Therapeutic response to Cognitive Processing Therapy in White and Black female veterans with military sexual trauma-related PTSD

Ryan P. Holliday, Nicholas D. Holder, Meredith L.C. Williamson, Alina Surís

Research output: Contribution to journalArticle

Abstract

Cognitive Processing Therapy (CPT) is an evidence-based treatment (EBT) for posttraumatic stress disorder (PTSD) which has been validated for female veterans with military-related PTSD. Existing trials have enrolled predominantly White veterans with some studies documenting higher rates of early termination from EBTs among Black females when compared to White females. Data from a previously published randomized clinical trial were used to evaluate the effectiveness of CPT for Black female veterans with military sexual trauma (MST)-related PTSD. Reductions in PTSD symptom severity, number of sessions attended, and early termination rates were compared between Black (n = 20) and White (n = 16) female veterans. A hierarchical linear modeling approach was used, with PTSD symptom severity over the course of treatment and follow-up entered as a level-1 variable and race (Black or White) entered as a level-2 predictor. Piecewise growth curves analyses revealed that both Black and White female veterans experienced significant reductions in PTSD symptom severity over the course of treatment and gains were maintained up to 6 months post-treatment. Race was not found to be a significant predictor of change in the slope of PTSD symptom severity over the course of CPT treatment. Additionally, number of sessions attended and rates of early termination did not significantly differ based on race. Results suggest that CPT was a well-tolerated and effective psychotherapeutic treatment for this sample regardless of racial self-identification.

Original languageEnglish (US)
Pages (from-to)1-14
Number of pages14
JournalCognitive Behaviour Therapy
DOIs
StateAccepted/In press - Apr 29 2017

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Cognitive Therapy
Veterans
Post-Traumatic Stress Disorders
Wounds and Injuries
Therapeutics
hydroquinone
Randomized Controlled Trials
Growth

Keywords

  • Cognitive Processing Therapy
  • female veteran
  • military sexual trauma
  • post-traumatic stress disorder
  • Race

ASJC Scopus subject areas

  • Clinical Psychology

Cite this

Therapeutic response to Cognitive Processing Therapy in White and Black female veterans with military sexual trauma-related PTSD. / Holliday, Ryan P.; Holder, Nicholas D.; Williamson, Meredith L.C.; Surís, Alina.

In: Cognitive Behaviour Therapy, 29.04.2017, p. 1-14.

Research output: Contribution to journalArticle

Holliday, Ryan P. ; Holder, Nicholas D. ; Williamson, Meredith L.C. ; Surís, Alina. / Therapeutic response to Cognitive Processing Therapy in White and Black female veterans with military sexual trauma-related PTSD. In: Cognitive Behaviour Therapy. 2017 ; pp. 1-14.
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