Improving function through primary care treatment of PTSD: The IMPACT study protocol

Rauch, Sheila A. M.; Kim, H. Myra; Acierno, Ron; Ragin, Carly; Wangelin, Bethany C.; Blitch, Kimberly A.; Muzzy, Wendy; Hart, Stephanie; Zivin, Kara; Cigrang, Jeffrey A.

doi:10.1016/j.cct.2022.106881

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…Details on the study design and methods appear in the previously published methods article (Rauch et al, 2022). See Figure 1 for CONSORT diagram.…”

Section: Methodsmentioning

confidence: 99%

“…If PE-PC effectively reduces disability and PTSD symptoms, this intervention may provide a more widely available access point for effective PTSD care resulting in greater numbers of veterans obtaining treatment. As reported in our detailed methods article (Rauch et al, 2022), we hypothesized that PE-PC would result in larger reductions in disability (i.e., improvements in functioning) than best practices PCMHI-TAU (Week 0 to Week 6), and these differences would remain at 12-and 24-week postbaseline. We hypothesized that PE-PC would result in larger reductions in PTSD severity and in depression severity than PCMHI-TAU (Week 0 to Week 6), and that these differences would remain at 12-and 24-week postbaseline.…”

Section: Public Significance Statementmentioning

confidence: 97%

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Improving function through primary care treatment of posttraumatic stress disorder study outcomes: A randomized controlled trial of prolonged exposure for primary care in veterans.

Rauch,

Kim,

Acierno

et al. 2023

Families, Systems, & Health

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Introduction: Despite high cost and wide prevalence of posttraumatic stress disorder (PTSD) in veteran populations, and Veterans Health Administration (VA)-wide mental health provider training in evidence-based treatments for PTSD, most veterans with PTSD do not receive best practices interventions. This may be because virtually all evidence-based PTSD treatment is offered through specialty clinics, which require multiple steps and referrals to access. One solution is to offer PTSD treatment in VA primary care settings, which are often the first and only contact point for veterans. Method: The present study, Improving Function Through Primary Care Treatment of PTSD (IMPACT), used a Sheila A. M. Rauch https://orcid.org/0000-0001-9686-4011We acknowledge the contribution of Jeffrey Cigrang as a training consultant and collaborator on treatment development. The views expressed in this article are solely those of the authors and do not reflect an endorsement by or the official policy of the Department of Veterans Affairs (VA) or the U.S. Government.

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“…Details on the study design and methods appear in the previously published methods article (Rauch et al, 2022). See Figure 1 for CONSORT diagram.…”

Section: Methodsmentioning

confidence: 99%

Section: Public Significance Statementmentioning

confidence: 97%

Improving function through primary care treatment of posttraumatic stress disorder study outcomes: A randomized controlled trial of prolonged exposure for primary care in veterans.

Rauch,

Kim,

Acierno

et al. 2023

Families, Systems, & Health

Self Cite

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From treatment to social reintegration:

Pustovoyt,

Romash,

Romash

et al. 2024

MHGCJ

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Introduction: Analyzing numerical data from different countries around the world that have experience of participating in wars and resolving their consequences, it is important to consider the wide range of war effects on all spheres of society. This influence is discussed in the context of economic, political, state-building, demographic, and other spheres. Special attention is given to analyzing the consequences of this impact on individuals returning from war. These consequences are diverse and include physical and psychological problems, job loss, social exclusion, and other challenges that require an integrated approach to effectively address them. Purpose: To analyze the main principles of medical and psychological rehabilitation of combat veterans, having conducted a comprehensive analysis of their links and constituent elements, and to consider possible ways of their implementation. Methodology: We conducted a systematic search in the main electronic medical databases such as: PubMed, Scopus, Web of Science and Google Scholar until January 2024. We used theoretical methods such as systematic, bibliosemantic and retrospective, comparative analysis and generalization of the publication data of the conducted studies that considered links, components, principles and possible ways of their implementation in the field of medical and psychological rehabilitation of combat veterans. Relevant studies were identified by key words: war or combat veterans, rehabilitation, reintegration, psychoeducation, hub. Results: The research revealed complex challenges in the system of medical and psychological rehabilitation of military veterans, including post-traumatic stress disorder, physical injuries, social isolation and limited resources. The analysis identified key principles important to the planning and implementation of rehabilitation programs, including individualization, comprehensiveness, accessibility, and integration. The results highlighted the importance of a systems approach and collaboration between various parties concerned for the effective implementation of the veterans’ rehabilitation system. The study suggests specific ways of the identified principles implementation. Understanding the modality of the medical and psychological rehabilitation system is a key aspect in improving the quality of rehabilitation and providing adequate support to veterans. In order to achieve these goals, a hierarchy of therapeutic goals was created determining the modalities of the medical and psychological rehabilitation system. Conclusion: Effective medical and psychological rehabilitation for combat veterans should be based on the systematic organization of care, recognizing the importance of each component in ensuring coordination, efficiency and quality of services. Establishing clear therapeutic goals forms the basis for comprehensive psychological support, contributing to veterans’ self-esteem, mental health, and social integration, ultimately enhancing their overall well-being and quality of life.

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Psychic Transformation Amidst Battle: Understanding PTSD and Combat-Related Psychic Trauma

Gavrilenko

2023

Results of Scholarly Work

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This paper presents a conceptual framework for understanding post-traumatic stress disorder (PTSD) and psychological battle fatigue (BF) as outcomes of mental adaptation to changing environmental conditions. These conditions are primarily linked to the experience of war, military threats, and the broader challenges of the global landscape. It is worth emphasizing that these challenges have, without exaggeration, affected the global population in 2022. The pressing need for research on PTSD and BF is driven not only by the significant shifts in global military events but also by the absence of fundamental methodological research that aligns with the demands of the 21st century. The author has identified crucial issues that form the basis for further comprehensive scientific and practical investigations. The overarching goal of this research is to develop effective methodologies and establish rehabilitation programs tailored to the specific needs of combatants, internally displaced individuals, and civilians residing in war-affected regions.

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Improving function through primary care treatment of PTSD: The IMPACT study protocol

Cited by 3 publications

References 23 publications

Improving function through primary care treatment of posttraumatic stress disorder study outcomes: A randomized controlled trial of prolonged exposure for primary care in veterans.

Improving function through primary care treatment of posttraumatic stress disorder study outcomes: A randomized controlled trial of prolonged exposure for primary care in veterans.

From treatment to social reintegration:

Psychic Transformation Amidst Battle: Understanding PTSD and Combat-Related Psychic Trauma

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