Intensive Treatment of Chronic Pain and PTSD: The PATRIOT Program

Military combat can result in the need for comprehensive care related to both physical and psychological trauma, most commonly chronic pain and post-traumatic stress disorder (PTSD). These conditions tend to co-occur and result in high levels of distress and interference in everyday life. Thus, it i...

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Main Authors: John D. Otis, Jonathan S. Comer, Terence M. Keane, Erica Checko (Scioli), Donna B. Pincus
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Behavioral Sciences
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Online Access:https://www.mdpi.com/2076-328X/14/11/1103
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author John D. Otis
Jonathan S. Comer
Terence M. Keane
Erica Checko (Scioli)
Donna B. Pincus
author_facet John D. Otis
Jonathan S. Comer
Terence M. Keane
Erica Checko (Scioli)
Donna B. Pincus
author_sort John D. Otis
collection DOAJ
description Military combat can result in the need for comprehensive care related to both physical and psychological trauma, most commonly chronic pain and post-traumatic stress disorder (PTSD). These conditions tend to co-occur and result in high levels of distress and interference in everyday life. Thus, it is imperative to develop effective, time-efficient treatments for these conditions before they become chronic and resistant to change. We developed and pilot-tested the Pain and Trauma Intensive Outpatient Treatment (PATRIOT) Program, a brief, intensive (3 weeks, six sessions) integrated chronic pain and PTSD treatment. An overview and session-by-session outline of the PATRIOT Program is provided, followed by results from the first pilot evaluation of the PATRIOT Program’s feasibility, acceptability, and preliminary efficacy in a sample of eight participating Veterans with comorbid chronic pain and PTSD. There were no treatment dropouts. At post-treatment, there were significant reductions in PTSD symptoms based on the Clinician-Administered Assessment of PTSD (CAPS). Pain and catastrophic thinking also decreased from pre- to post-treatment. With continued investigations and support, the PATRIOT Program may offer a brief, cost-effective, and more easily accessible treatment option for individuals who could benefit from learning skills to manage pain and PTSD more effectively.
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spelling doaj-art-6e97119f8dba474fbf5030aa288ece522024-11-26T17:51:41ZengMDPI AGBehavioral Sciences2076-328X2024-11-011411110310.3390/bs14111103Intensive Treatment of Chronic Pain and PTSD: The PATRIOT ProgramJohn D. Otis0Jonathan S. Comer1Terence M. Keane2Erica Checko (Scioli)3Donna B. Pincus4Department of Veterans Affairs, VA Boston Healthcare System, Boston, MA 02130, USAMental Health Interventions and Novel Therapeutics (MINT) Program, Florida International University, Miami, FL 33199, USADepartment of Veterans Affairs, VA Boston Healthcare System, Boston, MA 02130, USADepartment of Veterans Affairs, VA Boston Healthcare System, Boston, MA 02130, USADepartment of Psychological and Brain Sciences, Center for Anxiety and Related Disorders at Boston University, Boston, MA 02215, USAMilitary combat can result in the need for comprehensive care related to both physical and psychological trauma, most commonly chronic pain and post-traumatic stress disorder (PTSD). These conditions tend to co-occur and result in high levels of distress and interference in everyday life. Thus, it is imperative to develop effective, time-efficient treatments for these conditions before they become chronic and resistant to change. We developed and pilot-tested the Pain and Trauma Intensive Outpatient Treatment (PATRIOT) Program, a brief, intensive (3 weeks, six sessions) integrated chronic pain and PTSD treatment. An overview and session-by-session outline of the PATRIOT Program is provided, followed by results from the first pilot evaluation of the PATRIOT Program’s feasibility, acceptability, and preliminary efficacy in a sample of eight participating Veterans with comorbid chronic pain and PTSD. There were no treatment dropouts. At post-treatment, there were significant reductions in PTSD symptoms based on the Clinician-Administered Assessment of PTSD (CAPS). Pain and catastrophic thinking also decreased from pre- to post-treatment. With continued investigations and support, the PATRIOT Program may offer a brief, cost-effective, and more easily accessible treatment option for individuals who could benefit from learning skills to manage pain and PTSD more effectively.https://www.mdpi.com/2076-328X/14/11/1103post-traumatic stress disorderchronic paincognitive behavioral therapy
spellingShingle John D. Otis
Jonathan S. Comer
Terence M. Keane
Erica Checko (Scioli)
Donna B. Pincus
Intensive Treatment of Chronic Pain and PTSD: The PATRIOT Program
Behavioral Sciences
post-traumatic stress disorder
chronic pain
cognitive behavioral therapy
title Intensive Treatment of Chronic Pain and PTSD: The PATRIOT Program
title_full Intensive Treatment of Chronic Pain and PTSD: The PATRIOT Program
title_fullStr Intensive Treatment of Chronic Pain and PTSD: The PATRIOT Program
title_full_unstemmed Intensive Treatment of Chronic Pain and PTSD: The PATRIOT Program
title_short Intensive Treatment of Chronic Pain and PTSD: The PATRIOT Program
title_sort intensive treatment of chronic pain and ptsd the patriot program
topic post-traumatic stress disorder
chronic pain
cognitive behavioral therapy
url https://www.mdpi.com/2076-328X/14/11/1103
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