A psychometric evaluation of the Posttraumatic Cognitions Inventory with Veterans seeking treatment following military trauma exposure

Sexton, Minden B.; Davis, Margaret T.; Bennett, Diana C.; Morris, David H.; Rauch, Sheila A. M.

doi:10.1016/j.jad.2017.09.048

Cited by 41 publications

(77 citation statements)

References 28 publications

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“…One possibility is that individuals with MST may not respond as well to treatment over a shortened timeframe. Individuals with MST may have higher rates of interpersonal trauma in childhood [ 48 , 49 ], which could contribute to more entrenched posttraumatic cognitions that are more difficult to change for individuals with MST compared to those with combat trauma [ 50 ]. Notably, the cohort by time interaction was no longer significant after adding posttraumatic cognitions to the model.…”

Section: Discussionmentioning

confidence: 99%

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Evaluating patterns and predictors of symptom change during a three-week intensive outpatient treatment for veterans with PTSD

et al. 2018

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BackgroundIntensive delivery of evidence-based treatment for posttraumatic stress disorder (PTSD) is becoming increasingly popular for overcoming barriers to treatment for veterans. Understanding how and for whom these intensive treatments work is critical for optimizing their dissemination. The goals of the current study were to evaluate patterns of PTSD and depression symptom change over the course of a 3-week cohort-based intensive outpatient program (IOP) for veterans with PTSD, examine changes in posttraumatic cognitions as a predictor of treatment response, and determine whether patterns of treatment outcome or predictors of treatment outcome differed by sex and cohort type (combat versus military sexual trauma [MST]).MethodOne-hundred ninety-one veterans (19 cohorts: 12 combat-PTSD cohorts, 7 MST-PTSD cohorts) completed a 3-week intensive outpatient program for PTSD comprised of daily group and individual Cognitive Processing Therapy (CPT), mindfulness, yoga, and psychoeducation. Measures of PTSD symptoms, depression symptoms, and posttraumatic cognitions were collected before the intervention, after the intervention, and approximately every other day during the intervention.ResultsPre-post analyses for completers (N = 176; 92.1% of sample) revealed large reductions in PTSD (d = 1.12 for past month symptoms and d = 1.40 for past week symptoms) and depression symptoms (d = 1.04 for past 2 weeks). Combat cohorts saw a greater reduction in PTSD symptoms over time relative to MST cohorts. Reduction in posttraumatic cognitions over time significantly predicted decreases in PTSD and depression symptom scores, which remained robust to adjustment for autocorrelation.ConclusionIntensive treatment programs are a promising approach for delivering evidence-based interventions to produce rapid treatment response and high rates of retention. Reductions in posttraumatic cognitions appear to be an important predictor of response to intensive treatment. Further research is needed to explore differences in intensive treatment response for veterans with combat exposure versus MST.

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Section: Discussionmentioning

confidence: 99%

“…A total score was calculated as the sum of all items with higher scores indicating stronger endorsement of posttraumatic cognitions. The PTCI has demonstrated strong reliability and validity [ 37 ] including in military populations with PTSD [ 38 ]. Internal reliability for the PTCI at intake was .95.…”

Section: Methodsmentioning

confidence: 99%

Evaluating patterns and predictors of symptom change during a three-week intensive outpatient treatment for veterans with PTSD

et al. 2018

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“…Several studies indicate that NPCs may play an important role in the development and maintenance of PTSD for survivors of sexual trauma. Sexton and colleagues (2018) found that NPCs were significantly and positively correlated with self-reported PTSD symptoms. Among childhood sexual abuse survivors, dysfunctional beliefs measured by validated self-report scales were found to be correlated with higher PTSD symptoms as measured by both self-report (Wenninger and Ehlers, 1998) and clinician administered (Owens and Chard, 2001) measures, with medium to large effect sizes.…”

Section: Introductionmentioning

confidence: 93%

Negative posttraumatic cognitions among military sexual trauma survivors

Carroll

Lofgreen

Weaver

et al. 2018

Journal of Affective Disorders

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“…The PTCI (Foa, Ehlers, Clark, Tolin, & Orsillo, 1999 ) is a 33-item self-report measure that assesses trauma-related cognitions including self-blame, negative cognitions about the self, and negative cognitions about others and the world (Sexton, Davis, Bennett, Morris, & Rauch, 2018 ) that was administered at intake and at post-treatment. Internal reliability for the PTCI in the present sample was .95 at intake and .98 at post-treatment.…”

Section: Participantsmentioning

confidence: 99%

Maintenance of treatment gains up to 12-months following a three-week cognitive processing therapy-based intensive PTSD treatment programme for veterans

Held

Zalta

Smith

et al. 2020

European Journal of Psychotraumatology

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A psychometric evaluation of the Posttraumatic Cognitions Inventory with Veterans seeking treatment following military trauma exposure

Cited by 41 publications

References 28 publications

Evaluating patterns and predictors of symptom change during a three-week intensive outpatient treatment for veterans with PTSD

Evaluating patterns and predictors of symptom change during a three-week intensive outpatient treatment for veterans with PTSD

Negative posttraumatic cognitions among military sexual trauma survivors

Maintenance of treatment gains up to 12-months following a three-week cognitive processing therapy-based intensive PTSD treatment programme for veterans

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