A field test of group based exposure therapy with 102 veterans with war-related posttraumatic stress disorder.

Group-based exposure therapy (GBET) was field-tested with 102 veterans with war-related posttraumatic stress disorder (PTSD). Nine to 11 patients attended 3 hours of group therapy per day twice weekly for 16-18 weeks. Stress management and a minimum of 60 hours of exposure was included (3 hours of within-group war-trauma presentations per patient, 30 hours of listening to recordings of patient's own war-trauma presentations and 27 hours of hearing other patients' war-trauma presentations). Analysis of assessments conducted by treating clinicians pre-, post- and 6-month posttreatment suggests that GBET produced clinically significant and lasting reductions in PTSD symptoms for most patients on both clinician symptoms ratings (6-month posttreatment effect size delta = 1.22) and self-report measures with only three dropouts.

[1]  B. Rothbaum,et al.  Virtual reality exposure therapy for Vietnam veterans with posttraumatic stress disorder. , 2001, The Journal of clinical psychiatry.

[2]  D. Charney,et al.  The development of a Clinician-Administered PTSD Scale , 1995, Journal of traumatic stress.

[3]  S. Mache,et al.  Psychotrauma and effective treatment of post-traumatic stress disorder in soldiers and peacekeepers , 2009, Journal of occupational medicine and toxicology.

[4]  M. Kozak,et al.  Emotional processing of fear: exposure to corrective information. , 1986, Psychological bulletin.

[5]  Jerome A Yesavage,et al.  VA Practice Patterns and Practice Guidelines for Treating Posttraumatic Stress Disorder , 2004, Journal of traumatic stress.

[6]  S. Raudenbush,et al.  Effects of study duration, frequency of observation, and sample size on power in studies of group differences in polynomial change. , 2001, Psychological methods.

[7]  Dc Washington Diagnostic and Statistical Manual of Mental Disorders, 4th Ed. , 1994 .

[8]  Ranjan Roy,et al.  Cognitive-behavioral therapy. , 2008 .

[9]  D. Ready,et al.  Veterans seeking treatment for posttraumatic stress disorder: what about comorbid chronic pain? , 2007, Journal of rehabilitation research and development.

[10]  Dewleen G. Baker,et al.  Evaluation of the Mississippi PTSD Scale—Revised Using Rasch Measurement , 2004, Mental health services research.

[11]  R. Brooks,et al.  An Intensive Treatment Program for Chronic Posttraumatic Stress Disorder: 2-Year Outcome Data , 1999, The Australian and New Zealand journal of psychiatry.

[12]  F. Hsieh,et al.  Sample size formulae for intervention studies with the cluster as unit of randomization. , 1988, Statistics in medicine.

[13]  B. Donovan,et al.  “Transcend” Initial Outcomes from a Posttraumatic Stress Disorder/Substance Abuse Treatment Program , 2001, Journal of traumatic stress.

[14]  P. Schnurr,et al.  Randomized trial of trauma-focused group therapy for posttraumatic stress disorder: results from a department of veterans affairs cooperative study. , 2003, Archives of general psychiatry.