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Use of Prolonged Exposure and Sertraline in the Treatment of Posttraumatic Stress Disorder for Veterans

Use of Prolonged Exposure and Sertraline in the Treatment of Posttraumatic Stress Disorder for... Opinion EDITORIAL Use of Prolonged Exposure and Sertraline in the Treatment of Posttraumatic Stress Disorder for Veterans Debra L. Kaysen, PhD; Michele A. Bedard-Gilligan, PhD; Andrew J. Saxon, MD For deployed veterans from the wars in Iraq and Afghani- that received PE plus sertraline (53.6%), compared with sertra- line plus enhanced medication management (73.2%), which stan, the estimated costs of posttraumatic stress disorder (PTSD) and depression were between $4.0 billion and $6.2 bil- again may argue for the hidden costs of combined treatments. lion in the first 2 years after they returned home. A number As health care professionals, we often tend to add additional in- of efficacious treatments for terventions into patient treatment plans without considering PTSD exist, including phar- the additional burden on patients or the health care system. Related article page 117 macotherapy and psycho- Because the study lacked a no-treatment control, from a therapies, although the gap between those who could benefit technical and methodological perspective, it cannot be un- from evidence-based treatment and those who receive it re- equivocally asserted that the improvements observed over time mains large. Across populations, selective serotonin reuptake were because of the interventions. However, it would be un- inhibitors http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Psychiatry American Medical Association

Use of Prolonged Exposure and Sertraline in the Treatment of Posttraumatic Stress Disorder for Veterans

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Publisher
American Medical Association
Copyright
Copyright 2018 American Medical Association. All Rights Reserved.
ISSN
2168-622X
eISSN
2168-6238
DOI
10.1001/jamapsychiatry.2018.3410
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL Use of Prolonged Exposure and Sertraline in the Treatment of Posttraumatic Stress Disorder for Veterans Debra L. Kaysen, PhD; Michele A. Bedard-Gilligan, PhD; Andrew J. Saxon, MD For deployed veterans from the wars in Iraq and Afghani- that received PE plus sertraline (53.6%), compared with sertra- line plus enhanced medication management (73.2%), which stan, the estimated costs of posttraumatic stress disorder (PTSD) and depression were between $4.0 billion and $6.2 bil- again may argue for the hidden costs of combined treatments. lion in the first 2 years after they returned home. A number As health care professionals, we often tend to add additional in- of efficacious treatments for terventions into patient treatment plans without considering PTSD exist, including phar- the additional burden on patients or the health care system. Related article page 117 macotherapy and psycho- Because the study lacked a no-treatment control, from a therapies, although the gap between those who could benefit technical and methodological perspective, it cannot be un- from evidence-based treatment and those who receive it re- equivocally asserted that the improvements observed over time mains large. Across populations, selective serotonin reuptake were because of the interventions. However, it would be un- inhibitors

Journal

JAMA PsychiatryAmerican Medical Association

Published: Feb 5, 2019

References