VA practice patterns and practice guidelines for treating posttraumatic stress disorder

Craig S. Rosen, Helen C. Chow, John F. Finney, Mark A. Greenbaum, Rudolf H. Moos, Javaid I. Sheikh, Jerome A. Yesavage

Research output: Contribution to journalArticle

131 Citations (Scopus)

Abstract

Little is known about how recent ISTSS practice guidelines (E. B. Foa, T. M. Keane, & M. J. Friedman, 2000) compare with prevailing PTSD treatment practices for veterans. Prior to guideline dissemination, clinicians in 6 VA medical centers were surveyed in 1999 (n = 321) and in 2001 (n = 271) regarding their use of various assessment and treatment procedures. Practices most consistent with guideline recommendations included psychoeducation, coping skills training, attention to trust issues, depression and substance use screening, and prescribing of SSRIs, anticonvulsants, and trazodone. PTSD and trauma assessment, anger management, and sleep hygiene practices were provided less consistently. Exposure therapy was rarely used. Additional research is needed on training, clinical resources, and organizational factors that may influence VA implementation of guideline recommendations.

Original languageEnglish
Pages (from-to)213-222
Number of pages10
JournalJournal of Traumatic Stress
Volume17
Issue number3
DOIs
Publication statusPublished - 1 Jun 2004

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Keywords

  • posttraumatic stress disorder
  • practice guidelines
  • translational research
  • veterans

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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