title: Written exposure therapy for veterans diagnosed with PTSD: a pilot study.
abstract: There is a need to identify alternative treatment options for posttraumatic stress disorder (PTSD), especially among veterans where PTSD tends to be more difficult to treat and dropout rates are especially high. One potential alternative is written exposure therapy, a brief intervention shown to treat PTSD among civilians effectively. This study investigated the feasibility and tolerability of written exposure therapy in an uncontrolled trial with a sample of 7 male veterans diagnosed with PTSD. Findings indicated that written exposure therapy was well tolerated and well received. Only 1 of the 7 veterans dropped out of treatment, no adverse events occurred during the course of treatment, and veterans provided high treatment satisfaction ratings. Clinically significant improvements in PTSD symptom severity were observed for 4 veterans at posttreatment and 6 veterans at the 3-month follow up. Moreover, 5 of the 7 veterans no longer met diagnostic criteria for PTSD 3 months following treatment. These findings suggest that written exposure therapy holds promise as a brief, well tolerated treatment for veterans with PTSD. However, additional research using randomized controlled trial methodology is needed to confirm its efficacy.
authors.affiliation: VA National Center for PTSD, Boston, Massachusetts, USA; VA Boston Healthcare System, Boston, Massachusetts, USA; Psychiatry Department, Boston University School of Medicine, Boston, Massachusetts, USA.
authors.forename: Denise M
authors.initials: DM
authors.lastname: Sloan
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Lee
authors.forename: Scott D
authors.initials: SD
authors.lastname: Litwack
authors.forename: Alice T
authors.initials: AT
authors.lastname: Sawyer
authors.forename: Brian P
authors.initials: BP
authors.lastname: Marx
mesh_terms: D000328:Adult; D000368:Aged; D006801:Humans; D007171:Implosive Therapy / Q000379:methods; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010865:Pilot Projects; D011569:Psychiatric Status Rating Scales; D011614:Psychotherapy, Brief / Q000379:methods; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D014481:United States; D014728:Veterans / Q000523:psychology*