title: The "one size fits all" approach to trauma treatment: should we be satisfied?
abstract: There have been significant advances in the treatment of posttraumatic stress disorder in the last two decades. Further improvements in outcomes will be supported by recognition of the heterogeneity of symptoms in trauma populations and the development of treatments that promote the tailoring of interventions according to patient needs. Collaboration with patients regarding preferences about treatment structure, process, and outcomes is critical and will benefit the effectiveness and quality of treatments as well as the speed of their dissemination. New research methodologies are required that can incorporate important variables such as patient preferences and symptom heterogeneity without necessarily extending already lengthy study times or further complicating study designs. An example of alternative methodology is proposed.
authors.affiliation: National Center for PTSD Division of Dissemination and Training, Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.|Department of Psychiatry and of Child and Adolescent Psychiatry, NYU Langone Medical Center, New York, NY, USA; marylene.cloitre@nyumc.org.
authors.forename: Marylene
authors.initials: M
authors.lastname: Cloitre
keywords: PTSD; complex PTSD; patient preferences