PTSD and Suicides Among Veterans—Recent Findings

Koven, Steven G.

doi:10.1080/10999922.2016.1248881

Cited by 16 publications

(12 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Veterans with PTSD frequently encounter challenges in addition to the common diagnostic symptoms of reexperiencing, avoidance, negative thoughts or feelings, and arousal/reactivity. They are at risk for suicide, experiencing relational problems, employment issues, physical health problems, and legal difficulties (Gates et al, 2012; Koven, 2017; Park et al, 2017; Seal, Bertenthal, Miner, Sen, & Marmar, 2007). Unlike many civilians who deal with PTSD, many veterans report a sense of missing the elevated autonomic arousal feelings that became their “new normal” during combat or deployment experiences (Hoge, 2011), and will seek out and pursue risk-taking behaviors in order to maintain or regain higher levels of autonomic arousal.…”

Section: Context and Backgroundmentioning

confidence: 99%

Pilot testing a manualized equine-facilitated cognitive processing therapy (EF-CPT) intervention for PTSD in veterans.

Wharton¹,

Whitworth²,

Macauley³

et al. 2019

Psychiatric Rehabilitation Journal

View full text Add to dashboard Cite

Objective:The objective of this study was to test effectiveness and feasibility of equine-facilitated cognitive processing therapy (EF-CPT), a manualized adaptation of the cognitive processing therapy model for veterans with posttraumatic stress disorder (PTSD) championed by the Department of Veterans Affairs, in which equine-facilitated activities are integrated into face-to-face sessions. Method: Twentyseven veterans with a diagnosis of PTSD participated (M age ϭ 51; 78% male) in a pretest-posttest design. Veterans were seen by a single psychologist for 12 sessions of individual EF-CPT. Instruments included: PTSD Checklist (PCL), Trauma Related Guilt Inventory (TRGI), Working Alliance Inventory (WAI), and the Human Animal Bond Scale (HABS). We hypothesized improvement on all measures, low attrition, and good model fidelity. Paired sample t tests were conducted using SPSS. Results: PCL scores improved significantly (M1 ϭ 68.25, M2 ϭ 35.96, p Յ .001), as did TRGI scores (p Յ .001 on all scales). HABS and WAI indicated good working relationship. Two individuals attended one session and did not return (both under the age of 50); there was no other attrition (7% rate). Audio of sessions was reviewed for fidelity; there were variations in temporal order of session plans, which is within the acceptable flexibility of the manual. Conclusions and Implications for Practice: This manualized intervention has promise as an effective and well-tolerated treatment for veterans with PTSD. Impact and ImplicationsThis pilot of an adapted, manualized equine-facilitated cognitive processing therapy model for veterans with posttraumatic stress disorder demonstrated efficacy and low attrition, suggesting a viable alternative treatment option for veterans who have been reluctant to engage with services. This pilot is unique in the use of a novel standardized manual and attention to fidelity to the model.

show abstract

Section: Context and Backgroundmentioning

confidence: 99%

Pilot testing a manualized equine-facilitated cognitive processing therapy (EF-CPT) intervention for PTSD in veterans.

Wharton¹,

Whitworth²,

Macauley³

et al. 2019

Psychiatric Rehabilitation Journal

View full text Add to dashboard Cite

show abstract

“…These criteria include weighing the full text of each document, where it was published, whom it was written by, as well as how often and how recently it has been cited in other scholarly literature. A previous study uses similar criteria in choosing research for meta-analysis [ 10 ]. This study ranks the most relevant manuscripts considering two foci of analysis.…”

Section: Methodsmentioning

confidence: 99%

Veteran Treatments: PTSD Interventions

Koven

2018

Healthcare

View full text Add to dashboard Cite

Post-traumatic stress disorder (PTSD) has resulted in high social costs in terms of the lingering inability of veterans to adapt to societal norms. These costs accrue to individual veterans, their families, friends, and others. In addition, society suffers from the lost productivity of veterans. There is a need to pay greater attention to the extant literature regarding the effectiveness or ineffectiveness of various interventions. This study reviews the most relevant research regarding PTSD, veterans, interventions, treatment, counseling, job training and medication. Increasing awareness of the existing state of knowledge can lead to better targeting of resources and better health outcomes.

show abstract

“…Veteran status. Men who are veterans have a higher rate of suicide than civilians (Koven, 2017). There are several reasons for this.…”

Section: Men and Suicide Riskmentioning

confidence: 99%

Men and suicide: Primary care prevention in the era of COVID-19 and beyond

Adler

2021

J Am Assoc Nurse Pract

View full text Add to dashboard Cite

The COVID-19 pandemic has had detrimental effects on mental health, including a predicted increase in suicidality, making suicide prevention a high priority. The rate of men's suicide in the United States is significantly higher than that of women's suicide. This case study considers the role of primary care advanced practice nurses in addressing the risks of suicide in their practice with male patients. It is argued that a gender-sensitive approach is necessary to be effective in male suicide prevention efforts.

show abstract

PTSD and Suicides Among Veterans—Recent Findings

Cited by 16 publications

References 33 publications

Pilot testing a manualized equine-facilitated cognitive processing therapy (EF-CPT) intervention for PTSD in veterans.

Pilot testing a manualized equine-facilitated cognitive processing therapy (EF-CPT) intervention for PTSD in veterans.

Veteran Treatments: PTSD Interventions

Men and suicide: Primary care prevention in the era of COVID-19 and beyond

Contact Info

Product

Resources

About