An uncontrolled trial of a present-focused cognitive-behavioral conjoint therapy for posttraumatic stress disorder

J Clin Psychol. 2015 Apr;71(4):302-12. doi: 10.1002/jclp.22166. Epub 2015 Feb 24.

Abstract

Objective: The efficacy of a present-focused version of cognitive-behavioral conjoint therapy for posttraumatic stress disorder (CBCT for PTSD) was examined in a community sample.

Method: Seven couples completed pretreatment assessments, including measures of clinician-, self- and partner-rated PTSD symptoms and relationship satisfaction. Six couples completed present-focused CBCT for PTSD and all posttreatment assessments. A seventh couple terminated their relationship prior to completing treatment; therefore, they completed posttreatment symptom measures, but not ratings of relationship satisfaction.

Results: Results revealed significant decreases in PTSD symptoms that were associated with medium-to-large effect sizes. Medium effect sizes for changes in relationship satisfaction were found, though were only significant for partners.

Conclusion: Results from this pilot study suggest that present-focused CBCT for PTSD may be a promising alternative for individuals who are unwilling to engage in a trauma-focused treatment.

Keywords: cognitive-behavioral conjoint therapy; couple therapy; intervention for PTSD; posttraumatic stress disorder.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cognitive Behavioral Therapy / methods*
  • Couples Therapy / methods*
  • Female
  • Humans
  • Interpersonal Relations
  • Male
  • Middle Aged
  • Pilot Projects
  • Psychiatric Status Rating Scales
  • Self Report
  • Severity of Illness Index
  • Spouses / psychology*
  • Spouses / statistics & numerical data
  • Stress Disorders, Post-Traumatic / diagnosis
  • Stress Disorders, Post-Traumatic / psychology*
  • Stress Disorders, Post-Traumatic / therapy*
  • Treatment Outcome
  • Young Adult