A Nonrandomized Trial of Prolonged Exposure and Cognitive Processing Therapy for Combat-Related Posttraumatic Stress Disorder in a Deployed Setting☆,☆☆,☆☆☆,☆☆☆☆
Section snippets
participants
Research participants were treatment-seeking active-duty military personnel (N = 12) who reported combat operational stress reaction symptoms or PTSD symptoms after being exposed to a combat-related traumatic event while deployed to Iraq or Afghanistan between 2009 and 2013. All participants voluntarily presented to the deployed behavioral health clinic through the regular referral process established at each of the five deployed locations. Prior to starting treatment, individuals were assessed
Results
Detailed treatment outcomes for PE and CPT are reported in Table 2. Prior to the primary analyses, the prevalence and symptom severity of PTSD and depression were examined at pretreatment in the PE and CPT groups. Overall, 83% of participants (n = 5/6) in the PE group endorsed symptoms indicative of a PTSD diagnosis using the combined PCL-M total symptom severity score and moderate or greater symptom ratings on each of the DSM-IV-TR criteria. Additionally, 67% of participants (n = 4/6) in the
Discussion
Deployed military behavioral health providers working in the combat theater frequently work with service members exposed to combat-related traumas. Providers conduct assessments to determine whether patients can be treated while deployed and returned to duty or whether they require psychiatric aeromedical evacuation out of theater (Baker et al., 2017; Peterson et al., 2018; Peterson, McCarthy, Busheme, Campise, & Baker, 2011; Peterson, Shah, Lara-Ruiz, & Ritchie, 2019). The limited data on
Conclusions
The results of the present study provide initial data to support the use of modified versions of PE and CPT for the treatment of combat-related PTSD—or what is often called combat and operational stress reactions—in deployed military personnel. There are a number of potential benefits of evidence-based treatments for delivery in the deployed combat theater. More service members may receive treatment, and there may be a decrease in the stigma of seeking care. If individuals are treated more
Conflict of Interest Statement
The authors declare no conflicts of interest.
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2021, Clinical Psychology ReviewCitation Excerpt :No analyses were reported to determine the degree of exposure or stress that participants endured (e.g., if they were working at this, how long they worked) and whether this had an influence on PTSD symptoms. In their nonrandomized trial, Peterson et al. (2020) studied the effects of CPT and prolonged exposure on 12 active duty service members who were on deployment in Afghanistan or Iraq and had experienced a combat-related traumatic event in Afghanistan or Iraq between 2009 and 2013. Participants were assigned to prolonged exposure (n = 6) or CPT (n = 6) based on the discretion of the military behavioral health specialist.
Advances in cognitive processing therapy for posttraumatic stress disorder
2023, Chinese Journal of Psychiatry
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The authors would like to thank Julie Collins and Joel Williams for their assistance in editing this manuscript.
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This work was supported by the 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 award W81XWH-08-02-109 (Alan L. Peterson, Principal Investigator).
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The grant sponsor played no role in study design; the collection, analysis, and interpretation of data; the writing of this paper; or the decision to submit this paper for publication.
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The views expressed herein are solely those of the authors and do not represent an endorsement by or the official policy or position of Brooke Army Medical Center, the U.S. Army Medical Department, the U.S. Army Office of the Surgeon General, the Department of the Army, the Department of the Air Force, the Department of Defense, the Department of Veterans Affairs, or the United States Government.