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      Treatment of posttraumatic stress disorder in U.S. combat veterans: a meta-analytic review.

      Psychological reports

      psychology, Cognitive Therapy, Veterans, Treatment Outcome, therapy, diagnosis, Stress Disorders, Post-Traumatic, methods, Psychotherapy, Implosive Therapy, Humans, Hospitals, Veterans, Eye Movement Desensitization Reprocessing, Desensitization, Psychologic, Controlled Clinical Trials as Topic, Combat Disorders

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          Abstract

          Among U.S. veterans who have been exposed to combat-related trauma, significantly elevated rates of posttraumatic stress disorder (PTSD) are reported. Veterans with PTSD are treated for the disorder at Veterans Affairs (VA) hospitals through a variety of psychotherapeutic interventions. Given the significant impairment associated with PTSD, it is imperative to assess the typical treatment response associated with these interventions. 24 studies with a total sample size of 1742 participants were quantitatively reviewed. Overall, analyses showed a medium between-groups effect size for active treatments compared to control conditions. Thus, the average VA-treated patient fared better than 66% of patients in control conditions. VA treatments incorporating exposure-based interventions showed the highest within-group effect size. Effect sizes were not moderated by treatment dose, sample size, or publication year. Findings are encouraging for treatment seekers for combat-related PTSD in VA settings.

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          Author and article information

          Journal
          10.2466/02.09.15.16.PR0.109.5.573-599
          22238857

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