Predictors of Partner Engagement in PTSD Treatment

Sautter, Frederic J.; Lyons, Judith A.; Manguno-Mire, Gina M.; Perry, Dana; Han, Xiaotong; Sherman, Michelle D.; Myers, Leann; Landis, Ronald S.; Sullivan, Greer

doi:10.1007/s10862-006-7490-x

Cited by 17 publications

(16 citation statements)

References 24 publications

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“…Such systemic model of family dynamics is in accordance with other findings in the literature 29,30 . Hence, we believe that the greatest efficiency of SFT is in the area of regulating the level of adaptability in family functioning.…”

Section: Discussionsupporting

confidence: 91%

A preview of the efficiency of systemic family therapy in treatment of children with posttraumatic stress disorder developed after car accident

Stanković

Grbesa

Kostić³

et al. 2013

VOJNOSANIT PREGL

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Background/Aim. Traumatic stress refers to physical and emotional reactions caused by events which represent a life threat or a disturbance of physical and phychological integrity of a child, as well as their parents or gaerdians. Car accidents are the main cause of posttraumatic stress disorder (PTSD) in children. The aim of this study was to preview clinical efficiency of systemic family therapy (SFT) as therapy intervention in treatment of children with posttraumatic stress disorder (PTSD) traumatized in car accident under identical circumstances of exposure. We pointed out the importance of specific family factors (family cohesion and adaptability, emotional reaction of the parents) on PTSD clinical outcome. Methods. The sample of this clinical observational study included 7-sixth grade pupiles - 5 boys and 2 girls, aged 13. All of the pupils were involved in car accident with one death. Two groups were formed - one group included three children who were involved in 8 SFT sessions together with their families. The second group included 4 children who received an antidepressant sertraline in the period of three months. Results. Two months after the car accident, before the beginning of the therapy, all of the children were the members of rigidly enmeshed family systems, considering the high average cohesion scores and the low average adaptability scores on the FACES III. Three months after the received therapy, having evaluated the results of the therapeutic approaches, we established that the adaptability scores of the families included in the SFT were higher than the scores of the families of the children who received pharmacotherapy with one boy still meeting the criteria for PTSD. Conclusion. Systemic family therapy was efficient in the treatment of children with PTSD, traumatized in car accident. Therapy efficiency was higher when both parents and children were included in SFT than in the case when they were not included in the family therapy. The change in the functioning of the family systems was not accidental or simply time-dependant, but it depended on the therapy which was applied and the increased level of family adaptability as the main risk factor of retraumatization

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Section: Discussionsupporting

confidence: 91%

A preview of the efficiency of systemic family therapy in treatment of children with posttraumatic stress disorder developed after car accident

Stanković

Grbesa

Kostić³

et al. 2013

VOJNOSANIT PREGL

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“…It is unclear if the discrepancy between the desire for greater involvement and partner participation in treatment was due to individual barriers-including veterans restricting partici pation-or system barriers, such as availability of couples' and family programs. Besides continued research examining factors related to care involvement (Sautter et al, 2006;Sherman, Blevins, Kirchner, Ridener, & Jackson, 2008), clinicians treating PTSD should explore potential challenges and treatment gains of includ ing the intimate partner.…”

Section: Discussionmentioning

confidence: 99%

One day at a time: The experiences of partners of veterans with posttraumatic stress disorder.

Mansfield

Schaper

Yanagida

et al. 2014

Professional Psychology: Research and Practice

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The intimate partners of veterans living with posttraumatic stress disorder (PTSD) often have few opportunities to articulate in their own words how the disorder affects them and their families. Besides relationship challenges and stress associated with assuming a caregiver role, partners may endure their own psychological distress. These occurrences may be overlooked when treating PTSD, as the focus is usually on the veteran and from the veteran's perspective. Engaging significant others and understanding their perspective is paramount to both the veteran's recovery and the well-being of the couple. We mailed surveys to partners of veterans with PTSD as part of a larger study that assessed PTSD-related knowledge, beliefs, treatment involvement, and quality of life. At the end of the survey was an optional free-text section inviting partners to share any other information related to their circumstances. Of all survey respondents, over half (n = 252) provided comments. We used this opportunity to explore these partners' experiences of living with a veteran diagnosed with PTSD. Using a thematic analysis frame work, independent raters coded comments relating to relationships, partner/family reactions,

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“…The interpersonal difficulties associated with PTSD have important treatment implications, especially as positive social support is associated with decreased PTSD severity (Byrne & Riggs, 2002; King et al, 1999). Caregiver burden predicts less spousal engagement in the partner’s PTSD treatment, and high levels of familial discord can have a deleterious effect on treatment and outcomes of veterans with PTSD (Sautter et al, 2006; Tarrier, Barrowclough, Haddock, & McGovern, 1999). Furthermore, having the partner of an individual with PTSD involved in treatment has been associated with significant reductions in PTSD and other psychological symptoms (Billette, Guay, & Marchand, 2008; Monson, Schnurr, Stevens, & Guthrie, 2004).…”

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confidence: 99%

Veteran interest in family involvement in PTSD treatment.

Batten¹,

Drapalski²,

Decker³

et al. 2009

Psychological Services

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The present study examined interest in family involvement in treatment and preferences concerning the focus of family oriented treatment for veterans (N ϭ 114) participating in an outpatient Veterans Affairs outpatient posttraumatic stress disorder (PTSD) program. Most veterans viewed PTSD as a source of family stress (86%) and expressed interest in greater family involvement in their treatment (79%). These results suggest the need to consider increasing family participation in the clinical care of individuals with PTSD and to develop specialized family educational and support services for this population.

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Predictors of Partner Engagement in PTSD Treatment

Cited by 17 publications

References 24 publications

A preview of the efficiency of systemic family therapy in treatment of children with posttraumatic stress disorder developed after car accident

A preview of the efficiency of systemic family therapy in treatment of children with posttraumatic stress disorder developed after car accident

One day at a time: The experiences of partners of veterans with posttraumatic stress disorder.

Veteran interest in family involvement in PTSD treatment.

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