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Posttraumatic Stress Disorder: Developments in Assessment and Treatment
1is a senior scientist at the Center for Psychiatry and Neuroscience, Walter Reed Army Institute of Research in Silver Spring, Maryland. is a counsellor advocate for the Victorian Foundation for Survivors of Torture Inc. in Brunswick, Victoria, Australia.
Summary
Diagnostic criteria for posttraumatic stress disorder (PTSD) vary, impacting treatment effectiveness and dropout rates for veterans. Clinicians face challenges in managing postwar health due to these inconsistencies and differing policies.
Area of Science:
- Mental Health
- Military Medicine
- Clinical Psychology
Background:
- Diagnostic criteria for posttraumatic stress disorder (PTSD) lack consistency.
- Treatment dropout rates and comorbidities present significant challenges in veteran care.
- Varying policy approaches complicate clinical decision-making for postwar health issues.
Purpose of the Study:
- To examine the impact of diagnostic discordance on PTSD treatment.
- To identify challenges faced by clinicians in the VA and DoD.
- To explore factors influencing treatment dropout and management of comorbidities.
Main Methods:
- Analysis of diagnostic criteria across different PTSD definitions.
- Review of treatment dropout rates in veteran populations.
- Examination of policy variations affecting clinical practice.
Main Results:
- Diagnostic discordance contributes to varied treatment outcomes.
- Inconsistent policies create unique concerns for VA and DoD clinicians.
- Comorbidities and dropout rates are linked to definitional inconsistencies.
Conclusions:
- Standardizing PTSD definitions is crucial for effective veteran care.
- Addressing policy variations can improve treatment delivery.
- Integrated approaches are needed to manage comorbidities and reduce dropout.
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