TY - JOUR
T1 - Cognitive behavioral social rhythm group therapy versus present centered group therapy for veterans with posttraumatic stress disorder and major depressive disorder
T2 - A randomized controlled pilot trial
AU - Haynes, Patricia L.
AU - Burger, Sarah B.
AU - Kelly, Monica
AU - Emert, Sarah
AU - Perkins, Suzanne
AU - Shea, M. Tracie
N1 - Funding Information:
This work was supported by a U.S. Army Medical Research and Materiel Command Award ( W81XWH‐08‐2‐0121 ; PI: Haynes).
Funding Information:
Dr. Haynes reports funding from the National Heart, Lung, Blood Institute, the Department of Defense, the Canyon Ranch Center for Prevention and Health Promotion, and consultancy with WellAmerica, Inc. and the Tucson Fire Department. Dr. Kelly is currently supported by the Veterans Administration Office of Academic Affiliations through the Advanced Fellowship Program in Geriatrics. Dr. Burger reports that she is the CEO and lead clinical psychologist at a private practice, A-Z Neuropsychology, LLC, with this practice routinely providing consultation serves to WellAmerica Inc. and to the Arizona Department of Economic Security (Disability Determination and Vocational Rehabilitation Service Divisions). Ms. Perkins reports that she is owner of a private practice, Suzanne Perkins, LCSW LLC. Dr. Shea reports funding from the Department of Veterans Affairs and the Department of Defense. Funding from the Patient Centered Outcomes Institute is pending review. She is a developer of Present Centered Group Therapy and a co-author of a pending book on PCT.
Funding Information:
This work was supported by a U.S. Army Medical Research and Materiel Command Award (W81XWH?08?2?0121; PI: Haynes).The research was supported with resources and the use of facilities at the Southern Arizona Veterans Affairs Health Care System. The contents of this article do not represent the views of the Department of Veterans Affairs or the United States Government. The authors wish to acknowledge the contributions of Paula Schnurr, Richard Bootzin, Sairam Parthasarathy, John G. Carlson, Mary Sabey, Yelena Blank, Shira Fass, Lesley Pellman, Melissa Teehee, Valerie Scheller, Sasha Brown, Martin Ukockis, Lance Randall, Christina Walter, and Timothy LeBlanc.
Publisher Copyright:
© 2020
PY - 2020/12/1
Y1 - 2020/12/1
N2 - Background: Cognitive Behavioral Social Rhythm Group Therapy (CBSRT) is a chronobiologically-informed group therapy designed to stabilize social rhythms in veterans with comorbid combat-related PTSD and major depressive disorder (MDD). This randomized controlled pilot trial is the first to examine feasibility and preliminary efficacy of group CBSRT as compared to group Present Centered Therapy (PCT), a well-characterized active attention, psychotherapy condition. Methods: A total of 43 male veterans with combat-related PTSD, MDD, and disruptions in sleep or daily routine were randomly assigned to CBSRT or PCT. Therapy was provided weekly in a group modality for 12 weeks. Follow-up feasibility and gold-standard PTSD, MDD, and subjective/objective sleep assessments were conducted at post-treatment, 3 months, and 6 months post-treatment. Results: Feasibility results demonstrated that veterans assigned to CBSRT had higher rates of attendance than veterans assigned to PCT. Both CBSRT and PCT were associated with improvements in PTSD and MDD symptoms, sleep efficiency, and number of awakenings; there were no differences between group therapies on these indices. Veterans in the CBSRT group had a greater reduction in the number of nightmares than veterans in the PCT group. Limitations: Preliminary results must be qualified by the small sample size. Conclusions: Group CBSRT may be more feasible for veterans than PCT. Both CBSRT and PCT were associated with improvements in psychiatric symptoms with few differences between conditions. CBSRT is a promising new group therapy that may help address the high-rate of PTSD therapy attrition in combat veterans. Clinical trial registration: NCT00984698.
AB - Background: Cognitive Behavioral Social Rhythm Group Therapy (CBSRT) is a chronobiologically-informed group therapy designed to stabilize social rhythms in veterans with comorbid combat-related PTSD and major depressive disorder (MDD). This randomized controlled pilot trial is the first to examine feasibility and preliminary efficacy of group CBSRT as compared to group Present Centered Therapy (PCT), a well-characterized active attention, psychotherapy condition. Methods: A total of 43 male veterans with combat-related PTSD, MDD, and disruptions in sleep or daily routine were randomly assigned to CBSRT or PCT. Therapy was provided weekly in a group modality for 12 weeks. Follow-up feasibility and gold-standard PTSD, MDD, and subjective/objective sleep assessments were conducted at post-treatment, 3 months, and 6 months post-treatment. Results: Feasibility results demonstrated that veterans assigned to CBSRT had higher rates of attendance than veterans assigned to PCT. Both CBSRT and PCT were associated with improvements in PTSD and MDD symptoms, sleep efficiency, and number of awakenings; there were no differences between group therapies on these indices. Veterans in the CBSRT group had a greater reduction in the number of nightmares than veterans in the PCT group. Limitations: Preliminary results must be qualified by the small sample size. Conclusions: Group CBSRT may be more feasible for veterans than PCT. Both CBSRT and PCT were associated with improvements in psychiatric symptoms with few differences between conditions. CBSRT is a promising new group therapy that may help address the high-rate of PTSD therapy attrition in combat veterans. Clinical trial registration: NCT00984698.
KW - Cognitive behavioral therapy
KW - Depression
KW - PTSD
KW - Sleep
KW - Social rhythms
KW - Veterans
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U2 - 10.1016/j.jad.2020.09.009
DO - 10.1016/j.jad.2020.09.009
M3 - Article
C2 - 33065820
AN - SCOPUS:85090416532
VL - 277
SP - 800
EP - 809
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
SN - 0165-0327
ER -