A Randomized Clinical Trial Experiment On Active Duty Military Personnel

Approximately 70 percent of adults in the U.S. have encountered a traumatic occurrence at some point in their existence while 20 percent of that population proceed to develop PTSD. Furthermore, an estimated 1 in 13 people of the U.S. (about 8 percent) will develop PTSD. For those who have served or “spent time in war zones,” 30 percent experience PTSD (“What”). Of course the rates of this mental illness varies from war to war, however, “current estimates of PTSD in military personnel who served in Iraq range from 12 percent to 20 percent” and “in Afghanistan between 6 percent and 11 percent” (“What”).

Post-Traumatic Stress Disorder (PTSD) has been studied extensively. The majority of the population has experienced an event that was traumatic enough to potentially cause Post-Traumatic Stress Disorder with it also being common for most people to experience more than one event with the potential to induce Post-Traumatic Stress Disorder (Kilpatrick, Resnick, Milanak, Miller, Keyes, Friedman, 2013). Studies have shown that veterans diagnosed with Post-Traumatic Stress Disorder show an escalation in the anxiety levels that is much greater than soldiers that have not been diagnosed with PTSD as well as higher than the general fit population (Olatunji, Armstrong, Fan, & Zhao, 2014).

There have been many diagnoses of PTSD in American soldiers. As Mark Thomas said in a magazine article, “The National Academy of Sciences have report estimated that up to 20% of 2.6 million US men and women who have served in Afghanistan and Iraq may have it (PTSD)”(Thomas). This quote expresses that nearly 520,000 US families have been affected by this disorder. It also shows that PTSD has become a large enough issue that more and more people and

The freedoms Americans enjoy come at a price; brave military men and women often foot the bill. Many men and women pay with their lives; others relive the sights, sounds, and terror of combat in the form of PTSD. Several causes and risk factors contribute to the development of PTSD. Combat-related PTSD appears slightly different than traditional PTSD. History tells of times when soldiers diagnosed with PTSD were viewed as “weak.” Resources have not always been available to struggling soldiers. The adverse symptoms of PTSD on soldiers and their families can be crippling.

Post-traumatic stress disorder (PTSD) among veterans has been prevalent in the United States ever since the diagnosis of shell shock after World War I. PTSD continues to be prevalent in veterans from the Vietnam War, to the Gulf War, to Operation Enduring Freedom and Operation Iraqi Freedom. The estimated lifetime prevalence of PTSD among veterans during the Vietnam era was 30.9% for men and 26.9% for women (U.S. Department of Government Affairs, 2015). Based on a population study the prevalence of PTSD among previously deployed Operation Enduring Freedom and Operation Iraqi Freedom was 13.8% (U.S. Department of Government Affairs, 2015). PTSD in combat veterans can be very difficult to understand. This is widely due to the lack of research

Today's veterans offten return home and find themselves experiencing PTSD symptoms as a result of combat-related stress and signfigant amount of exposure to traumatic events. Post-traumatic stress disorder (PTSD) among United States Veterans has risen to great numbers in recent years due United States involvement in Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) thus far within the last 10 years 1,400,000 military service members have been engaged in these conflicts. Once Unitied States troops were deployed and participated in Operation New Dawn (OND) numbers began to rise over 2.5 million troops. (Rosenthal, J. Z., Grosswald, S., Ross, R., & Rosenthal, N. 2011) The veteran population will face exclusive types of stressors

The sample of veterans is adequate in the sense that it is random and controlled, so there is a variety of real-life PTSD veterans from the field with different experiences and matching criteria being studied. Ideally, there’d be more than twenty-one participants in order to have a better representation of the veteran population but it was probably difficult to retrieve without effecting the quality of the study. The sample is also adequate because all controlled eligibility factors were proven during the screening process (substance use, age, etc.).

Evidence points to CPT’s efficacy as a psychological treatment for PTSD and has demonstrated potential to decrease symptoms of depression and guilt. Although more research is needed to determine the effectiveness of CPT with various populations, both the Department of Defense and the Department of Veterans Affairs are recommending CPT as an evidence-based treatment for PTSD. A major benefit of CPT the gains are noticeable in a very short period. The rapid response to treatment is particularly important to military and active-duty populations for whom time may be limited (Keane TM, Marshall AD, Taft

I will be collaborating with The National Institute of Mental Health for the funding of the research project. The research will attempt to identify what factors determine whether someone with PTSD will respond well to Cognitive Behavioral Therapy (CBT) intervention, aiming to develop more personalized, effective and efficient treatments. The mission of this project is to transform the understanding and treatment of mental illnesses through basic and clinical research, paving the way for prevention, recovery, and cure (National Institutes of Health, 2013).

