Objective The primary goal of the present study was to investigate whether pre-treatment relationship satisfaction predicted treatment drop-out and posttraumatic stress disorder (PTSD) symptom outcomes within a trial of cognitive-behavioral conjoint therapy (CBCT) for PTSD (Monson & Fredman, 2012). Additionally, we examined the influence of pre-treatment relationship distress on relationship outcomes. Method Thirty-seven patients and their intimate partners who participated in a course of CBCT for PTSD were assessed for PTSD symptoms with the Clinician-Administered PTSD Scale and PTSD Checklist, and for intimate relationship functioning with the Dyadic Adjustment Scale. CBCT for PTSD is a conjoint therapy designed to improve PTSD symptoms and enhance relationship functioning. Patients had to meet diagnostic criteria for PTSD to be included in the study; however, couples were not required to be in distressed relationships to receive treatment. Results Neither patients’ nor partners’ pre-treatment relationship satisfaction, nor their interaction, predicted treatment drop-out (ORs = .97-1.01) or completing patients’ post-treatment PTSD symptom severity (sr2 ≤ .03). However, participants who were in distressed relationships prior to treatment made greater gains in relationship satisfaction compared with those who began treatment in more satisfied relationships (g = 1.02). Conclusions Among patients receiving CBCT for PTSD, treatment drop-out and improvements in PTSD symptoms may be independent of pre-treatment relationship functioning, whereas improvements in relational functioning may be greater among those distressed prior to treatment.

The current study seeks to advance the faceted multidimensional scaling (termed FMDS) procedure used in much of the investigative psychology research. To this end, recent research on street robbery by Goodwill and colleagues will be utilised to illustrate the effectiveness of a facet scale method for offender profiling. Four FMDS themes of street robbery (Con, Blitz, Confrontation and Snatch) were revealed by the crossing of two underlying axial facets: the offenders' level of violence and interaction with the victim. The facet scale method, utilising offenders' axial facet scores, was compared to previous count, proportional and centroid classification methods in the prediction of offender criminal histories. Utilising logistic regression and receiver operating characteristic analyses, the axial facet scale method was found to significantly outperform the qualitatively based dominant theme classification methods that typically employ angular and radial facets for FMDS interpretation. Implications for the use of axial facet scales within FMDS analysis for offender profiling research are discussed. Copyright © 2012 John Wiley & Sons, Ltd.

To investigate preferences for evidence-based treatments for posttraumatic stress disorder (PTSD) and the role of likely PTSD in those preferences. Undergraduate students (N = 119) and participants recruited from trauma support groups (N = 126) read descriptions of front-line recommended treatments for PTSD, including prolonged exposure therapy (PE), cognitive-processing therapy (CPT), and medication therapy (MT). Participants selected their treatment of choice and provided ratings of the credibility and their personal reactions to each treatment. Participants generally preferred psychotherapeutic treatments (CPT and PE) over MT, and this finding persisted when considering likely PTSD. Trauma support group participants and students with no likely PTSD showed preference towards CPT over PE, and students with likely PTSD preferred both CPT and PE over MT. In both groups, credibility and personal reaction ratings were also generally higher for the psychotherapeutic treatments than MT, with the highest ratings of credibility and personal reactions for CPT. There was a significant interaction between treatment type and likely PTSD for credibility and personal reaction ratings among students, such that students with likely PTSD had lower credibility and personal reaction ratings to MT. Determining preference for PTSD treatment has important implications for maximizing treatment efficacy, adherence, and engagement. Our results indicate that individuals generally prefer psychotherapeutic treatments, highlighting the need to increase the availability and utilization of evidence-based psychotherapeutic treatments for PTSD.

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Of the available treatments for Posttraumatic Stress Disorder (PTSD), Cognitive Processing Therapy (CPT), Prolonged Exposure Therapy (PE), and pharmacotherapy are the protocols with the strongest research support. To investigate individuals’ preferences for treatment, participants were asked to read descriptions of CPT, PE, and pharmacotherapy, choose which one they think they would prefer should they require treatment, and rate their perceptions of treatment credibility. Two simultaneous studies were conducted: one with undergraduate and the other with online participants, and the latter had higher scores on measures of symptom distress. CPT was the first choice in both studies and was considered the most credible option. Undergraduate participants preferred PE as their second choice, while online participants picked pharmacotherapy. Undergraduate participants found PE to be more credible than pharmacotherapy, while online participants found them to be equally credible. Both groups chose psychotherapy alone as their first choice when given the option to combine psychotherapy and pharmacotherapy.