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This article and any supplementary material should be cited as follows: Monson CM, Macdonald A, Brown-Bowers A. Couple/family therapy for posttraumatic.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Monson CM, Macdonald A, Brown-Bowers A. Couple/family therapy for posttraumatic."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Monson CM, Macdonald A, Brown-Bowers A. Couple/family therapy for posttraumatic stress disorder: Review to facilitate interpretation of VA/DOD Clinical Practice Guideline. J Rehabil Res Dev. 2012;49(5):717–28. http://dx.doi.org/10.1682/JRRD.2011.09.0166 Slideshow Project DOI:10.1682/JRRD.2011.09.0166JSP Couple/family therapy for posttraumatic stress disorder: Review to facilitate interpretation of VA/DOD Clinical Practice Guideline Candice M. Monson, PhD; Alexandra Macdonald, PhD; Amy Brown-Bowers, MA

2 This article and any supplementary material should be cited as follows: Monson CM, Macdonald A, Brown-Bowers A. Couple/family therapy for posttraumatic stress disorder: Review to facilitate interpretation of VA/DOD Clinical Practice Guideline. J Rehabil Res Dev. 2012;49(5):717–28. http://dx.doi.org/10.1682/JRRD.2011.09.0166 Slideshow Project DOI:10.1682/JRRD.2011.09.0166JSP Aim – Review couple/family therapy recommendations in Department of Veteran Affairs/Department of Defense (VA/DOD) Clinical Practice Guideline for Management of posttraumatic stress. Present heuristic for incorporating couple/family interventions into Veterans’ mental health services. Review recent research on couple/family therapy for Veterans with posttraumatic stress disorder (PTSD). Relevance – Well-documented association between Veterans’ PTSD symptoms and family relationship and mental health problems.

3 This article and any supplementary material should be cited as follows: Monson CM, Macdonald A, Brown-Bowers A. Couple/family therapy for posttraumatic stress disorder: Review to facilitate interpretation of VA/DOD Clinical Practice Guideline. J Rehabil Res Dev. 2012;49(5):717–28. http://dx.doi.org/10.1682/JRRD.2011.09.0166 Slideshow Project DOI:10.1682/JRRD.2011.09.0166JSP Heuristic for understanding target of different couple/family interventions for PTSD.

4 This article and any supplementary material should be cited as follows: Monson CM, Macdonald A, Brown-Bowers A. Couple/family therapy for posttraumatic stress disorder: Review to facilitate interpretation of VA/DOD Clinical Practice Guideline. J Rehabil Res Dev. 2012;49(5):717–28. http://dx.doi.org/10.1682/JRRD.2011.09.0166 Slideshow Project DOI:10.1682/JRRD.2011.09.0166JSP Latest Research Educational groups: – Associated with family members’ greater knowledge about Veterans’ mental health symptoms, VA resources, and decreased caregiver burden. Generic behavioral couple/family therapy with Veterans and families: – 2 randomized controlled trials (RCTs) yielded improved relationship functioning but variable PTSD improvements. Disorder-specific therapy: – Some data support efficacy in couples, but no group-level data yet for Veterans with PTSD. Cognitive-behavioral conjoint therapy: – Uncontrolled trials and ongoing RCT indicate it ameliorates PTSD symptoms, enhances intimate relationship satisfaction, improves partners’ individual mental health and well-being.

5 This article and any supplementary material should be cited as follows: Monson CM, Macdonald A, Brown-Bowers A. Couple/family therapy for posttraumatic stress disorder: Review to facilitate interpretation of VA/DOD Clinical Practice Guideline. J Rehabil Res Dev. 2012;49(5):717–28. http://dx.doi.org/10.1682/JRRD.2011.09.0166 Slideshow Project DOI:10.1682/JRRD.2011.09.0166JSP Conclusions As we identify efficacious treatments, future dismantling studies may provide evidence of these interventions’ essential components. More research needed on optimal delivery mode, for example: – Conjoint therapy delivered to individual dyads. – Group of dyads. – Via telehealth methodologies. – Paired with individual therapy. This article and any supplementary material should be cited as follows: Melcer T, Belnap B, Walker GJ, Konoske P, Galarneau M. Heterotopic ossification in combat amputees from Afghanistan and Iraq wars: Five case histories and results from a small series of patients. J Rehabil Res Dev. 2011; 48(1):1–12. DOI:10.1682/JRRD.2010.03.0033

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