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Prolonged Exposure Therapy With Veterans and Active Duty Personnel Diagnosed With PTSD and Traumatic Brain Injury.

Publication ,  Journal Article
Wolf, GK; Kretzmer, T; Crawford, E; Thors, C; Wagner, HR; Strom, TQ; Eftekhari, A; Klenk, M; Hayward, L; Vanderploeg, RD
Published in: J Trauma Stress
August 2015

The present study used archival clinical data to analyze the delivery and effectiveness of prolonged exposure (PE) and ancillary services for posttraumatic stress disorder (PTSD) among Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn veterans (N = 69) with histories of mild to severe traumatic brain injury (TBI). Data from standard clinical assessments of veterans and active duty personnel treated in both inpatient and outpatient programs at 2 Department of Veteran Affairs medical centers were examined. Symptoms were assessed with self-report measures of PTSD (PTSD Checklist) and depression (Beck Depression Inventory-II) before and throughout therapy. Mixed linear models were utilized to determine the slope of reported symptoms throughout treatment, and the effects associated with fixed factors such as site, treatment setting (residential vs. outpatient), and TBI severity were examined. Results demonstrated significant decreases in PTSD, B = -3.00, 95% CI [-3.22, -2.78]; t(210) = -13.5; p < .001, and in depressive symptoms, B = -1.46, 95% CI [-1.64, -1.28]; t(192) = -8.32; p < .001. The effects of PE treatment did not differ by clinical setting and participants with moderate to severe injuries reported more rapid gains than those with a history of mild TBI. The results provide evidence that PE may well be effective for veterans with PTSD and TBI.

Duke Scholars

Published In

J Trauma Stress

DOI

EISSN

1573-6598

Publication Date

August 2015

Volume

28

Issue

4

Start / End Page

339 / 347

Location

United States

Related Subject Headings

  • Veterans
  • United States
  • Time Factors
  • Symptom Assessment
  • Stress Disorders, Post-Traumatic
  • Severity of Illness Index
  • Psychiatry
  • Psychiatric Status Rating Scales
  • Military Personnel
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Wolf, G. K., Kretzmer, T., Crawford, E., Thors, C., Wagner, H. R., Strom, T. Q., … Vanderploeg, R. D. (2015). Prolonged Exposure Therapy With Veterans and Active Duty Personnel Diagnosed With PTSD and Traumatic Brain Injury. J Trauma Stress, 28(4), 339–347. https://doi.org/10.1002/jts.22029
Wolf, Gregory K., Tracy Kretzmer, Eric Crawford, Christina Thors, H Ryan Wagner, Thad Q. Strom, Afsoon Eftekhari, Megan Klenk, Laura Hayward, and Rodney D. Vanderploeg. “Prolonged Exposure Therapy With Veterans and Active Duty Personnel Diagnosed With PTSD and Traumatic Brain Injury.J Trauma Stress 28, no. 4 (August 2015): 339–47. https://doi.org/10.1002/jts.22029.
Wolf GK, Kretzmer T, Crawford E, Thors C, Wagner HR, Strom TQ, et al. Prolonged Exposure Therapy With Veterans and Active Duty Personnel Diagnosed With PTSD and Traumatic Brain Injury. J Trauma Stress. 2015 Aug;28(4):339–47.
Wolf, Gregory K., et al. “Prolonged Exposure Therapy With Veterans and Active Duty Personnel Diagnosed With PTSD and Traumatic Brain Injury.J Trauma Stress, vol. 28, no. 4, Aug. 2015, pp. 339–47. Pubmed, doi:10.1002/jts.22029.
Wolf GK, Kretzmer T, Crawford E, Thors C, Wagner HR, Strom TQ, Eftekhari A, Klenk M, Hayward L, Vanderploeg RD. Prolonged Exposure Therapy With Veterans and Active Duty Personnel Diagnosed With PTSD and Traumatic Brain Injury. J Trauma Stress. 2015 Aug;28(4):339–347.
Journal cover image

Published In

J Trauma Stress

DOI

EISSN

1573-6598

Publication Date

August 2015

Volume

28

Issue

4

Start / End Page

339 / 347

Location

United States

Related Subject Headings

  • Veterans
  • United States
  • Time Factors
  • Symptom Assessment
  • Stress Disorders, Post-Traumatic
  • Severity of Illness Index
  • Psychiatry
  • Psychiatric Status Rating Scales
  • Military Personnel
  • Male