title: Treatment adherence in cognitive processing therapy for combat-related PTSD with history of mild TBI.
abstract: OBJECTIVE
  This retrospective study examined treatment adherence in Cognitive Processing Therapy (CPT) for combat-related posttraumatic stress disorder (PTSD) in Veterans of Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) with and without history of mild traumatic brain injury (mTBI).
  
  
  METHODS
  Medical record review of consecutive referrals to an outpatient PTSD clinic identified veterans diagnosed with combat-related PTSD who began treatment with CPT. The sample (N = 136) was grouped according to positive (n = 44) and negative (n = 92) mTBI history. Groups were compared in terms of presenting symptoms and treatment adherence.
  
  
  RESULTS
  The groups were not different on a pretreatment measure of depression, but self-reported and clinician-rated PTSD symptoms were higher in veterans with history of mTBI. The treatment completion rate was greater than 61% in both groups. The number of sessions attended averaged 9.6 for the PTSD group and 7.9 for the mTBI/PTSD group (p = .05).
  
  
  CONCLUSIONS
  Given the lack of marked group differences in treatment adherence, these initial findings suggest that standard CPT for PTSD may be a tolerable treatment for OEF/OIF veterans with a history of PTSD and mTBI as well as veterans with PTSD alone.
authors: Mental Health Care Line, Cincinnati VA Medical Center.
authors: Jeremy J
authors: JJ
authors: Davis
authors: Trauma Recovery Center, Cincinnati VA Medical Center.
authors: Kristen H
authors: KH
authors: Walter
authors: Trauma Recovery Center, Cincinnati VA Medical Center.
authors: Kathleen M
authors: KM
authors: Chard
authors: Mental Health Care Line, Cincinnati VA Medical Center.
authors: R Bruce
authors: RB
authors: Parkinson
authors: Mental Health Care Line, Cincinnati VA Medical Center.
authors: Wes S
authors: WS
authors: Houston
mesh_terms: D000328:Adult; D055826:Afghan Campaign 2001-; D000553:Ambulatory Care; D001924:Brain Concussion / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation*; D015928:Cognitive Behavioral Therapy; D003130:Combat Disorders / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation*; D015897:Comorbidity; D003866:Depressive Disorder / Q000523:psychology / Q000534:rehabilitation; D004185:Disability Evaluation; D006787:Hospitals, Veterans; D006801:Humans; D054542:Iraq War, 2003-2011; D008297:Male; D015146:Midwestern United States; D010349:Patient Compliance / Q000523:psychology*; D010555:Personality Inventory / Q000706:statistics & numerical data; D011594:Psychometrics; D012189:Retrospective Studies; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation*; D014728:Veterans / Q000523:psychology*