Featured Research

from universities, journals, and other organizations

Certain Cognitive Behavioral Therapy Appears Beneficial For Female Veterans With PTSD

Date:
March 1, 2007
Source:
JAMA and Archives Journals
Summary:
Using a cognitive behavioral therapy called "prolonged exposure" appears more effective than "present-centered" therapy, a supportive intervention to treat female military veterans and active duty women with posttraumatic stress disorder, according to a study in the Feb. 28 issue of JAMA.

Using a cognitive behavioral therapy called "prolonged exposure" appears more effective than "present-centered" therapy, a supportive intervention to treat female military veterans and active duty women with posttraumatic stress disorder, according to a study in the February 28 issue of JAMA.

"Events such as the terrorist attacks on September 11, 2001, the war in Iraq, and hurricane Katrina have focused attention on posttraumatic stress disorder (PTSD), an anxiety disorder that can result from exposure to traumatic events like combat, rape, assault, and disaster. Posttraumatic stress disorder is characterized by symptoms of re-experiencing the traumatic event, avoiding reminders of the event or feeling emotionally numb, and a state of increased psychological and physiological tension. The disorder is associated with psychiatric and physical illnesses, reduced quality of life, and substantial economic costs to society", according to background information in the article. "Lifetime prevalence in U.S. adults is higher in women (9.7 percent) than in men (3.6 percent) and is especially high among women who have served in the military." There has been no prior study to evaluate treatment for PTSD in this group.

Paula P. Schnurr, Ph.D., of the Department of Veterans Affairs (VA) National Center for PTSD, White River Junction, Vt., and Dartmouth Medical School, Lebanon, N.H., and colleagues conducted a study to compare the effectiveness of two types of treatments for PTSD, prolonged exposure and present-centered therapy. Prolonged exposure is a cognitive behavioral therapy (CBT) in which a patient is asked to vividly recount a traumatic event repeatedly until the patient's emotional response decreases and to gradually confront safe but fear-evoking trauma reminders. Present-centered therapy, a supportive intervention which is typically used by VA clinicians to address the problems of female veterans with PTSD, includes discussing and reviewing general daily difficulties that may be manifestations of PTSD.

The randomized controlled trial included female veterans (n = 277) and active-duty personnel (n = 7) with PTSD who were recruited from nine VA medical centers, two VA readjustment counseling centers, and one military hospital, from August 2002 through October 2005. Participants were randomly assigned to receive prolonged exposure (n = 141) or present-centered therapy (n = 143), delivered in 10 weekly 90-minute sessions. PTSD symptom severity data were collected before and after treatment and at 3- and 6-month follow-up.

The researchers found that women who received the prolonged exposure therapy were more likely than women who received the present-centered therapy to no longer meet criteria for the diagnosis of PTSD (41.0 percent vs. 27.8 percent) and were more than twice as likely to achieve total remission (15.2 percent vs. 6.9 percent). Self-reported PTSD, depression, and overall mental health improved from pretreatment to post-treatment in both groups. Anxiety decreased and quality of life improved with prolonged exposure.

"Practice guidelines for PTSD recommend prolonged exposure and other CBT, but the treatments are not widely used. Along with recent findings, our study demonstrates the feasibility of implementing CBT across a range of clinical settings. With the high prevalence of PTSD among military personnel returning from service in Iraq and Afghanistan, the challenge for large health care systems like those of the VA and the Department of Defense is to find efficient ways to train personnel to promote dissemination of these effective treatments," the authors conclude.


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Cite This Page:

JAMA and Archives Journals. "Certain Cognitive Behavioral Therapy Appears Beneficial For Female Veterans With PTSD." ScienceDaily. ScienceDaily, 1 March 2007. <www.sciencedaily.com/releases/2007/02/070227171043.htm>.
JAMA and Archives Journals. (2007, March 1). Certain Cognitive Behavioral Therapy Appears Beneficial For Female Veterans With PTSD. ScienceDaily. Retrieved August 20, 2014 from www.sciencedaily.com/releases/2007/02/070227171043.htm
JAMA and Archives Journals. "Certain Cognitive Behavioral Therapy Appears Beneficial For Female Veterans With PTSD." ScienceDaily. www.sciencedaily.com/releases/2007/02/070227171043.htm (accessed August 20, 2014).

Share This




More Mind & Brain News

Wednesday, August 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Researcher Testing on-Field Concussion Scanners

Researcher Testing on-Field Concussion Scanners

AP (Aug. 19, 2014) Four Texas high school football programs are trying out an experimental system designed to diagnose concussions on the field. The technology is in response to growing concern over head trauma in America's most watched sport. (Aug. 19) Video provided by AP
Powered by NewsLook.com
Kids' Drawings At Age 4 Linked To Intelligence At Age 14

Kids' Drawings At Age 4 Linked To Intelligence At Age 14

Newsy (Aug. 19, 2014) A study by King's College London says there's a link between how well kids draw at age 4 and how intelligent they are later in life. Video provided by Newsy
Powered by NewsLook.com
Mental, Neurological Disabilities Up 21% Among Kids

Mental, Neurological Disabilities Up 21% Among Kids

Newsy (Aug. 18, 2014) New numbers show a decade's worth of changes in the number of kids with disabilities. They suggest mental disabilities are up; physical ones are down. Video provided by Newsy
Powered by NewsLook.com
Fake Weed Wreaks Havoc In New Hampshire

Fake Weed Wreaks Havoc In New Hampshire

Newsy (Aug. 17, 2014) New Hampshire's governor declared a state of emergency after more than 40 overdoses of synthetic marijuana in one week throughout the state. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins