-session CPT protocol. PTSD Elsevier Posttraumatic stress disorder Elsevier Cognitive processing therapy Elsevier Treatment predictors Elsevier Military Elsevier Wachen, Jennifer Schuster oth Dondanville, Katherine A. oth LoSavio, Stefanie T. oth Young-McCaughan, Stacey oth Yarvis, Jeffrey S. oth Pruiksma, Kristi E. oth Blankenship, Abby oth Jacoby, Vanessa oth Peterson, Alan L. oth Mintz, Jim oth Enthalten in Elsevier Science Yazdani, Morteza ELSEVIER A novel hesitant-fuzzy-based group decision approach for outsourcing risk 2021 Amsterdam [u.a.] (DE-627)ELV006592023 volume:141 year:2021 pages:0 https://doi.org/10.1016/j.brat.2021.103846 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U 54.72 Künstliche Intelligenz VZ AR 141 2021 0 |
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10.1016/j.brat.2021.103846 doi /cbs_pica/cbs_olc/import_discovery/elsevier/einzuspielen/GBV00000000001383.pica (DE-627)ELV053926161 (ELSEVIER)S0005-7967(21)00045-0 DE-627 ger DE-627 rakwb eng 004 VZ 54.72 bkl Resick, Patricia A. verfasserin aut Variable-length Cognitive Processing Therapy for posttraumatic stress disorder in active duty military: Outcomes and predictors 2021transfer abstract nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Cognitive Processing Therapy (CPT) is an evidence-based therapy recommended for posttraumatic stress disorder (PTSD). However, rates of improvement and remission are lower in veterans and active duty military compared to civilians. Although CPT was developed as a 12-session therapy, varying the number of sessions based on patient response has improved outcomes in a civilian study. This paper describes outcomes of a clinical trial of variable-length CPT among an active duty sample. Aims were to determine if service members would benefit from varying the dose of treatment and identify predictors of treatment length needed to reach good end-state (PTSD Checklist-5 ≤ 19). This was a within-subjects trial in which all participants received CPT (N = 127). Predictor variables included demographic, symptom, and trauma-related variables; internalizing/externalizing personality traits; and readiness for change. Varying treatment length resulted in more patients achieving good end-state. Best predictors of nonresponse or needing longer treatment were pretreatment depression and PTSD severity, internalizing temperament, being in precontemplation stage of readiness for change, and African American race. Controlling for differences in demographics and initial PTSD symptom severity, the outcomes using a variable-length CPT protocol were superior to the outcomes of a prior study using a fixed, 12-session CPT protocol. Cognitive Processing Therapy (CPT) is an evidence-based therapy recommended for posttraumatic stress disorder (PTSD). However, rates of improvement and remission are lower in veterans and active duty military compared to civilians. Although CPT was developed as a 12-session therapy, varying the number of sessions based on patient response has improved outcomes in a civilian study. This paper describes outcomes of a clinical trial of variable-length CPT among an active duty sample. Aims were to determine if service members would benefit from varying the dose of treatment and identify predictors of treatment length needed to reach good end-state (PTSD Checklist-5 ≤ 19). This was a within-subjects trial in which all participants received CPT (N = 127). Predictor variables included demographic, symptom, and trauma-related variables; internalizing/externalizing personality traits; and readiness for change. Varying treatment length resulted in more patients achieving good end-state. Best predictors of nonresponse or needing longer treatment were pretreatment depression and PTSD severity, internalizing temperament, being in precontemplation stage of readiness for change, and African American race. Controlling for differences in demographics and initial PTSD symptom severity, the outcomes using a variable-length CPT protocol were superior to the outcomes of a prior study using a fixed, 12-session CPT protocol. PTSD Elsevier Posttraumatic stress disorder Elsevier Cognitive processing therapy Elsevier Treatment predictors Elsevier Military Elsevier Wachen, Jennifer Schuster oth Dondanville, Katherine A. oth LoSavio, Stefanie T. oth Young-McCaughan, Stacey oth Yarvis, Jeffrey S. oth Pruiksma, Kristi E. oth Blankenship, Abby oth Jacoby, Vanessa oth Peterson, Alan L. oth Mintz, Jim oth Enthalten in Elsevier Science Yazdani, Morteza ELSEVIER A novel hesitant-fuzzy-based group decision approach for outsourcing risk 2021 Amsterdam [u.a.] (DE-627)ELV006592023 volume:141 year:2021 pages:0 https://doi.org/10.1016/j.brat.2021.103846 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U 54.72 Künstliche Intelligenz VZ AR 141 2021 0 |
