Using the Personalized Advantage Index to determine which veterans may benefit from more vs. less comprehensive intensive PTSD treatment programs.
Eur J Psychotraumatol
; 14(2): 2281757, 2023.
Article
en En
| MEDLINE
| ID: mdl-38010280
ABSTRACT
Background:
Intensive PTSD treatment programs (ITPs) are highly effective but tend to differ greatly in length and the number of adjunctive services that are provided in conjunction with evidence-based PTSD treatments. Individuals' treatment response to more or less comprehensive ITPs is poorly understood.Objective:
To apply a machine learning-based decision-making model (the Personalized Advantage Index (PAI)), using clinical and demographic factors to predict response to more or less comprehensive ITPs.Methods:
The PAI was developed and tested on a sample of 747 veterans with PTSD who completed a 3-week (more comprehensive; n = 360) or 2-week (less comprehensive; n = 387) ITP.Results:
Approximately 12.32% of the sample had a PAI value that suggests that individuals would have experienced greater PTSD symptom change (5 points) on the PTSD Checklist for DSM-5 in either a more- or less comprehensive ITP. For individuals with the highest 25% of PAI values, effect sizes for the amount of PTSD symptom change between those in their optimal vs. non-optimal programs was d = 0.35.Conclusions:
Although a minority was predicted to have benefited more from a program, there generally was not a substantial difference in predicted outcomes. Less comprehensive and thus more financially sustainable ITPs appear to work well for most individuals with PTSD.
A Personalized Advantage Index (PAI) was developed for a 3-week (more comprehensive) and a 2-week (less comprehensive) intensive PTSD treatment program to predict treatment responses.Using the PAI, approximately 12% of the sample was predicted to have experienced meaningfully greater in another program than the one in which they participated.Findings suggest a less comprehensive and more financially sustainable 2-week intensive PTSD treatment program would work well for most veterans in the present study.
Palabras clave
Cognitive processing therapy; PTSD; Personalized Advantage Index; Terapia de procesamiento cognitivo; Trastorno de estrés postraumático; intensive treatment; massed treatment; selección de tratamiento; tratamiento intensivo; tratamiento masivo; treatment selection; veteranos; veterans; Índice de ventajas personalizado; 认ç¥å å·¥çæ³ï¼ 强åæ²»çï¼ éä¸æ²»çï¼ æ²»çéæ©ï¼ 个æ§åä¼å¿ææ°ï¼ éä¼åäººï¼ PTSD
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Trastornos por Estrés Postraumático
/
Veteranos
Límite:
Humans
Idioma:
En
Revista:
Eur J Psychotraumatol
Año:
2023
Tipo del documento:
Article
País de afiliación:
Estados Unidos