Intensive prolonged exposure therapy for combat-related posttraumatic stress disorder: Design and methodology of a randomized clinical trial

Peterson, Alan L.; Foa, Edna B.; Blount, Tabatha H.; McLean, Carmen P.; Shah, Dhiya; Young‐McCaughan, Stacey; Litz, Brett T.; Schobitz, Richard P.; Castillo, Diane T.; Rentz, Timothy O; Yarvis, Jeffrey S.; Dondanville, Katherine A.; Fina, Brooke A; Hall-Clark, Brittany N.; Brown, Lily A.; DeBeer, Bryann R.; Jacoby, Vanessa M.; Hancock, Allison K; Williamson, Douglas E.; Evans, Wyatt R.; Synett, Samantha; Straud, Casey L; Hansen, Hunter; Meyer, Eric C.; Javors, Martin A.; Sharrieff, Allah-Fard M; Lara‐Ruiz, Jose; Koch, Lauren M.; Roache, John D.; Mintz, Jim; Keane, Terence M.

doi:10.1016/j.cct.2018.07.016

Cited by 14 publications

(15 citation statements)

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“…Prolonged exposure (PE), a gold-standard, trauma-focused, cognitive-behavioral protocol, has strong empirical support for its treatment of PTSD in civilians, military veterans, and active duty service members (Bisson et al, 2007; Blount et al, 2014; Cigrang et al, 2005, 2011, 2015; Foa et al, 2018; Peterson et al, 2011; Peterson, Blount et al, 2019; Peterson, Foa et al, 2019; Peterson et al, 2020; Powers et al, 2010). PE is typically delivered in-office through weekly 90-minute therapy sessions over the course of 2 to 5 months.…”

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confidence: 99%

“…Moreover, compressed PE had a lower drop-out rate than that of Spaced-PE (13.6% vs. 24.8%, respectively; Foa et al, 2018). The treatment efficacy of a compressed PE format was further evaluated in a sample of 234 post-9/11 active duty service members and veterans (Peterson et al, 2018; Peterson, Blount et al, 2019). A 3-week Massed-PE protocol was associated with statistically significant posttreatment reductions in clinician-assessed and self-reported PTSD symptoms.…”

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confidence: 99%

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Massed Prolonged Exposure for PTSD in Two Firefighters: Preliminary Case Study Findings

et al. 2021

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Military service members and first responders experience significant trauma exposure in the line of duty. Service members who transition to first-responder positions may be at an increased risk for developing PTSD due to the cumulative effects of trauma exposure. A common criticism of the standard delivery methods for most evidence-based treatments for PTSD is high dropout rates. Massed-prolonged exposure (Massed-PE) has been demonstrated to be efficacious and reduces dropouts by about 50%. This case study is the first of its kind to specifically assess the clinical utility of using Massed-PE to treat PTSD in two firefighters. Results from this case study indicate that both firefighters had significant reductions in their PTSD symptoms. Massed-PE may be an effective approach to treating PTSD in firefighters and may help overcome some of the barriers of conventional treatment delivery. Additional controlled research is needed to further evaluate this promising treatment approach in firefighter populations.

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Massed Prolonged Exposure for PTSD in Two Firefighters: Preliminary Case Study Findings

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“…Several studies presented above successfully adapted PE for military populations in various ways to improve access, reduce dropout, and enhance outcomes. These include shortening the time between sessions [39,40], reducing the number of sessions [42][43][44], providing web-based treatment [46], reducing the length of sessions [47], and conducting intensive weekend retreats for couples [61]. Similarly, a variable length CPT protocol successfully treated active duty military with improved outcomes [51] and demonstrated efficacy in multiple in-person or telehealth settings [54].…”

Section: Discussionmentioning

confidence: 99%

“…The Massed PE format had equivalent efficacy as the Spaced PE arm, although there were fewer dropouts The promising findings from the Massed PE arm of the study by Foa, McLean, and colleagues [39] led to the funding of a Consortium to Alleviate PTSD (CAP) project to further enhance the Massed PE treatment and to compare it to an Intensive Outpatient Program based on PE (IOP PE). The CAP study [40] randomized 234 active duty service members and veterans to either 15 sessions of daily Massed PE or IOP PE treatment over a 3-week period. The IOP PE arm included eight enhancements to the Massed PE protocol that targeted many of the unique aspects of combat-related PTSD.…”

Section: Prolonged Exposure Therapymentioning

confidence: 99%

Assessment and Treatment of Combat-Related Posttraumatic Stress Disorder: Results from STRONG STAR and the Consortium to Alleviate PTSD

Peterson¹,

Niles²,

Young‐McCaughan³

et al. 2021

Current Topics on Military Medicine

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Extensive research has been conducted since 11 September 2001 to develop and evaluate evidence-based treatments for combat-related posttraumatic stress disorder (PTSD) in active duty United States military personnel treated in the combat theater and in garrison. This chapter reviews the results of 20 PTSD clinical trials funded by the United States Department of Defense and Department of Veterans Affairs on the treatment of combat-related PTSD. All of the studies were conducted under the leadership and management of two research consortia: the South Texas Research Organizational Network Guiding Studies on Trauma and Resilience (STRONG STAR) Consortium and the Consortium to Alleviate PTSD.

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“…Although studies of PE targeting active duty service members are limited, recent research has demonstrated promising results with this population (e.g., Peterson et al, 2018;Reger et al, 2016). In one large study of active duty personnel, PE was successful even when modified to be delivered in 10 daily sessions .…”

Section: Specific Applications Of Cbt Ptsdmentioning

confidence: 99%

Veterans and military service members.

Willing¹,

Tate²,

Riggs³

2021

Handbook of Cognitive Behavioral Therapy: Applications (Vol. 2).

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Intensive prolonged exposure therapy for combat-related posttraumatic stress disorder: Design and methodology of a randomized clinical trial

Cited by 14 publications

References 57 publications

Massed Prolonged Exposure for PTSD in Two Firefighters: Preliminary Case Study Findings

Massed Prolonged Exposure for PTSD in Two Firefighters: Preliminary Case Study Findings

Assessment and Treatment of Combat-Related Posttraumatic Stress Disorder: Results from STRONG STAR and the Consortium to Alleviate PTSD

Veterans and military service members.

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