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Post-Traumatic Stress Disorder Treatment Outcomes in Military Clinics.
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- Author(s): Mclay, Robert1 (AUTHOR); Fesperman, Susan1 (AUTHOR); Webb-Murphy, Jennifer1 (AUTHOR); Delaney, Eileen1 (AUTHOR); Ram, Vasudha1 (AUTHOR); Nebeker, Bonnie1 (AUTHOR); Burce, Cleo Mae1 (AUTHOR)
- Source:
Military Medicine. May/Jun2023, Vol. 188 Issue 5/6, pe1117-e1124. 8p.- Subject Terms:
- Source:
- Additional Information
- Abstract: Introduction Despite a wide literature describing the impact of PTSD on military personnel, there is limited information concerning the results of PTSD treatment within military clinics mental health. Having such information is essential for making predictions about service members' chances of recovery, choosing best treatments, and for understanding if new interventions improve upon the standard of care. Materials and Methods We reviewed data from the Psychological Health Pathways (PHP) database. Psychological Health Pathways is a standardized battery of demographics and psychometric outcome measures, including measurement of PTSD symptom severity, that is collected in military mental health clinics. We examined changes in PTSD symptom severity scores over time and developed logistic regression models to predict who responded to treatment, showed clinical success, or improved to the point that they could likely stay in the military. Results After about 10 weeks in mental health clinics, severity scores for PTSD, sleep, depression, resilience, and disability all improved significantly. Of 681 patients tracked, 38% had clinically significant reductions on the PTSD Checklist (PCL) (i.e. "treatment response"), 28% no longer met criteria for PTSD on the PCL, and 23% did both (i.e. "clinical treatment success"). For the ultimate end point of "military treatment success," defined as meeting criteria for both clinical treatment success and reporting that their work-related disability was mild or better, 12.8% of patients succeeded. Depression scores were the most powerful predictor of treatment failure. Conclusions Recovery from PTSD is possible during military service, but it is less likely in individuals with certain negative prognostic factors, most notably severe depression. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Military Medicine is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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