Category: PTSD

Symposium

Symposium 128 - Factors Influencing Engagement With Evidence-Based Psychotherapies for PTSD in Diverse Patient Populations

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

Keywords: PTSD (Posttraumatic Stress Disorder) | Evidence-Based Practice | Psychotherapy Process
Presentation Type: Symposium

The effectiveness of evidence-based psychotherapies (EBPs) may be limited if patients fail to engage in or complete treatment.  Trauma-focused treatments may be at particular risk for high dropout rates (Imel, Laska, Jakcupcak, & Simpson, 2013). There is some literature examining predictors of PTSD treatment dropout, primarily in veteran samples, but the results are equivocal.  Variables such as age and pretreatment symptom levels have been associated with treatment dropout in some studies (e.g. Garcia et al., 2011; Kehle-Forbes et al., 2016), but are unrelated in others (e.g., van Minnen & Hagenaars, 2002). Patient and therapist process factors such as treatment expectancy, therapeutic alliance, and homework completion have not been extensively examined with regard to treatment engagement.  This symposium will examine factors related to patient engagement and/or premature treatment termination in either Cognitive Processing Therapy (CPT) or Prolonged Exposure (PE) in diverse samples of active duty military, veterans, and civilians. Dr. Smidt will present program evaluation data from a VA clinic describing components of the intake process that resulted in increased patient engagement with trauma focused EBPs. Dr. Kehle-Forbes will present qualitative data from VA providers regarding their perceptions of patient dropout from CPT and PE. Dr. Glassman will present data on the relationship between aspects of therapy engagement and PE treatment outcomes in a group of older male veterans (age > 60 years) with combat-related PTSD. Dr. Galovski will discuss the effect of patient and therapist process variables on CPT treatment outcomes in community survivors of interpersonal violence. Dr. Wachen will present data on factors predicting dropout from CPT in an active duty military sample.  These findings will contribute to the understanding of factors that promote engagement in EBPs in diverse clinical contexts. Implications for providers will be addressed.

Learning Objectives:

Jennifer S. Wachen

National Center for PTSD, VA Boston Healthcare System; Boston University School of Medicine

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Barbara L. Niles

Staff Research Psychologist
National Center for PTSD, Behavioral Division at VA Boston Healthcare System and Boston University School of Medicine

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    Patricia A. Resick

    Professor in Psychiatry and Behavioral Sciences
    Duke University School of Medicine

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    Katharine Smidt

    Graduate Psychologist
    National Center for PTSD, Behavioral Sciences Division at VA Boston Healthcare System

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    Shannon Kehle-Forbes

    Women’s Health Sciences Division, National Center for PTSD, Minneapolis VA Healthcare System

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    Lisa H. Glassman

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

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    Tara Galovski

    Director
    National Center for PTSD, VA Boston Healthcare System; Boston University School of Medicine

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    Jennifer S. Wachen

    National Center for PTSD, VA Boston Healthcare System; Boston University School of Medicine

    Presentation(s):

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