Trauma management therapy: A preliminary evaluation of a multicomponent behavioral treatment for chronic combat-related PTSD

Behaviour Research and Therapy

Volumn 34, Issue 7, 1996, Pages 533-543

  Frueh, B Christopher ^a   Turner, Samuel M ^b   Beidel, Deborah C ^b   Mirabella, Robert F ^c   Jones, Walter J ^d  

^a RALPH H JOHNSON VA MEDICAL CENTER   (United States)

^b MEDICAL UNIVERSITY OF SOUTH CAROLINA   (United States)

^c JOHNS HOPKINS UNIVERSITY   (United States)

^d MEDICAL UNIVERSITY OF SOUTH CAROLINA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; BEHAVIOR THERAPY; CLINICAL ARTICLE; COST EFFECTIVENESS ANALYSIS; HUMAN; MALE; POSTTRAUMATIC STRESS DISORDER; SKILL; SOLDIER; WAR;

EID: 0030197580     PISSN: 00057967     EISSN: None     Source Type: Journal    
DOI: 10.1016/0005-7967(96)00020-4     Document Type: Article

References (70)

1. American Psychiatric Association (1980). Diagnostic and Statistical Manual of Mental Disorders (3rd edn). Washington, DC: Division of Public Affairs, American Psychiatric Association.
2. American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised). Washington, DC: American Psychiatric Association.
3. American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (4th edn). Washington, DC: American Psychiatric Association.
4. Beck, A. T. & Steer, R. A. (1987). BDI: Beck Depression Inventory: Manual. San Antonio: The Psychological Corporation, Harcourt Brace Jovanovich.
5. Black, J. L. & Keane, T. M. (1982). Implosive therapy in the treatment of combat-related fears in a World War II veteran. Journal of Behavior Therapy and Experimental Psychiatry, 13, 162.
6. Blake, D. D., Weathers, F. W., Nagy, L. N., Kaloupek, D. G., Klauminzer, G., Charney, D. S. & Keane, T. M. (1990). A clinician rating scale for assessing current and lifetime PTSD: the CAPS-1. The Behavior Therapist, 18, 187-188.
7. Blanchard, E. B., Kolb, L. C. & Prins, A. (1991). Psychophysiological responses in the diagnosis of posttraumatic stress disorder in Vietnam veterans. Journal of Nervous and Mental Disease, 179, 99-103.
8. Blanchard, E. B., Kolb, L. C., Gerardi, R. J., Ryan, P. & Pallmeyer, T. P. (1986). Cardiac response to relevant stimuli as an adjunctive tool for diagnosing post-traumatic stress disorder in Vietnam veterans. Behavior Therapy, 17, 592-606.
9. Boudewyns, P. A. & Hyer, L. (1990). Physiological response to combat memories and preliminary treatment outcome in Vietnam veteran PTSD patients treated with direct therapeutic exposure. Behavior Therapy, 21, 63-87.
10. Boudewyns, P. A., Hyer, L., Woods, M. G., Harrison, W. R. & McCranie, E. (1990). PTSD among Vietnam veterans: an early look at treatment outcome with direct therapeutic exposure. Journal of Traumatic Stress, 3, 359-368.
11. Bremner, J. D., Krystal, J. H., Southwick, S. M. & Charney, D. S. (1995). Functional neuroanatomical correlates of the effects of stress on memory. Journal of Traumatic Stress, 8, 527-553.
12. Bremner, J. D., Southwick, S., Brett, E., Fontana, A., Rosenheck, R. & Charney, D. S. (1992). Dissociation and posttraumatic stress disorder in Vietnam combat veterans. American Journal of Psychiatry, 143, 328-332.
13. Center for Disease Control (1988). Health status of Vietnam veterans. Journal of the American Medical Association, 259, 2701-2724.
14. Chemtob, C. M., Hamada, R. S., Roitblat, H. L. & Muraoka, M. Y. (1994). Anger, impulsivity, and anger control in combat-related posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 62, 827-832.
