title: Treatment of active duty military with PTSD in primary care: A follow-up report.
abstract: First-line trauma-focused therapies offered in specialty mental health clinics do not reach many veterans and active duty service members with posttraumatic stress disorder (PTSD). Primary care is an ideal environment to expand access to mental health care. Several promising clinical case series reports of brief PTSD therapies adapted for primary care have shown positive results, but the long-term effectiveness with military members is unknown. The purpose of this study was to determine the long-term outcome of an open trial of a brief cognitive-behavioral primary care-delivered protocol developed specifically for deployment-related PTSD in a sample of 24 active duty military (15 men, 9 women). Measures of PTSD symptom severity showed statistically and clinically significant reductions from baseline to posttreatment that were maintained at the 6-month and 1-year follow-up assessments. Similar reductions were maintained in depressive symptoms and ratings of global mental health functioning.
authors.affiliation: Wright State University, Dayton, Ohio, USA. Electronic address: jeffrey.cigrang@wright.edu.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Cigrang
authors.affiliation: Emory University School of Medicine and Atlanta VA Medical Center, Atlanta, Georgia, USA. Electronic address: sheila.a.m.rauch@emory.edu.
authors.forename: Sheila A M
authors.initials: SA
authors.lastname: Rauch
authors.affiliation: University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA. Electronic address: mintz@uthscsa.edu.
authors.forename: Jim
authors.initials: J
authors.lastname: Mintz
authors.affiliation: University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA. Electronic address: brundige@uthscsa.edu.
authors.forename: Antoinette
authors.initials: A
authors.lastname: Brundige
authors.affiliation: San Antonio Military Medical Center, Joint Base San Antonio-Fort Sam Houston, Texas, USA. Electronic address: laura.l.avila.civ@mail.mil.
authors.forename: Laura L
authors.initials: LL
authors.lastname: Avila
authors.affiliation: National Center for Veterans Studies and University of Utah, Salt Lake City, Utah, USA. Electronic address: craig.bryan@utah.edu.
authors.forename: Craig J
authors.initials: CJ
authors.lastname: Bryan
authors.affiliation: Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA. Electronic address: jeffrey.goodie@usuhs.edu.
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Goodie
authors.affiliation: University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA; South Texas Veterans Health Care System, San Antonio, Texas, USA; University of Texas at San Antonio, San Antonio, Texas, USA. Electronic address: petersona3@uthscsa.edu.
authors.forename: Alan L
authors.initials: AL
authors.lastname: Peterson
mesh_terms: D000328:Adult; D003863:Depression / Q000523:psychology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D008889:Military Personnel / Q000523:psychology*; D011320:Primary Health Care; D012107:Research Design; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology / Q000628:therapy*; D014728:Veterans / Q000523:psychology; D055815:Young Adult
keywords: Military; PTSD; Primary care; Trauma; Treatment