A study was conducted by Monson et al. (2006) to assess the effects of (CPT) Cognitive Processing Therapy on military veterans who were suffering from PTSD. The study included sixty participants with prolonged combat-related PTSD who partook in a wait-listed controlled experiment of a CPT treatment. More than sixteen percent of the participants dropped out of the study from the original ninety-three participants who were authorized to receive treatment. Out of the sixty participants that remained the group was equally split into two groups of thirty clients (Wait Group vs. Immediate Group). The Wait Group waited for a period of ten weeks before receiving the CPT treatment, whereas the immediate group received treatment immediately. The treatment was provided twice a week and consisted of twelve CPT sessions. The results revealed overall that there were significant improvements in PTSD and comorbid symptoms in the Immediate Group in comparison to the Wait Group. The study not only revealed the importance of immediacy in treating veterans with PTSD but supports the use of cognitive–behavioral treatments in this population as well (Monson et al.,

PTSD having been on the rise following various deployments necessitated by the various wars against terror, where the soldiers encounter traumatic experiences like harsh training conditions, unfavorable living standards, enemy attacks, extreme working environment, explosions, torture by enemies, loss of colleagues as well as long term separation from family back at home (Melinda S & Jeanne S., 2012). This therefore calls for a concerted effort in handling the pandemic of PTSD since it has been constantly on the increase and as a

Military Pathway (2013) concluded “Military life, especially the stress of deployments or mobilizations, can present challenges to service members and their families that are both unique and difficult”. Hence, it is not surprising that soldiers returning from a stressful war environment often suffer from a psychological condition called Post-Traumatic Stress Disorder. This paper provides a historical perspective of PTSD affecting soldiers, and how this illness has often been ignored. In addition, the this paper examines the cause and diagnosis of the illness, the changes of functional strengths and limitations, the overall effects this disease may have on soldiers and their families, with a conclusion of

To effectively treat Post Traumatic Stress Disorder, PTSD in combat Veterans and service members, therapists use different techniques, which are preceded by addressing any underlying pain associated with the disorder. In their research, Chard et al. (2011) reported significant modifications to the CPT protocol for use with patients in a TBI-PTSD residential treatment facility, including increasing the number of sessions per week, combining group and individual therapy, and augmenting the treatment with cognitive rehabilitation. However, their research was marred with the use of few participants which provides doubts regarding the outcome of the proposed treatment procedures. Moreover, the researchers do not state with certainty as to the

If veterans do struggle with PTSD after they return from combat the Department of Veterans Affairs, a governmental agency that helps struggling veterans recover, offers two treatments. Studies have been done to see if one of the therapies is more effective than the other. There is not yet evidence that one therapy is better than the other. Cognitive processing therapy, CPT, helps by giving the vet a new way to deal with the maladaptive thoughts that come with PTSD. It also comforts them in gaining a new understanding of the traumatic events that happened to them. One of the other benefits of CPT is that it assists the person in learning how these disturbing events change the way they look at everything in life and helps them cope with that (“PTSD: National”). The second newer option of the two is prolonged exposure therapy, which is repeated exposure to these thoughts, feelings, and situations (“Most PTSD”). This type of therapy is now a central piece in the VA’s war on PTSD. “The problem with prolonged exposure is that it also has made a number of veterans violent, suicidal, and depressed, and it has a dropout rate that some researchers put at more than 50 percent, the highest dropout rate of any PTSD therapy that has been widely studied so far,”(“Trauma Post”). Both of the therapies are proven to reduce the symptoms but both have extremely high drop out rates and low follow through. It

There are several strengths that should be noted within this research design. By using purposive sampling, we are purposively studying veterans that are receiving services at the VA whom are diagnosed with PTSD. This is a strength because we are gaining knowledge on a specific population that has not been studied in depth, thus our research will hopefully shed light on the lack of treatment options that veterans at the VA have access to. By splitting the veterans into two separate groups with one group receiving EMDR and the other receiving CBT, we will be able to identify which therapy option is working more effectively. By using the CAPS-5 as our standardized measurement, we are able to identify whether or not CBT/EMDR therapy is successful