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10.1016/j.brat.2021.103846 doi /cbs_pica/cbs_olc/import_discovery/elsevier/einzuspielen/GBV00000000001383.pica (DE-627)ELV053926161 (ELSEVIER)S0005-7967(21)00045-0 DE-627 ger DE-627 rakwb eng 004 VZ 54.72 bkl Resick, Patricia A. verfasserin aut Variable-length Cognitive Processing Therapy for posttraumatic stress disorder in active duty military: Outcomes and predictors 2021transfer abstract nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Cognitive Processing Therapy (CPT) is an evidence-based therapy recommended for posttraumatic stress disorder (PTSD). However, rates of improvement and remission are lower in veterans and active duty military compared to civilians. Although CPT was developed as a 12-session therapy, varying the number of sessions based on patient response has improved outcomes in a civilian study. This paper describes outcomes of a clinical trial of variable-length CPT among an active duty sample. Aims were to determine if service members would benefit from varying the dose of treatment and identify predictors of treatment length needed to reach good end-state (PTSD Checklist-5 ≤ 19). This was a within-subjects trial in which all participants received CPT (N = 127). Predictor variables included demographic, symptom, and trauma-related variables; internalizing/externalizing personality traits; and readiness for change. Varying treatment length resulted in more patients achieving good end-state. Best predictors of nonresponse or needing longer treatment were pretreatment depression and PTSD severity, internalizing temperament, being in precontemplation stage of readiness for change, and African American race. Controlling for differences in demographics and initial PTSD symptom severity, the outcomes using a variable-length CPT protocol were superior to the outcomes of a prior study using a fixed, 12-session CPT protocol. Cognitive Processing Therapy (CPT) is an evidence-based therapy recommended for posttraumatic stress disorder (PTSD). However, rates of improvement and remission are lower in veterans and active duty military compared to civilians. Although CPT was developed as a 12-session therapy, varying the number of sessions based on patient response has improved outcomes in a civilian study. This paper describes outcomes of a clinical trial of variable-length CPT among an active duty sample. Aims were to determine if service members would benefit from varying the dose of treatment and identify predictors of treatment length needed to reach good end-state (PTSD Checklist-5 ≤ 19). This was a within-subjects trial in which all participants received CPT (N = 127). Predictor variables included demographic, symptom, and trauma-related variables; internalizing/externalizing personality traits; and readiness for change. Varying treatment length resulted in more patients achieving good end-state. Best predictors of nonresponse or needing longer treatment were pretreatment depression and PTSD severity, internalizing temperament, being in precontemplation stage of readiness for change, and African American race. Controlling for differences in demographics and initial PTSD symptom severity, the outcomes using a variable-length CPT protocol were superior to the outcomes of a prior study using a fixed, 12-session CPT protocol. PTSD Elsevier Posttraumatic stress disorder Elsevier Cognitive processing therapy Elsevier Treatment predictors Elsevier Military Elsevier Wachen, Jennifer Schuster oth Dondanville, Katherine A. oth LoSavio, Stefanie T. oth Young-McCaughan, Stacey oth Yarvis, Jeffrey S. oth Pruiksma, Kristi E. oth Blankenship, Abby oth Jacoby, Vanessa oth Peterson, Alan L. oth Mintz, Jim oth Enthalten in Elsevier Science Yazdani, Morteza ELSEVIER A novel hesitant-fuzzy-based group decision approach for outsourcing risk 2021 Amsterdam [u.a.] (DE-627)ELV006592023 volume:141 year:2021 pages:0 https://doi.org/10.1016/j.brat.2021.103846 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U 54.72 Künstliche Intelligenz VZ AR 141 2021 0 |
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10.1016/j.brat.2021.103846 doi /cbs_pica/cbs_olc/import_discovery/elsevier/einzuspielen/GBV00000000001383.pica (DE-627)ELV053926161 (ELSEVIER)S0005-7967(21)00045-0 DE-627 ger DE-627 rakwb eng 004 VZ 54.72 bkl Resick, Patricia A. verfasserin aut Variable-length Cognitive Processing Therapy for posttraumatic stress disorder in active duty military: Outcomes and predictors 2021transfer abstract nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Cognitive Processing Therapy (CPT) is an evidence-based therapy recommended for posttraumatic stress disorder (PTSD). However, rates of improvement and remission are lower in veterans and active duty military compared to civilians. Although CPT was developed as a 12-session therapy, varying the number of sessions based on patient response has improved outcomes in a civilian study. This paper describes outcomes of a clinical trial of variable-length CPT among an active duty sample. Aims were to determine if service members would benefit from varying the dose of treatment and identify predictors of treatment length needed to reach good end-state (PTSD Checklist-5 ≤ 19). This was a within-subjects trial in which all participants received CPT (N = 127). Predictor variables included demographic, symptom, and trauma-related variables; internalizing/externalizing personality traits; and readiness for change. Varying treatment length resulted in more patients achieving good end-state. Best predictors of nonresponse or needing longer treatment were pretreatment depression and PTSD severity, internalizing temperament, being in precontemplation stage of readiness for change, and African American race. Controlling for differences in demographics and initial PTSD symptom severity, the outcomes using a variable-length CPT protocol were superior to the outcomes of a prior study using a fixed, 12-session CPT protocol. Cognitive Processing Therapy (CPT) is an evidence-based therapy recommended for posttraumatic stress disorder (PTSD). However, rates of improvement and remission are lower in veterans and active duty military compared to civilians. Although CPT was developed as a 12-session therapy, varying the number of sessions based on patient response has improved outcomes in a civilian study. This paper describes outcomes of a clinical trial of variable-length CPT among an active duty sample. Aims were to determine if service members would benefit from varying the dose of treatment and identify predictors of treatment length needed to reach good end-state (PTSD Checklist-5 ≤ 19). This was a within-subjects trial in which all participants received CPT (N = 127). Predictor variables included demographic, symptom, and trauma-related variables; internalizing/externalizing personality traits; and readiness for change. Varying treatment length resulted in more patients achieving good end-state. Best predictors of nonresponse or needing longer treatment were pretreatment depression and PTSD severity, internalizing temperament, being in precontemplation stage of readiness for change, and African American race. Controlling for differences in demographics and initial PTSD symptom severity, the outcomes using a variable-length CPT protocol were superior to the outcomes of a prior study using a fixed, 12-session CPT protocol. PTSD Elsevier Posttraumatic stress disorder Elsevier Cognitive processing therapy Elsevier Treatment predictors Elsevier Military Elsevier Wachen, Jennifer Schuster oth Dondanville, Katherine A. oth LoSavio, Stefanie T. oth Young-McCaughan, Stacey oth Yarvis, Jeffrey S. oth Pruiksma, Kristi E. oth Blankenship, Abby oth Jacoby, Vanessa oth Peterson, Alan L. oth Mintz, Jim oth Enthalten in Elsevier Science Yazdani, Morteza ELSEVIER A novel hesitant-fuzzy-based group decision approach for outsourcing risk 2021 Amsterdam [u.a.] (DE-627)ELV006592023 volume:141 year:2021 pages:0 https://doi.org/10.1016/j.brat.2021.103846 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U 54.72 Künstliche Intelligenz VZ AR 141 2021 0 |
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10.1016/j.brat.2021.103846 doi /cbs_pica/cbs_olc/import_discovery/elsevier/einzuspielen/GBV00000000001383.pica (DE-627)ELV053926161 (ELSEVIER)S0005-7967(21)00045-0 DE-627 ger DE-627 rakwb eng 004 VZ 54.72 bkl Resick, Patricia A. verfasserin aut Variable-length Cognitive Processing Therapy for posttraumatic stress disorder in active duty military: Outcomes and predictors 2021transfer abstract nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Cognitive Processing Therapy (CPT) is an evidence-based therapy recommended for posttraumatic stress disorder (PTSD). However, rates of improvement and remission are lower in veterans and active duty military compared to civilians. Although CPT was developed as a 12-session therapy, varying the number of sessions based on patient response has improved outcomes in a civilian study. This paper describes outcomes of a clinical trial of variable-length CPT among an active duty sample. Aims were to determine if service members would benefit from varying the dose of treatment and identify predictors of treatment length needed to reach good end-state (PTSD Checklist-5 ≤ 19). This was a within-subjects trial in which all participants received CPT (N = 127). Predictor variables included demographic, symptom, and trauma-related variables; internalizing/externalizing personality traits; and readiness for change. Varying treatment length resulted in more patients achieving good end-state. Best predictors of nonresponse or needing longer treatment were pretreatment depression and PTSD severity, internalizing temperament, being in precontemplation stage of readiness for change, and African American race. Controlling for differences in demographics and initial PTSD symptom severity, the outcomes using a variable-length CPT protocol were superior to the outcomes of a prior study using a fixed, 12-session CPT protocol. Cognitive Processing Therapy (CPT) is an evidence-based therapy recommended for posttraumatic stress disorder (PTSD). However, rates of improvement and remission are lower in veterans and active duty military compared to civilians. Although CPT was developed as a 12-session therapy, varying the number of sessions based on patient response has improved outcomes in a civilian study. This paper describes outcomes of a clinical trial of variable-length CPT among an active duty sample. Aims were to determine if service members would benefit from varying the dose of treatment and identify predictors of treatment length needed to reach good end-state (PTSD Checklist-5 ≤ 19). This was a within-subjects trial in which all participants received CPT (N = 127). Predictor variables included demographic, symptom, and trauma-related variables; internalizing/externalizing personality traits; and readiness for change. Varying treatment length resulted in more patients achieving good end-state. Best predictors of nonresponse or needing longer treatment were pretreatment depression and PTSD severity, internalizing temperament, being in precontemplation stage of readiness for change, and African American race. Controlling for differences in demographics and initial PTSD symptom severity, the outcomes using a variable-length CPT protocol were superior to the outcomes of a prior study using a fixed, 12-session CPT protocol. PTSD Elsevier Posttraumatic stress disorder Elsevier Cognitive processing therapy Elsevier Treatment predictors Elsevier Military Elsevier Wachen, Jennifer Schuster oth Dondanville, Katherine A. oth LoSavio, Stefanie T. oth Young-McCaughan, Stacey oth Yarvis, Jeffrey S. oth Pruiksma, Kristi E. oth Blankenship, Abby oth Jacoby, Vanessa oth Peterson, Alan L. oth Mintz, Jim oth Enthalten in Elsevier Science Yazdani, Morteza ELSEVIER A novel hesitant-fuzzy-based group decision approach for outsourcing risk 2021 Amsterdam [u.a.] (DE-627)ELV006592023 volume:141 year:2021 pages:0 https://doi.org/10.1016/j.brat.2021.103846 Volltext GBV_USEFLAG_U GBV_ELV SYSFLAG_U 54.72 Künstliche Intelligenz VZ AR 141 2021 0 |