15. Cook, E. W., Melamed, B. G., Cuthbert, B. N., McNeil, D. W. & Lang, P. J. (1988). Emotional imagery and the differential diagnosis of anxiety. Journal of Consulting and Clinical Psychology, 56, 734-740.
16. Cooper, N. A. & Clum, G. A. (1989). Imaginal flooding as a supplementary treatment for PTSD in combat veterans: a controlled study. Behavior Therapy, 20, 381-391.
17. Eisenberg, J. M. (1989). Clinical economics: a guide to the economic analysis of clinical practices. Journal of the American Medical Association, 262, 2879-2886.
18. Fairbank, J. A. & Keane, T. M. (1982). Flooding for combat-related stress disorders: assessment of anxiety reduction across traumatic memories. Behavior Therapy, 13, 499-510.
19. Fairbank, J. A., Keane, T. M. & Malloy, P. F. (1983). Some preliminary data on the psychological characteristics of Vietnam veterans with posttraumatic stress disorders. Journal of Consulting and Clinical Psychology, 51, 912-919.
20. Foa, E. B. & Riggs, D. S. (1995). Posttraumatic Stress Disorder following assault: theoretical considerations and empirical findings. Current Directions in Psychological Science, 4, 61-65.
21. Foy, D. W. (Ed.) (1992). Treating PTSD: Cognitive-Behavioral Strategies. New York: Guilford.
22. Friedman, M. J. (1988). Toward rational pharmacotherapy for post-traumatic stress disorder: an interim report. American Journal of Psychiatry, 145, 281-285b.
23. Frueh, B. C. (1995). Self-administered exposure therapy in a Vietnam veteran with PTSD. American Journal of Psychiatry, 152, 1831-1832.
24. Frueh, B. C., Mirabella, R. F. & Turner, S. M. (1995a). Exposure therapy for combat-related PTSD: some practical considerations regarding patient exclusion. The Behavior Therapist, 18, 190-191
25. Frueh, B. C., Turner, S. M. & Beidel, D. C. (1995b). Exposure therapy for combat-related PTSD: a critical review. Clinical Psychology Review, 15, 799-817.
26. Frueh, B. C., Smith, D. W. & Barker, S. E. (1996). Compensation seeking status and psychometric assessment of combat veterans seeking treatment for PTSD. Journal of Traumatic Stress, in press.
27. Frueh, B. C., Mirabella, R. F., Chobot, K. & Fossey, M. D. (1994). Chronicity of symptoms in combat veterans with PTSD treated by the VA mental health system. Psychological Reports, 75, 843-848.
28. Gerardi, R. J., Blanchard, E. B. & Kolb, L. C. (1989). Ability of Vietnam veterans to dissimulate a psychophysiological assessment for post-traumatic stress disorder. Behavior Therapy, 20, 229-243.
29. Guy, W. (1976). ECDEU Assessment Manual for Psychopharmacology. Washington, DC: DHEW.
30. Hamilton, M. (1959). The assessment of anxiety states by rating. British Journal of Medical Psychology, 32, 50-55.
31. Hyer, L., McCranie, E. W. & Peralme, L. (1993). Psychotherapeutic treatment of chronic PTSD. PTSD Research Quarterly, 4, 1-7.
32. Hyer, L., Boudewyns, P., Harrison, W. R., O'Leary, W. C. Bruno, R. D., Saucer, R. T. & Blount, J. B. (1988). Vietnam veterans: overreporting versus acceptable reporting of symptoms. Journal of Personality Assessment, 52, 475-486.
33. Jordan, B. K., Marmar, C. R., Fairbank, J. A., Schlenger, W. E., Kulka, R. A., Hough, R. L. & Weiss, D. S. (1992). Problems in families of male Vietnam veterans with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 60, 916-926.
34. Keane, T. M. (1995). The role of exposure therapy in the psychological treatment of PTSD. NCP Clinical Quarterly, 5, 1-6.
35. Keane, T. M. & Kaloupek, D. G. (1982). Imaginal flooding in the treatment of posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 50, 138-140.
