Effect of Cognitive-Behavioral Couple Therapy for PTSD

Monson, Candice M.; Fredman, Steffany J.; Macdonald, Alexandra; Pukay‐Martin, Nicole D.; Resick, Patricia A.; Schnurr, Paula P.

doi:10.1001/jama.2012.9307

Cited by 292 publications

(262 citation statements)

References 32 publications

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“…We aimed to include caregivers because caregiving is commonly required among ICU survivors (14,16,17), caregivers have a high prevalence of distress (18)(19)(20), and caregiver involvement in similar interventions can enhance treatment effect (21,22). We adapted common core principles of effective mindfulness-based stress reduction programs (4) to the known capabilities and concerns of ICU survivors and their caregivers through a highly structured iterative process involving experts in critical illness, palliative care, and psychology (C.E.C., J.M.G., L.S.P., M.H., P.J.B., and C.L.H.).…”

Section: Development Of the Mindfulness Interventionmentioning

confidence: 99%

Development and Preliminary Evaluation of a Telephone-based Mindfulness Training Intervention for Survivors of Critical Illness

et al. 2014

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Rationale: Persistent symptoms of psychological distress represent an unmet need among intensive care unit (ICU) survivors.Objectives: We aimed to develop and pilot test a simple telephonebased mindfulness training intervention to address this population's unique needs.Methods: Open trial involving survivors of medical and surgical critical illness and their informal caregivers, using a pretest-posttest design. Measurements and Main Results:We developed a six-session, telephone-delivered, ICU survivor-specific mindfulness intervention based on past focus groups, the medical literature, and the precedent of the most effective components of existing mindfulness programs. A total of 11 survivors of mechanical ventilation were enrolled, together with 2 informal caregivers for exploratory purposes. Three patients dropped out before intervention initiation because of progressive illness or severe social stressors. Of the 10 remaining participants, 8 (80%) completed the program within 7 weeks. Among these eight patients and caregivers who completed all study procedures, six (75%) experienced improvement in symptoms of psychological distress (anxiety, depression, or post-traumatic stress disorder). Changes in distress symptoms were correlated with improvement in mindfulness qualities, adaptive coping, and emotion regulation. Participants reported high satisfaction with the program in postintervention interviews. Conclusions:A new ICU survivor-specific mindfulness training intervention delivered by telephone was acceptable and feasible. Changes in symptoms of distress were correlated with changes in skills that were targeted by the mindfulness program. Controlled trials are needed to further evaluate this promising intervention.

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Section: Development Of the Mindfulness Interventionmentioning

confidence: 99%

Development and Preliminary Evaluation of a Telephone-based Mindfulness Training Intervention for Survivors of Critical Illness

et al. 2014

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“…This therapy aims at enhancing positive interactions between partners and diminishing negative interactions as well as improving communication and problem-solving abilities [71]. Couple-based interventions have also shown encouraging results for the co-occurring treatment of couple distress and bipolar disorder [72], emotion dysregulation [73], post-traumatic stress disorder [74,75], obsessive-compulsive disorder [76], anxiety disorders [77] as well as anorexia nervosa [78].…”

Section: Individual Problemsmentioning

confidence: 99%

Cognitive-Behavioral Psychotherapy for Couples: An Insight into the Treatment of Couple Hardships and Struggles

Dugal¹,

Bakhos²,

Bélanger³

et al. 2018

Cognitive Behavioral Therapy and Clinical Applications

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In this chapter, a comprehensive literature review of the theoretical underpinnings and clinical practices of cognitive-behavioral couple therapy (CBCT) will be presented. First, a description of the theory underlying CBCT and the role of the therapist will be reviewed. Different mandates and motives for couples to consult in CBCT will then be described, with attention given to specificities for diverse populations. The assessment process and main intervention techniques used by CBCT therapists will be presented, including communication training, problem and conflict resolution, cognitive restructuring, identification and expression of emotions, expression of affection and sexual problems as well as acceptance and tolerance of differences. The chapter will conclude with a critical analysis of CBCT and suggestions for future clinical developments.

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“…Trauma-focused psychotherapies, such as prolonged exposure (PE), cognitive processing therapy (CPT), and eye-movement desensitization and reprocessing and stress inoculation, are recommended for PTSD. Other psychotherapeutic interventions for PTSD, such as interpersonal therapy (IPT) and couples' cognitive-behavioral therapy (CBT), have shown some promise in the little research that has been conducted (e.g., Krupnick et al, 2008;Monson, Fredman, Adair, et al, 2011;Monson, Fredman, Macdonald, et al, 2012) but have an insufficient evidence base to warrant recommendation as frontline treatments (Cukor, Olden, et al, 2010). Psychotherapeutic interventions recommended for MDD include CBT and IPT (e.g., Anderson, 2000;Butler et al, 2006;de Mello et al, 2005;van Hees et al, 2013).…”

Section: Mental Healthmentioning

confidence: 99%

“…However, given the large evidence base suggesting a robust relationship between social support and depression (Lakey and Cronin, 2008) Sharpless and Barber, 2011). However, a growing evidence base supports the hypothesis that IPT has beneficial effects for PTSD (e.g., Krupnick et al, 2008), including evidence that it specifically benefits social interpersonal functioning (Robertson et al, 2007), and couples' CBT for PTSD (Monson, Fredman, Adair, et al, 2011;Monson, Fredman, Macdonald, et al, 2012). Additional research to investigate the benefits of these interpersonally focused interventions for PTSD is under way.…”

Section: Recommendation 15 Explore and Facilitate Social-support Inmentioning

confidence: 99%

Continuing Down the Road to Reintegration: Status and Ongoing Support of the U.S. Air Force's Wounded Warriors

Sims¹,

Vaughan²,

Williams³

2016

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Effect of Cognitive-Behavioral Couple Therapy for PTSD

Cited by 292 publications

References 32 publications

Development and Preliminary Evaluation of a Telephone-based Mindfulness Training Intervention for Survivors of Critical Illness

Development and Preliminary Evaluation of a Telephone-based Mindfulness Training Intervention for Survivors of Critical Illness

Cognitive-Behavioral Psychotherapy for Couples: An Insight into the Treatment of Couple Hardships and Struggles

Continuing Down the Road to Reintegration: Status and Ongoing Support of the U.S. Air Force's Wounded Warriors

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