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Treatment of Post Traumatic Stress Disorder Symptoms in Emotionally Distressed Individuals

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Treatment of Post Traumatic Stress Disorder Symptoms in Emotionally Distressed Individuals

Auteurs : John Kasckow [États-Unis] ; Jennifer Morse [États-Unis] ; Amy Begley [États-Unis] ; Stewart Anderson ; Salem Bensasi [États-Unis] ; Stephen Thomas [États-Unis] ; Sandra C. Quinn [États-Unis] ; Charles F. Reynolds [États-Unis]

Source :

Psychiatry research [ 0165-1781 ] ; 2014.

RBID : PMC:4253016

Descripteurs français

English descriptors

KwdEn :
- Affective Symptoms (diagnosis), Affective Symptoms (diet therapy), Affective Symptoms (psychology), African Americans (psychology), Aged, Depressive Disorder (diagnosis), Depressive Disorder (diet therapy), Depressive Disorder (psychology), Female, Humans, Male, Middle Aged, Patient Education as Topic (methods), Primary Health Care (methods), Problem Solving, Psychiatric Status Rating Scales, Psychotherapy (methods), Stress Disorders, Post-Traumatic (diagnosis), Stress Disorders, Post-Traumatic (diet therapy), Stress Disorders, Post-Traumatic (psychology), Treatment Outcome.
MESH :
- diagnosis : Affective Symptoms, Depressive Disorder, Stress Disorders, Post-Traumatic.
- diet therapy : Affective Symptoms, Depressive Disorder, Stress Disorders, Post-Traumatic.
- methods : Patient Education as Topic, Primary Health Care, Psychotherapy.
- psychology : Affective Symptoms, African Americans, Depressive Disorder, Stress Disorders, Post-Traumatic.
- Aged, Female, Humans, Male, Middle Aged, Problem Solving, Psychiatric Status Rating Scales, Treatment Outcome.

Abstract

Older individuals with emotional distress and a history of psychologic trauma are at risk for post traumatic stress disorder (PTSD) and major depression. This study was an exploratory, secondary analysis of data from the study “Prevention of Depression in Older African Americans”. It examined whether Problem Solving Therapy - Primary Care (PST-PC) would lead to improvement in PTSD symptoms in patients with subsyndromal depression and a history of psychologic trauma. The control condition was dietary education (DIET). Participants (n = 60) were age 50 or older with scores on the Center for Epidemiologic Studies -Depression scale of 11 or greater and history of psychologic trauma. Exclusions stipulated no major depression and substance dependence within a year. Participants were randomized to 6–8 sessions of either PST-PC or DIET and followed 2 years with booster sessions every 6 months; 29 participants were in the PST-PC group and 31 were in the DIET group. Mixed effects models showed that improvement of PTSD Check List scores was significantly greater in the DIET group over two years than in the PST-PC group (based on a group*time interaction). We observed no intervention*time interactions in Beck Depression Inventory or Brief Symptom Inventory-Anxiety subscale scores.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4253016

DOI: 10.1016/j.psychres.2014.06.043
PubMed: 25107318
PubMed Central: 4253016

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Stewart Anderson

<affiliation><nlm:aff id="A3">University of Pittsburgh Graduate School of Public Health, 130 DeSoto St, Pittsburgh, PA15261</nlm:aff>
<wicri:noCountry code="subfield">PA15261</wicri:noCountry>
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<author><name sortKey="Bensasi, Salem" sort="Bensasi, Salem" uniqKey="Bensasi S" first="Salem" last="Bensasi">Salem Bensasi</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Affective Symptoms (diagnosis)</term>
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<term>Humains</term>
<term>Mâle</term>
<term>Psychothérapie ()</term>
<term>Résolution de problème</term>
<term>Résultat thérapeutique</term>
<term>Soins de santé primaires ()</term>
<term>Sujet âgé</term>
<term>Symptômes affectifs (diagnostic)</term>
<term>Symptômes affectifs (diétothérapie)</term>
<term>Symptômes affectifs (psychologie)</term>
<term>Trouble dépressif (diagnostic)</term>
<term>Trouble dépressif (diétothérapie)</term>
<term>Trouble dépressif (psychologie)</term>
<term>Troubles de stress post-traumatique (diagnostic)</term>
<term>Troubles de stress post-traumatique (diétothérapie)</term>
<term>Troubles de stress post-traumatique (psychologie)</term>
<term>Échelles d'évaluation en psychiatrie</term>
<term>Éducation du patient comme sujet ()</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Affective Symptoms</term>
<term>Depressive Disorder</term>
<term>Stress Disorders, Post-Traumatic</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Symptômes affectifs</term>
<term>Trouble dépressif</term>
<term>Troubles de stress post-traumatique</term>
</keywords>
<keywords scheme="MESH" qualifier="diet therapy" xml:lang="en"><term>Affective Symptoms</term>
<term>Depressive Disorder</term>
<term>Stress Disorders, Post-Traumatic</term>
</keywords>
<keywords scheme="MESH" qualifier="diétothérapie" xml:lang="fr"><term>Symptômes affectifs</term>
<term>Trouble dépressif</term>
<term>Troubles de stress post-traumatique</term>
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<term>Psychotherapy</term>
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<term>Trouble dépressif</term>
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<term>Stress Disorders, Post-Traumatic</term>
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<term>Humans</term>
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<term>Middle Aged</term>
<term>Problem Solving</term>
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<term>Treatment Outcome</term>
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<term>Résolution de problème</term>
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<front><div type="abstract" xml:lang="en"><p id="P1">Older individuals with emotional distress and a history of psychologic
trauma are at risk for post traumatic stress disorder (PTSD) and major
depression. This study was an exploratory, secondary analysis of data from the
study “Prevention of Depression in Older African Americans”. It
examined whether Problem Solving Therapy - Primary Care (PST-PC) would lead to
improvement in PTSD symptoms in patients with subsyndromal depression and a
history of psychologic trauma. The control condition was dietary education
(DIET). Participants (n = 60) were age 50 or older with scores on the
Center for Epidemiologic Studies -Depression scale of 11 or greater and history
of psychologic trauma. Exclusions stipulated no major depression and substance
dependence within a year. Participants were randomized to 6–8 sessions
of either PST-PC or DIET and followed 2 years with booster sessions every 6
months; 29 participants were in the PST-PC group and 31 were in the DIET group.
Mixed effects models showed that improvement of PTSD Check List scores was
significantly greater in the DIET group over two years than in the PST-PC group
(based on a group*time interaction). We observed no
intervention*time interactions in Beck Depression Inventory or Brief
Symptom Inventory-Anxiety subscale scores.</p>
</div>
</front>
</TEI>
</record>

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Treatment of Post Traumatic Stress Disorder Symptoms in Emotionally Distressed Individuals

Treatment of Post Traumatic Stress Disorder Symptoms in Emotionally Distressed Individuals

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Abstract

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