Associations between residual hyperarousal and insomnia symptoms in veterans following a 2‐week intensive outpatient program for posttraumatic stress disorder

2021 ◽  
Author(s):  
Kaloyan S. Tanev ◽  
Elyse A. Lynch ◽  
Allyson M. Blackburn ◽  
Douglas Terry ◽  
Elizabeth M. Goetter ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Outpatient Program ◽  
Intensive Outpatient Program ◽  
Intensive Outpatient ◽  
Insomnia Symptoms

An Intensive Outpatient Program for Veterans With Posttraumatic Stress Disorder and Traumatic Brain Injury

2019 ◽  
Vol 26 (2) ◽  
pp. 323-334 ◽  
Author(s):  
Margaret M. Harvey ◽  
Timothy J. Petersen ◽  
Julia C. Sager ◽  
Nita J. Makhija-Graham ◽  
Edward C. Wright ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Posttraumatic Stress Disorder ◽  
Brain Injury ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Outpatient Program ◽  
Intensive Outpatient Program ◽  
Intensive Outpatient

Prolonged Exposure for PTSD in Intensive Outpatient Programs (PE-IOP)

2020 ◽  
Author(s):  
Sheila A.M. Rauch ◽  
Barbara Olasov Rothbaum ◽  
Erin R. Smith ◽  
Edna B. Foa
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Patient Population ◽  
Stress Disorder ◽  
Prolonged Exposure ◽  
Traumatic Experiences ◽  
Model Of Care ◽  
Intrusive Memories ◽  
Outpatient Program ◽  
Intensive Outpatient

Trauma can leave a lasting impact on survivors. Some survivors are haunted by intrusive memories; avoid people, places, and situations related to the trauma; and feel constantly on edge due to posttraumatic stress disorder (PTSD) and related posttrauma reactions. Effective treatment can help survivors suffering with PTSD to process the trauma and no longer feel haunted by traumatic experiences from their past. Prolonged exposure (PE) therapy is a highly effective, flexible, individualized psychotherapy that reduces the symptoms of PTSD. PE is the most widely studied treatment for PTSD, with more than 100 studies showing its efficacy and effectiveness in PTSD and comorbid patient populations affected by single-incident and multiple-incident traumas of all types (e.g., combat, sexual assault, etc.). This manual presents a PE protocol for use in residential and massed programs to provide an innovative new model of care that provides excellent retention and transformational symptom outcomes. Providers are presented with the elements of the PE protocol along with all the logistics for how to provide PE in an intensive outpatient program. Variations and considerations for implementation are presented to allow providers designing programs to consider what best fits their patient population and setting. Patient and provider forms are included for use.

Posttraumatic Stress Disorder Risk and Benzodiazepine Dependence in Older Veterans with Insomnia Symptoms

2021 ◽  
pp. 1-5
Author(s):  
Luis Gutierrez ◽  
Sara Ghadimi ◽  
Alexandra Krall ◽  
Emma Hampson ◽  
Austin M. Grinberg ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Benzodiazepine Dependence ◽  
Insomnia Symptoms ◽  
Disorder Risk

Posttraumatic Stress Disorder Treatment in Intensive Outpatient (IOP) Format

2020 ◽  
pp. 11-14
Author(s):  
Sheila A. M. Rauch ◽  
Barbara O. Rothbaum ◽  
Erin R. Smith ◽  
Edna B. Foa
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Prolonged Exposure ◽  
Barriers To Care ◽  
Outpatient Psychotherapy ◽  
Disorder Treatment ◽  
Intensive Outpatient ◽  
Outpatient Programs

This chapter presents the rationale for why Prolonged Exposure for Intensive Outpatient Programs (PE-IOP) was created through an examination of some of the barriers to care that may appear in traditional outpatient psychotherapy for posttraumatic stress disorder (PTSD). Evidence for efficacy and effectiveness of PE-IOP for PTSD and related issues across patient populations is summarized, including those areas still in need of examination.

Peer support in an outpatient program for veterans with posttraumatic stress disorder: Translating participant experiences into a recovery model.

2019 ◽  
Vol 16 (3) ◽  
pp. 415-424 ◽  
Author(s):  
Anusha Kumar ◽  
Kathryn J. Azevedo ◽  
Adam Factor ◽  
Elon Hailu ◽  
Jeremy Ramirez ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Peer Support ◽  
Stress Disorder ◽  
Recovery Model ◽  
Outpatient Program

scholarly journals Molecular genetic overlap between posttraumatic stress disorder and sleep phenotypes

SLEEP ◽  
2019 ◽  
Vol 43 (4) ◽  
Author(s):  
Mackenzie J Lind ◽  
Leslie A Brick ◽  
Philip R Gehrman ◽  
Laramie E Duncan ◽  
Bizu Gelaye ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Sleep Duration ◽  
Daytime Sleepiness ◽  
Genome Wide Association Study ◽  
Stress Disorder ◽  
Sleep Problems ◽  
Genetic Correlations ◽  
Genetic Overlap ◽  
Insomnia Symptoms

Abstract Study Objectives Sleep problems are common, serving as both a predictor and symptom of posttraumatic stress disorder (PTSD), with these bidirectional relationships well established in the literature. While both sleep phenotypes and PTSD are moderately heritable, there has been a paucity of investigation into potential genetic overlap between sleep and PTSD. Here, we estimate genetic correlations between multiple sleep phenotypes (including insomnia symptoms, sleep duration, daytime sleepiness, and chronotype) and PTSD, using results from the largest genome-wide association study (GWAS) to date of PTSD, as well as publicly available GWAS results for sleep phenotypes within UK Biobank data (23 variations, encompassing four main phenotypes). Methods Genetic correlations were estimated utilizing linkage disequilibrium score regression (LDSC), an approach that uses GWAS summary statistics to compute genetic correlations across traits, and Mendelian randomization (MR) analyses were conducted to follow up on significant correlations. Results Significant, moderate genetic correlations were found between insomnia symptoms (rg range 0.36–0.49), oversleeping (rg range 0.32–0.44), undersleeping (rg range 0.48–0.49), and PTSD. In contrast, there were mixed results for continuous sleep duration and daytime sleepiness phenotypes, and chronotype was not correlated with PTSD. MR analyses did not provide evidence for casual effects of sleep phenotypes on PTSD. Conclusion Sleep phenotypes, particularly insomnia symptoms and extremes of sleep duration, have shared genetic etiology with PTSD, but causal relationships were not identified. This highlights the importance of further investigation into the overlapping influences on these phenotypes as sample sizes increase and new methods to investigate directionality and causality become available.

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