2022
Treatment response trajectories in residential PTSD programs for veterans: A national cohort investigation
Grau P, Sripada R, Pietrzak R, Ganoczy D, Harpaz-Rotem I. Treatment response trajectories in residential PTSD programs for veterans: A national cohort investigation. Journal Of Anxiety Disorders 2022, 92: 102645. PMID: 36334317, DOI: 10.1016/j.janxdis.2022.102645.Peer-Reviewed Original ResearchConceptsEvidence-based psychotherapiesThree-group trajectory modelTreatment outcomesTreatment responseTime of admissionPoor treatment outcomesPoor treatment responseNon-white raceResidential PTSD programsSubset of veteransPTSD treatment outcomesResidential PTSD treatmentPain severityCohort investigationPTSD careNational cohortFull cohortPTSD treatmentTherapeutic gainTreatment dropoutSymptom trajectoriesVeterans AffairsPTSD programTreatment response trajectoriesTreatment trajectories
2020
Gender Differences in Outcomes Following Specialized Intensive PTSD Treatment in the Veterans Health Administration
Stefanovics EA, Rosenheck RA. Gender Differences in Outcomes Following Specialized Intensive PTSD Treatment in the Veterans Health Administration. Psychological Trauma Theory Research Practice And Policy 2020, 12: 272-280. PMID: 31282719, DOI: 10.1037/tra0000495.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderTotal PTSD symptom scoresPTSD symptomsNational program evaluation dataVeterans Health AdministrationVeterans Health Administration programGreater improvementPTSD symptom scoresIntensive PTSD treatmentSymptom scoresTreatment outcomesProgram participationMale veteransGender differencesHealth AdministrationPTSD treatmentFemale veteransPTSD programProgram evaluation dataMedium effect size differencesStress disorderGender-based differencesEffect size differencesSubstance useStudy sampleProvider General Attitudes Versus Specific Perceptions of Evidence-Based Psychotherapies for PTSD
Cook JM, Thompson R, Simiola V, Stirman S, Schnurr PP. Provider General Attitudes Versus Specific Perceptions of Evidence-Based Psychotherapies for PTSD. Psychological Services 2020, 17: 46-53. PMID: 30265069, PMCID: PMC6437015, DOI: 10.1037/ser0000280.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude of Health PersonnelCognitive Behavioral TherapyEvidence-Based PracticeFemaleHealth Knowledge, Attitudes, PracticeHumansImplosive TherapyMaleMiddle AgedPsychotherapy, GroupResidential TreatmentStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsConceptsCognitive processing therapyEvidence-based psychotherapiesPosttraumatic stress disorderResidential PTSD programsGeneral attitudesUse of PERole of attitudesSpecific perceptionsPTSD programStress disorderTreatment developersSelf-reported useExposure componentPositive perceptionsTreatment providersPerceptionOnline surveyAttitudesPsychotherapyDelivery-related variablesProlonged exposurePotential predictorsGroup basisPredictorsSkills
2019
Predictors of Post-Discharge Suicide Attempt Among Veterans Receiving Specialized Intensive Treatment for Posttraumatic Stress Disorder.