36. Keane, T. M. & Wolfe, J. (1990). Comorbidity in Post-Traumatic Stress Disorder: an analysis of community and clinical studies. Journal of Applied Social Psychology, 20, 1776-1788.
37. Keane, T. M., Fairbank, J. A., Caddell, J. M. & Zimering, R. T. (1989). Implosive (flooding) therapy reduces symptoms of PTSD in Vietnam combat veterans. Behavior Therapy, 20, 245-260.
38. Keane, T. M., Gerardi, R. J., Lyons, J. A. & Wolfe, J. (1988). The interrelationship of substance abuse and posttraumatic stress disorder. In Balanter, M. (Ed.), Recent Developments in Alcoholism (Vol. 6, pp. 27-48). New York: Plenum.
39. King, L. & King, D. (1994). Latent structure of the Mississippi scale for combat-related posttraumatic stress disorder: exploratory and higher order confirmatory factor analyses. Assessment, 1, 275-291.
40. Kubany, E. S. (1994). A cognitive model of guilt typology in combat-related PTSD. Journal of Traumatic Stress, 7, 3-19.
41. Kubany, E. S., Gino, A., Denny, N. R. & Torigoe, R. Y. (1994). Relationship of cynical hostility and PTSD among Vietnam veterans. Journal of Traumatic Stress, 7, 21-31.
42. Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R. & Weiss, D. S. (1988). National Vietnam Veterans Readjustment Study (NVVRS): Description, Current Status, and Initial PTSD Prevalence Estimates. Final Report. Washington, DC: Veterans Administration.
43. Litz, B. T., Blake, D. D., Gerardi, R. G. & Keane, T. M. (1990). Decision making guidelines for the use of direct therapeutic exposure in the treatment of post-traumatic stress disorder. The Behavior Therapist, 13, 91-93.
44. McFall, M. E., Murburg, M. M., Roszell, D. K. & Veith, R. C. (1989). Psychophysiologic and neuroendocrine findings in posttraumatic stress disorder: a review of theory and research. Journal of Anxiety Disorders, 3, 243-257.
45. McNeil, D. W., Vrana, S. R., Melamed, B. G., Cuthbert, B. N. & Lang, P. J. (1993). Emotional imagery in simple and social phobia: fear versus anxiety. Journal of Abnormal Psychology, 102, 212-225.
46. Mirabella, R. F., Frueh, B. C. & Fossey, M. D. (1995). Exposure therapy and antidepressant medication for treatment of chronic PTSD in a Vietnam veteran. American Journal of Psychiatry, 152, 955-956.
47. Motta, R. W. (1993). Psychotherapy for Vietnam-related Posttraumatic Stress Disorder. Psychological Reports, 73, 67-77.
48. Mueser, K. T., Yarnold, P. R. & Foy, D. W. (1991). Statistical analysis for single-case designs: evaluating outcome of imaginal exposure treatment of chronic PTSD. Behavior Modification, 15, 134-155.
49. Nezu, A. M. & Carnevale, G. J. (1987). Interpersonal problem solving and coping reactions of Vietnam veterans with posttraumatic stress disorder. Journal of Abnormal Psychology, 96, 155-157.
50. Oei, T. P. S., Lim, B. & Hennessy, B. (1990). Psychological dysfunction in battle: combat stress reactions and posttraumatic stress disorder. Clinical Psychology Review, 10, 355-388.
51. Orr, S. P. (1990). Psychophysiological studies of posttraumatic stress disorder. In Giller, E. L. (Ed.), Biological Assessment and Treatment of Posttraumatic Stress Disorder (pp. 135-157). Washington, DC: American Psychiatric Press.
52. Orr, S. P. & Pitman, R. K. (1993). Psychophysiologic assessment of attempts to simulate posttraumatic stress disorder. Biological Psychiatry, 33, 127-129.
53. Orr, S. P., Pitman, R. K., Lasko, N. B. & Herz, L. R. (1993). Psychophysiological assessment of posttraumatic stress disorder imagery in World War II and Korean combat veterans. Journal of Abnormal Psychology, 102, 152-159.
