Cognitive processing therapy for posttraumatic stress disorder delivered to rural veterans via telemental health: a randomized noninferiority clinical trial

To compare clinical and process outcomes of cognitive processing therapy-cognitive only version (CPT-C) delivered via videoteleconferencing (VTC) to in-person in a rural, ethnically diverse sample of veterans with posttraumatic stress disorder (PTSD).METHOD: A randomized clinical trial with a noninferiority design was used to determine if providing CPT-C via VTC is effective and 'as good as' in-person delivery. The study took place between March 2009 and June 2013. PTSD was diagnosed per DSM-IV. Participants received 12 sessions of CPT-C via VTC (n = 61) or in-person (n = 64).

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Cognitive-Behavioral Conjoint Therapy for PTSD: Application to an Operation Enduring Freedom Veteran

There is increasing recognition that combat-related posttraumatic stress disorder (PTSD) affects the service member or veteran who experienced the trauma, his or her partner, and their relationship more broadly. Reactions by partners and other loved ones can also serve as impediments to, or facilitators of, recovery in the wake of trauma exposure.

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Combat Trauma Exposure and PTSD: A Prospective DNA Methylation Study

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Childhood maltreatment in adult offspring of Portuguese war veterans with and without PTSD

Background: The colonial war that Portugal was involved in between 1961 and 1974 had a significant impact on veterans and their families.

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Children Following the Ghislenghien Gas Explosion: PTSD Predictors and Risk Factors

This paper describes the risk factors for the development of posttraumatic stress reactions in children after a technological disaster in Ghislenghien, Belgium in 2004. Children were assessed at five months (T1, N=128) and at fourteen months (T2, N=69). At T1 and T2 respectively, 7 % and 4 % of the responding children showed severe posttraumatic stress reactions. Of those who showed posttraumatic stress reactions at T1, 60%recovered from these symptoms at T2. One child developed severe posttraumatic stress reactions between T1 and T2.

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Changing Beliefs about Trauma: A Qualitative Study of Cognitive Processing Therapy

Background: Controlled qualitative methods complement quantitative treatment outcome research and enable a more thorough understanding of the effects of therapy and the suspected mechanisms of action. Aims: Thematic analyses were used to examine outcomes of cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) in a randomized controlled trial of individuals diagnosed with military-related PTSD (n = 15).

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Characteristics of the Children's Revised Impact of Event Scale in a Clinically Referred Dutch Sample

Early identification of posttraumatic stress disorder (PTSD) in children is important to offer them appropriate and timely treatment. The Children's Revised Impact of Event Scale (CRIES) is a brief self-report measure designed to screen children for PTSD. Research regarding the diagnostic validity of the CRIES is still insufficient, has been restricted to specific populations, and sample sizes have often been small. This study evaluated the reliability and validity of the 8-item (CRIES-8) and 13-item (CRIES-13) versions of the CRIES in a large clinically referred sample.

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Burnout and Daily Recovery: A Day Reconstruction Study

What can employees who are at risk of burnout do in their off-job time to recover adequately from their work? Extending the effort-recovery theory, we hypothesize that the continuation of work during off-job time results in lower daily recovery, whereas engagement in 'nonwork' activities (low-effort, social, and physical activities) results in higher daily recovery for employees who are at risk of burnout versus employees with low levels of burnout.

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Bystander conflict: Training interventions for teams in high-stake professions

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Biological and symptom changes in posttraumatic stress disorder treatment: a randomized clinical trial

Background Understanding cognitive and biological mechanisms of PTSD treatment can help refine treatments and increase rates of response.Methods Thirty-six veterans with PTSD were randomly assigned to receive Prolonged exposure therapy (PE) or Present-Centered therapy (PCT). We examined symptoms, trauma-related cognitions, and two indices of HPA axis function (cortisol awakening response and cortisol response to a script-driven imagery task).ResultsThirty veterans started treatment and 26 completed. PE resulted in significantly more symptom reduction than PCT (P = .008).

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