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Trauma-focused group psychotherapy is not effective for posttraumatic stress disorder in Vietnam veterans

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QUESTION: Is trauma-focused group therapy more effective than present-centred therapy, which avoids discussion of the trauma, for posttraumatic stress disorder in Vietnam veterans.


Randomised controlled trial.


10 Veterans Affairs medical centres, USA.


360 male Vietnam veterans with posttraumatic stress disorder not receiving other psychological treatments (apart from the 12-step programme for substance abuse). Almost all had a previous history of mood disorder or substance abuse. Veterans with other significant psychiatric disorders, severe cardiovascular disorders or cognitive impairment were excluded.


30 weeks of trauma-focused group psychotherapy, delivered weekly in groups comprising 6 people, plus 5 booster sessions at monthly intervals, versus control …

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