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Prolonged Exposure Therapy for Chronic Combat-Related PTSD: A Case Report of Five Veterans

  • Nitsa Nacasch, Edna B. Foa, Leah Fostick, Miki Polliack, Yula Dinstein, Dana Tzur, Pnina Levy and Joseph Zohar...

Abstract

Prolonged exposure (PE) therapy has been found efficient in reducing posttraumatic stress disorder (PTSD) symptoms mostly among rape victims, but has not been explored in combat-related PTSD. Five patients with severe chronic PTSD, unresponsive to previous treatment (medication and supportive therapy) are described. Patients were evaluated with the PTSD Symptom Scale–Interview, and Beck Depression Inventory, before and after 10–15 sessions of PE therapy. All five patients showed marked improvement with PE, with a mean decrease of 48% in PTSD Symptom Scale–Interview score and 69% in Beck Depression Inventory score. Moreover, four patients maintained treatment gains or kept improving 6–18 months after the treatment. The results suggest that PE was effective in reducing combat-related chronic PTSD symptoms.

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Corresponding author

Please direct all correspondence to: Joseph Zohar, MD, Chaim Sheba Medical Center, Department of Psychiatry, Tel Hashomer, 52621 Israel; E-mail: jzohar@post.tau.ac.il.

References

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1.Keane, TM, Zimmerling, RT, Caddell, JM. A behavioral formulation of post-traumatic stress disorder in Vietnam veterans. Behav Ther. 1984;8:912.
2.Foa, EB, Rothbaum, BO. Treating the Trauma of Rape: Cognitive-Behavioral Therapy for PTSD. New York, NY: Guilford Press; 1998.
3.Foa, EB, Dancu, CV, Hembree, EA, Jaycox, LH, Meadows, EA, Street, GP. A comparison of exposure therapy, stress inoculation training, and their combination for reducing posttraumatic stress disorder in female assault victims. J Consult Clin Psychol. 1999;67:194200.
4.Resick, PA, Nishith, P, Weaver, TL, Astin, MC, Feuer, CA. A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims. J Consult Clin Psychol. 2002;70:867879.
5.Frueh, BC, Buckley, TC, Cusack, KJ, et al.Cognitive-behavioral treatment for PTSD among people with severe mental illness: a proposed treatment model. J Psychiatr Pract. 2004;10:2638.
6.Schnurr, PP, Friedman, MJ, Foy, DW, et al.Randomized trial of trauma-focused group therapy for posttraumatic stress disorder: results from a department of veterans affairs cooperative study. Arch Gen Psychiatry. 2003;60:481489.
7.Bradley, R, Greene, J, Russ, E, Dutra, L, Westen, D. A multidimensional meta-analysis of psychotherapy for PTSD. Am J Psychiatry. 2005;162:214227.
8.Foa, EB, Tolin, DF. Comparison of the PTSD Symptom Scale-Interview Version and the Clinician-Administered PTSD scale. J Trauma Stress. 2000;13:181191
9.Beck, AT, Steer, RA, Carbin, MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clin Psychol Rev. 1988;8:77100.
10.Foa, EB, Meadows, EA. Psychosocial treatment for posttraumatic stress disorder: a critical review. Annu Rev Psychol. 1997;48:449480.
11.Cooper, NA, Clum, GA. Imaginal flooding as a supplementary treatment for PTSD in combat veteran: a controlled study. Behav Ther. 1989;3:381391
12.Frueh, BC, Turner, SM, Beidel, DC, Mirabella, RF, Jones, WJ. TTrauma management therapy: a preliminary evaluation of a multicomponent behavioral treatment for chronic combat-related PTSD. Behav Res Ther. 1996;34:533543.

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Prolonged Exposure Therapy for Chronic Combat-Related PTSD: A Case Report of Five Veterans

  • Nitsa Nacasch, Edna B. Foa, Leah Fostick, Miki Polliack, Yula Dinstein, Dana Tzur, Pnina Levy and Joseph Zohar...

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