Brief Treatment of Symptoms of Post-Traumatic Stress Disorder (PTSD) by Use of Accelerated Resolution Therapy (ART®)

Kip, Kevin E.; Elk, Carrie A.; Sullivan, Kelly L.; Kadel, Rajendra; Lengacher, Cecile A.; Long, Christopher J.; Rosenzweig, Laney; Shuman, Amy; Hernández, Diego; Street, Jennifer D.; Girling, Sue Ann; Diamond, David M.

doi:10.3390/bs2020115

Cited by 31 publications

(23 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The present study is a subgroup analysis derived from a federally funded prospective cohort treatment study of adults with symptoms of PTSD initiated at the USF in 2011 (Kip et al, 2012). Participants, which included both veterans and civilians, were recruited through caseload referrals from licensed mental health therapists in the study area, flyers and brochures, direct meetings with providers of mental health services, and as a result of local media coverage.…”

Section: Methodsmentioning

confidence: 99%

“…For the present subgroup analysis, additional inclusion criteria (beyond the parent study, Kip et al, 2012) were selected for analytical purposes to document evidence of both clinically significant PTSD and depression, and to approximate clinical diagnoses. This was based on scores on the PCL-C, Center for Epidemiologic Studies Depression Scale (CES-D), and subscale scores and individual item responses from the PDSQ.…”

Section: Methodsmentioning

confidence: 99%

“…As described below, this therapy has a strong theoretical basis coupled with limited empirical base for symptoms of PTSD at large (i.e., irrespective of depressive symptoms) (Kip et al, 2012). Through the delivery of ART for trauma-related experiences and distress, we hypothesized clinically significant reductions in symptoms of both PTSD and depression in a brief treatment period.…”

Section: Introductionmentioning

confidence: 99%

“…In this study, consenting participants underwent between one and five sessions of ART (within 3 weeks), each approximately 60–75 min in length. Individual components used within each ART session have been described (Kip et al, 2012). All therapists completed a 42-item ART fidelity checklist after each treatment session, although, there was no recording of treatment sessions or independent verification of protocol-compliant delivery of ART.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Brief Treatment of Co-Occurring Post-Traumatic Stress and Depressive Symptoms by Use of Accelerated Resolution Therapy®

Kip¹,

Sullivan²,

Lengacher³

et al. 2013

Front. Psychiatry

Self Cite

View full text Add to dashboard Cite

This uncontrolled prospective cohort study evaluated the use of accelerated resolution therapy (ART) for treatment of comorbid symptoms of post-traumatic stress disorder (PTSD) and major depressive disorder. Twenty-eight adult subjects, mean age of 41 years (79% female, 36% Hispanic), received a mean of 3.7 ± 1.1 ART treatment sessions (range 1–5). ART is a new exposure-based psychotherapy that makes use of eye movements. Subjects completed a range of self-report psychological measures before and after treatment with ART including the 17-item PCL-C checklist (symptoms of PTSD) and 20-item Center for Epidemiologic Studies Depression Scale (CES-D). For the PCL-C, the pre-ART mean (±standard deviation) was 62.5 (8.8) with mean reductions of −29.6 (12.5), −30.1 (13.1), and −31.4 (14.04) at post-ART, 2-month, and 4-month follow-up, respectively (p < 0.0001 for comparisons to pre-ART score). Compared to pre-ART status, this corresponded to standardized effect sizes of 2.37, 2.30, and 3.01, respectively. For the CES-D, the pre-ART mean was 35.1 (8.8) with mean reductions of −20.6 (11.0), −18.1 (11.5), and −15.6 (14.4) at post-ART, 2-month, and 4-month follow-up, respectively (p ≤ 0.0001 compared to Pre-ART score). This corresponded to standardized effect sizes of 1.88, 1.58, and 1.09, respectively. Strong correlations were observed at 2-month and 4-month follow-up for post-treatment changes in PTSD and depression symptom scores (r = 0.79, r = 0.76, respectively, p ≤ 0.0002). No serious treatment-related adverse effects were reported. In summary, ART appears to be a promising brief, safe, and effective treatment for adults with clinically significant comorbid symptoms of PTSD and depression. Future controlled and mechanistic studies with this emerging therapy are warranted, particularly given its short treatment duration, and in light of current heightened emphasis on health care cost constraints.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Brief Treatment of Co-Occurring Post-Traumatic Stress and Depressive Symptoms by Use of Accelerated Resolution Therapy®

