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Prolonged Exposure for PTSD in a Veteran group: a pilot effectiveness study
Erin R Smith1, Katherine E Porter1, Michael G Messina2
1Mental Health Service, VA Ann Arbor Healthcare System, Ann Arbor, MI, United States; Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, United States.
This study found that a hybrid group and individual Prolonged Exposure (PE) therapy effectively reduced posttraumatic stress disorder (PTSD) and depression symptoms in veterans. The hybrid approach offers efficient access to evidence-based PTSD treatment.
Area of Science:
- Psychiatry
- Clinical Psychology
- Trauma Studies
Background:
- Prolonged Exposure (PE) therapy is a proven treatment for posttraumatic stress disorder (PTSD).
- Individual PE delivery limits accessibility for the growing number of veterans needing care.
- Group-based therapies are being explored to increase treatment accessibility.
Purpose of the Study:
- To examine the efficacy of a hybrid group and individual Prolonged Exposure (PE) treatment for veterans with PTSD.
- To assess symptom reduction in PTSD and depression within a 12-week hybrid PE program.
Main Methods:
- A 12-week hybrid treatment combining group in vivo exposure sessions and individual imaginal exposure sessions.
- Data collected from 67 veterans across 12 cohorts of the Group PE program.
- Analyses conducted on both completers and intent-to-treat samples.
Main Results:
- Significant reductions in PTSD symptoms were observed in veterans completing the hybrid PE treatment.
- Significant reductions in depression symptoms were also found.
- Both completers and intent-to-treat analyses indicated treatment efficacy.
Conclusions:
- The hybrid group and individual PE model is an effective treatment for veterans with PTSD.
- This hybrid approach offers a viable and efficient method for delivering PE therapy.
- Findings support the expansion of group-based PE for improved veteran mental healthcare access.
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