A Randomized Clinical Trial of Group Cognitive Processing Therapy Compared With Group Present-Centered Therapy for PTSD Among Active Duty Military Personnel

Patricia A. Resick, Jennifer Schuster Wachen, Jim Mintz, Stacey Young-mccaughan, John D Roache, Adam M. Borah, Elisa V. Borah, Katherine A Dondanville, Elizabeth A. Hembree, Brett T. Litz, Alan L Peterson

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

Objective: To determine whether group therapy improves symptoms of posttraumatic stress disorder (PTSD), this randomized clinical trial compared efficacy of group cognitive processing therapy (cognitive only version; CPT-C) with group present-centered therapy (PCT) for active duty military personnel. Method: Patients attended 90-min groups twice weekly for 6 weeks at Fort Hood, Texas. Independent assessments were administered at baseline, weekly before sessions, and 2 weeks, 6 months, and 12 months posttreatment. A total of 108 service members (100 men, 8 women) were randomized. Inclusion criteria included PTSD following military deployment and medication stability. Exclusion criteria included suicidal/homicidal intent or other severe mental disorders requiring immediate treatment. Follow-up assessments were administered regardless of treatment completion. Primary outcome measures were the PTSD Checklist (Stressor Specific Version; PCL-S) and Beck Depression Inventory-II. The Posttraumatic Stress Symptom Interview (PSS-1) was a secondary measure. Results: Both treatments resulted in large reductions in PTSD severity, but improvement was greater in CPT-C. CPT-C also reduced depression, with gains remaining during follow-up. In PCT, depression only improved between baseline and before Session 1. There were few adverse events associated with either treatment. Conclusions: Both CPT-C and PCT were tolerated well and reduced PTSD symptoms in group format, but only CPT-C improved depression. This study has public policy implications because of the number of active military needing PTSD treatment, and demonstrates that group format of treatment of PTSD results in significant improvement and is well tolerated. Group therapy may an important format in settings in which therapists are limited. (PsycINFO Database Record

Original languageEnglish (US)
JournalJournal of Consulting and Clinical Psychology
DOIs
StateAccepted/In press - May 4 2015

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Military Personnel
Cognitive Therapy
Post-Traumatic Stress Disorders
Randomized Controlled Trials
Depression
Therapeutics
Group Psychotherapy
Therapy
Clinical Trials
Cognitive Processing
Public Policy
Checklist
Mental Disorders
Outcome Assessment (Health Care)
Interviews
Equipment and Supplies

Keywords

  • Active military
  • Cognitive processing therapy
  • Posttraumatic stress disorder
  • Present-centered therapy
  • Randomized clinical trial

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology
  • Arts and Humanities (miscellaneous)

Cite this

A Randomized Clinical Trial of Group Cognitive Processing Therapy Compared With Group Present-Centered Therapy for PTSD Among Active Duty Military Personnel. / Resick, Patricia A.; Wachen, Jennifer Schuster; Mintz, Jim; Young-mccaughan, Stacey; Roache, John D; Borah, Adam M.; Borah, Elisa V.; Dondanville, Katherine A; Hembree, Elizabeth A.; Litz, Brett T.; Peterson, Alan L.

In: Journal of Consulting and Clinical Psychology, 04.05.2015.

Research output: Contribution to journalArticle

Resick, Patricia A. ; Wachen, Jennifer Schuster ; Mintz, Jim ; Young-mccaughan, Stacey ; Roache, John D ; Borah, Adam M. ; Borah, Elisa V. ; Dondanville, Katherine A ; Hembree, Elizabeth A. ; Litz, Brett T. ; Peterson, Alan L. / A Randomized Clinical Trial of Group Cognitive Processing Therapy Compared With Group Present-Centered Therapy for PTSD Among Active Duty Military Personnel. In: Journal of Consulting and Clinical Psychology. 2015.
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