Development of a group treatment for enhancing motivation to change PTSD symptoms

TitleDevelopment of a group treatment for enhancing motivation to change PTSD symptoms
Publication TypeJournal Article
Year of Publication2002
AuthorsMurphy, RT, Rosen, CS, Cameron, RP, Thompson, KE
JournalCognitive and Behavioral Practice
PublisherAssociation for Advancement of Behavior Therapy
Place PublishedUS
Publication Languageeng
ISBN Number1077-7229
Keywordsambivalence, behavior change, Brief Psychotherapy, brief treatment, Combat Experience, combat veterans, decisions, Group Psychotherapy, Intervention, Military Veterans, Motivation, posttraumatic stress disorder, posttreatment, Posttreatment Followup, problem behavior, Psychotherapeutic Outcomes, PTSD Motivation Enhancement Group, Readiness to Change, Stages of change, Symptoms, Treatment Outcomes

Readiness to change, particularly ambivalence or lack of awareness about the need to change, is a modifiable variable that may underlie poor posttreatment outcome found in some studies of combat veterans with PTSD. The authors describe the PTSD Motivation Enhancement (ME) Group, a manualized brief treatment that is conceptually based on the Stages of Change and draws on interventions from the literature on Motivational Interviewing techniques. The PTSD ME Group targets any PTSD symptom or related problem behavior (e.g., anger, hypervigilance, owning weapons, depression, and substance use) that patients report ambivalence about changing or feel no need to change. The goal of the group is to help patients make decisions about the need to change any behaviors, coping styles, or beliefs not previously recognized as problematic. Although definitive statements about the effectiveness of the group await controlled trials, initial findings indicate that patients are responding to the group as predicted. Further research will test the hypothesis that addition of the PTSD ME Group to a PTSD treatment program is associated with better learning, practice, and implementation of coping skills, which, in turn, should predict better posttreatment functioning. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract)

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