Category: PTSD

Symposium

Alliance and Homework Completion in a Sample of Older Adult Veterans With PTSD

Sunday, November 19
8:30 AM - 10:00 AM
Location: Sapphire Ballroom M & N, Level 4, Sapphire Level

Keywords: PTSD Posttraumatic Stress Disorder | Aging / Older Adults | Psychotherapy Process
Presentation Type: Symposium

Little is known about posttraumatic stress disorder (PTSD) treatment outcomes among older adults. Although understudied, the veteran population is aging and research on the predictors of therapeutic success may maximize the efficiency and efficacy of interventions for this group. We examined the relationship between aspects of therapy engagement (i.e., homework completion, working alliance) and treatment outcomes in a group of male veterans (age > 60 years) with combat-related PTSD. Veterans (N = 87) were randomized to receive 12 weeks of prolonged exposure (PE) or relaxation therapy (RT). Participants were assessed at pre- and post-treatment and at 6-month follow-up. Therapeutic alliance was measured using the Working Alliance Inventory (WAI); homework completion was rated weekly with higher scores indicating better completion. Validated symptom scales were used to assess PTSD and anger. Homework completion, but not alliance, predicted change in PTSD (assessed by the Clinician-Administered PTSD Scale for DSM-5; CAPS-5) from pre- to post-treatment (β=-.47, p=.03), and higher CAPS scores at baseline predicted stronger therapeutic alliance (β=-.26, pβ=.28, p=.06). For the presentation, analyses will include follow-up data and an additional sample of older veterans and civilians who received CPT.

Lisa H. Glassman

Psychologist
UCSD and VA San Diego Center for Stress and Mental Health

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Alliance and Homework Completion in a Sample of Older Adult Veterans With PTSD



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