Abstract

Eighty-one Vietnam-era Veterans with PTSD were randomly assigned to either Group-Based Exposure Therapy (GBET) or Present-Centered Group Therapy (PCGT) and assessed blind to treatment condition at post, four months, and one year posttreatment. Both treatments lasted 16 weeks and groups met twice per week in cohorts of 10. GBET includes sharing and reviewing trauma narratives. PCGT included problem solving while avoiding traumatic material. Both treatments produced similar significant lasting reductions in PTSD with few dropouts (10%). GBET produced significantly greater improvement on measures of spirituality, personal meaning, and PTSD-related cognitions. Half of participants seemed to be exaggerating symptoms.

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