Exposure Therapy for PTSD Delivered to Veterans via Telehealth: Predictors of Treatment Completion and Outcome and Comparison to Treatment Delivered in Person
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Participants
Patients were selected from a large southeastern Veterans Administration Medical Center (VAMC; direct service population estimated at 550,000 at 2000 U.S. Census) and its associated community-based outpatient clinics (CBOCs; service populations ranged from 140,000 to 290,000 at 2000 U.S. Census) as part of standard clinic practice. All patients had been referred for exposure therapy for PTSD within the PTSD clinic at the VAMC. As the study was conducted within standard clinical practice,
Treatment Outcome in Telehealth and In-Person Patients
Prior to investigating treatment effectiveness, demographics, baseline symptom levels, and number of sessions were investigated across the two treatment conditions in treatment completers only. As expected, two-variable χ2 tests revealed no group differences in sex, race, combat theater, and disability status (χ2 < 4.3, p > .05). Similarly, one-way analyses of variance (ANOVA) demonstrated no differences in patient age and baseline symptoms levels on the BDI-II and PCL-M (F < 3.8, p > .05). The
Discussion
The present study was a preliminary exploration of the effectiveness of exposure therapy delivered via telehealth and in person in a sample of veterans with PTSD. The study sought to compare 12-session exposure therapy across two treatment modalities and identify predictors of treatment completion and treatment outcome in the telehealth condition. The findings suggested that exposure therapy delivered via telehealth was effective in reducing the symptoms of PTSD, depression, general anxiety,
References (35)
- et al.
Psychometric properties of the PTSD Checklist (PCL)
Behaviour Research and Therapy
(1996) - et al.
A follow-up study of a multisite, randomized controlled trial for children with sexual abuse-related PTSD symptoms
Journal of the American Academy of Child and Adolescent Psychiatry
(2006) - et al.
Videoconferencing-based cognitive–behavioral therapy for obsessive–compulsive disorder
Behaviour Research and Therapy
(2006) - et al.
Prolonged exposure in patients with chronic PTSD: Predictors of treatment outcome and dropout
Behaviour Research and Therapy
(2002) - et al.
Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample
Psychological Assessment
(1998) - et al.
Beck Depression Inventory—II (BDI-II)
(1996) - et al.
The development of a clinician-administered PTSD scale
Journal of Traumatic Stress
(1995) - et al.
Delivering cognitive–behavior therapy for panic disorder with agoraphobia in videoconference
Telemedicine Journal and e-Health
(2004) - et al.
A multidimensional meta-analysis of psychotherapy for PTSD
American Journal of Psychiatry
(2005) Rural telepsychiatry
Psychiatric Services
(1998)
Statistical power analysis for the behavioral sciences
The Depression Anxiety Stress Scale (DASS): Normative data and latent structure in a large non-clinical sample
British Journal of Clinical Psychology
The emotional impact of end-stage renal disease: Importance of patients’ perceptions of intrusiveness and control
International Journal of Psychiatry in Medicine
Structure of lifestyle disruptions in chronic disease: A confirmatory factor analysis of the Illness Intrusiveness Ratings Scale
Medical Care
Telepathology networking in VISN-12 of the Veterans Health Administration
Telemedicine Journal and e-Health
Treatment presentation and adherence of Iraq/Afghanistan era veterans in outpatient care for posttraumatic stress disorder
Psychological Services
Structured Clinical Interview for DSM-IV Axis I Disorders—Patient edition (SCID-I/P, Version 2.0)
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2023, Cognitive and Behavioral PracticeDropout from prolonged exposure among individuals with posttraumatic stress disorder and comorbid severe mental illness
2022, Journal of Affective Disorders ReportsDelivering Transdiagnostic Treatment Over Telehealth During the COVID-19 Pandemic: Application of the Unified Protocol
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This material is the result of work supported with resources and the use of facilities at the (Ralph H. Johnson VAMC, Charleston, SC). The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government.