Predictors of Long-Term Treatment Outcome in Combat and Peacekeeping Veterans With Military-Related PTSD

J. Don Richardson, Ateka A. Contractor, Cherie Armour, Kate St. Cyr, Jon D. Elhai, Jitender Sareen

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

OBJECTIVE:Posttraumatic stress disorder (PTSD) is a significant psychiatric condition that may result from exposure to combat; it has been associated with severe psychosocial dysfunction. This study examined the predictors of long-term treatment outcomes in a group of veterans with military-related PTSD.METHOD:The study consisted of a retrospective chart review of 151 consecutive veterans treated at an outpatient clinic for veterans with psychiatric disorders resulting from their military operations between January 2002 and May 2012. The diagnosis of PTSD was made using the Clinician-Administered PTSD Scale. As part of treatment as usual, all patients completed the PTSD Checklist-Military version and Beck Depression Inventory (BDI-II) at intake and at each follow-up appointment, the Short-Form Health Survey (SF-36) at intake, and either the SF-36 or the 12-item Short-Form Health Survey at follow-up. All patients received psychoeducation about PTSD and combined pharmacotherapy and psychotherapy.RESULTS:Analyses demonstrated a significant and progressive improvement in PTSD severity over the 2-year period ([n = 117] Yuan-Bentler χ²40 = 221.25, P <.001). We found that comorbid depressive symptom severity acted as a significant predictor of PTSD symptom decline (β = -.44, SE = .15, P = .004). However, neither alcohol misuse severity nor the number of years with PTSD symptoms (chronicity) was a significant predictor of treatment response.CONCLUSIONS:This study highlights the importance of treating comorbid symptoms of depression aggressively in veterans with military-related PTSD. It also demonstrates that significant symptom reduction, including loss of probable PTSD diagnosis, is possible in an outpatient setting for veterans with chronic military-related PTSD.
LanguageEnglish
Pagese1299-e1305
JournalJournal of Clinical Psychiatry
Volume75
Issue number11
DOIs
Publication statusPublished - 2014

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Veterans
Post-Traumatic Stress Disorders
Depression
Health Surveys
Psychiatry
Ambulatory Care Facilities
Checklist
Psychotherapy
Appointments and Schedules
Outpatients
Alcohols
Drug Therapy

Keywords

  • Depression
  • PTSD
  • Veterans
  • Longitudional

Cite this

Richardson, J. D., Contractor, A. A., Armour, C., Cyr, K. S., Elhai, J. D., & Sareen, J. (2014). Predictors of Long-Term Treatment Outcome in Combat and Peacekeeping Veterans With Military-Related PTSD. Journal of Clinical Psychiatry, 75(11), e1299-e1305. https://doi.org/10.4088/JCP.13m08796
Richardson, J. Don ; Contractor, Ateka A. ; Armour, Cherie ; Cyr, Kate St. ; Elhai, Jon D. ; Sareen, Jitender. / Predictors of Long-Term Treatment Outcome in Combat and Peacekeeping Veterans With Military-Related PTSD. In: Journal of Clinical Psychiatry. 2014 ; Vol. 75, No. 11. pp. e1299-e1305.
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Richardson, JD, Contractor, AA, Armour, C, Cyr, KS, Elhai, JD & Sareen, J 2014, 'Predictors of Long-Term Treatment Outcome in Combat and Peacekeeping Veterans With Military-Related PTSD', Journal of Clinical Psychiatry, vol. 75, no. 11, pp. e1299-e1305. https://doi.org/10.4088/JCP.13m08796

Predictors of Long-Term Treatment Outcome in Combat and Peacekeeping Veterans With Military-Related PTSD. / Richardson, J. Don; Contractor, Ateka A.; Armour, Cherie; Cyr, Kate St.; Elhai, Jon D.; Sareen, Jitender.

In: Journal of Clinical Psychiatry, Vol. 75, No. 11, 2014, p. e1299-e1305.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Predictors of Long-Term Treatment Outcome in Combat and Peacekeeping Veterans With Military-Related PTSD

AU - Richardson, J. Don

AU - Contractor, Ateka A.

AU - Armour, Cherie

AU - Cyr, Kate St.

AU - Elhai, Jon D.

AU - Sareen, Jitender

PY - 2014

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N2 - OBJECTIVE:Posttraumatic stress disorder (PTSD) is a significant psychiatric condition that may result from exposure to combat; it has been associated with severe psychosocial dysfunction. This study examined the predictors of long-term treatment outcomes in a group of veterans with military-related PTSD.METHOD:The study consisted of a retrospective chart review of 151 consecutive veterans treated at an outpatient clinic for veterans with psychiatric disorders resulting from their military operations between January 2002 and May 2012. The diagnosis of PTSD was made using the Clinician-Administered PTSD Scale. As part of treatment as usual, all patients completed the PTSD Checklist-Military version and Beck Depression Inventory (BDI-II) at intake and at each follow-up appointment, the Short-Form Health Survey (SF-36) at intake, and either the SF-36 or the 12-item Short-Form Health Survey at follow-up. All patients received psychoeducation about PTSD and combined pharmacotherapy and psychotherapy.RESULTS:Analyses demonstrated a significant and progressive improvement in PTSD severity over the 2-year period ([n = 117] Yuan-Bentler χ²40 = 221.25, P <.001). We found that comorbid depressive symptom severity acted as a significant predictor of PTSD symptom decline (β = -.44, SE = .15, P = .004). However, neither alcohol misuse severity nor the number of years with PTSD symptoms (chronicity) was a significant predictor of treatment response.CONCLUSIONS:This study highlights the importance of treating comorbid symptoms of depression aggressively in veterans with military-related PTSD. It also demonstrates that significant symptom reduction, including loss of probable PTSD diagnosis, is possible in an outpatient setting for veterans with chronic military-related PTSD.

AB - OBJECTIVE:Posttraumatic stress disorder (PTSD) is a significant psychiatric condition that may result from exposure to combat; it has been associated with severe psychosocial dysfunction. This study examined the predictors of long-term treatment outcomes in a group of veterans with military-related PTSD.METHOD:The study consisted of a retrospective chart review of 151 consecutive veterans treated at an outpatient clinic for veterans with psychiatric disorders resulting from their military operations between January 2002 and May 2012. The diagnosis of PTSD was made using the Clinician-Administered PTSD Scale. As part of treatment as usual, all patients completed the PTSD Checklist-Military version and Beck Depression Inventory (BDI-II) at intake and at each follow-up appointment, the Short-Form Health Survey (SF-36) at intake, and either the SF-36 or the 12-item Short-Form Health Survey at follow-up. All patients received psychoeducation about PTSD and combined pharmacotherapy and psychotherapy.RESULTS:Analyses demonstrated a significant and progressive improvement in PTSD severity over the 2-year period ([n = 117] Yuan-Bentler χ²40 = 221.25, P <.001). We found that comorbid depressive symptom severity acted as a significant predictor of PTSD symptom decline (β = -.44, SE = .15, P = .004). However, neither alcohol misuse severity nor the number of years with PTSD symptoms (chronicity) was a significant predictor of treatment response.CONCLUSIONS:This study highlights the importance of treating comorbid symptoms of depression aggressively in veterans with military-related PTSD. It also demonstrates that significant symptom reduction, including loss of probable PTSD diagnosis, is possible in an outpatient setting for veterans with chronic military-related PTSD.

KW - Depression

KW - PTSD

KW - Veterans

KW - Longitudional

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