Abstract
With as many as 1.9 million men and women deployed as part of the wars in Iraq and Afghanistan, increased recognition is being placed on the effect of returning Veterans’ combat experiences on their adjustment and mental health, particularly those with symptoms of posttraumatic stress disorder (PTSD) and associated effects on families and relationships. Cognitive-behavioral conjoint therapy (CBCT) for PTSD is a manualized intervention with demonstrated efficacy in clinical trials with Veterans who have experienced trauma and their intimate partners. This case study involves the successful application of Mindfulness-based CBCT for PTSD to treat an operation Iraqi freedom male Veteran and his wife referred for PTSD and relationship dissatisfaction. In the current study, mindfulness interventions were integrated into the existing CBCT for PTSD protocol and treatment duration was shortened by including a weekend group retreat for couples. Baseline and post-treatment data from self- and partner-report measures demonstrates symptom reduction in posttraumatic stress symptoms as well as an increase in relationship satisfaction. The advantages of incorporating mindfulness strategies into this treatment protocol and recommendations for future work are discussed.
Similar content being viewed by others
References
Bernstein, A., Tanay, G., & Vujanovic, A. A. (2011). Concurrent relations between mindful attention and awareness and psychopathology among trauma-exposed adults: Preliminary evidence of transdiagnostic resilience. Journal of Cognitive Psychotherapy, 25(2), 99–113.
Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Klauminizer, G., Charney, D. S., et al. (1990). A clinical rating scale for assessing current and lifetime PTSD: The CAPS-1. Behavior Therapist, 18, 187–188.
Carson, J. W., Carson, K. M., Gil, K. M., & Baucom, D. H. (2006). Mindfulness-based relationship enhancement (MBRE) in couples. In R. A. Baer (Ed.), Mindfulness-based treatment approaches: Clinician’s guide to evidence base and applications (pp. 309–331). Burlington: Academic Press.
Davis, L. W., et al. (2012). Operation restoration: Couples reunification retreats for operation enduring and Iraqi freedom veterans. Journal of Psychosocial Nursing and Mental Health Services, 50(11), 20–29.
Hoge, C. (2011). Interventions for war-related posttraumatic stress disorder: Meeting Veterans where they are. Journal of the American Medical Association, 306(5), 549–551.
Imel, Z. E., Laska, K., Jakupcak, M., & Simpson, T. L. (2013). Meta-analysis of dropout in treatments for posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 81(3), 394–404.
Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12–19.
Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind in everyday life. New York: Dell.
Kalill, K. S., Treanor, M., & Roemer, L. (2013). The Importance of non-reactivity to posttraumatic stress symptoms: A case for mindfulness. Mindfulness, 5, 1–8.
Kracen, A. C., Mastnak, J. M., Loaiza, K. A., & Matthieu, M. M. (2013). Group therapy among OEF/OIF veterans: Treatment barriers and preferences. Military Medicine, 178(1), e146–e149.
Monson, C. M., & Fredman, S. J. (2012). Cognitive-behavioral conjoint therapy for PTSD: Harnessing the healing power of relationships. New York: The Guilford Press.
Monson, C. M., et al. (2012). Effect of cognitive-behavioral couple therapy for PTSD: A randomized controlled trial. Journal of the American Medical Association, 308(7), 700–709.
National Center for PTSD (2011). How Common is PTSD? http://www.ptsd.va.gov/public/pages/how-common-is-ptsd.asp. Accessed 26 Apr 2011.
Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38, 15–28.
Taft, C. T., et al. (2011). Posttraumatic stress disorder and intimate relationship problems: A meta-analysis. Journal of Consulting and Clinical Psychology, 79(1), 22–33.
Weathers, F. W., Litz, B. T., Herman, J. A., Huska, J. A., Keane, T. M. (1993). The PTSD Checklist (PCL): Reliability, validity and diagnostic utility. Paper presented at the 9th annual conference of the International Society for Traumatic Stress Studies, San Antonio, November 1993.
Acknowledgments
This study was funded in part by the Department of Veteran Affairs, Rehabilitation, Research, and Development Service, USA.
Conflict of interest
The authors declare that they have no conflict of interest or disclosures to report.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Luedtke, B., Davis, L. & Monson, C. Mindfulness-Based Cognitive-Behavioral Conjoint Therapy for Posttraumatic Stress Disorder: A Case Study. J Contemp Psychother 45, 227–234 (2015). https://doi.org/10.1007/s10879-015-9298-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10879-015-9298-z