Enhancing Intensive Transdiagnostic Cognitive Behavioral Therapy for Veterans with PTSD and Anxiety Disorders
Abstract
Study Objectives and Rationale: Based on their deployment and unique life experiences, a high proportion of Service Members and Veterans experience posttraumatic stress disorder (PTSD) and related anxiety disorders such as panic, generalized anxiety, and social anxiety. These problems commonly occur together and significantly interfere with normal daily functioning. People who experience these problems find it difficult to reintegrate and lead productive and meaningful lives. Many will use substances to help them cope with the anxiety, and when it appears there are no other options to end their suffering, some will consider suicide as a solution. Although there are effective treatments for PTSD and anxiety disorders, many Service Members and Veterans do not seek treatment due to concerns related to stigma, ability to access treatments, and time away from work, school, and family. Of those who do initiate treatment, many often do not complete treatment for the same reasons. The goal of this study is to evaluate the effectiveness of an evidence-based transdiagnostic cognitive-behavioral treatment (iTCBT) delivered in an intensive format. Participants can complete group treatment in one weekend or over 2 weeks in an individual format. The intensive but brief format of this treatment increases the likelihood that people can access and complete treatment. The specific aims are to examine the effectiveness of: (1) group and individual iTCBT in improving anxiety and quality of life; (2) an extended version of iTCBT in improving outcomes for those who do show an initial response to treatment; and (3) group versus individual delivery of iTCBT. A fourth exploratory aim will examine factors that may predict those who respond and do not show initial response to treatment. Fiscal Year 2021 Traumatic Brain Injury and Psychological Health Research Program Clinical Trial Award Focus Area: The proposed study addresses the Focus Area of Treat. Research will address immediate and long-term treatments and improvements in systems of care, including access to and delivery of healthcare services. Treatment topics may include novel treatments and interventions, personalized medicine approaches, length and durability of treatment, rehabilitation, relapse, and relapse prevention. This study is responsive to several specific interest areas within Treat, as it examines an innovative transdiagnostic intervention that (1) is effective for persons with PTSD and co-occurring anxiety disorders, (2) can easily be delivered to persons in rural or far-forward military environments, (3) evaluates enhancing the treatment for those who do not show an initial response to treatment, and (4) includes community research participation. Applicability and Study Impact: This research improves the treatment of PTSD and anxiety disorders by shortening the length of time needed to complete an established and effective treatment. iTCBT minimizes disruption to work, social, and family life. It is delivered as a skills-based workshop, which decreases stigma associated with seeking mental health treatment. As a transdiagnostic treatment, it is designed to target multiple disorders at the same time, which further reduces the amount of time a Service Member spends in treatment. Because of its brief but intensive format, the portability of this treatment enables individuals in outlying and other resource-limited environments to receive quality care. As a behavioral treatment that is heavily skills based, there is minimal risk associated with the treatment. Benefit to Service Members, Veterans, Family Members: The proposed project benefits Service Members and Veterans who struggle with PTSD and anxiety disorders by offering an intensive but brief treatment that has demonstrated effectiveness in improving outcomes. Completing this treatment can lead to improved quality of life, significant decrease in symptoms, and the ability to lead more meaningful and productive liv
Document Details
- Document Type
- DoD Grant Award
- Publication Date
- Dec 28, 2022
- Source ID
- W81XWH2210775
Entities
People
- Ellen Teng
Organizations
- Michael E. DeBakey VA Medical Center
- United States Army