Adjusting the Timeframe of Evidence-Based Therapies for PTSD-Massed Treatments

Jennifer Schuster Wachen, Katherine A Dondanville, Wyatt R. Evans, Kris Morris, Allison Cole

Research output: Contribution to journalReview article

Abstract

Purpose: Current clinical practice guidelines for the treatment of post-traumatic stress disorder (PTSD) strongly recommend individual manualized trauma-focused therapy. However, it can be challenging for patients to complete a full course of treatment. There has been recent interest in modifying the format of evidence-based psychotherapies for PTSD to be delivered within a shorter time frame to reduce the likelihood of dropout and optimize the potential for a positive treatment outcome. This article will review the existing literature on massed psychotherapies for PTSD, including only the treatments highly recommended by the current PTSD treatment guidelines that have been modified to an intensive format. Recent Findings: The literature supporting massed treatment formats for PTSD is limited to date. Two randomized clinical trials (RCTs) provide the strongest evidence for efficacy for prolonged exposure and cognitive therapy for PTSD, and preliminary studies of cognitive processing therapy and eye movement desensitization and reprocessing are promising. Summary: Current results suggest that massed formats of existing evidence-based psychotherapies for PTSD are promising efficient and effective methods to expedite recovery from PTSD symptoms. Additional RCTs are needed to demonstrate the efficacy of these treatments in a range of patient populations.

Original languageEnglish (US)
JournalCurrent Treatment Options in Psychiatry
DOIs
StatePublished - Jan 1 2019

Fingerprint

Post-Traumatic Stress Disorders
Psychotherapy
Cognitive Therapy
Therapeutics
Eye Movement Desensitization Reprocessing
Randomized Controlled Trials
Implosive Therapy
Practice Guidelines
Guidelines
Wounds and Injuries
Population

Keywords

  • Cognitive therapy
  • Exposure therapy
  • Intensive treatment
  • Massed treatment
  • Post-traumatic stress disorder
  • PTSD

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Adjusting the Timeframe of Evidence-Based Therapies for PTSD-Massed Treatments. / Wachen, Jennifer Schuster; Dondanville, Katherine A; Evans, Wyatt R.; Morris, Kris; Cole, Allison.

In: Current Treatment Options in Psychiatry, 01.01.2019.

Research output: Contribution to journalReview article

Wachen, Jennifer Schuster ; Dondanville, Katherine A ; Evans, Wyatt R. ; Morris, Kris ; Cole, Allison. / Adjusting the Timeframe of Evidence-Based Therapies for PTSD-Massed Treatments. In: Current Treatment Options in Psychiatry. 2019.
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