54. Orr, S. P., Claiborn, J. M., Altman, B., Forgue, D. F., de Jong, J. B., Pitman, R. K. & Herz, L. R. (1990). Psychometric profile of posttraumatic stress disorder, anxious, and healthy Vietnam veterans: correlations with psychophysiologic responses. Journal of Consulting and Clinical Psychology, 58, 329-335.
55. Pitman, R. K. (1993). Biological finding in posttraumatic stress disorder: implications for DSM-IV classification. In Davidson, J. R. T. and Foa, E. B. (Eds), Posttraumatic Stress Disorder: DSM-IV and Beyond (pp. 173-189). Washington, DC: American Psychiatric Press.
56. Pitman, R. K., Orr, S. P., Forgue, D. F., Altman, B., de Jong, J. B. & Herz, L. R. (1990). Psychophysiologic responses to combat imagery of Vietnam veterans with posttraumatic stress disorder versus other anxiety disorders. Journal of Abnormal Psychology, 99, 49-54.
57. Shalev, A. Y., Orr, S. P. & Pitman, R. K. (1993). Psychophysiologic assessment of traumatic imagery in Israeli civilian patients with posttraumatic stress disorder. American Journal of Psychiatry, 150, 620-624.
58. Sierles, F. S., Chen, J., McFarland, R. E. & Taylor, M. A. (1983). Posttraumatic stress disorder and concurrent psychiatric illness. American Journal of Psychiatry, 140, 1177-1179.
59. Solomon, S. D., Gerrity, E. T. & Muff, A. M. (1992). Efficacy of treatments for posttraumatic stress disorder. Journal of American Medical Association, 268, 633-638.
60. Southwick, S. M., Yehuda, R. & Giller, E. L. (1993). Personality disorders in treatment-seeking combat veterans with posttraumatic stress disorder. American Journal of Psychiatry, 150, 1020-1023.
61. Spielberger, C. D., Johnson, E. H., Russell, S. F., Crane, R. J., Jacobs, G. A. & Worden, T. J. (1985). The experience & expression of anger: construction and validation of an anger expression scale. In Chesney, M. A. & Rosenman, R. H. (Eds), Anger and Hostility in Cardiovascular and Behavioral Disorders (pp. 5-30). New York: Hemisphere/McGraw-Hill.
62. Spitzer, R. L. & Williams, J. B. (1986). Structured Clinical Interview for DSM-II-R Personality Disorders. New York: New York State Psychiatric Institute.
63. Spitzer, R. L., Williams, J. B., Gibbon, M. & First, M. B. (1990). Structured Clinical Interview for DSM-III-R. Washington, DC: American Psychiatric Press.
64. Sutker, P. B., Winstead, D. K., Galina, Z. H. & Allain, A. N. (1990). Assessment of long term psychosocial sequelae among POW survivors of the Korean conflict. Journal of Personality Assessment, 54, 170-180.
65. Turner, S. M., Beidel, D. C. & Frueh, B. C. (1996). Trauma Management Therapy for chronic combat-related PTSD: a multicomponent behavioral treatment program. Unpublished treatment guide.
66. Turner, S. M., Beidel, D. C., Dancu, C. V. & Stanley, M. A. (1989). An empirically derived inventory to measure social fears and anxiety: the Social Phobia and Anxiety Inventory. Psychological Assessment, 1, 35-40.
67. Turner, S. M., Beidel, D. C., Cooley, M. R., Woody, S. R. & Messer, S. C. (1994). A multicomponent behavioral treatment for social phobia: Social Effectiveness Therapy. Behaviour Research Therapy, 32, 381-390.
68. Warner, K. E. & Luce, B. R. (1982). Cost-Benefit and Cost-Effectiveness Anaylsis in Health Care. Ann Arbor, MI: Health Administration Press.
69. Weathers, F. W. & Litz, B. (1994). Psychometric properties of the Clinician-Administered PTSD Scale, CAPS-I. PTSD Research Quarterly, 5, 2-6.
70. Yates, B. T. (1994). Toward the incorporation of costs, cost-effectiveness analysis, and cost-benefit analysis into clinical research. Journal of Consulting and Clinical Psychology, 62, 729-736.