TY - JOUR PY - 2013// TI - A randomized clinical trial of cognitive processing therapy for veterans with PTSD related to military sexual trauma JO - Journal of Traumatic Stress A1 - SurĂ­s, Alina A1 - Link-Malcolm, Jessica A1 - Chard, Kathleen A1 - Ahn, Chul A1 - North, Carol SP - 28 EP - 37 VL - 26 IS - 1 N2 - In this randomized controlled clinical trial, the authors evaluated the effectiveness of cognitive processing therapy (CPT) in the treatment of self-reported and clinician-assessed posttraumatic stress disorder (PTSD) related to military sexual trauma (MST), along with depressive symptoms. Eighty-six veterans (73 female, 13 male) randomly assigned to receive 12 individual sessions of either CPT or present-centered therapy (PCT) were included in analyses. Blinded assessments occurred at baseline, posttreatment, and 2, 4, and 6 months posttreatment. Mixed-effects model analysis revealed a significant interaction between groups (p = .05, d = -0.85): At posttreatment, veterans who received CPT had a significantly greater reduction in self-reported, but not clinician-assessed, PTSD symptom severity compared to veterans who received PCT. All three primary outcome measures improved significantly, both clinically and statistically, across time in both treatment groups. Pre- and posttreatment effect sizes were mostly moderate to large (d = 0.30-1.02) and trended larger in the CPT group. Although the study was impacted by treatment fidelity issues, results provide preliminary evidence for the effectiveness of CPT in reducing self-reported PTSD symptoms in a population of veterans with MST, expanding on established literature that has demonstrated the effectiveness of CPT in treating PTSD related to sexual assault in civilian populations.

Language: en

LA - en SN - 0894-9867 UR - http://dx.doi.org/10.1002/jts.21765 ID - ref1 ER -