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Randomized clinical trial pilot study of prolonged exposure versus present centred affect regulation therapy for PTSD and anger problems with male military combat veterans

NCJ Number
Clinical Psychology & Psychotherapy Volume: 25 Issue: 5 Dated: 2018 Pages: 641-649
J. D. Ford
Date Published
9 pages
This article reports on a randomized controlled trial pilot study with 31 U.S. male military recent combat veterans with PTSD and severe anger problems that compared 10 session individual therapy versions of Trauma Affect Regulation: Guide for Education and Therapy (TARGET) with prolonged exposure (PE).
This comparative study found that TARGET had fewer drop-outs than PE (29 percent vs. 64 percent). At post-test, improvements were found for both interventions in increased emotion regulation and hope, and reduced PTSD symptoms, hostility, experiential avoidance, and mental health problems. At a 4 month follow-up, comparable proportions (approximately 40 percent) of recipients in each therapy maintained clinically significant gains. Self-rated expectancy of therapeutic outcome and working alliance was comparable for both PE and TARGET early in therapy, at mid-treatment, and at the end of treatment. Although preliminary, these results suggest that TARGET may be a viable therapeutic option for male military veterans with PTSD and anger problems. (Publisher abstract modified)