Abstract
Many veterans do not complete evidence-based treatments (EBTs) for posttraumatic stress disorder (PTSD). Veterans with military sexual trauma (MST)-related PTSD were shown to have higher than average rates of dropout from PTSD treatment in a national study of EBT implementation. Although predictors of dropout from EBTs have been identified, these factors are largely unmodifiable (e.g., age, service era). The purpose of the present study was to identify dynamic psychosocial predictors of dropout among female veterans from cognitive processing therapy (CPT). Data were utilized from 56 female veterans who participated in a randomized clinical trial investigating the effectiveness of CPT for MST-related PTSD. Dropout was defined continuously (i.e., number of sessions attended) and dichotomously (i.e., attending six or more sessions). Potential predictors included sociodemographic factors, psychotherapist fidelity, PTSD-related service connection, psychiatric symptom severity (i.e., PTSD, depression), trauma-related negative cognitions (about self, self-blame, world), and treatment expectations. Higher trauma-related negative cognitions about self-blame and lower trauma-related negative cognitions about self were protective against dropout. The current study generated testable hypotheses for further research on dynamic predictors of dropout from CPT in female veterans with MST-related PTSD. With replication, results may assist with identifying pre-treatment strategies to reduce dropout in this clinical population.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 87-93 |
| Number of pages | 7 |
| Journal | Psychiatry research |
| Volume | 276 |
| DOIs | |
| State | Published - Jun 1 2019 |
Fingerprint
Keywords
- Cognitive processing therapy
- Dropout
- Military sexual trauma
- Posttraumatic stress disorder
- Trauma-related negative cognitions
ASJC Scopus subject areas
- Psychiatry and Mental health
- Biological Psychiatry
Cite this
Predictors of dropout from a randomized clinical trial of cognitive processing therapy for female veterans with military sexual trauma-related PTSD. / Holder, Nicholas; Holliday, Ryan; Wiblin, Jessica; LePage, James; Suris, Alina M.
In: Psychiatry research, Vol. 276, 01.06.2019, p. 87-93.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Predictors of dropout from a randomized clinical trial of cognitive processing therapy for female veterans with military sexual trauma-related PTSD
AU - Holder, Nicholas
AU - Holliday, Ryan
AU - Wiblin, Jessica
AU - LePage, James
AU - Suris, Alina M
PY - 2019/6/1
Y1 - 2019/6/1
N2 - Many veterans do not complete evidence-based treatments (EBTs) for posttraumatic stress disorder (PTSD). Veterans with military sexual trauma (MST)-related PTSD were shown to have higher than average rates of dropout from PTSD treatment in a national study of EBT implementation. Although predictors of dropout from EBTs have been identified, these factors are largely unmodifiable (e.g., age, service era). The purpose of the present study was to identify dynamic psychosocial predictors of dropout among female veterans from cognitive processing therapy (CPT). Data were utilized from 56 female veterans who participated in a randomized clinical trial investigating the effectiveness of CPT for MST-related PTSD. Dropout was defined continuously (i.e., number of sessions attended) and dichotomously (i.e., attending six or more sessions). Potential predictors included sociodemographic factors, psychotherapist fidelity, PTSD-related service connection, psychiatric symptom severity (i.e., PTSD, depression), trauma-related negative cognitions (about self, self-blame, world), and treatment expectations. Higher trauma-related negative cognitions about self-blame and lower trauma-related negative cognitions about self were protective against dropout. The current study generated testable hypotheses for further research on dynamic predictors of dropout from CPT in female veterans with MST-related PTSD. With replication, results may assist with identifying pre-treatment strategies to reduce dropout in this clinical population.
AB - Many veterans do not complete evidence-based treatments (EBTs) for posttraumatic stress disorder (PTSD). Veterans with military sexual trauma (MST)-related PTSD were shown to have higher than average rates of dropout from PTSD treatment in a national study of EBT implementation. Although predictors of dropout from EBTs have been identified, these factors are largely unmodifiable (e.g., age, service era). The purpose of the present study was to identify dynamic psychosocial predictors of dropout among female veterans from cognitive processing therapy (CPT). Data were utilized from 56 female veterans who participated in a randomized clinical trial investigating the effectiveness of CPT for MST-related PTSD. Dropout was defined continuously (i.e., number of sessions attended) and dichotomously (i.e., attending six or more sessions). Potential predictors included sociodemographic factors, psychotherapist fidelity, PTSD-related service connection, psychiatric symptom severity (i.e., PTSD, depression), trauma-related negative cognitions (about self, self-blame, world), and treatment expectations. Higher trauma-related negative cognitions about self-blame and lower trauma-related negative cognitions about self were protective against dropout. The current study generated testable hypotheses for further research on dynamic predictors of dropout from CPT in female veterans with MST-related PTSD. With replication, results may assist with identifying pre-treatment strategies to reduce dropout in this clinical population.
KW - Cognitive processing therapy
KW - Dropout
KW - Military sexual trauma
KW - Posttraumatic stress disorder
KW - Trauma-related negative cognitions
UR - http://www.scopus.com/inward/record.url?scp=85066966179&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85066966179&partnerID=8YFLogxK
U2 - 10.1016/j.psychres.2019.04.022
DO - 10.1016/j.psychres.2019.04.022
M3 - Article
C2 - 31030005
AN - SCOPUS:85066966179
VL - 276
SP - 87
EP - 93
JO - Psychiatry Research
JF - Psychiatry Research
SN - 0165-1781
ER -