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Gepubliceerd in: Cognitive Therapy and Research 4/2021

02-01-2021 | Original Article

The Effects of Interpersonal Support on Treatment Outcomes Using Cognitive Processing Therapy

Auteurs: Erica E. Nason, Elisa V. Borah, Willie J. Hale, Jennifer Schuster Wachen, Katherine A. Dondanville, Jim Mintz, Brett T. Litz, Jeffrey S. Yarvis, Stacey Young-McCaughan, Alan L. Peterson, Patricia A. Resick, for the STRONG STAR Consortium

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2021

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Abstract

Background

Although there has been research connecting PTSD and social support, there has been little research on effects of treatment, especially in military samples. The current study examined the relationship between these variables over the course of PTSD treatment and assessed differences based on treatment modality (i.e. group versus individual).

Methods

Participants were 322 active duty service members in a randomized controlled trial comparing the effectiveness of group and individual Cognitive Processing Therapy (CPT) treatment modalities and were assessed for PTSD symptoms and social support both prior to and upon completion treatment. Cross-lagged regression models were used to examine stability and lagged effects between PTSD severity and dimensions of social support from pre- to post-treatment.

Results

Lower levels of pre-treatment PTSD severity were associated with higher levels of post-treatment social support across all three subscales (all b ’s at least -.15, p < .02). The only significant difference based on treatment modality was a stronger relationship between pre- and post-treatment PTSD severity for those who received group CPT compared to participants who received individual CPT, consistent with previous findings.

Conclusions

Recommendations for improving social support during PTSD treatment through modalities, such as family-centered models or social skills training, are discussed.
Literatuur
go back to reference Mesa, F., Le, T. A., & Beidel, D. C. (2015). Social skill-based treatment for social anxiety disorder in adolescents. In K. Ranta, A. M. La Greca, L. Garcia-Lopez, & M. Marttunen (Eds.), Social anxiety and phobia in adolescents (pp. 289–299). Springer International Publishing. https://​doi.​org/​ https://​doi.​org/​10.​1007/​978-3-319-16703-9_​13 Mesa, F., Le, T. A., & Beidel, D. C. (2015). Social skill-based treatment for social anxiety disorder in adolescents. In K. Ranta, A. M. La Greca, L. Garcia-Lopez, & M. Marttunen (Eds.), Social anxiety and phobia in adolescents (pp. 289–299). Springer International Publishing. https://​doi.​org/​ https://​doi.​org/​10.​1007/​978-3-319-16703-9_​13
go back to reference Peterson, A. L., Cigrang, J. A., & Isler, W. C. (2009). Future directions: trauma, resilience, and recovery research. In S. M. Freeman, B. Moore, & A. Freeman (Eds.), Living and surviving in harm’s way: a psychological treatment handbook for pre-and post-deployment of military personnel (pp. 467–493). New York, NY: Routledge. https://​doi.​org/​ https://​doi.​org/​10.​4324/​9780203893906 Peterson, A. L., Cigrang, J. A., & Isler, W. C. (2009). Future directions: trauma, resilience, and recovery research. In S. M. Freeman, B. Moore, & A. Freeman (Eds.), Living and surviving in harm’s way: a psychological treatment handbook for pre-and post-deployment of military personnel (pp. 467–493). New York, NY: Routledge. https://​doi.​org/​ https://​doi.​org/​10.​4324/​9780203893906
go back to reference Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., & Southwick, S. M. (2009). Psychological resilience and postdeployment social support protect against traumatic stress and depressive symptoms in soldiers returning from Operations Enduring Freedom and Iraqi Freedom. Depression and Anxiety, 26(8), 745–751. https://​doi.​org/​10.​1002/​da.​20558. CrossRefPubMed Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., & Southwick, S. M. (2009). Psychological resilience and postdeployment social support protect against traumatic stress and depressive symptoms in soldiers returning from Operations Enduring Freedom and Iraqi Freedom. Depression and Anxiety, 26(8), 745–751. https://​doi.​org/​10.​1002/​da.​20558. CrossRefPubMed
go back to reference Price, M., Gros, D. F., Strachan, M., Ruggiero, K. J., & Acierno, R. (2013). The role of social support in exposure therapy for Operation Iraqi Freedom/Operation Enduring Freedom veterans: a preliminary investigation. Psychological Trauma: Theory, Research, Practice, and Policy, 5(1), 93–100. https://​doi.​org/​10.​1037/​a0026244. CrossRef Price, M., Gros, D. F., Strachan, M., Ruggiero, K. J., & Acierno, R. (2013). The role of social support in exposure therapy for Operation Iraqi Freedom/Operation Enduring Freedom veterans: a preliminary investigation. Psychological Trauma: Theory, Research, Practice, and Policy, 5(1), 93–100. https://​doi.​org/​10.​1037/​a0026244. CrossRef
go back to reference Resick, P. A., Wachen, J. S., Mintz, J., Young-McCaughan, S., Roache, J. D., Borah, A. M., et al. (2015). A randomized clinical trial of group cognitive processing therapy compared with group present-centered therapy for PTSD among active duty military personnel. Journal of Consulting and Clinical Psychology, 83(6), 1058–1068. https://​doi.​org/​10.​1037/​ccp0000016. CrossRefPubMed Resick, P. A., Wachen, J. S., Mintz, J., Young-McCaughan, S., Roache, J. D., Borah, A. M., et al. (2015). A randomized clinical trial of group cognitive processing therapy compared with group present-centered therapy for PTSD among active duty military personnel. Journal of Consulting and Clinical Psychology, 83(6), 1058–1068. https://​doi.​org/​10.​1037/​ccp0000016. CrossRefPubMed
go back to reference Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (1993, October). The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (1993, October). The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility. Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX.
Metagegevens
Titel
The Effects of Interpersonal Support on Treatment Outcomes Using Cognitive Processing Therapy
Auteurs
Erica E. Nason
Elisa V. Borah
Willie J. Hale
Jennifer Schuster Wachen
Katherine A. Dondanville
Jim Mintz
Brett T. Litz
Jeffrey S. Yarvis
Stacey Young-McCaughan
Alan L. Peterson
Patricia A. Resick
for the STRONG STAR Consortium
Publicatiedatum
02-01-2021
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 4/2021
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-020-10181-6

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