干旱区生态环境知识资源中心(Arid): Overcoming Adversity and Stress Injury Support (OASIS): Evaluation of Residential Treatment Outcomes for US Service Members with Posttraumatic Stress Disorder

Arid

DOI	10.1002/jts.22652
	Overcoming Adversity and Stress Injury Support (OASIS): Evaluation of Residential Treatment Outcomes for US Service Members with Posttraumatic Stress Disorder
	Walter, Kristen H.; Kohen, Casey B.; McCabe, Cameron T.; Watrous, Jessica R.; Campbell, Justin S.
通讯作者	Walter, KH (corresponding author), 140 Sylvester Rd, San Diego, CA 92106 USA.
来源期刊	JOURNAL OF TRAUMATIC STRESS
ISSN	0894-9867
EISSN	1573-6598
出版年	2021
卷号	34 期号:3 页码:551-562
英文摘要	Research on residential posttraumatic stress disorder (PTSD) treatment has predominantly focused on the U.S. veteran population, whereas limited research exists regarding active duty service members. The present study evaluated outcomes among service members who received treatment in the Department of Defense's only residential PTSD program, Overcoming Adversity and Stress Injury Support (OASIS). Over a 5-year period, 289 male service members with combat-related PTSD received treatment in the program. Service members completed an initial assessment and weekly PTSD and depression self-report measures during the 10-week program. Multilevel modeling results demonstrated statistically significant reductions in PTSD. On average, participants reported a 0.76-point reduction on the PTSD Checklist, B = -0.76, p < .001, for each additional week of treatment. Pretreatment symptom scores and fitness-for-duty status predicted PTSD symptoms across time. Weekly changes in depression symptoms were not statistically significant; however, a significant Time x Pretreatment Depression Severity interaction emerged. Service members with higher baseline levels of depression severity showed larger reductions in depression symptom severity than those with lower levels, B = -0.02, p = .020, although a sizeable minority continued to retain symptoms at diagnostic levels. Depression symptom change was not related to any other treatment- or service-related variables. Differing trajectories were found between service members whose symptoms improved over the course of residential treatment and those who did not. The results indicate that there were larger improvements in PTSD than depression symptoms and highlight the need to optimize care provision for service members with severe PTSD or comorbid symptoms.
类型	Article
语种	英语
开放获取类型	Other Gold, Green Published
收录类别	SSCI
WOS记录号	WOS:000612832800001
WOS类目	Psychology, Clinical ; Psychiatry
WOS研究方向	Psychology ; Psychiatry
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/351031
作者单位	[Walter, Kristen H.; Kohen, Casey B.] Naval Hlth Res Ctr, Hlth & Behav Sci Dept, San Diego, CA USA; [Kohen, Casey B.; McCabe, Cameron T.; Watrous, Jessica R.] Leidos, Reston, VA USA; [McCabe, Cameron T.; Watrous, Jessica R.] Naval Hlth Res Ctr, Med Modeling Simulat & Mission Support, San Diego, CA USA; [Campbell, Justin S.] Field Med Training Battal West, Camp Pendleton, CA USA
推荐引用方式 GB/T 7714	Walter, Kristen H.,Kohen, Casey B.,McCabe, Cameron T.,et al. Overcoming Adversity and Stress Injury Support (OASIS): Evaluation of Residential Treatment Outcomes for US Service Members with Posttraumatic Stress Disorder[J],2021,34(3):551-562.
APA	Walter, Kristen H.,Kohen, Casey B.,McCabe, Cameron T.,Watrous, Jessica R.,&Campbell, Justin S..(2021).Overcoming Adversity and Stress Injury Support (OASIS): Evaluation of Residential Treatment Outcomes for US Service Members with Posttraumatic Stress Disorder.JOURNAL OF TRAUMATIC STRESS,34(3),551-562.
MLA	Walter, Kristen H.,et al."Overcoming Adversity and Stress Injury Support (OASIS): Evaluation of Residential Treatment Outcomes for US Service Members with Posttraumatic Stress Disorder".JOURNAL OF TRAUMATIC STRESS 34.3(2021):551-562.