Examining Military Population and Trauma Type as Moderators of Treatment Outcome for First-Line Psychotherapies for PTSD: A Meta-Analysis

Publication date: Available online 18 August 2019Source: Journal of Anxiety DisordersAuthor(s): Casey L. Straud, Jedidiah Siev, Stephen Messer, Alyson K. ZaltaAbstractThere is conflicting evidence as to whether military populations (i.e., veteran and active-duty military service members) demonstrate a poorer response to psychotherapy for posttraumatic stress disorder (PTSD) compared to civilians. Existing research may be complicated by the fact that treatment outcomes differences could be due to the type of trauma exposure (e.g., combat) or population differences (e.g., military culture). This meta-analysis evaluated PTSD treatment outcomes as a function of trauma type (combat v. assault v. mixed) and population (military v. civilian). Unlike previous meta-analyses, we focused exclusively on manualized, first-line psychotherapies for PTSD as defined by expert treatment guidelines. Treatment outcomes were large across trauma types and population; yet differences were observed between trauma and population subgroups. Military populations demonstrated poorer treatment outcomes compared to civilians. The combat and assault trauma subgroups had worse treatment outcomes compared to the mixed trauma subgroup, but differences were not observed between assault and combat subgroups. Higher attrition rates predicted poorer treatment outcomes, but did not vary between military populations and civilians. Overall, manualized, first-line psychotherapies for PTSD should continue to be used f...
Source: Journal of Anxiety Disorders - Category: Psychiatry Source Type: research

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Post-traumatic stress disorder (PTSD) is a common, often debilitating mental health condition that occurs in some people who have experienced trauma. It can have a negative impact on mood, mimicking depression, and is characterized by petrifying episodes in which affected people re-experience trauma. New research suggests psychotherapy may provide a long-lasting reduction of distressing symptoms. Over the course of a lifetime, many people directly experience or witness trauma, such as sexual assault, violence, or natural disasters. Experts estimate that 10% to 20% of these people will experience acute (short-term) PTSD. So...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Anxiety and Depression Mental Health Source Type: blogs
Publication date: Available online 27 August 2019Source: Pharmacology &TherapeuticsAuthor(s): Simone B. Sartori, Nicolas SingewaldAbstractCurrent medication for anxiety disorders is suboptimal in terms of efficiency and tolerability, highlighting the need for improved drug treatments. In this review an overview of drugs being studied in different phases of clinical trials for their potential in the treatment of fear-, anxiety- and trauma-related disorders is presented. One strategy followed in drug development is refining and improving compounds interacting with existing anxiolytic drug targets, such as serotonergic an...
Source: Pharmacology and Therapeutics - Category: Drugs & Pharmacology Source Type: research
Police officers are often the first responders when someone is having a mental illness crisis.  But are members of law enforcement properly equipped for this job?  There are plenty of horrifying stories that would indicate that the answer is “no.”  How do we change this?  Join us as Gabe speaks with Officer Rebecca Skillern from the Huston, Texas, Police Department about how Houston is training its officers to respond to these difficult calls. SUBSCRIBE &REVIEW   Guest information for ‘Policing and Crisis Intervention Training’ Podcast Episode   Officer Rebecca S...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Policy and Advocacy Relationships The Psych Central Show Source Type: blogs
  Everyone remembers the disturbing images from the Sandy Hook school shooting in December 2012 after a gunman killed 26 people, including 20 first-grade children.  It was traumatic for all of us, but what was it like to actually be a member of that community?  Today’s guest, Melissa Glaser, worked for 20 months as a coordinator for the Newtown Recovery and Resiliency Team, a group of mental health professionals, funded by a Department of Justice grant, who worked in partnership with local recovery providers, community organizations, and town employees to provide services to over 900 people imm...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: PTSD The Psych Central Show Trauma Violence and Aggression Source Type: blogs
This article presents recommendations of the Polish Psychiatric Association regarding approach to pregnancy loss and unsuccessful in vitro treatment of infertility. From the psychological perspective pregnancy loss and perinatal death are amongst the most stressful events in human life - carrying increased risk of developing affective, anxiety or post-traumatic stress disorders. Psychologists, physicians and the rest of the medical staff should provide integrated and individualized care which should be based on respect, empathy and expertise. The necessary phases of support for women experiencing pregnancy loss are: (1) ph...
Source: Psychiatria Polska - Category: Psychiatry Tags: Psychiatr Pol Source Type: research
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Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Depression Grief and Loss Suicide The Psych Central Show Source Type: blogs
DiscussionThe EMPOWER study is unique in its application of evidence-based psychotherapy targeting peritraumatic stress to improve patient and caregiver outcomes in the setting of critical illness. The experimental intervention will be strengthened through the input of a variety of ICU stakeholders, including behavioral health clinicians, physicians, bereaved informal caregivers, and open trial participants. Results of the RCT will be submitted for publication in a peer-reviewed journal and serve as preliminary data for a larger, multisite RCT grant application.Trial registrationClinicalTrials.gov,NCT03276559. Retrospectiv...
Source: Trials - Category: Research Source Type: clinical trials
We’ve come a long way since therapists prescribed to their clients to punch their pillows when angry as a cathartic way to release negative emotions. While it helped bring up the emotion, they left out a critical piece in recovery: connecting that emotion to the logical side of our brains. What the person felt was not relief but disassociation. What we know today in neuroscience and psychotherapy research is that when a traumatic event occurs, the brain goes into dysregulation. That is, the body and the mind become disconnected. Our survival or emotional part of our brain kicks in and calls the shots while our logic...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: PTSD Trauma Treatment Disassociation Emotional Dysregulation Resilience Trauma Informed care trauma recovery Validation Source Type: blogs
AbstractPurpose of reviewPosttraumatic stress disorder (PTSD) and substance use disorders (SUD) are highly comorbid, and the presence of both disorders is associated with lower treatment effect sizes and higher dropout from treatment than one disorder alone. This review examines recent research on treatments for patients with comorbid PTSD/SUD, as well as recent work on psychological mechanisms that may contribute to both disorders.Recent findingsSeveral studies have shown that trauma-focused treatments, such as Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE), are effective for redu...
Source: Current Treatment Options in Psychiatry - Category: Psychiatry Source Type: research
Could a chatbot, an online community, or a telepsychiatry solution offer meaningful help for people who are fighting mental health issues? Could virtual reality, artificial intelligence, or genetics appear as elements of assistance in the toolkit of medical professionals in the fields dealing with the human psyche? While we agree that medical fields requiring the most empathy and human touch will most probably not be swept away by new innovations, we looked thoroughly at how technology will appear in the future of psychiatry. Perhaps even help heal the cursed prince from Beauty and the Beast? The human touch is indispen...
Source: The Medical Futurist - Category: Information Technology Authors: Tags: Future of Medicine Virtual Reality in Medicine AI apps AR artificial intelligence digital health digital health technologies health apps Innovation mental health psychiatry psychology technology VR Source Type: blogs
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