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Treating posttraumatic stress disorder at home in a single week using 1‐week virtual massed cognitive processing therapy

Posttraumatic stress disorder (PTSD) treatments are increasingly delivered in massed formats and have shown comparable results to standard, weekly treatment. To date, massed cognitive processing therapy (CPT), delivered daily, has been delivered primarily in combination with adjunctive services and...

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Autores principales: Held, Philip, Kovacevic, Merdijana, Petrey, Kelsey, Meade, Enya A., Pridgen, Sarah, Montes, Mauricio, Werner, Brianna, Miller, Michelle L., Smith, Dale L., Kaysen, Debra, Karnik, Niranjan S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9357038/
https://www.ncbi.nlm.nih.gov/pubmed/35338534
http://dx.doi.org/10.1002/jts.22831
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author Held, Philip
Kovacevic, Merdijana
Petrey, Kelsey
Meade, Enya A.
Pridgen, Sarah
Montes, Mauricio
Werner, Brianna
Miller, Michelle L.
Smith, Dale L.
Kaysen, Debra
Karnik, Niranjan S.
author_facet Held, Philip
Kovacevic, Merdijana
Petrey, Kelsey
Meade, Enya A.
Pridgen, Sarah
Montes, Mauricio
Werner, Brianna
Miller, Michelle L.
Smith, Dale L.
Kaysen, Debra
Karnik, Niranjan S.
author_sort Held, Philip
collection PubMed
description Posttraumatic stress disorder (PTSD) treatments are increasingly delivered in massed formats and have shown comparable results to standard, weekly treatment. To date, massed cognitive processing therapy (CPT), delivered daily, has been delivered primarily in combination with adjunctive services and among veteran populations, but it has not been rigorously evaluated as a standalone intervention. The present study evaluated 1‐week massed CPT delivered virtually (i.e., via telehealth) to a community sample of trauma‐exposed individuals (N = 24). Using a single‐arm open‐label design, participants received CPT twice per day for 5 days. The results indicated that most participants completed treatment (n = 23, 95.8%), and no adverse events were reported. Participants exhibited large reductions in clinician‐rated, d = 2.01, and self‐reported PTSD symptoms, d = 2.55, as well as self‐reported depressive symptoms, d = 1.46. On average, participants reported a 5‐point PTSD symptom reduction and 1‐point reduction in depressive symptoms for each treatment day. Reductions in PTSD and depressive symptoms were maintained at 3‐month follow‐up. Overall, 1‐week massed CPT delivered virtually was shown to be feasible and to result in rapid symptom reductions that were sustained over time. Virtual massed CPT has the potential to increase access to effective treatments and help trauma survivors restore aspects of their lives in short amounts of time.
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spelling pubmed-93570382022-10-14 Treating posttraumatic stress disorder at home in a single week using 1‐week virtual massed cognitive processing therapy Held, Philip Kovacevic, Merdijana Petrey, Kelsey Meade, Enya A. Pridgen, Sarah Montes, Mauricio Werner, Brianna Miller, Michelle L. Smith, Dale L. Kaysen, Debra Karnik, Niranjan S. J Trauma Stress Research Articles Posttraumatic stress disorder (PTSD) treatments are increasingly delivered in massed formats and have shown comparable results to standard, weekly treatment. To date, massed cognitive processing therapy (CPT), delivered daily, has been delivered primarily in combination with adjunctive services and among veteran populations, but it has not been rigorously evaluated as a standalone intervention. The present study evaluated 1‐week massed CPT delivered virtually (i.e., via telehealth) to a community sample of trauma‐exposed individuals (N = 24). Using a single‐arm open‐label design, participants received CPT twice per day for 5 days. The results indicated that most participants completed treatment (n = 23, 95.8%), and no adverse events were reported. Participants exhibited large reductions in clinician‐rated, d = 2.01, and self‐reported PTSD symptoms, d = 2.55, as well as self‐reported depressive symptoms, d = 1.46. On average, participants reported a 5‐point PTSD symptom reduction and 1‐point reduction in depressive symptoms for each treatment day. Reductions in PTSD and depressive symptoms were maintained at 3‐month follow‐up. Overall, 1‐week massed CPT delivered virtually was shown to be feasible and to result in rapid symptom reductions that were sustained over time. Virtual massed CPT has the potential to increase access to effective treatments and help trauma survivors restore aspects of their lives in short amounts of time. John Wiley and Sons Inc. 2022-03-25 2022-08 /pmc/articles/PMC9357038/ /pubmed/35338534 http://dx.doi.org/10.1002/jts.22831 Text en © 2022 The Authors. Journal of Traumatic Stress published by Wiley Periodicals LLC on behalf of International Society for Traumatic Stress Studies. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Research Articles
Held, Philip
Kovacevic, Merdijana
Petrey, Kelsey
Meade, Enya A.
Pridgen, Sarah
Montes, Mauricio
Werner, Brianna
Miller, Michelle L.
Smith, Dale L.
Kaysen, Debra
Karnik, Niranjan S.
Treating posttraumatic stress disorder at home in a single week using 1‐week virtual massed cognitive processing therapy
title Treating posttraumatic stress disorder at home in a single week using 1‐week virtual massed cognitive processing therapy
title_full Treating posttraumatic stress disorder at home in a single week using 1‐week virtual massed cognitive processing therapy
title_fullStr Treating posttraumatic stress disorder at home in a single week using 1‐week virtual massed cognitive processing therapy
title_full_unstemmed Treating posttraumatic stress disorder at home in a single week using 1‐week virtual massed cognitive processing therapy
title_short Treating posttraumatic stress disorder at home in a single week using 1‐week virtual massed cognitive processing therapy
title_sort treating posttraumatic stress disorder at home in a single week using 1‐week virtual massed cognitive processing therapy
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9357038/
https://www.ncbi.nlm.nih.gov/pubmed/35338534
http://dx.doi.org/10.1002/jts.22831
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