TY - JOUR
T1 - Treatment of military-related post-traumatic stress disorder
T2 - challenges, innovations, and the way forward
AU - Forbes, David
AU - Pedlar, David
AU - Adler, Amy B.
AU - Bennett, Clare
AU - Bryant, Richard
AU - Busuttil, Walter
AU - Cooper, John
AU - Creamer, Mark C.
AU - Fear, Nicola T.
AU - Greenberg, Neil
AU - Heber, Alexandra
AU - Hinton, Mark
AU - Hopwood, Mal
AU - Jetly, Rakesh
AU - Lawrence-Wood, Ellie
AU - McFarlane, Alexander
AU - Metcalf, Olivia
AU - O’Donnell, Meaghan
AU - Phelps, Andrea
AU - Richardson, J. Don
AU - Sadler, Nicole
AU - Schnurr, Paula P.
AU - Sharp, Marie-Louise
AU - Thompson, James M.
AU - Ursano, Robert J.
AU - Hooff, Miranda Van
AU - Wade, Darryl
AU - Wessely, Simon
PY - 2019/5
Y1 - 2019/5
N2 - Post-traumatic stress disorder (PTSD) is one of the common mental disorders in military and veteran populations. Considerable research and clinical opinion has been focused on understanding the relationship between PTSD and military service and the implications for prevention, treatment, and management. This paper examines factors associated with the development of PTSD in this population, considers issues relating to engagement in treatment, and discusses the empirical support for best practice evidence-based treatment. The paper goes on to explore the challenges in those areas, with particular reference to treatment engagement and barriers to care, as well as treatment non-response. The final section addresses innovative solutions to these challenges through improvements in agreed terminology and definitions, strategies to increase engagement, early identification approaches, understanding predictors of treatment outcome, and innovations in treatment. Treatment innovations include enhancing existing treatments, emerging non-trauma-focused interventions, novel pharmacotherapy, personalized medicine approaches, advancing functional outcomes, family intervention and support, and attention to physical health.
AB - Post-traumatic stress disorder (PTSD) is one of the common mental disorders in military and veteran populations. Considerable research and clinical opinion has been focused on understanding the relationship between PTSD and military service and the implications for prevention, treatment, and management. This paper examines factors associated with the development of PTSD in this population, considers issues relating to engagement in treatment, and discusses the empirical support for best practice evidence-based treatment. The paper goes on to explore the challenges in those areas, with particular reference to treatment engagement and barriers to care, as well as treatment non-response. The final section addresses innovative solutions to these challenges through improvements in agreed terminology and definitions, strategies to increase engagement, early identification approaches, understanding predictors of treatment outcome, and innovations in treatment. Treatment innovations include enhancing existing treatments, emerging non-trauma-focused interventions, novel pharmacotherapy, personalized medicine approaches, advancing functional outcomes, family intervention and support, and attention to physical health.
KW - military
KW - PTSD
KW - trauma
KW - treatment
KW - veteran
U2 - 10.1080/09540261.2019.1595545
DO - 10.1080/09540261.2019.1595545
M3 - Review article
C2 - 31043106
AN - SCOPUS:85067245507
SN - 0954-0261
VL - 31
SP - 95
EP - 110
JO - International Review of Psychiatry
JF - International Review of Psychiatry
IS - 1
ER -