Evidence supporting intensive delivery of Cognitive Processing Therapy

Evidence supporting intensive delivery of Cognitive Processing Therapy

By |2019-06-08T12:55:16+00:00May 25th, 2019|

The evidence base for very short-term, intensive treatment for PTSD is growing. Investigators from the U.S. National Center for Veterans Studies conducted an open trial of 2 weeks of daily CPT supplemented with recreation and psychoeducational sleep classes. Military Servicemembers and Veterans with PTSD or subthreshold PTSD (N = 20) engaged in 12 sessions of individual CPT over 2 weeks.

The estimated proportion of participants meeting full diagnostic criteria for PTSD significantly declined from 85.0% at pretreatment to 43.4% at the 6-month follow-up. Interestingly the estimated proportion of participants meeting full diagnostic criteria for PTSD immediately  post treatment was 25.0%, perhaps  showing how hard PTSD is to treat.

Depression symptoms did not improve, but the severity of suicidal ideation declined from pre-treatment to 6-month follow-up, with the proportion of participants endorsing any suicidal ideation falling from 65.5% to 41%.

Reference

https://doi.org/10.1002/jclp.22651

Bryan, C. J., Leifker, F. R., Rozek, D. C., Bryan, A. O., Reynolds, M. L., Oakey, D. N., & Roberge, E. (2018). Examining the effectiveness of an intensive, 2-week treatment program for military personnel and veterans with PTSD: Results of a pilot, open-label, prospective cohort trial. Journal of Clinical Psychology, 74, 2070–2081. PTSD pubs ID: 50809

About the Author:

Clinicians PTSD blog is written by Dr Jon Finch a Clinical Psychologist, a clinician treating PTSD and traumatised individuals for over 10 years. It is mainly for clinicians treating people who have PTSD and other trauma related conditions. It is focused on evidence-based therapy, trauma focused therapy and Cognitive Processing Therapy.