Veteran Treatments: PTSD Interventions

Koven, Steven G.

doi:10.3390/healthcare6030094

Cited by 9 publications

(6 citation statements)

References 36 publications

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“…This approach is based on a concern that veterans with PTSD (though this could be extrapolated to other behavior health issues) who are in early stages of recovery may not have the coping skills necessary to avoid a relapse into substance misuse. This concern is especially salient when treating PTSD, as evidence-based treatments often involve exploring traumatic memories (Reisman, 2016;Koven, 2018). However, the separation of treatment for substance misuse and PTSD or depression can ultimately cause veterans-even those who receive some treatment-to oscillate between treatment for their mental health problem and for their SUD, if they agree to treatment at all.…”

Section: Post 9/11 Veteransmentioning

confidence: 99%

Improving Substance Use Care: Addressing Barriers to Expanding Integrated Treatment Options for Post-9/11 Veterans

Pedersen¹,

Bouskill²,

Holliday³

et al. 2020

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Section: Post 9/11 Veteransmentioning

confidence: 99%

Improving Substance Use Care: Addressing Barriers to Expanding Integrated Treatment Options for Post-9/11 Veterans

Pedersen¹,

Bouskill²,

Holliday³

et al. 2020

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“…PE has also been shown effective in lessening PTSD symptoms and maintaining treatment gains over time ( McLean and Foa, 2013 ). EMDR produced significant enhancements in decreasing anxiety, anger, depression, isolation, and other symptoms ( Koven, 2018 ). Mindfulness-based stress reduction (MBSR) is a standardized class series to teach mindfulness to reduce stress by a combination of meditation, body awareness, and mindful breathing, which have been shown to have significant improvements in PTSD symptoms ( Kearney et al, 2012 ; Colgan et al, 2016 ; Koven, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

“…EMDR produced significant enhancements in decreasing anxiety, anger, depression, isolation, and other symptoms ( Koven, 2018 ). Mindfulness-based stress reduction (MBSR) is a standardized class series to teach mindfulness to reduce stress by a combination of meditation, body awareness, and mindful breathing, which have been shown to have significant improvements in PTSD symptoms ( Kearney et al, 2012 ; Colgan et al, 2016 ; Koven, 2018 ). Mindfulness-based cognitive therapy (MBCT) also belongs to stress-reduction groups involved psychotherapies incorporating mindfulness techniques ( King et al, 2013 ).…”

Section: Introductionmentioning

confidence: 99%

“…Building spiritual strength (BSS) is an inter-faith, manualized, spiritually integrated intervention to support the participants in their choice of religious affiliation or non-affiliation ( Harris et al, 2011 ). Logotherapy has also been applied as an innovative adjunctive treatment for PTSD by healing through meaning ( Koven, 2018 ). Another complementary intervention is a specially trained psychiatric service dog, offering emotional and therapeutic value ( Rodriguez et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

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Impacts of Internet-Based Interventions for Veterans With PTSD: A Systematic Review and Meta-Analysis

Zhou

Zhang

et al. 2021

Front. Psychol.

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Background: Veterans who did not seek and complete treatment as intended have been shown to have an elevated risk of experiencing and being exposed to post-traumatic stress disorder (PTSD). Internet-based interventions (IBIs) provide more confidentiality and fewer treatment barriers, and they are regarded as potential treatments to reduce PTSD in veterans. However, the effects of IBI for veterans with PTSD are inconclusive.Objectives: IBI is defined as any internet-based series of psychosocial interventions, of which the internet works as a way of delivery. Psychosocial content and reduction of PTSD symptoms in veterans have been recognized as two core elements of this intervention. This study aimed to (1) examine the effects of IBI on veterans’ PTSD outcomes and (2) distinguish between the elements of IBI that play an important role for veterans with PTSD.Methods: Web of Science, PubMed, EMBASE, PsycINFO, Cochrane, Wanfang Data, CNKI, and CQVIP databases were searched for randomized controlled trials (RCT) in IBI programs for veterans with PTSD, covering all studies in English and Chinese published from January 1990 to November 2020. Also, related studies tracking citations were identified. Studies met the following inclusion criteria of (1) being RCTs; (2) containing IBI in the full text; (3) having IBI conducted on veterans as participants; and (4) being on PTSD. All processes followed PRISMA. The risk of bias of the studies was assessed by the Cochrane Systematic Review Handbook. The confidence of outcomes of this review was valued according to the GRADE (Grading of Recommendations Assessment, Development, and Evaluation). The meta-analysis was done by RevMan 5.13. Two teams of reviewers independently searched the literature, made the assessment, and extracted the data.Results: A total of 1,493 citations were identified after initial searching, of which the full texts of 66 studies were screened. Eventually, six RCT studies met the inclusion criteria. Beneficial effects of IBI were found on the overall PTSD outcome (−0.29; 95% CI–0.48 to −0.11, p<0.01). Particularly, IBI based on cognitive behavioral therapy (CBT) with peer support was found to be effective for PTSD outcomes (−0.36; 95% CI–0.61 to −0.11, p<0.01). The subgroup analysis demonstrated that scores of PTSD outcome measured by a PCL (PTSD Checklist) decreased to an average score of 0.38 (95% CI –0.60 to −0.15, p=0.001). The intervention had a positive effect on the PTSD outcome on veterans with comorbid psychological disorders (−0.30; 95% CI –0.61 to −0.11, p<0.01). Overall, the six studies included were evaluated with a low risk of bias, and the outcomes of the meta-analysis were proven with high confidence.Conclusion: On the whole, IBIs have a positive effect on the overall PTSD outcome of veterans. The results encouraged us to focus on IBI with CBT with peer support for veterans, on specific instruments for veterans with PTSD, and on veterans with comorbid psychological disorders. This study, however, has limits. Only six studies with a Western population were included, which might result in cultural bias on IBI effects. In future, more high-qualified research and diverse cultural background of RCTs is needed to prove the effectiveness of IBI on veterans with PTSD.

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“…Also within this edition, Steven Koven published a meta-analysis of PTSD interventions [ 22 ]. This paper explores the existing knowledge around the effectiveness, or not, of current support for veterans with PTSD.…”

mentioning

confidence: 99%