Intensive delivery of evidence-based treatment for posttraumatic stress disorder (PTSD) is becoming increasingly popular overcoming barriers to veterans. Understanding how and whom these intensive treatments work critical optimizing their dissemination. The goals the current study were evaluate patterns PTSD depression symptom change over course a 3-week cohort-based outpatient program (IOP) veterans with PTSD, examine changes in cognitions as predictor response, determine whether outcome or...

Abstract There is little information available on the mental health effects of exposure to shared community violence such as August 2014 that occurred in Ferguson, Missouri. This study sought examine relationship between proximity and both members police officers. We recruited 565 adults (community, n = 304, police, 261) exposed Ferguson complete measures violence, posttraumatic stress, depression, anger. Using structural equation modeling, we assessed aspects violence—connectedness, direct...

Objective The present pilot study examined the effects of a 4‐week‐long self‐administered self‐compassion training on trauma‐related guilt and compared it to stress inoculation control group. Method A total 47 homeless male veterans who were living in transitional housing facilities volunteered participate this study. Participants randomly assigned either ( N = 13) or 14) group asked complete pre‐, mid‐, postintervention assessments measuring changes self‐compassion, guilt, posttraumatic...

Although there is mounting evidence that massed treatment for PTSD both feasible and effective, many questions remain about the optimal length of intensive programs (ITPs), as well role adjunctive services, such psychoeducation, mindfulness, yoga. Our setting recently transitioned from a three-week ITP to two-week program. Adjunctive services were reduced, but amount individual CPT between remained similar. The present study examined effectiveness based on twice daily sessions evaluated...

Growing evidence indicates that daily delivery of evidence-based PTSD treatments (e.g. Cognitive Processing Therapy (CPT)), as part intensive treatment programmes (ITPs), is feasible and effective. Research has demonstrated a 2-week CPT-based ITP can produce equivalent outcomes to 3-week ITP, suggesting shorter also be highly However, the extent which length composition impact longer-term needs further study.

Posttraumatic stress disorder (PTSD) is a debilitating characterized by intrusive memories, avoidance, negative thoughts and moods, heightened arousal. Many patients also report gastrointestinal symptoms. Cognitive behavioral therapy (CBT) an evidence-based treatment approach for PTSD that successfully reduces However, many still meet criteria after or continue to have symptoms indicating the need new strategies PTSD. Patients with disrupted intestinal microbiome (i.e., dysbiosis) which can...

Purpose To investigate resilience in American Special Operations Forces (SOF) personnel. Method A qualitative descriptive exploratory design was used to interview and Navy SEAL participants about their perspectives on experiences of resilience. Assumptions that high inversely correlates with suicide risk SOF drove our primary research questions study focus. Questions were based Holling's theory ecological Results Participants provided insightful detailed data often self-effacing or...

Although traumatic exposures are common, only a small percentage of people exposed to trauma go on develop posttraumatic stress disorder (PTSD). This phenomenon suggests that there may be psychological factors influence recovery trajectories. Beliefs about one's ability cope with events have been proposed as mechanism recovery. The present study evaluated coping self-efficacy (CSE) treatment mechanism. Data were collected from 423 military service members and veterans who completed 2-week...

The impact of cannabis use on evidence-based posttraumatic stress disorder (PTSD) treatment outcomes remains inconclusive. Further, few studies to date have examined these relationships in intensive PTSD settings, with existing literature being similarly present study assessed the role frequency prior and concurrent self-reported depressive symptoms two samples veterans undergoing distinct (3-week 2-week) Cognitive Processing Therapy-based programs (ITPs; N3-week = 488; N2-week 253)....

Massed posttraumatic stress disorder (PTSD) treatments, in which therapy is provided 3 days a week to multiple times day, have become increasingly popular and implemented various care settings since 2010. Existing assessment methods monitor PTSD symptom change inform clinical decision making treatment benefit not been adapted this accelerated model, causing significant statistical challenges. This study evaluates an intuitive solution problem by examining the psychometric properties of Past...

