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, Timothy O. Rentz

Research output: Contribution to journalArticlepeer-review

76 Scopus citations

Abstract

This 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.

Original languageEnglish (US)
Pages (from-to)108-114
Number of pages7
JournalJournal of Anxiety Disorders
Volume28
Issue number1
DOIs
StatePublished - Jan 2014
Externally publishedYes

Keywords

  • Cognitive processing therapy
  • Evidence based treatment
  • Health services
  • Mental health
  • Prolonged exposure therapy
  • Psychotherapy
  • PTSD
  • Translational research
  • Treatment
  • Veterans

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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