Intensive outpatient treatment for PTSD: an open trial combining prolonged exposure therapy, EMDR, and physical activity. Issue 2 (19th December 2022)

• Record Type: Journal Article
• Authors: Auren, Trude Julie Brynhildsvoll; Klæth, Julie Rendum; Jensen, Andreas Gjerde; Solem, Stian
• Is Part Of: European journal of psychotraumatology. Volume 13:Issue 2(2022)
• Publication Date: 2022-12-19
• Subjects: Brief -- concentrated -- EMDR -- exercise -- massed -- PE -- preferences -- PTSD -- trauma; Breve -- concentrado -- EMDR -- ejercicio -- masivo -- EP -- preferencias -- TEPT -- trauma; 简短 -- 集中 -- EMDR -- 运动 -- 集中 -- PE -- 偏好 -- PTSD -- 创伤; Post-traumatic stress disorder -- Periodicals; Stress Disorders, Post-Traumatic; Post-traumatic stress disorder; Electronic journals; Periodicals; Periodicals; Fulltext; Internet Resources; Periodicals; 616.8521
• DOI: 10.1080/20008066.2022.2128048
• Languages: English
• ISSNs: 2000-8198

Abstract

ABSTRACT: Background: Intensive outpatient treatment could be a promising option for patients with post-traumatic stress disorder (PTSD). Objective: The aim of the study was to test the effectiveness of an eight-day (two-week) intensive treatment for PTSD within a public health care setting (open trial design). Method: Eighty-nine patients were offered the choice between intensive treatment and spaced individual treatment, of which 34 (38.2%) chose the intensive format. Patients were assessed with self-report batteries and interviews at pre-treatment, start of treatment, post-treatment and three-month follow-up. Each day consisted of individual Prolonged Exposure therapy, Eye Movement Desensitization and Reprocessing therapy, group psychoeducation, and physical activity. Therapists rotated between patients. Results: Between 55 and 62% of the patients showed a clinically significant change (recovery) in symptoms of PTSD, and the effect sizes were large ( d = 1.38–1.52). Patients also showed reduction in symptoms of depression and anxiety, along with improved well-being and interpersonal functioning. Changes in social and work functioning were more ambiguous. There were no dropouts, attendance was high, and patients were highly satisfied with the treatment. Conclusions: The intensive programme was an attractive and effective treatment option for patients with PTSD. HIGHLIGHTS: More than a third of the patients referred to our clinic chose intensive over spaced treatment. Patients reported significant reductions in symptoms of PTSD, depression, and anxiety. None of the patients dropped out of treatment, and they reported high treatment satisfaction.