Negative posttraumatic cognitions (NPCs) and cognitive emotion regulation (CER) strategies have both been proposed as predictors of change in evidence-based behavioral therapies for stress disorder (PTSD). However, they are rarely studied simultaneously, with only one study examining these a randomized clinical trial prolonged exposure therapy. It remains to be tested how variables predict improvements PTSD severity real world settings or different delivery formats. Data from 487 military...

Objectives/Goals: Research suggests that veterans identifying as Black, Hispanic/Latinx and multiracial may be at higher risk for developing posttraumatic stress disorder (PTSD). The aim of the current study was to compare PTSD treatment outcomes across racial/ethnic veteran groups. Methods/Study Population: Data from 862 who participated in a 2-week cognitive processing therapy (CPT)-based intensive program were evaluated. Veterans on average 45.2 years old 53.8% identified male. Overall,...

Abstract This study examined disengagement coping as a partial mediator between trauma‐related guilt and severity of posttraumatic stress disorder (PTSD) in sample veterans (N = 175) entering residential PTSD treatment with either or subthreshold PTSD. Disengagement partially mediated the relationship self‐reported (b .07; 95% CI [−.003, .13]; p .06), but did not mediate when was based on clinicians' ratings. These findings bolster Street, Gibson, Holohan's (2005) contention that higher...

Although mental health problems are relatively prevalent among service members, research related to treatment-seeking attitudes suggests that a significant number of members unwilling t...

Moral injury is a nascent construct intended to capture reactions events that violate deeply held beliefs and moral values. Although model of has been proposed, many the theoretical propositions this have yet be systematically studied.We conducted semistructured interviews with eight veterans who reported experiencing morally injurious during war zone deployments.Using narrative thematic analysis, five main themes associated subthemes emerged from data. The timing event, contextual factors...

Intensive treatment programmes (ITPs) have shown promise for reducing PTSD and depression symptoms. It is still unknown whether gains are maintained following completion. This study examined veterans were able to maintain up 12 months after an ITP reductions in negative posttrauma cognitions predicted gain maintenance. 209 (62.7% male, mean age = 40.86 years) completed a 3-week, CPT-based PTSD. Participants' (PCL-5) (PHQ-9) symptoms assessed at pre-treatment, post-treatment, 3-, 6-, 12-month...

Background: It has been suggested that current frontline posttraumatic stress disorder (PTSD) treatments are not effective for the treatment of moral injury and individuals who have experienced morally injurious events may respond differently to than those not. However, these claims yet be empirically tested. Objective: This study evaluated rates event exposure index trauma their impact on PTSD (PCL-5) depression symptom (PHQ-9) reductions during intensive treatment. Method: Data from 161...

Abstract Posttraumatic stress disorder (PTSD) treatments are increasingly delivered in massed formats and have shown comparable results to standard, weekly treatment. To date, cognitive processing therapy (CPT), daily, has been primarily combination with adjunctive services among veteran populations, but it not rigorously evaluated as a standalone intervention. The present study 1‐week CPT virtually (i.e., via telehealth) community sample of trauma‐exposed individuals ( N = 24). Using...

Posttraumatic stress disorder (PTSD) is a psychiatric disorder, resulting from exposure to traumatic events. Current recommended first-line interventions for the treatment of PTSD include evidence-based psychotherapies, such as cognitive processing therapy (CPT). Psychotherapies are effective reducing symptoms, but approximately two-thirds veterans continue meet diagnostic criteria after treatment, suggesting there an incomplete understanding what factors sustain PTSD. The intestine can...

The purpose of the present study was to detail patient flow and establish feasibility a brief 3-week intensive treatment program (ITP) for veterans with posttraumatic stress disorder (PTSD). examined data from 648 referred non-Veterans Affairs ITP PTSD January 2016 February 2018 determine patients into through evaluate individuals' satisfaction treatment. On average, 25.9 individuals contacted each month expressing interest in program. A large proportion who completed an intake evaluation...

The present research examined the interrelationships among trauma-related guilt and shame, emotionfocused problem focused disengagement, PTSD severity in a sample of treatment-seeking substance users (N 72). model presented is 1 first attempts to empirically test components multidimensional developed by Kubany Watson (2003). Results showed 2 distinct pathways between PTSD: from (a) through shame (b) emotion-focused disengagement problem-focused coping strategies shame. Findings study support...