• J Anxiety Disord · Jan 2014

    Comparative Study

    Evaluating treatment of posttraumatic stress disorder with cognitive processing therapy and prolonged exposure therapy in a VHA specialty clinic.

    • Matthew D Jeffreys, Courtney Reinfeld, Prakash V Nair, Hector A Garcia, Emma Mata-Galan, and Timothy O Rentz.
    • South Texas Veterans Healthcare System, 5788 Eckhert Road, San Antonio, TX 78240, United States. Electronic address: Matthew.Jeffreys@va.gov.
    • J Anxiety Disord. 2014 Jan 1; 28 (1): 108-14.

    AbstractThis retrospective chart review evaluates the effectiveness of manualized cognitive processing therapy (CPT) protocols (individual CPT, CPT group only, and CPT group and individual combined) and manualized prolonged exposure (PE) therapy on veterans' posttraumatic stress disorder (PTSD) symptoms in one Veterans Health Administration (VHA) specialty clinic. A total of 517 charts were reviewed, and analyses included 178 charts for CPT and 85 charts for PE. Results demonstrated CPT and PE to significantly reduce PTSD Checklist (PCL) scores. However, PE was significantly more effective than CPT after controlling for variables of age, service era, and ethnicity. Additional findings included different outcomes among CPT formats, decreased treatment dropouts for older veterans, and no significant differences in outcome between Hispanic and White veterans. Study limitations and future research directions are discussed.Published by Elsevier Ltd.

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