Cognitive Processing Therapy: A Meta-analytic Review Among Veterans and Military Personnel with PTSD.

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Title: Cognitive Processing Therapy: A Meta-analytic Review Among Veterans and Military Personnel with PTSD.
Authors: Raines, Amanda M. (AUTHOR), Clauss, Kate (AUTHOR), Schafer, Katherine M. (AUTHOR), Shapiro, Mary O. (AUTHOR), Houtsma, Claire (AUTHOR), Boffa, Joseph W. (AUTHOR), Ennis, Chelsea R. (AUTHOR), O'Neil, Maya E. (AUTHOR), Franklin, C. Laurel (AUTHOR)
Source: Cognitive Therapy & Research. Jun2024, Vol. 48 Issue 3, p361-370. 10p.
Subjects: Military personnel, Veterans, Cognitive therapy, Post-traumatic stress disorder, Exposure therapy, Race, Treatment effectiveness
Abstract: Purpose: The purpose of the current study was to conduct a comprehensive meta-analytic review of Cognitive Processing Therapy (CPT) for PTSD among military personnel and veterans. Additionally, we sought to examine potential moderators of treatment outcomes including type of comparison condition (e.g., active trauma-focused, active non-trauma-focused), CPT version (i.e., CPT with and without the written trauma account), sample type (veteran or military personnel), age, gender, and race. Methods: Nine articles with 1,804 participants were retained for this meta-analysis. Results: CPT, when compared to all comparison conditions, exhibited a medium effect on PTSD symptom reduction (Hedge's g = − 0.48, 95% CI: -1.05, 0.08). Regarding moderators, the effect was larger for non-trauma-focused active comparators versus trauma-focused active comparators (Qbetween = 16.69, pbetween < 0.001, Hedge's g = − 0.57 and − 0.14, respectively). Further, CPT with the written trauma account outperformed CPT without the written trauma account (Qbetween = 4.53, pbetween = 0.03, Hedge's g = − 0.86 and − 0.23, respectively), and veteran samples saw slightly more symptom reduction than military personnel (Qbetween = 15.50, pbetween < 0.001, Hedge's g = − 0.51 and − 0.45, respectively). Notably, age, gender, and race did not moderate the effect of CPT on PTSD. Conclusions: Findings support the continued use of CPT for PTSD symptoms among veterans and military personnel and call into question the removal of the written trauma account. [ABSTRACT FROM AUTHOR]
Copyright of Cognitive Therapy & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Cognitive Processing Therapy: A Meta-analytic Review Among Veterans and Military Personnel with PTSD.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Military+personnel%22&quot;&gt;Military personnel&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Veterans%22&quot;&gt;Veterans&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cognitive+therapy%22&quot;&gt;Cognitive therapy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Post-traumatic+stress+disorder%22&quot;&gt;Post-traumatic stress disorder&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Exposure+therapy%22&quot;&gt;Exposure therapy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Race%22&quot;&gt;Race&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Treatment+effectiveness%22&quot;&gt;Treatment effectiveness&lt;/searchLink&gt;
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  Data: Purpose: The purpose of the current study was to conduct a comprehensive meta-analytic review of Cognitive Processing Therapy (CPT) for PTSD among military personnel and veterans. Additionally, we sought to examine potential moderators of treatment outcomes including type of comparison condition (e.g., active trauma-focused, active non-trauma-focused), CPT version (i.e., CPT with and without the written trauma account), sample type (veteran or military personnel), age, gender, and race. Methods: Nine articles with 1,804 participants were retained for this meta-analysis. Results: CPT, when compared to all comparison conditions, exhibited a medium effect on PTSD symptom reduction (Hedge&#39;s g = − 0.48, 95% CI: -1.05, 0.08). Regarding moderators, the effect was larger for non-trauma-focused active comparators versus trauma-focused active comparators (Qbetween = 16.69, pbetween &lt; 0.001, Hedge&#39;s g = − 0.57 and − 0.14, respectively). Further, CPT with the written trauma account outperformed CPT without the written trauma account (Qbetween = 4.53, pbetween = 0.03, Hedge&#39;s g = − 0.86 and − 0.23, respectively), and veteran samples saw slightly more symptom reduction than military personnel (Qbetween = 15.50, pbetween &lt; 0.001, Hedge&#39;s g = − 0.51 and − 0.45, respectively). Notably, age, gender, and race did not moderate the effect of CPT on PTSD. Conclusions: Findings support the continued use of CPT for PTSD symptoms among veterans and military personnel and call into question the removal of the written trauma account. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Cognitive Therapy &amp; Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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