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Cited by 303Posttraumatic Stress Disorder ResearchPsychotherapy Techniques and ApplicationsPsychoanalysis and Psychopathology Research

The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.

Effect of Cognitive-Behavioral Couple Therapy for PTSD: A Randomized Controlled Trial

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Monson, Candice M., Fredman, Steffany J., Macdonald, Alexandra, Pukay-Martin, Nicole D., Resick, Patricia A., Schnurr, Paula P.·2012·JAMA
DOI 10.1001/jama.2012.9307PMC PMC4404628
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Abstract

CONTEXT: Posttraumatic stress disorder (PTSD) is a prevalent condition associated with intimate relationship problems, and intimate relationship factors have been shown to affect individual PTSD treatment outcomes. OBJECTIVE: To compare cognitive-behavioral conjoint therapy for PTSD (a manualized couple therapy delivered to patients with PTSD and their significant others to simultaneously treat PTSD symptoms and enhance relationship satisfaction) with a wait-list condition. DESIGN, SETTING, AND PARTICIPANTS: Randomized controlled trial of heterosexual and same-sex couples (n = 40 couples; n = 80 individuals) in which one partner met criteria for PTSD according to the Clinician-Administered PTSD Scale, conducted from 2008 to 2012 in a Department of Veterans Affairs outpatient hospital setting in Boston, Massachusetts, and a university-based research center in Toronto, Ontario, Canada. Symptoms of PTSD, comorbid conditions, and relationship satisfaction were collected by blinded assessors at baseline, at mid treatment (median, 8.00 weeks [range, 1.71-20.43 weeks] after baseline), and at posttreatment (median, 15.86 weeks [range, 7.14-38.57 weeks] after baseline). An uncontrolled 3-month follow-up (median, 38.21 weeks [range, 28.43-50.57 weeks] after baseline) was also completed. INTERVENTION: Couples were randomly assigned to take part in the 15-session cognitive-behavioral conjoint therapy for PTSD protocol immediately (n = 20) or were placed on a wait list for the therapy (n = 20). MAIN OUTCOME MEASURES: Clinician-rated PTSD symptom severity was the primary outcome and was assessed with the Clinician-Administered PTSD Scale. Intimate relationship satisfaction, assessed with the Dyadic Adjustment Scale, patient- and partner-rated PTSD symptoms, and comorbid symptoms were secondary outcomes. RESULTS: PTSD symptom severity (score range, 0-136) was significantly more improved in the couple therapy condition than in the wait-list condition (mean change difference, -23.21; 95% CI, -37.87 to -8.55). Similarly, patients' intimate relationship satisfaction (score range, 0-151) was significantly more improved in couple therapy than in the wait-list condition (mean change difference, 9.43; 95% CI, 0.04-18.83). The time × condition interaction effect in the multilevel model predicting PTSD symptoms (t37.5 = -3.09; P = .004) and patient-reported relationship satisfaction (t68.5 = 2.00; P = .049) revealed superiority of the couple therapy compared with the wait list. Treatment effects were maintained at 3-month follow-up. CONCLUSION: Among couples in which one partner was diagnosed as having PTSD, a disorder-specific couple therapy, compared with a wait list for the therapy, resulted in decreased PTSD symptom severity and patient comorbid symptom severity and increased patient relationship satisfaction. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00669981.

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  1. [16]First MB Spitzer RL Gibbon M Williams JB Structured Clinical Interview for DSM-IV Axis I Disorders, Research Version, Patient Edition (SCID-I/P) New York Biometrics Research Dept, New York State Psychiatric Institute 2002
  2. [18]Weathers FW Litz BT Herman JA Huska JA Keane TM The PTSD Checklist: reliability, validity and diagnostic utility Proceedings of the 9th Annual Conference of the International Society for Traumatic Stress Studies (ISTSS) San Antonio, TX ISTSS 1993
  3. [26]Hedges LV Olkin I Statistical Methods for Meta-analysis London, England Academic Press 1985

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Metadata

Authors
Monson, C. M., Fredman, S. J., Macdonald, A., Pukay-Martin, N. D., Resick, P. A., & Schnurr, P. P.
Affiliations
  • Toronto Metropolitan University (CA)
  • Boston University (US)
Corresponding author
Monson, Candice M.
ORCID
Venue
JAMA
Publisher
American Medical Association (AMA)
Published
2012-08-15
Volume
308
Issue
7
Pages
700
ISSN
  • 0002-9955 (ISSN-L)
  • 0098-7484
DOI
10.1001/jama.2012.9307
PMC
PMC4404628
OpenAlex
W1976692440
Cited by
303
References
27
Citations by year
2026: 5 · 2025: 12 · 2024: 24 · 2023: 18 · 2022: 13 · 2021: 26 · 2020: 26 · 2019: 29 · 2018: 25 · 2017: 25 · 2016: 29 · 2015: 31 · 2014: 17 · 2013: 15 · 2012: 8
FWCI
25.82
Type
journal article
Language
en
Open access
Locations
  • JAMA (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • JAMA
Funders
National Institute of Mental Health (R34MH076813)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
post-traumatic stress disorder, couple therapy, cognitive behavioral therapy, conjoint therapy, relationship satisfaction, PTSD comorbidity, veterans, same-sex couples, PTSD symptom severity, partner involvement in treatment, Dyadic Adjustment Scale, Clinician-Administered PTSD Scale, waitlist control, treatment outcome follow-up
MeSH terms
Adult, Female, Humans, Interpersonal Relations, Male, Middle Aged, Outpatients, Severity of Illness Index, Stress Disorders, Post-Traumatic, Waiting Lists, Cognitive Behavioral Therapy, Treatment Outcome, Couples Therapy

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