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NCPTNCPTSD Research UpdateSD Research Update

The focus of this issue brings to mind the breadth of research on

various divisions of NCPTSD. This research spans from basic science to intervention development, with levels of analysis ranging from neuroscience to families and communities. Although we cannot provide details about all of the dozens of studies currently

of combat memories (Deane Aikins); and the Women’s Division is testing relationship enhancement therapy (Taft and Candice Monson). Several researchers across divisions are participating in the “STRONG STAR” multidisciplinary PTSD research consortium,

One aim of PTSD research is to increase understanding of risk and resilience among persons exposed to combat. The Behavioral Science Division is examining psychological, social, and biological markers of risk and resilience prospectively in a cohort of Marines

- mance among Army soldiers (Kevin Brailey and Jennifer Vasterling); and the effects of PTSD on anger and partner violence among

for PTSD (Monson, Women’s Division); and individual versus group cognitive processing therapy (Patty Resick, Women’s Division). The Dissemination Division has launched a longitudinal survey predicting treatment utilization and clinical outcomes over 2 to 3 years among VA patients with PTSD (Craig Rosen).

NCPTSD is also actively engaged in developing novel modes of screening or treatment delivery. The Behavioral Science Division is developing procedures for automated telephone screening of

pre- and post-deployment measures of mental health and perfor- mance (e.g., Vasterling and Sue Proctor). A particularly exciting development at the Behavioral Science Division has been the development of a PTSD population registry (Terry Keane); this national registry will gather data from Veterans with PTSD to allow study of the natural history of PTSD, including progression and remission, risk factors, and comorbidities. The Clinical Neurosciences Division is collaborating with the Connecticut Department of Mental

can be delivered effectively to Veterans in rural and remote areas via video-teleconferencing (Leslie Morland); and the Dissemination Division is comparing clinical outcomes of PTSD patients random- ized either to usual aftercare or to usual care plus biweekly telephone monitoring (Rosen). The Behavioral Science Division is evaluating the use of web-based (online) interventions to enhance coping and resilience among military families (Dan King and Lynda King); to treat PTSD in primary care settings (Litz); and to treat prolonged grief (Litz). Litz’s DE-STRESS model is based on cognitive behavioral principles and makes use of “coaches” to whom participants have routine access via e-mail and phone.

is conducting research to validate the Deployment Risk and Resilience

and disseminating treatments for combat-related mental health

Finally, the Executive Division is examining the use of community networks to help with service members’ reintegration (Laurie Slone). Building on their prior work in Vermont, these researchers aim to create a community network (in another state) that will assist military members and their families, educate the community about PTSD, decrease barriers to care, and bring together community stake- holders to address service gaps.

of combining D-cycloserine (a medication to enhance extinction) and exposure therapy to treat PTSD (Litz); the Clinical Neurosciences Division is examining the use of propranolol to block reconsolidation

National Center for PTSD VA Medical Center (116D) 215 North Main Street White River Junction, VT 05009-0001

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