A test of behavioral family therapy to augment exposure for combat-related posttraumatic stress disorder.
This study tested a family-based skills-building intervention in veterans with chronic combat-related posttraumatic stress disorder (PTSD). Veterans and a family member were randomly assigned to 1 of 3 conditions: (a) waiting list, (b) 18 sessions of twice-weekly exposure therapy, or (c) 18 sessions of twice-weekly exposure therapy followed by 16 sessions of behavioral family therapy (BFT). Participation in exposure therapy reduced PTSD positive symptoms (e.g., reexperiencing and hyperarousal) but not PTSD negative symptoms. Positive symptom gains were maintained at 6-month follow-up. However, participation in BFT had no additional impact on PTSD symptoms.
Glynn
S M
SM
Research Service, VAMC, West Los Angeles, California 90073, USA. sglynn@ucla.edu
Eth
S
S
Randolph
E T
ET
Foy
D W
DW
Urbaitis
M
M
Boxer
L
L
Paz
G G
GG
Leong
G B
GB
Firman
G
G
Salk
J D
JD
Katzman
J W
JW
Crothers
J
J
D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D005196:Family Therapy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012650:Self Disclosure; D012917:Social Adjustment; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D014481:United States; D014728:Veterans / Q000523:psychology*; D014744:Vietnam; D014857:Warfare