Sudden gains and deteriorations in the treatment of posttraumatic stress disorder in World Trade Center responders

Details

• Personal Author:
  Goldman RE ; Haugen PT ; Owen J ; Goldman RE ; Haugen PT ; Owen J
• Description:
  This study sought to examine the prevalence of sudden gains and deteriorations (i.e., symptom reduction/improvement during treatment) and their influence on treatment outcomes among World Trade Center responders with probable posttraumatic stress disorder. Thirty-six outpatient clients received at least three sessions of integrative psychotherapy, which included elements of psychodynamic and cognitive-behavioral therapy approaches, under routine clinical conditions. Approximately 19% of clients experienced a sudden gain and 27% of clients experienced a sudden deterioration. Those who experienced deteriorations had worse therapy outcomes compared with those who did not. Clinical implications are discussed, including the importance of routine monitoring of client treatment response for sudden deteriorations to enhance positive treatment outcomes. Future research with larger samples is needed to further evaluate the mechanisms of sudden gains and sudden deteriorations in this population. [Description provided by NIOSH]
• Subjects:
  Emergencies Emergency Responders Men Mental Health Occupational Health Safety September 11 Terrorist Attacks Women
• Keywords:
  Author Keywords: Posttraumatic Stress Disorder Emergency-responders Emergency-response First Responders Humans Monitoring-systems Psychological-effects Psychology Psychotherapy Rescue-workers Stress Sudden Gains World Trade Center

  More +
• ISSN:
  0022-3018
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article ; Journal Article
• Place as Subject:
  Colorado ; New York ; OSHA Region 2 ; OSHA Region 8
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• Pages in Document:
  205-209
• Volume:
  203
• Issue:
  3
• NIOSHTIC Number:
  nn:20046144
• Citation:
  J Nerv Ment Dis 2015 Mar; 203(3):205-209
• Contact Point Address:
  Peter T. Haugen, World Trade Center Health Program NYU School of Medicine Clinical Center of Excellence, Bellevue Hospital Center, Room A720, 462 First Avenue, New York, NY 10016
• Email:
  peter.haugen@nyumc.org
• Federal Fiscal Year:
  2015
• Performing Organization:
  New York University School of Medicine
• Peer Reviewed:
  True
• Start Date:
  20040831
• Source Full Name:
  Journal of Nervous and Mental Disease
• End Date:
  20110630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:236422b389dbbf024f266731a976f485a9d02cc8880cbab4dc359ffdbb03232d921b0013d487cb8de3bc8bef1f583a49534f644cfe484e06a042cfec6e6a720c
• Download URL:
  https://stacks.cdc.gov/view/cdc/201279/cdc_201279_DS1.pdf
• File Type:
  [PDF - 156.83 KB ]