Predictors of Treatment Outcome in Group or Individual Cognitive Processing Therapy for Posttraumatic Stress Disorder Among Active Duty Military.
Predictors of Treatment Outcome in Group or Individual Cognitive Processing Therapy for Posttraumatic Stress Disorder Among Active Duty Military.
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DOI：
10.1007/s10608-020-10085-5
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发表时间：
2020-02-27
影响因子：
2.8
通讯作者：
STRONG STAR Consortium
中科院分区：
文献类型：
--
作者：
Resick PA;LoSavio ST;Wachen JS;Dillon KH;Nason EE;Dondanville KA;Young-McCaughan S;Peterson AL;Yarvis JS;Mintz J;STRONG STAR Consortium
本研究的目的是检查人口统计学，心理，军事和部署变量，可能预测创伤后应激障碍（PTSD）的症状改善的现役服务成员接受团体或个人认知加工治疗（CPT）的样本。数据进行了分析，从165名现役军人与治疗前和治疗后的数据参加了一项随机对照试验，比较组与个人CPT。采用PTSD症状量表访谈版（PSS-I）评估治疗前变量作为PTSD严重程度从基线到治疗后变化的预测因子。PSS-I变化的预测因素首先使用Pearson相关性进行评估，然后使用部分相关性和多重相关性来澄清当控制其他预测因素的影响时，哪些关联仍然存在。多元回归分析用于检验治疗前变量和治疗形式之间的相互作用。在控制了其他变量并对多个变量进行统计学校正后，只有年龄是PTSD症状变化的重要预测因素。年龄和治疗形式之间也存在相互作用。年轻的参与者有更大的症状改善，特别是如果他们接受个别治疗。其他治疗前变量不能预测结果。CPT似乎在大多数治疗前变量中具有稳健性，例如共病疾病、基线症状严重程度和自杀意念不会干扰CPT的应用。然而，个人CPT可能是一个更好的选择，特别是对年轻的服务成员。
The purpose of this study was to examine demographic, psychological, military, and deployment variables that might predict posttraumatic stress disorder (PTSD) symptom improvement in a sample of active duty service members who received either group or individual cognitive processing therapy (CPT). Data were analyzed from 165 active duty service members with pre- and posttreatment data participating in a randomized controlled trial comparing group with individual CPT. Pretreatment variables were examined as predictors of change in PTSD severity from baseline to posttreatment, assessed using the PTSD Symptom Scale-Interview Version (PSS-I). Predictors of PSS-I change were first evaluated using Pearson correlations, followed by partial and multiple correlations to clarify which associations remained when effects of other predictors were controlled. Multiple regression analyses were used to test for interactions between pretreatment variables and treatment format. Only age was a significant predictor of PTSD symptom change after controlling for other variables and statisitically correcting for testing multiple variables. There was also an interaction between age and treatment format. Younger participants had greater symptom improvement, particularly if they received individual treatment. Other pretreatment variables did not predict outcome. CPT appears to be robust across most pretreatment variables, such that comorbid disorders, baseline symptom severity, and suicidal ideation do not interfere with application of CPT. However, individual CPT may be a better option particularly for younger service members.
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影响因子：
3.3
作者：
Ehlers, A;Clark, DM;Foa, EB
通讯作者：
Foa, EB
影响因子：
10.3
作者：
Lloyd, D.;Nixon, R. D. V.;Forbes, D.
通讯作者：
Forbes, D.
DOI：
10.1111/j.2517-6161.1995.tb02031.x
发表时间：
1995-01-01
影响因子：
5.8
作者：
BENJAMINI, Y;HOCHBERG, Y
通讯作者：
HOCHBERG, Y
影响因子：
3.6
作者：
Kubany, ES;Haynes, SN;Stahura, C
通讯作者：
Stahura, C
影响因子：
5.9
作者：
Galovski, Tara E.;Blain, Leah M.;Houle, Timothy
通讯作者：
Houle, Timothy