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Depression and PTSD Symptom Severity...

Felleman, Benjamin I.

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Depression and PTSD Symptom Severity Among Veterans Participating in Mindfulness Based Stress Reduction: Response Trajectories and Implications for Treatment Matching.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Depression and PTSD Symptom Severity Among Veterans Participating in Mindfulness Based Stress Reduction: Response Trajectories and Implications for Treatment Matching./
Author:	Felleman, Benjamin I.
Description:	92 p.
Notes:	Source: Dissertation Abstracts International, Volume: 76-06(E), Section: B.
Contained By:	Dissertation Abstracts International76-06B(E).
Subject:	Clinical psychology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3680005
ISBN:	9781321517637

Depression and PTSD Symptom Severity Among Veterans Participating in Mindfulness Based Stress Reduction: Response Trajectories and Implications for Treatment Matching.
Felleman, Benjamin I.

Depression and PTSD Symptom Severity Among Veterans Participating in Mindfulness Based Stress Reduction: Response Trajectories and Implications for Treatment Matching. - 92 p.

Source: Dissertation Abstracts International, Volume: 76-06(E), Section: B.

Thesis (Ph.D.)--Seattle Pacific University, 2015.

This item must not be sold to any third party vendors.

Post-traumatic stress disorder is a common and debilitating mental health disorder among veteran populations. While evidenced-based PTSD psychotherapies exist, many veterans prefer Complementary and Alternative Medicine (CAM) approaches for alleviating suffering and improving quality of life. This study investigated the effects of one CAM intervention, Mindfulness-based Stress Reduction (MBSR), on PTSD and Depression symptoms. A specific focus was on the identification of pre-treatment predictors of PTSD and depression trajectories. The sample consisted of 116 veterans who had participated in one of three clinical trials of MBSR conducted at the VA Puget Sound Healthcare System. The mean age was 52.3 years and 75.9% were male. All veterans had chart diagnoses of PTSD and 61.2% had co-occurring depression diagnoses. MBSR was associated with significant reductions in PTSD and depression symptoms immediately post-treatment and at 4-months post treatment. Effect sizes were in the medium range for PTSD post-treatment (d = -.63) and at follow-up (d = -.69) and for depression post-treatment (d = -.58) and at follow-up (d = -.70). Multilevel modeling indicated that Baseline PTSD was a statistically significant predictor of slope (beta = .03, p = .038, R2 = .327) on PCL outcomes. Veterans with the highest levels of PTSD had the greatest rate of reduction in symptoms. The same pattern of treatment response was evident for depression outcomes (beta = .04, p < .001, R2 = .381), with those in the severe and moderately severe depression range exhibiting the greatest rate of improvement. Gender was also a significant predictor of PTSD treatment response post-treatment beta = -.43, p =.012, R2 = .065. Women improved more than men post-treatment, but gender differences were no longer significant at follow-up. These findings support the use of MBSR as an effective treatment for PTSD and co-occurring depression symptoms among veterans. The observed predictors of treatment response can be used to inform VA and other healthcare providers in the delivery of personalized, evidenced-based care. Future research should compare MBSR to gold-standard PTSD treatments to further evaluate the relative efficacy of MBSR for PTSD and depression.

ISBN: 9781321517637Subjects--Topical Terms:

524863
Clinical psychology.

Depression and PTSD Symptom Severity Among Veterans Participating in Mindfulness Based Stress Reduction: Response Trajectories and Implications for Treatment Matching.
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500 $a Source: Dissertation Abstracts International, Volume: 76-06(E), Section: B.
500 $a Adviser: David G. Stewart.
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506 $a This item must not be sold to any third party vendors.
520 $a Post-traumatic stress disorder is a common and debilitating mental health disorder among veteran populations. While evidenced-based PTSD psychotherapies exist, many veterans prefer Complementary and Alternative Medicine (CAM) approaches for alleviating suffering and improving quality of life. This study investigated the effects of one CAM intervention, Mindfulness-based Stress Reduction (MBSR), on PTSD and Depression symptoms. A specific focus was on the identification of pre-treatment predictors of PTSD and depression trajectories. The sample consisted of 116 veterans who had participated in one of three clinical trials of MBSR conducted at the VA Puget Sound Healthcare System. The mean age was 52.3 years and 75.9% were male. All veterans had chart diagnoses of PTSD and 61.2% had co-occurring depression diagnoses. MBSR was associated with significant reductions in PTSD and depression symptoms immediately post-treatment and at 4-months post treatment. Effect sizes were in the medium range for PTSD post-treatment (d = -.63) and at follow-up (d = -.69) and for depression post-treatment (d = -.58) and at follow-up (d = -.70). Multilevel modeling indicated that Baseline PTSD was a statistically significant predictor of slope (beta = .03, p = .038, R2 = .327) on PCL outcomes. Veterans with the highest levels of PTSD had the greatest rate of reduction in symptoms. The same pattern of treatment response was evident for depression outcomes (beta = .04, p < .001, R2 = .381), with those in the severe and moderately severe depression range exhibiting the greatest rate of improvement. Gender was also a significant predictor of PTSD treatment response post-treatment beta = -.43, p =.012, R2 = .065. Women improved more than men post-treatment, but gender differences were no longer significant at follow-up. These findings support the use of MBSR as an effective treatment for PTSD and co-occurring depression symptoms among veterans. The observed predictors of treatment response can be used to inform VA and other healthcare providers in the delivery of personalized, evidenced-based care. Future research should compare MBSR to gold-standard PTSD treatments to further evaluate the relative efficacy of MBSR for PTSD and depression.
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