The development of a couple-based treatment for PTSD in returning veterans.

Sautter, Frederic J.; Armelie, Aaron P.; Glynn, Shirley M.; Wielt, Dustin B.

doi:10.1037/a0022323

Cited by 49 publications

(43 citation statements)

References 37 publications

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“…We also need a better understanding of how to affect these mediating factors and thereby prevent such relationship difficulties. A range of psychotherapeutic and familytreatment orientations may be useful in this regard (Kudler 2007;Riggs et al 2009;Sautter et al 2011). We must also find ways to honor each family member's unique experience of reality, while acknowledging the special nature of the veteran's traumatic war experiences, which only he or she can articulate (Rosenheck and Thomson 1986).…”

Section: Discussionmentioning

confidence: 99%

Long-Term Trajectories and Service Needs for Military Families

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Palinkas

2013

Clin Child Fam Psychol Rev

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The deployment of US military personnel to recent conflicts has been a significant stressor for their families; yet, we know relatively little about the long-term family effects of these deployments. Using data from prior military service eras, we review our current understanding of the long-term functioning and needs of military families. These data suggest that overseas deployment, exposure to combat, experiencing or participating in violence during war deployment, service member injury or disability, and combat-related post-traumatic stress disorder (PTSD) all have profound impacts on the functioning of military families. We offer several recommendations to address these impacts such as the provision of family-centered, trauma-informed resources to families of veterans with PTSD and veterans who experienced high levels of combat and war violence. Recent efforts to address the needs of caregivers of veterans should be evaluated and expanded, as necessary. We should also help military families plan for predictable life events likely to challenge their resilience and coping capacities. Future research should focus on the following: factors that mediate the relationship between PTSD, war atrocities, caregiver burden, and family dysfunction; effective family-centered interventions that can be scaled-up to meet the needs of a dispersed population; and system-level innovations necessary to ensure adequate access to these interventions.

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Section: Discussionmentioning

confidence: 99%

Long-Term Trajectories and Service Needs for Military Families

Link

Palinkas

2013

Clin Child Fam Psychol Rev

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“…However, formal evaluation of these services in VA is limited. Exceptions include evaluation of the Structured Approach Therapy model for PTSD (Sautter, Glynn, Thompson, Franklin & Han, 2011), Cognitive-Behavioral Conjoint Therapy for Posttraumatic Stress Disorder (Monson et al, 2012), and Behavioral Couples Therapy for Alcoholism and Drug Abuse (O'Farrell & Fals-Stewart, 2006), all of which have been or are being tested in the VA system. Preliminary reports from these evaluations describe reduced mental health symptoms in veterans.…”

mentioning

confidence: 99%

Multifamily group treatment for veterans with mood disorders: A pilot study.

Sherman¹,

Fischer²,

Owen³

et al. 2015

Couple and Family Psychology: Research and Practice

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Mood disorders affect large numbers of individuals and their families; the ripple effects on relationship functioning can be great. Researchers have advocated for a relational perspective to mood disorder treatment, and several promising treatments have been developed. However, few rigorous evaluations have been conducted within the Veterans Affairs (VA) system. Multifamily group therapy, an evidence-based practice for people living with schizophrenia, has recently been adapted for other psychological disorders with promising results. This report describes the first published evaluation of this treatment modality in the VA system for veterans living with mood disorders. 101 male veterans (74 with major depression and 27 with bipolar disorder) and their family members participated in REACH (Reaching out to Educate and Assist Caring, Healthy Families), a 9-month, manualized, multi-family group treatment, intervention adapted from McFarlane's original multi-family group model. Participants completed self-report questionnaires at four time points across the course of the treatment, and service utilization data for veterans were obtained from VA databases. Both veterans and family members showed improvements in their knowledge about mood disorders, understanding of positive strategies for dealing with situations commonly confronted in mood disorders, and family coping strategies. Veterans also evidenced improvement in family communication and problem-solving behaviors, empowerment, perceived social support, psychiatric symptoms, and overall quality of life. The REACH intervention holds promise as a feasible, acceptable, and effective treatment for veterans living with mood disorders and their families. Further study is warranted.

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“…Significant improvements also occurred in the Veterans' total PTSD symptoms, but not reexperiencing or hyperarousal symptoms. Relationship adjustment also significantly improved [31].…”

Section: Disorder-specific Interventionsmentioning

confidence: 87%

Couple/family therapy for posttraumatic stress disorder: Review to facilitate interpretation of VA/DOD Clinical Practice Guideline

Monson

Macdonald²,

Brown-Bowers³

2012

JRRD

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Abstract-A well-documented association exists among Veterans' posttraumatic stress disorder (PTSD) symptoms, family relationship problems, and mental health problems in partners and children of Veterans. This article reviews the recommendations regarding couple/family therapy offered in the newest version of the Department of Veterans Affairs (VA)/Department of Defense (DOD) VA/DOD Clinical Practice Guideline for Management of Post-Traumatic Stress. We then provide a heuristic for clinicians, researchers, and policy makers to consider when incorporating couple/family interventions into Veterans' mental health services. The range of research that has been conducted on couple/family therapy for Veterans with PTSD is reviewed using this heuristic, and suggestions for clinical practice are offered.

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The development of a couple-based treatment for PTSD in returning veterans.

Cited by 49 publications

References 37 publications

Long-Term Trajectories and Service Needs for Military Families

Long-Term Trajectories and Service Needs for Military Families

Multifamily group treatment for veterans with mood disorders: A pilot study.

Couple/family therapy for posttraumatic stress disorder: Review to facilitate interpretation of VA/DOD Clinical Practice Guideline

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