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variable-length cognitive processing therapy for posttraumatic stress disorder in active duty military: outcomes and predictors |
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Variable-length Cognitive Processing Therapy for posttraumatic stress disorder in active duty military: Outcomes and predictors |
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Cognitive Processing Therapy (CPT) is an evidence-based therapy recommended for posttraumatic stress disorder (PTSD). However, rates of improvement and remission are lower in veterans and active duty military compared to civilians. Although CPT was developed as a 12-session therapy, varying the number of sessions based on patient response has improved outcomes in a civilian study. This paper describes outcomes of a clinical trial of variable-length CPT among an active duty sample. Aims were to determine if service members would benefit from varying the dose of treatment and identify predictors of treatment length needed to reach good end-state (PTSD Checklist-5 ≤ 19). This was a within-subjects trial in which all participants received CPT (N = 127). Predictor variables included demographic, symptom, and trauma-related variables; internalizing/externalizing personality traits; and readiness for change. Varying treatment length resulted in more patients achieving good end-state. Best predictors of nonresponse or needing longer treatment were pretreatment depression and PTSD severity, internalizing temperament, being in precontemplation stage of readiness for change, and African American race. Controlling for differences in demographics and initial PTSD symptom severity, the outcomes using a variable-length CPT protocol were superior to the outcomes of a prior study using a fixed, 12-session CPT protocol. |
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Cognitive Processing Therapy (CPT) is an evidence-based therapy recommended for posttraumatic stress disorder (PTSD). However, rates of improvement and remission are lower in veterans and active duty military compared to civilians. Although CPT was developed as a 12-session therapy, varying the number of sessions based on patient response has improved outcomes in a civilian study. This paper describes outcomes of a clinical trial of variable-length CPT among an active duty sample. Aims were to determine if service members would benefit from varying the dose of treatment and identify predictors of treatment length needed to reach good end-state (PTSD Checklist-5 ≤ 19). This was a within-subjects trial in which all participants received CPT (N = 127). Predictor variables included demographic, symptom, and trauma-related variables; internalizing/externalizing personality traits; and readiness for change. Varying treatment length resulted in more patients achieving good end-state. Best predictors of nonresponse or needing longer treatment were pretreatment depression and PTSD severity, internalizing temperament, being in precontemplation stage of readiness for change, and African American race. Controlling for differences in demographics and initial PTSD symptom severity, the outcomes using a variable-length CPT protocol were superior to the outcomes of a prior study using a fixed, 12-session CPT protocol. |
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Cognitive Processing Therapy (CPT) is an evidence-based therapy recommended for posttraumatic stress disorder (PTSD). However, rates of improvement and remission are lower in veterans and active duty military compared to civilians. Although CPT was developed as a 12-session therapy, varying the number of sessions based on patient response has improved outcomes in a civilian study. This paper describes outcomes of a clinical trial of variable-length CPT among an active duty sample. Aims were to determine if service members would benefit from varying the dose of treatment and identify predictors of treatment length needed to reach good end-state (PTSD Checklist-5 ≤ 19). This was a within-subjects trial in which all participants received CPT (N = 127). Predictor variables included demographic, symptom, and trauma-related variables; internalizing/externalizing personality traits; and readiness for change. Varying treatment length resulted in more patients achieving good end-state. Best predictors of nonresponse or needing longer treatment were pretreatment depression and PTSD severity, internalizing temperament, being in precontemplation stage of readiness for change, and African American race. Controlling for differences in demographics and initial PTSD symptom severity, the outcomes using a variable-length CPT protocol were superior to the outcomes of a prior study using a fixed, 12-session CPT protocol. |
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