A preliminary evaluation of the effectiveness of massed delivery of PTSD psychotherapy in VA residential treatment

IF 3.7 2区医学 Q1 PSYCHIATRY

General hospital psychiatry Pub Date : 2025-10-10 DOI:10.1016/j.genhosppsych.2025.10.004

Ryan Holliday , Nicholas Holder , Cynthia Yamokoski , Jennifer Burden , Lauren M. Sippel , Ilan Harpaz-Rotem , Noelle B. Smith

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引用次数: 0

Abstract

Objective

“Massed” (≥ 3 times a week) delivery of psychotherapy for posttraumatic stress disorder (PTSD) has emerged as an alternative to traditional “spaced” (weekly/bi-weekly) delivery. Massed delivery has been shown to be non-inferior to spaced delivery, with higher rates of treatment completion. This pilot project evaluated the effectiveness of massed delivery in Department of Veterans Affairs (VA) PTSD Residential Rehabilitation Treatment Programs (RRTPs).

Method

A massed treatment program called Models of Accelerated Service Delivery (MASD) was piloted in six RRTPs. Data from Veterans who received either MASD or non-MASD delivery at a pilot site between 10/2022–09/2023 were included in this evaluation (n = 466). Veterans received PTSD symptom assessment at admission, discharge, and 1-year post-discharge. A hierarchical linear modeling (HLM) approach was used to evaluate trajectories of PTSD symptom change between delivery approaches.

Results

Veterans who received MASD delivery of PTSD psychotherapy had significantly shorter lengths of stay as well as higher rates of treatment completion. Veterans participating in RRTP treatment experienced symptom attenuation, with no observed differences in the trajectory of symptom change between delivery approaches.

Conclusions

This pilot project provides preliminary support for the MASD program in residential treatment. Further research is needed to understand how treatment decisions are made by clinicians and Veterans.

查看原文本刊更多论文

在退伍军人住院治疗中大规模提供创伤后应激障碍心理治疗效果的初步评估。

目的：“大规模”（每周≥3次）心理治疗创伤后应激障碍（PTSD）已成为传统“间隔”（每周一次/两周一次）治疗的替代方案。大规模分娩已被证明不比间隔分娩差，治疗完成率更高。该试点项目评估了退伍军人事务部（VA）创伤后应激障碍住院康复治疗项目（RRTPs）大规模交付的有效性。方法：在六个rrtp试点了一个称为加速服务交付模型（MASD）的大规模治疗方案。在2022年10月至2023年9月期间，在试验点接受MASD或非MASD分娩的退伍军人的数据被纳入该评估（n = 466）。退伍军人在入院、出院和出院后1年接受PTSD症状评估。采用层次线性模型（HLM）方法评估不同分娩方式之间PTSD症状变化的轨迹。结果：接受创伤后应激障碍心理治疗的退伍军人的住院时间明显缩短，治疗完成率也较高。参与RRTP治疗的退伍军人症状有所减轻，两种递送方式的症状变化轨迹无明显差异。结论：该试点项目为MASD项目在住院治疗中的应用提供了初步支持。需要进一步的研究来了解临床医生和退伍军人是如何做出治疗决定的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

General hospital psychiatry 医学-精神病学

CiteScore

9.60

自引率

2.90%

发文量

125

审稿时长

20 days

期刊介绍： General Hospital Psychiatry explores the many linkages among psychiatry, medicine, and primary care. In emphasizing a biopsychosocial approach to illness and health, the journal provides a forum for professionals with clinical, academic, and research interests in psychiatry''s role in the mainstream of medicine.