Predictors of change in cognitive processing therapy for veterans in a residential PTSD treatment program

Objective Cognitive processing therapy is an evidence‐based treatment for posttraumatic stress disorder (PTSD); however, questions remain regarding variability in treatment response. Method A total of 123 veterans participated in group‐based cognitive processing therapy (CPT) in residential PTSD tre...

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Published inJournal of clinical psychology Vol. 75; no. 3; pp. 364 - 379
Main Authors Hale, Andrew C., Rodriguez, Jessica L., Wright, Theodore P., Driesenga, Scott A., Spates, C. Richard
Format Journal Article
LanguageEnglish
Published United States Wiley Periodicals Inc 01.03.2019
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Abstract Objective Cognitive processing therapy is an evidence‐based treatment for posttraumatic stress disorder (PTSD); however, questions remain regarding variability in treatment response. Method A total of 123 veterans participated in group‐based cognitive processing therapy (CPT) in residential PTSD treatment. Change over time in PTSD symptoms was modeled as a function of selected demographic and clinical variables. Results PTSD checklist (PCL) scores decreased by an average of 1 point per session (standard deviation [SD] = 0.1). Initial PCL scores were predicted by the Beck Depression Inventory‐II (γ01 = 0.25; standard error [SE] = 0.08), Insomnia Severity Index (γ02 = 0.53; SE = 0.15), and Infrequency (F) scale of the Minnesota Multiphasic Personality Inventory‐2 (γ03 = 0.09; SE = 0.04). Rate of change was predicted by the Somatic Complaints (RC1) scale (γ11 = −0.03; SE = 0.01) and the Antisocial Behavior (RC4) scale (γ12 = 0.02; SE = 0.01). Conclusions These results provide insight into characteristics that may influence degree of benefit received from group‐based CPT.
AbstractList ObjectiveCognitive processing therapy is an evidence‐based treatment for posttraumatic stress disorder (PTSD); however, questions remain regarding variability in treatment response.MethodA total of 123 veterans participated in group‐based cognitive processing therapy (CPT) in residential PTSD treatment. Change over time in PTSD symptoms was modeled as a function of selected demographic and clinical variables.ResultsPTSD checklist (PCL) scores decreased by an average of 1 point per session (standard deviation [SD] = 0.1). Initial PCL scores were predicted by the Beck Depression Inventory‐II (γ01 = 0.25; standard error [SE] = 0.08), Insomnia Severity Index (γ02 = 0.53; SE = 0.15), and Infrequency (F) scale of the Minnesota Multiphasic Personality Inventory‐2 (γ03 = 0.09; SE = 0.04). Rate of change was predicted by the Somatic Complaints (RC1) scale (γ11 = −0.03; SE = 0.01) and the Antisocial Behavior (RC4) scale (γ12 = 0.02; SE = 0.01).ConclusionsThese results provide insight into characteristics that may influence degree of benefit received from group‐based CPT.
Abstract Objective Cognitive processing therapy is an evidence‐based treatment for posttraumatic stress disorder (PTSD); however, questions remain regarding variability in treatment response. Method A total of 123 veterans participated in group‐based cognitive processing therapy (CPT) in residential PTSD treatment. Change over time in PTSD symptoms was modeled as a function of selected demographic and clinical variables. Results PTSD checklist (PCL) scores decreased by an average of 1 point per session (standard deviation [ SD ] = 0.1). Initial PCL scores were predicted by the Beck Depression Inventory‐II (γ 01 = 0.25; standard error [ SE ] = 0.08), Insomnia Severity Index (γ 02 = 0.53; SE = 0.15), and Infrequency ( F ) scale of the Minnesota Multiphasic Personality Inventory‐2 (γ 03 = 0.09; SE = 0.04). Rate of change was predicted by the Somatic Complaints (RC1) scale (γ 11 = −0.03; SE = 0.01) and the Antisocial Behavior (RC4) scale (γ 12 = 0.02; SE = 0.01). Conclusions These results provide insight into characteristics that may influence degree of benefit received from group‐based CPT.
