TY - JOUR
T1 - Decreases in Suicide Cognitions after Cognitive Processing Therapy among Veterans with Posttraumatic Stress Disorder Due to Military Sexual Trauma
T2 - A Preliminary Examination
AU - Holliday, Ryan
AU - Holder, Nicholas
AU - Monteith, Lindsey L.
AU - Surís, Alina
N1 - Funding Information:
Drs. Holliday and Monteith are employed by the Department of Veterans Affairs (VA) in the Rocky Mountain Mental Illness Research, Education and Clinical Center for Suicide Prevention with affiliations with the University of Colorado Anschutz Medical Campus. Mr. Holder is a doctoral candidate at the University of Texas Southwestern Medical Center with an affiliation with the VA North Texas Health Care System (VANTHCS). Dr. Surís is employed by the VA in the VANTHCS with affiliations with the University of Texas Southwestern Medical Center. In the three years preceding initial submission of this manuscript, Dr. Holliday received research grant funding from the Jerry M. Lewis, M.D. Mental Health Foundation; Dr. Monteith received research grant funding from the VA Office of Rural Health, VA Offices of Suicide Prevention and Rural Health, Military Suicide Research Consortium, and Colorado Department of Human Services; and Dr. Surís received research grant funding from the Jerry M. Lewis, M.D. Mental Health Foundation, VA Cooperative Study Program, National Institutes on Drug Abuse, and the Veterans Integrated Service Network-17 (VISN-17). Mr. Holder has no conflicts to declare. This work was supported by a grant awarded to Dr. Surís by the VA Rehabilitation Research & Development Services (grant number D4445-R); NCT00371644 at clinicaltrials.gov.
Publisher Copyright:
© 2018 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2018/7/1
Y1 - 2018/7/1
N2 - Posttraumatic stress disorder (PTSD) is associated with suicidal ideation (SI) and suicidal self-directed violence (SDV). Military sexual trauma (MST) is a common precursor to PTSD among veterans. Survivors of MST are more likely to be diagnosed with PTSD and are at greater risk for SI than survivors of other forms of trauma. Suicide-specific beliefs (e.g., unlovability, unbearability, unsolvability) have been shown to be strong predictors of SI and future suicidal SDV. Suicide-specific beliefs were examined over the course of treatment and follow-up in 32 veterans (23 women, 9 men) who received cognitive processing therapy (CPT) for MST-related PTSD. Hierarchical linear models revealed that veterans who received CPT had significant reductions in suicide-specific cognitions regarding unbearability, unlovability, and unsolvability. These preliminary findings warrant replication in a randomized controlled trial with a larger sample that includes participants with more acute suicidal intent.
AB - Posttraumatic stress disorder (PTSD) is associated with suicidal ideation (SI) and suicidal self-directed violence (SDV). Military sexual trauma (MST) is a common precursor to PTSD among veterans. Survivors of MST are more likely to be diagnosed with PTSD and are at greater risk for SI than survivors of other forms of trauma. Suicide-specific beliefs (e.g., unlovability, unbearability, unsolvability) have been shown to be strong predictors of SI and future suicidal SDV. Suicide-specific beliefs were examined over the course of treatment and follow-up in 32 veterans (23 women, 9 men) who received cognitive processing therapy (CPT) for MST-related PTSD. Hierarchical linear models revealed that veterans who received CPT had significant reductions in suicide-specific cognitions regarding unbearability, unlovability, and unsolvability. These preliminary findings warrant replication in a randomized controlled trial with a larger sample that includes participants with more acute suicidal intent.
KW - Military sexual trauma
KW - cognitive processing therapy
KW - posttraumatic stress disorder
KW - suicide cognitions
KW - veterans
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U2 - 10.1097/NMD.0000000000000840
DO - 10.1097/NMD.0000000000000840
M3 - Article
C2 - 29905663
AN - SCOPUS:85049824892
SN - 0022-3018
VL - 206
SP - 575
EP - 578
JO - Journal of Nervous and Mental Disease
JF - Journal of Nervous and Mental Disease
IS - 7
ER -