Stefanovics EA, Rosenheck RA. Predictors of Post-Discharge Suicide Attempt Among Veterans Receiving Specialized Intensive Treatment for Posttraumatic Stress Disorder. The Journal Of Clinical Psychiatry 2019, 80 PMID: 31412170, DOI: 10.4088/jcp.19m12745.Peer-Reviewed Original ResearchConceptsPost-discharge suicide attemptsPosttraumatic stress disorderSuicide attemptsAlcohol useSuicidal ideationStress disorderSubstance abuse comorbidityMultivariable logistic regressionNational program evaluation dataVeterans Health AdministrationAssociation of changesIntensive treatment programViolent behaviorBaseline characteristicsClinical correlatesUS veteransClinical changesIntensive treatmentHigh riskHealth AdministrationAdmissionBivariate analysisPTSD programTreatment programGreater riskPredictors of Dropout From Residential Treatment for Posttraumatic Stress Disorder Among Military Veterans
Smith NB, Sippel LM, Rozek DC, Hoff RA, Harpaz-Rotem I. Predictors of Dropout From Residential Treatment for Posttraumatic Stress Disorder Among Military Veterans. Frontiers In Psychology 2019, 10: 362. PMID: 30873081, PMCID: PMC6401625, DOI: 10.3389/fpsyg.2019.00362.Peer-Reviewed Original ResearchPosttraumatic stress disorderTreatment dropoutResidential treatmentStress disorderSymptomatic patient populationResidential PTSD programsType of treatmentTrauma-focused psychotherapyVeterans Affairs programsTrauma-focused therapyResidential programsResidential PTSD treatmentPredictors of dropoutPatient populationSuccessful treatmentPhysical functioningSymptomatic individualsPsychiatric symptomsHigh riskPTSD treatmentReduced likelihoodFiscal year 2015PTSD programGreater PTSD symptomsGreater symptoms
2018
Polysubstance Use Among Veterans in Intensive PTSD Programs: Association With Symptoms and Outcomes Following Treatment
Bhalla IP, Stefanovics EA, Rosenheck RA. Polysubstance Use Among Veterans in Intensive PTSD Programs: Association With Symptoms and Outcomes Following Treatment. Journal Of Dual Diagnosis 2018, 15: 36-45. PMID: 30444189, DOI: 10.1080/15504263.2018.1535150.Peer-Reviewed Original ResearchConceptsPolysubstance useTotal daysSubstance usePTSD symptomsInnovative trial designsAddictive substancesPolysubstance use disorderMore total daysSevere PTSD symptomsBaseline characteristicsSuch patientsPTSD symptom severitySevere symptomsUse disordersDual diagnosisTrial designDifferent addictive substancesDisorders ProgramPosttraumatic Stress Disorder (CR for PTSD) programPatientsComplex interventionsSimilar associationBivariate analysisPTSD programSymptom severityMeasuring Use of Evidence-Based Psychotherapy for PTSD in VA Residential Treatment Settings with Clinician Survey and Electronic Medical Record Templates
Shiner B, Leonard Westgate C, Simiola V, Thompson R, Schnurr PP, Cook JM. Measuring Use of Evidence-Based Psychotherapy for PTSD in VA Residential Treatment Settings with Clinician Survey and Electronic Medical Record Templates. Military Medicine 2018, 183: e539-e546. PMID: 29547909, PMCID: PMC6115864, DOI: 10.1093/milmed/usy008.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedElectronic Health RecordsEvidence-Based PracticeFemaleHumansMaleMiddle AgedPatient Acceptance of Health CarePsychotherapyResidential FacilitiesRetrospective StudiesStress Disorders, Post-TraumaticSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransConceptsResidential PTSD programsEvidence-based psychotherapiesPTSD programEBP deliveryElectronic medical recordsTherapist factorsCognitive processing therapyNegative predictorResidential treatment settingsPatient factorsEMR templateIndividual formatGroup formatMultiple patient factorsProportion of patientsPatient-level predictorsMultivariable logistic regressionPTSDPatient-level dataPositive predictorTherapistsDisorders ProgramRobust standard error estimationElectronic medical record templatesTreatment settings
2017
Correlates of Reduced Violent Behavior Among Patients Receiving Intensive Treatment for Posttraumatic Stress Disorder
Buchanan A, Stefanovics E, Rosenheck RA. Correlates of Reduced Violent Behavior Among Patients Receiving Intensive Treatment for Posttraumatic Stress Disorder. Psychiatric Services 2017, 69: 424-430. PMID: 29241432, DOI: 10.1176/appi.ps.201700253.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderIntensive treatmentStress disorderSubstance useWar-related posttraumatic stress disorderPTSD symptomatologySpectrum of careProgram entryViolent behaviorU.S. military veteransModerate effect sizeClinical factorsPTSD symptom severityShort-term supportObservational studyBaseline levelsPTSD programSymptom severitySpecific causesFour monthsPTSD changeMilitary veteransIncarceration historyEffect sizeTreatment
2016
Correlates of Improvement in Substance Abuse Among Dually Diagnosed Veterans With Post-Traumatic Stress Disorder in Specialized Intensive VA Treatment
Coker KL, Stefanovics E, Rosenheck R. Correlates of Improvement in Substance Abuse Among Dually Diagnosed Veterans With Post-Traumatic Stress Disorder in Specialized Intensive VA Treatment. Psychological Trauma Theory Research Practice And Policy 2016, 8: 41-48. PMID: 26121176, PMCID: PMC4487392, DOI: 10.1037/tra0000061.Peer-Reviewed Original ResearchMeSH KeywordsComorbidityDiagnosis, Dual (Psychiatry)HumansLinear ModelsMiddle AgedMultivariate AnalysisPsychiatric Status Rating ScalesPsychotropic DrugsStress Disorders, Post-TraumaticSubstance-Related DisordersTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransViolenceConceptsPost-traumatic stress disorderSubstance abuseEvidence-based substance abuse treatmentStress disorderSevere post-traumatic stress disorderPTSD symptomsProper discharge planningDuration of treatmentCorrelates of improvementAddiction Severity Index AlcoholSubstance use disordersSubstance abuse treatmentEffect sizeDischarge planningPsychiatric medicationsImproved outcomesUse disordersBetter outcomesSynergistic treatment effectSubstance use measuresMultivariate analysisVA treatmentPTSD programAbuse treatmentViolent behavior
2015
Treatment outcomes for veterans with PTSD and substance use: Impact of specific substances and achievement of abstinence
Manhapra A, Stefanovics E, Rosenheck R. Treatment outcomes for veterans with PTSD and substance use: Impact of specific substances and achievement of abstinence. Drug And Alcohol Dependence 2015, 156: 70-77. PMID: 26429726, PMCID: PMC4633308, DOI: 10.1016/j.drugalcdep.2015.08.036.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderAchievement of abstinenceEffect of abstinenceTreatment outcomesSubstance useRates of abstinenceNational program evaluationSubstance abuse groupClinical outcomesBaseline variablesAnalysis of covariancePTSD patientsSpecific substancesMedical problemsPTSD programStress disorderAbstinencePTSD symptomsScant longitudinal dataUse outcomesSelf-reported dataAbuse groupOutcomesSignificant differencesGreater improvement
2014
A Quantitative Test of an Implementation Framework in 38 VA Residential PTSD Programs
Cook JM, Dinnen S, Thompson R, Ruzek J, Coyne JC, Schnurr PP. A Quantitative Test of an Implementation Framework in 38 VA Residential PTSD Programs. Administration And Policy In Mental Health And Mental Health Services Research 2014, 42: 462-473. PMID: 25199813, PMCID: PMC4362884, DOI: 10.1007/s10488-014-0590-0.Peer-Reviewed Original ResearchConceptsCognitive processing therapySupportive organizational contextIndividual cognitive processing therapyOrganizational contextResidential PTSD programsEvidence-based psychotherapiesDisorder treatment programsPTSD programOverall positive viewGroup formatTreatment programPositive viewOnline surveyProlonged exposurePsychotherapyContextIndividual basisProgramIndividualsImplicationsImplementation effortsQuantitative testEvaluation of an Implementation Model: A National Investigation of VA Residential Programs
Cook JM, Dinnen S, Coyne JC, Thompson R, Simiola V, Ruzek J, Schnurr PP. Evaluation of an Implementation Model: A National Investigation of VA Residential Programs. Administration And Policy In Mental Health And Mental Health Services Research 2014, 42: 147-156. PMID: 24817625, PMCID: PMC4240747, DOI: 10.1007/s10488-014-0555-3.Peer-Reviewed Original ResearchConceptsCognitive processing therapyPosttraumatic stress disorderResidential PTSD programsResidential treatment programSupportive peer networksEvidence-based treatmentsMental health providersPTSD programStress disorderSemi-structured qualitative interviewsNational investigationImprovement of trainingResidential programsCPT implementationTreatment programVeterans AffairsQualitative interviewsProlonged exposureHealth providersQualitative dataLeadershipPatient improvementAlternative treatmentProvider useBeliefs
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