title: Adaptive disclosure: an open trial of a novel exposure-based intervention for service members with combat-related psychological stress injuries.
abstract: We evaluated the preliminary effectiveness of a novel intervention that was developed to address combat stress injuries in active-duty military personnel. Adaptive disclosure (AD) is relatively brief to accommodate the busy schedules of active-duty service members while training for future deployments. Further, AD takes into account unique aspects of the phenomenology of military service in war in order to address difficulties such as moral injury and traumatic loss that may not receive adequate and explicit attention by conventional treatments that primarily address fear-inducing life-threatening experiences and sequelae. In this program development and evaluation open trial, 44 marines received AD while in garrison. It was well tolerated and, despite the brief treatment duration, promoted significant reductions in PTSD, depression, negative posttraumatic appraisals, and was also associated with increases in posttraumatic growth.
authors.affiliation: Psychology Department, 1000 E University Ave., Dept. 3415, University of Wyoming, Laramie, WY 82070, USA. gray@uwyo.edu
authors.forename: Matt J
authors.initials: MJ
authors.lastname: Gray
authors.forename: Yonit
authors.initials: Y
authors.lastname: Schorr
authors.forename: William
authors.initials: W
authors.lastname: Nash
authors.forename: Leslie
authors.initials: L
authors.lastname: Lebowitz
authors.forename: Amy
authors.initials: A
authors.lastname: Amidon
authors.forename: Amy
authors.initials: A
authors.lastname: Lansing
authors.forename: Melissa
authors.initials: M
authors.lastname: Maglione
authors.forename: Ariel J
authors.initials: AJ
authors.lastname: Lang
authors.forename: Brett T
authors.initials: BT
authors.lastname: Litz
mesh_terms: D000293:Adolescent; D000328:Adult; D003130:Combat Disorders / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D007171:Implosive Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D008889:Military Personnel / Q000523:psychology*; D017060:Patient Satisfaction; D013315:Stress, Psychological / Q000523:psychology / Q000628:therapy*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome