Category: Couples / Close Relationships
Keywords: Couple Therapy | Stress | Cognitive Processes
Presentation Type: Symposium
Cognitive-Behavioral Conjoint Therapy (CBCT) is a manualized treatment designed to simultaneously reduce PTSD symptoms and enhance relationship functioning for couples in which one partner has PTSD. Strong evidence exists for the efficacy of CBCT among civilian populations; however, a rigorous large-scale study of the efficacy, acceptability, and feasibility of administering CBCT to Veteran couples is needed to inform wide-spread implementation across the VA. This presentation will discuss pilot data collected as part of a large RCT underway to evaluate the efficacy of CBCT in a veteran population and to explore a home-based modality of care as a way to increase ease and acceptability of couples based care in the VA. The primary hypothesis predicts that CBCT delivered via either modality will result in significant reductions of PTSD symptoms, couples’ relationship distress, and functional impairment. The primary aim of this pilot study is to present the initial feasibility and preliminary case series data on 10 couples undergoing CBCT delivered via two modalities (office-based and home-based via CVT) or PTSD Family Education (PFE) via two modalities (office-based and home based via CVT) and lessons learned to inform the larger funded RCT. To date, participants included 7 couples referred for couple’s therapy for PTSD. Baseline scores on the CAPS (M= 35.33, SD= 11.74), PCL-5-Veteran (M = 46.57, SD=13.10), PCL-5-Partner (M = 56.35, SD = 17.17), Couples Satisfaction Inventory-Veteran (M = 94.5, SD=43.24) and CSI-Partner (M = 81.00, SD = 21.54) suggest high PTSD severity and low relationship satisfaction among both partners. When compared to their intimate partners, Veterans report significantly lower psychological functioning (t= 2.54; p = 0.01). Recruitment efforts are underway to enroll 3 more pilot cases. Pre-treatment and post-treatment data for the 10 pilot cases will be presented using a case case-series design to examine clinical outcomes. Lessons learned thus far, include (1) developing a protocol for safety and interpersonal violence when the couple is located in the home and the provider is located in the clinic, (2) creating flexible afterhours session to accommodate family members involvement (3) creating solutions for technological difficulties during home-based family sessions, and (4) modifying treatment length to optimize therapy completion and clinical benefit.
VA San Diego Healthcare System
Friday, November 17
12:00 PM – 1:30 PM
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