Kip¹,

Sullivan²,

Lengacher³

et al. 2013

Front. Psychiatry

Self Cite

View full text Add to dashboard Cite

show abstract

“…This process of ‘watching’ the scene (during both IE and IR) while performing eye movements, is carried out multiple times, with the number of sets determined by the number required to complete the IE and IR components. Further details of the ART protocol have been published and are summarised in Box 1 65 66The stages of accelerated resolution therapy (ART)

Frame a problem (‘trauma’) into an ART scene

Process physiological sensations before initiation of therapy

Imaginal exposure (first time through the scene)

Imaginal exposure (second time through the scene)

Desensitisation achieved

Imagery rescripting (the ‘director’ intervention)

Imagery rescripting (continued)

Assessment and closeout

…”

Section: Accelerated Resolution Therapymentioning

confidence: 99%

Accelerated resolution therapy: an innovative mental health intervention to treat post-traumatic stress disorder

et al. 2015

View full text Add to dashboard Cite

The emergence of accelerated resolution therapy for treatment of post‐traumatic stress disorder: A review and new subgroup analyses

Kip

Berumen

Zeidan

et al. 2019

Couns and Psychother Res

Self Cite

View full text Add to dashboard Cite

Introduction Post‐traumatic stress disorder (PTSD) is a chronic, disabling psychiatric disorder prevalent among civilian and military personnel in the United States (US) and United Kingdom (UK). Current trauma‐focused psychotherapies may place high emotional demands and lengthy treatment commitment that may hinder successful treatment completion for some patients. Accelerated resolution therapy (ART) is an emerging trauma‐focused psychotherapy that is briefer than most current treatments. Materials and Methods This review describes the ART clinical protocol and theoretical underpinnings, its relationship to current treatments and formal established treatment guidelines and empirical research data. Also presented are new subgroup data for the use of ART among clients with PTSD and concomitant traumatic brain injury (TBI), and among US Special Operations Forces (SOF) personnel with extensive combat‐related trauma exposure. Treatment response was defined as ≥10‐point reduction on the 17‐item PCL‐M (PTSD Checklist). Results In subgroup analyses, mean treatment with ART consisted of approximately four sessions. Among 202 US service members/veterans, intention‐to‐treat response rates (assuming no response for non‐completers) by TBI status were as follows: no TBI (58.1%, n = 105), mild TBI (60.4%, n = 48), moderate/severe TBI (46.9%, n = 49). Among 141 US service members/veterans, intention‐to‐treat response rates by SOF status were as follows: non‐SOF (54.3%, n = 116), SOF (60.0%, n = 25). Conclusion The ART protocol aligns closely with established first‐line trauma‐focused psychotherapies and clinical guidelines. It appears to provide frequent clinical relief of symptoms of PTSD in an average of four sessions among military personnel with challenging clinical presentations, including concomitant TBI and extensive operational combat‐related trauma.

show abstract

Brief Treatment of Symptoms of Post-Traumatic Stress Disorder (PTSD) by Use of Accelerated Resolution Therapy (ART®)

Cited by 31 publications

References 48 publications

Brief Treatment of Co-Occurring Post-Traumatic Stress and Depressive Symptoms by Use of Accelerated Resolution Therapy®

Brief Treatment of Co-Occurring Post-Traumatic Stress and Depressive Symptoms by Use of Accelerated Resolution Therapy®

Accelerated resolution therapy: an innovative mental health intervention to treat post-traumatic stress disorder

The emergence of accelerated resolution therapy for treatment of post‐traumatic stress disorder: A review and new subgroup analyses

Contact Info

Product

Resources

About