학술논문
Secondary individual outcomes following multicouple group therapy for posttraumatic stress disorder: An uncontrolled pilot study with military dyads.
Document Type
Article
Author
Macdonald, Alexandra; Fredman, Steffany J.; Taylor, Daniel J.; Pruiksma, Kristi E.; Blount, Tabatha H.; Hall-Clark, Brittany N.; Fina, Brooke A.; Dondanville, Katherine A.; Mintz, Jim; Litz, Brett T.; Young-McCaughan, Stacey; Le, Yunying; Jenkins, August I. C.; Monson, Candice M.; Yarvis, Jeffrey S.; Keane, Terence M.; Peterson, Alan L.
Source
Subject
*POST-traumatic stress disorder
*GROUP psychotherapy
*COGNITIVE therapy
*CONE beam computed tomography
*DYADS
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Language
ISSN
0894-9867
Abstract
Cognitive-behavioral conjoint therapy (CBCT) for posttraumatic stress disorder (PTSD) has demonstrated efficacy for improving PTSD and comorbid symptoms and relationship adjustment. To enhance treatment efficiency and scalability, we developed a 2-day, abbreviated, intensive, multicouple group version of CBCT for PTSD (AIM-CBCT for PTSD). Prior work demonstrated that AIMCBCT for PTSDwasassociated with reductions in PTSD and comorbid symptoms in a sample of 24 post-9/11 active duty military or veteran couples who received the treatment in a retreat format over a single weekend. The current study investigated secondary outcomes regarding trauma-related cognitions, psychosocial impairment, and insomnia. For trauma-related cognitions, reductions were nonsignificant and small at 1-month follow-up, ds = -0.14 to -0.32. However, by 3-month follow-up, there were significant, medium effect size reductions in total trauma-related cognitions, d = -0.68, and negative views of self and others, ds =-0.64 and -0.57, respectively, relative to baseline. There was also a nonsignificant, small-to-medium effect-size reduction in self-blame, d = -0.43, p = .053, by 3-month follow-up. For psychosocial impairment, there were significant and medium-to-large and large effect size reductions by 1- and 3-month follow-ups, ds = -0.73 and -0.81, respectively. There were nonsignificant, small effect size reductions in insomnia at both 1- and 3-month follow-ups relative to baseline, ds = -0.30 and -0.34, respectively. These findings suggest that AIM-CBCT for PTSD is associated with reductions inmaladaptive posttraumatic cognitions and psychosocial impairment but that adjunctive interventions may be needed to address insomnia. [ABSTRACT FROM AUTHOR]