OBJECTIVECognitive processing therapy is an evidence-based treatment for posttraumatic stress disorder (PTSD); however, questions remain regarding variability in treatment response. METHODA total of 123 veterans participated in group-based cognitive processing therapy (CPT) in residential PTSD treatment. Change over time in PTSD symptoms was modeled as a function of selected demographic and clinical variables. RESULTSPTSD checklist (PCL) scores decreased by an average of 1 point per session (standard deviation [SD] = 0.1). Initial PCL scores were predicted by the Beck Depression Inventory-II (γ01 = 0.25; standard error [SE] = 0.08), Insomnia Severity Index (γ02 = 0.53; SE = 0.15), and Infrequency (F) scale of the Minnesota Multiphasic Personality Inventory-2 (γ03 = 0.09; SE = 0.04). Rate of change was predicted by the Somatic Complaints (RC1) scale (γ11 = -0.03; SE = 0.01) and the Antisocial Behavior (RC4) scale (γ12 = 0.02; SE = 0.01). CONCLUSIONSThese results provide insight into characteristics that may influence degree of benefit received from group-based CPT.
Objective Cognitive processing therapy is an evidence‐based treatment for posttraumatic stress disorder (PTSD); however, questions remain regarding variability in treatment response. Method A total of 123 veterans participated in group‐based cognitive processing therapy (CPT) in residential PTSD treatment. Change over time in PTSD symptoms was modeled as a function of selected demographic and clinical variables. Results PTSD checklist (PCL) scores decreased by an average of 1 point per session (standard deviation [SD] = 0.1). Initial PCL scores were predicted by the Beck Depression Inventory‐II (γ01 = 0.25; standard error [SE] = 0.08), Insomnia Severity Index (γ02 = 0.53; SE = 0.15), and Infrequency (F) scale of the Minnesota Multiphasic Personality Inventory‐2 (γ03 = 0.09; SE = 0.04). Rate of change was predicted by the Somatic Complaints (RC1) scale (γ11 = −0.03; SE = 0.01) and the Antisocial Behavior (RC4) scale (γ12 = 0.02; SE = 0.01). Conclusions These results provide insight into characteristics that may influence degree of benefit received from group‐based CPT.
Cognitive processing therapy is an evidence-based treatment for posttraumatic stress disorder (PTSD); however, questions remain regarding variability in treatment response. A total of 123 veterans participated in group-based cognitive processing therapy (CPT) in residential PTSD treatment. Change over time in PTSD symptoms was modeled as a function of selected demographic and clinical variables. PTSD checklist (PCL) scores decreased by an average of 1 point per session (standard deviation [SD] = 0.1). Initial PCL scores were predicted by the Beck Depression Inventory-II (γ = 0.25; standard error [SE] = 0.08), Insomnia Severity Index (γ = 0.53; SE = 0.15), and Infrequency (F) scale of the Minnesota Multiphasic Personality Inventory-2 (γ = 0.09; SE = 0.04). Rate of change was predicted by the Somatic Complaints (RC1) scale (γ = -0.03; SE = 0.01) and the Antisocial Behavior (RC4) scale (γ = 0.02; SE = 0.01). These results provide insight into characteristics that may influence degree of benefit received from group-based CPT.
Author Hale, Andrew C.
Driesenga, Scott A.
Rodriguez, Jessica L.
Wright, Theodore P.
Spates, C. Richard
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Keywords trauma
veterans
posttraumatic stress disorder (PTSD)
cognitive processing therapy
treatment outcome
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Snippet Objective Cognitive processing therapy is an evidence‐based treatment for posttraumatic stress disorder (PTSD); however, questions remain regarding variability...
Cognitive processing therapy is an evidence-based treatment for posttraumatic stress disorder (PTSD); however, questions remain regarding variability in...
Abstract Objective Cognitive processing therapy is an evidence‐based treatment for posttraumatic stress disorder (PTSD); however, questions remain regarding...
ObjectiveCognitive processing therapy is an evidence‐based treatment for posttraumatic stress disorder (PTSD); however, questions remain regarding variability...
OBJECTIVECognitive processing therapy is an evidence-based treatment for posttraumatic stress disorder (PTSD); however, questions remain regarding variability...
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SubjectTerms cognitive processing therapy
Post traumatic stress disorder
posttraumatic stress disorder (PTSD)
trauma
treatment outcome
veterans
Title Predictors of change in cognitive processing therapy for veterans in a residential PTSD treatment program
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fjclp.22711
https://www.ncbi.nlm.nih.gov/pubmed/30485430
https://www.proquest.com/docview/2177196306/abstract/
https://search.proquest.com/docview/2139582947
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