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The Effect of PTSD Symptom Change on Suicidal Ideation in a Combined Military and Civilian Sample Engaged in Cognitive Processing Therapy
- Source :
- Behavior therapy. 52(3)
- Publication Year :
- 2020
-
Abstract
- In light of the well-established relationship between posttraumatic stress disorder (PTSD) and suicidal ideation (SI), there has been a push for treatments that simultaneously improve symptoms of PTSD and decrease SI. Using data from a randomized controlled hybrid implementation-effectiveness trial, the current study investigated the effectiveness of Cognitive Processing Therapy (CPT; Resick, Monson, & Chard, 2016) on PTSD and SI. The patient sample (N = 188) was diverse in military and veteran status, gender, and comorbidity, and 73% of the sample endorsed SI at one or more points during CPT. Participants demonstrated significant improvement in SI over the course of CPT. Multilevel growth curve modeling revealed a significant association between PTSD symptom change and change in SI. Results from cross-lagged multilevel regressions indicated that PTSD symptoms predicted SI in the next session, yet SI in a given session did not predict PTSD symptoms in the next session. Potentially relevant clinical factors (i.e., military status, gender, depression diagnosis, baseline SI, study consultation condition) were not associated with the relationship between PTSD symptoms and SI. These results add to the burgeoning literature suggesting that evidence-based treatments for PTSD, like CPT, reduce suicidality in a range of individuals with PTSD, and that this reduction is predicted by improvements in PTSD symptoms.
- Subjects :
- 050103 clinical psychology
behavioral disciplines and activities
Suicidal Ideation
Stress Disorders, Post-Traumatic
03 medical and health sciences
0302 clinical medicine
mental disorders
medicine
Humans
0501 psychology and cognitive sciences
Suicidal ideation
Depression (differential diagnoses)
Veterans
Cognitive Behavioral Therapy
Latent growth modeling
05 social sciences
medicine.disease
Comorbidity
030227 psychiatry
Clinical Psychology
Posttraumatic stress
Military Personnel
Military Status
Cognitive processing therapy
medicine.symptom
Psychology
Clinical psychology
Subjects
Details
- ISSN :
- 18781888
- Volume :
- 52
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Behavior therapy
- Accession number :
- edsair.doi.dedup.....1f810d49fc9a6bb4a1f4e0665c37aac3