Telemental Health and Cognitive Processing Therapy for Female Veterans With Military-related PTSD

This expansion is a 4-year RCT, plus a 1 year no-cost extension, which provides a direct comparison of the VTC and in-person modalities using rigorous methodology and a sophisticated analysis of treatment equivalency in clinical and process outcome domains. Outcome domains include clinical and process outcomes. Approximately 154 female veterans, Reservists, National Guardsmen, or civilians with PTSD have been recruited from multiple VA clinical sites and community health centers (for N=110 completers). Consistent with the male combat veterans CPT study, prospective participants received a comprehensive assessment battery at baseline to determine eligibility. The exclusion criteria selected are consistent with large PTSD randomized clinical trials as well as research using the CPT protocol with military populations with PTSD. The treatment is delivered up to twice a week for up to 12 weeks by a doctoral level psychologist. Quality control procedures have been incorporated into the study's design to ensure integrity, fidelity and standard administration of the CPT intervention across both conditions. It is expected that the results from this project can be applied to other VA and military locations, where similar specialized PTSD clinical services are needed but unavailable due to geographic barriers.

Inclusion criteria

• diagnosis of current PTSD established by the Clinician-Administered PTSD Scale (CAPS) and
• a stable psychotropic medication regimen for a minimum of 45 days prior to study entry for those taking such medications.

Exclusion criteria

• significant cognitive impairment or history of organic mental disorder,
• active psychotic symptoms/disorder,
• active homicidal or suicidal ideation,
• current substance dependence, and
• unwillingness to refrain from substance abuse during treatment.