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It's about time: Examining the role of session timing in Cognitive Processing Therapy in active duty military personnel - 16/09/20

Doi : 10.1016/j.jbct.2020.04.001 
C.J. Eubanks Fleming a, , Matt Hawrilenko b , Jennifer Schuster Wachen c, d , Alan L. Peterson e, f, g , Jeffrey S. Yarvis h , Adam Borah h, 1 , Brett T. Litz d, i, j , Stacey Young-McCaughan e , Willie J. Hale g, e , Jim Mintz e, k , Patricia A. Resick l
for the

STRONG STAR Consortium

a Department of Psychology, Elon University, Elon, NC, USA 
b Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA 
c National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA 
d Department of Psychiatry, Boston University School of Medicine, Boston, MA, USA 
e Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA 
f Research and Development Service, South Texas Veterans Health Care System, San Antonio, TX, USA 
g Department of Psychology, University of Texas at San Antonio, San Antonio, TX, USA 
h Department of Behavioral Health, Carl R. Darnall Army Medical Center, Fort Hood, TX, USA 
i Massachusetts Veterans Epidemiological Research and Information Center, VA Boston Healthcare System, Boston, MA, USA 
j Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA 
k Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA 
l Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA 

Corresponding author at: Elon University, CB2337, 27244 Elon, NC, USA.Elon University, CB2337Elon, NC27244USA

Highlights

Role of session timing was tested in Cognitive Processing Therapy in the military.
Service members attended sessions on average about every 6.5 days.
Timing was not related to posttraumatic stress or depression outcomes.
Session frequency was related to increased dropout from therapy.
Cognitive Processing Therapy is resilient to scheduling challenges in the military.

Le texte complet de cet article est disponible en PDF.

Abstract

Current research into Cognitive Processing Therapy (CPT) examines how and for whom CPT works best, with a focus on understanding treatment outcomes in special populations. Session timing appears to have an effect on CPT outcomes in civilian samples, but the role of timing in CPT has not yet been investigated in a military sample. Thus, this study examines the relationships between session frequency and consistency and changes in symptoms and dropout in a trial of CPT in the military. Participants included 135 active duty service members who sought treatment for posttraumatic stress disorder (PTSD; Mage=32.6 years; 89.6% male; 41.5% White, 26.7% Black, 23.0% Hispanic). Service members participated in 12 sessions of individual CPT intended to be scheduled twice per week, and completed follow-up assessments at 2 weeks and 6 months post-treatment. Results indicated that participants attended sessions about every 6.5 days and that session frequency and consistency were not related to rate of change in PTSD or depression outcomes. Session frequency was related to dropout, such that longer time between sessions was related to increased dropout. These results suggest that the positive outcomes seen after CPT are stable despite the unique challenges in logistics seen with military service members.

Le texte complet de cet article est disponible en PDF.

Keywords : Cognitive processing therapy, Posttraumatic stress disorder, Session timing

Abbreviations : E-2 to E-4, E-5 to E-6, E-7 to E-9, O-2 to O-4, STRONG STAR, WO-2 to WO-4


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Vol 30 - N° 3

P. 231-239 - septembre 2020 Retour au numéro
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