Written exposure therapy delivered to trauma‐exposed veterans in primary care: A feasibility study.

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Title: Written exposure therapy delivered to trauma‐exposed veterans in primary care: A feasibility study.
Authors: Ennis, Chelsea R. (AUTHOR), Raines, Amanda M. (AUTHOR), Lewis, Adam M. (AUTHOR), Slaton, Karen (AUTHOR), Durand, Byron A. (AUTHOR), Silverthorn, Persephanie (AUTHOR), Poor, Alison (AUTHOR), Saulnier, Kevin G. (AUTHOR), Chambliss, Jessica L. (AUTHOR), Gleason, Erin E. (AUTHOR), Franklin, C. Laurel (AUTHOR)
Source: Journal of Traumatic Stress. Jun2026, Vol. 39 Issue 3, p589-596. 8p.
Subjects: Exposure therapy, Primary care, Veterans affairs offices, Mental health, Veterans, Feasibility studies, Post-traumatic stress disorder, Treatment effectiveness, United States. Dept. of Veterans Affairs
Abstract: Despite the number of empirically supported treatments for posttraumatic stress disorder (PTSD) available in U.S. Department of Veterans Affairs (VA) specialty mental health settings, many veterans decline referrals to this setting or do not follow through with recommended care. Thus, the expansion of PTSD services into primary care settings is crucial for increasing access to evidence‐based treatments among veterans. To this end, the current pilot project examined the acceptability, feasibility, and preliminary effectiveness of written exposure therapy (WET) delivered to veterans with clinically significant trauma‐related symptoms presenting to VA primary care. Veterans (N = 36) were assessed pretreatment, posttreatment, and 1‐month follow‐up. Mean satisfaction ratings assessed via the Client Satisfaction Questionnaire–8 suggest that the treatment was acceptable (M = 28.00, SD = 3.91). Recruitment and retention rates suggest that the treatment was feasible to deliver, with 88.0% of respondents who expressed interest initiating treatment and 66.0% of those who initiated treatment completing treatment. Further, the results revealed large reductions in PTSD symptom severity from pre‐ to posttreatment, d = 0.94, and pretreatment to 1‐month follow‐up, d = 0.89, as assessed using the PTSD Checklist for DSM‐5. These findings provide initial support for WET when delivered to veterans presenting with trauma‐related symptoms in a primary care setting. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Traumatic Stress is the property of Wiley-Blackwell 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.)
Database: Psychology and Behavioral Sciences Collection
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PubType: Academic Journal
PubTypeId: academicJournal
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  Data: Written exposure therapy delivered to trauma‐exposed veterans in primary care: A feasibility study.
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  Data: <searchLink fieldCode="AR" term="%22Ennis%2C+Chelsea+R%2E%22">Ennis, Chelsea R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Raines%2C+Amanda+M%2E%22">Raines, Amanda M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lewis%2C+Adam+M%2E%22">Lewis, Adam M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Slaton%2C+Karen%22">Slaton, Karen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Durand%2C+Byron+A%2E%22">Durand, Byron A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Silverthorn%2C+Persephanie%22">Silverthorn, Persephanie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Poor%2C+Alison%22">Poor, Alison</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Saulnier%2C+Kevin+G%2E%22">Saulnier, Kevin G.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chambliss%2C+Jessica+L%2E%22">Chambliss, Jessica L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gleason%2C+Erin+E%2E%22">Gleason, Erin E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Franklin%2C+C%2E+Laurel%22">Franklin, C. Laurel</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Traumatic+Stress%22">Journal of Traumatic Stress</searchLink>. Jun2026, Vol. 39 Issue 3, p589-596. 8p.
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  Data: <searchLink fieldCode="DE" term="%22Exposure+therapy%22">Exposure therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+care%22">Primary care</searchLink><br /><searchLink fieldCode="DE" term="%22Veterans+affairs+offices%22">Veterans affairs offices</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Veterans%22">Veterans</searchLink><br /><searchLink fieldCode="DE" term="%22Feasibility+studies%22">Feasibility studies</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%2E+Dept%2E+of+Veterans+Affairs%22">United States. Dept. of Veterans Affairs</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Despite the number of empirically supported treatments for posttraumatic stress disorder (PTSD) available in U.S. Department of Veterans Affairs (VA) specialty mental health settings, many veterans decline referrals to this setting or do not follow through with recommended care. Thus, the expansion of PTSD services into primary care settings is crucial for increasing access to evidence‐based treatments among veterans. To this end, the current pilot project examined the acceptability, feasibility, and preliminary effectiveness of written exposure therapy (WET) delivered to veterans with clinically significant trauma‐related symptoms presenting to VA primary care. Veterans (N = 36) were assessed pretreatment, posttreatment, and 1‐month follow‐up. Mean satisfaction ratings assessed via the Client Satisfaction Questionnaire–8 suggest that the treatment was acceptable (M = 28.00, SD = 3.91). Recruitment and retention rates suggest that the treatment was feasible to deliver, with 88.0% of respondents who expressed interest initiating treatment and 66.0% of those who initiated treatment completing treatment. Further, the results revealed large reductions in PTSD symptom severity from pre‐ to posttreatment, d = 0.94, and pretreatment to 1‐month follow‐up, d = 0.89, as assessed using the PTSD Checklist for DSM‐5. These findings provide initial support for WET when delivered to veterans presenting with trauma‐related symptoms in a primary care setting. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Traumatic Stress is the property of Wiley-Blackwell 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.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1002/jts.70059
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 8
        StartPage: 589
    Subjects:
      – SubjectFull: Exposure therapy
        Type: general
      – SubjectFull: Primary care
        Type: general
      – SubjectFull: Veterans affairs offices
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Veterans
        Type: general
      – SubjectFull: Feasibility studies
        Type: general
      – SubjectFull: Post-traumatic stress disorder
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: United States. Dept. of Veterans Affairs
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      – TitleFull: Written exposure therapy delivered to trauma‐exposed veterans in primary care: A feasibility study.
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              Text: Jun2026
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