12-month follow-up of intensive outpatient treatment for PTSD combining prolonged exposure therapy, EMDR and physical activity
Abstract Background Preliminary evidence shows promising treatment outcomes at short-term follow-up for intensive posttraumatic stress disorder (PTSD) treatment, but long-term follow-up studies are sparse. This study is a sequel to a previous pilot study and open trial, set out to investigate treatm...
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12888-024-05656-9 |
| _version_ | 1797233399130226688 |
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| author | Julie Rendum Klaeth Andreas Gjerde Jensen Trude Julie Brynhildsvoll Auren Stian Solem |
| author_facet | Julie Rendum Klaeth Andreas Gjerde Jensen Trude Julie Brynhildsvoll Auren Stian Solem |
| author_sort | Julie Rendum Klaeth |
| collection | DOAJ |
| description | Abstract Background Preliminary evidence shows promising treatment outcomes at short-term follow-up for intensive posttraumatic stress disorder (PTSD) treatment, but long-term follow-up studies are sparse. This study is a sequel to a previous pilot study and open trial, set out to investigate treatment outcomes at 12-month follow-up for outpatients completing an 8-day intensive treatment for PTSD. Methods All patients were diagnosed with PTSD and had multiple previous psychotherapy attempts (M = 3.1). Patients were assessed at pre-treatment, post-treatment, 3- and 12-month follow-up. Of 35 treated patients, 32 (91.4%) attended the long-term follow-up assessment. The treatment programme combined prolonged exposure therapy, eye movement desensitization and reprocessing, and physical activity. Results The effect sizes indicated large reductions in symptoms of PTSD, depression, anxiety, interpersonal problems, and well-being. Changes in functioning showed a small-medium effect. Results were stable across the follow-up period. The treatment response rates showed that 46–60% of patients achieved recovery with respect to PTSD symptoms, and that 44–48% no longer met diagnostic criteria for PTSD. Conclusions Time-limited and concentrated outpatient treatment for PTSD can yield large and enduring positive outcomes. Controlled trials are needed to establish relative efficacy. Trial registration The study was registered in Current Research Information System In Norway (Cristin). Cristin-project-ID: 654,790. Date of registration: 18.03.2019. |
| first_indexed | 2024-04-24T16:15:33Z |
| format | Article |
| id | doaj.art-7b36cd4f2037401994c06785807df370 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-04-24T16:15:33Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-7b36cd4f2037401994c06785807df3702024-03-31T11:28:24ZengBMCBMC Psychiatry1471-244X2024-03-012411710.1186/s12888-024-05656-912-month follow-up of intensive outpatient treatment for PTSD combining prolonged exposure therapy, EMDR and physical activityJulie Rendum Klaeth0Andreas Gjerde Jensen1Trude Julie Brynhildsvoll Auren2Stian Solem3Regional Unit for Treatment of Severe Posttraumatic Stress Disorder, Nidaros DPS, St. Olavs HospitalRegional Unit for Treatment of Severe Posttraumatic Stress Disorder, Nidaros DPS, St. Olavs HospitalRegional Unit for Treatment of Severe Posttraumatic Stress Disorder, Nidaros DPS, St. Olavs HospitalDepartment of Psychology, Norwegian University of Science and TechnologyAbstract Background Preliminary evidence shows promising treatment outcomes at short-term follow-up for intensive posttraumatic stress disorder (PTSD) treatment, but long-term follow-up studies are sparse. This study is a sequel to a previous pilot study and open trial, set out to investigate treatment outcomes at 12-month follow-up for outpatients completing an 8-day intensive treatment for PTSD. Methods All patients were diagnosed with PTSD and had multiple previous psychotherapy attempts (M = 3.1). Patients were assessed at pre-treatment, post-treatment, 3- and 12-month follow-up. Of 35 treated patients, 32 (91.4%) attended the long-term follow-up assessment. The treatment programme combined prolonged exposure therapy, eye movement desensitization and reprocessing, and physical activity. Results The effect sizes indicated large reductions in symptoms of PTSD, depression, anxiety, interpersonal problems, and well-being. Changes in functioning showed a small-medium effect. Results were stable across the follow-up period. The treatment response rates showed that 46–60% of patients achieved recovery with respect to PTSD symptoms, and that 44–48% no longer met diagnostic criteria for PTSD. Conclusions Time-limited and concentrated outpatient treatment for PTSD can yield large and enduring positive outcomes. Controlled trials are needed to establish relative efficacy. Trial registration The study was registered in Current Research Information System In Norway (Cristin). Cristin-project-ID: 654,790. Date of registration: 18.03.2019.https://doi.org/10.1186/s12888-024-05656-9BriefConcentratedEMDRIntensiveLong-term follow-upMassed |
| spellingShingle | Julie Rendum Klaeth Andreas Gjerde Jensen Trude Julie Brynhildsvoll Auren Stian Solem 12-month follow-up of intensive outpatient treatment for PTSD combining prolonged exposure therapy, EMDR and physical activity BMC Psychiatry Brief Concentrated EMDR Intensive Long-term follow-up Massed |
| title | 12-month follow-up of intensive outpatient treatment for PTSD combining prolonged exposure therapy, EMDR and physical activity |
| title_full | 12-month follow-up of intensive outpatient treatment for PTSD combining prolonged exposure therapy, EMDR and physical activity |
| title_fullStr | 12-month follow-up of intensive outpatient treatment for PTSD combining prolonged exposure therapy, EMDR and physical activity |
| title_full_unstemmed | 12-month follow-up of intensive outpatient treatment for PTSD combining prolonged exposure therapy, EMDR and physical activity |
| title_short | 12-month follow-up of intensive outpatient treatment for PTSD combining prolonged exposure therapy, EMDR and physical activity |
| title_sort | 12 month follow up of intensive outpatient treatment for ptsd combining prolonged exposure therapy emdr and physical activity |
| topic | Brief Concentrated EMDR Intensive Long-term follow-up Massed |
| url | https://doi.org/10.1186/s12888-024-05656-9 |
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