Delivery of written exposure therapy for PTSD in a university counseling center.

Morissette SB, Ryan-Gonzalez C, Blessing A, Judkins J, Crabtree M, Hernandez MF, Wiltsey-Stirman S, Sloan DM. Delivery of written exposure therapy for PTSD in a university counseling center. Psychological Services. 2023 Feb 1; 20(1):122-136.

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Abstract:

Posttraumatic stress disorder (PTSD) occurs at high rates among college students, and there is an urgent need to develop brief and accessible interventions to help these at-risk students achieve academic and career success. This open-trial pilot study tested the feasibility and effectiveness of Written Exposure Therapy (WET; Sloan and Marx, 2019), a brief, five-session exposure-based treatment, when delivered in a real-world Counseling Services Center. Students who met criteria for probable PTSD were assessed at baseline, posttreatment, and 3-month follow-up using self-report assessments of PTSD and depression. Of 28 eligible college students, 22/28 (78.6%) completed at least one treatment session, and of those students, 14/22 (63.6%) completed the full five sessions, 12 of whom completed both the posttreatment assessment and the 3-month follow-up assessment. Data were analyzed using intent-to-treat ( = 22) and per-protocol ( = 12) samples. As hypothesized, in both samples, PTSD symptoms decreased from baseline to posttreatment (?² = .60-.81; very large effects), and these improvements were maintained at the 3-month follow-up. Similar findings were observed with respect to decreases in self-reported depression, but not with respect to decreases in educational impairment or increases in academic self-efficacy. Qualitative data indicated that both students and therapists found the treatment credible and acceptable. These findings offer preliminary support for the utility of WET for PTSD when delivered in a student counseling services center. Suggestions for adapting WET within a student counseling services environment are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).