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Predictors of PTSD Improvement with Cognitive/Exposure Group Interventions in Operation Enduring Freedom/Operation Iraqi Freedom Female Veterans
Authors:Martha J. Falkenstein  Janet C’de Baca  Katherine Belon  Diane T. Castillo
Affiliation:1. OCD Institute, McLean Hospital and Department of Psychiatry, Harvard Medical School, Belmont, Massachusetts, USA;2. New Mexico VA Health Care System, Albuquerque, New Mexico, USA;3. VISN 17 Center of Excellence and Texas A&4. M University, Waco, Texas, USA
Abstract:Predictors of successful PTSD outcome have been examined through individually delivered treatments. We examined predictors using a group protocol with cognitive, exposure, and skills modules. Assessments included self-report and interview (CAPS, SCID-I/II) measures at baseline, post, and six months; treatment was a 16-week, three-member group for 32 OEF/OIF women Veterans. A regression analysis showed major depressive disorder and no baseline psychiatric medication predicted PTSD improvement. PTSD improvement predicted fewer outpatient medical visits at follow-up. The results supported past research and challenged other findings (e.g., sexual assault predicts less improvement). An additional unique contribution was examining predictors in a group treatment format.
Keywords:Females  outcome  predictors  PTSD  veterans
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