Skip to main content

Advertisement

Log in

Mindfulness-Based Cognitive-Behavioral Conjoint Therapy for Posttraumatic Stress Disorder: A Case Study

  • Original Paper
  • Published:
Journal of Contemporary Psychotherapy Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Chapter  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    CAS  PubMed  Google Scholar 

  • 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.

    Article  PubMed Central  PubMed  Google Scholar 

  • 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.

    Article  CAS  PubMed  Google Scholar 

  • Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind in everyday life. New York: Dell.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Monson, C. M., & Fredman, S. J. (2012). Cognitive-behavioral conjoint therapy for PTSD: Harnessing the healing power of relationships. New York: The Guilford Press.

    Google Scholar 

  • 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.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

Download references

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

Authors

Corresponding author

Correspondence to Brandi Luedtke.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

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

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10879-015-9298-z

Keywords

Navigation