Veterans Health Administration, Analysis of VA Health Care Utilization among Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND) Veterans: Cumulative from 1st Qtr FY 2002 through 4th Qtr FY 2011 (October 1, 2001–September 30, 2012). (Washington, D.C.: Veterans Health Administration Environmental Epidemiology Service, 2012), available at <http://www.publichealth.va.gov/docs/epidemiology/healthcare-utilization-report-fy2012-qtr4.pdf>(last visited April 19, 2014).
2.
FriedmanM. J., “Veterans' Mental Health in the Wake of War,”New England Journal of Medicine352, no. 13 (2005): 1287–1290.
3.
HogeC. W.AuchterlonieJ. L.MillikinC. S., “Mental Health Problems, Use of Mental Health Services, and Attrition from Military Service after Returning from Deployment to Iraq or Afghanistan,”JAMA295, no. 9 (2006): 1023–1032;.
4.
SealK. H., “Bringing the War Back Home: Mental Health Disorders among 103,788 US Veterans Returning from Iraq and Afghanistan Seen at Department of Veterans Affairs Facilities,”Archives of Internal Medicine167, no. 5 (2007): 476–482.
5.
See supra note 1.
6.
RosenheckR. A.FontanaA. F., “Recent Trends in VA Treatment of Post-Traumatic Stress Disorder and Other Mental Disorders,”Health Affairs26, no. 6 (2007): 1720–1727.
7.
CalhounP. S., “Medical Service Utilization by Veterans Seeking Help for Posttraumatic Stress Disorder,”American Journal of Psychiatry159, no. 12 (2002): 2081–2086;.
8.
DeykinE. Y., “Posttraumatic Stress Disorder and the Use of Health Services,”Psychosomatic Medicine63, no. 5 (2001): 835–841;.
9.
SchnurrP. P., “PTSD and Utilization of Medical Treatment Services among Male Vietnam Veterans,”Journal of Nervous and Mental Disease188, no. 8 (2000): 496–504;.
10.
SchnurrP. P.GreenB. L., “Understanding Relationships among Trauma, Post-Traumatic Stress Disorder, and Health Outcomes,”Advances in Mind Body Medicine20, no. 1 (2004): 18–29.
11.
MarshallR. P., “Medical-Care Costs Associated with Posttraumatic Stress Disorder in Vietnam Veterans,”Australian and New Zealand Journal of Psychiatry34, no. 6 (2000): 954–962.
12.
RiggsD. S.SermanianD., “Prevention and Care of Combat-Related PTSD: Directions for Future Research,”Military Medicine177, no. 8, Suppl (2012): 14–20.
13.
CigrangJ. A.PetersonA. L.SchobitzR. P., “Three American Troops in Iraq: Evaluation of a Brief Exposure Therapy Treatment for the Secondary Prevention of Combat-Related PTSD,”Pragmatic Case Studies in Psychotherapy1, no. 2 (2005): 1–25.
14.
FoaE. B.DavidsonJ. R. T.FrancesA., “The Expert Consensus Series: Treatment of Posttraumatic Stress Disorder,”Journal of Clinical Psychiatry60, no. 16 (1999): 4–76;.
15.
FoaE. B., “Randomized Trial of Prolonged Exposure for Posttraumatic Stress Disorder with and without Cognitive Restructuring: Outcome at Academic and Community Clinics,”Journal of Consulting and Clinical Psychology73, no. 5 (2005): 953–964;.
16.
FoaE. B.RauchS. A., “Cognitive Changes during Prolonged Exposure Versus Prolonged Exposure Plus Cognitive Restructuring in Female Assault Survivors with Posttraumatic Stress Disorder,”Journal of Consulting and Clinical Psychology72, no. 5 (2004): 879–884;.
17.
SchnurrP. P., “Cognitive Behavioral Therapy for Posttraumatic Stress Disorder in Women: A Randomized Controlled Trial,”JAMA297, no. 8 (2007): 820–830.
18.
BradleyR., “A Multidimensional Meta-Analysis of Psychotherapy for PTSD,”American Journal of Psychiatry162, no. 2 (2005): 214–227.
FoaE. B., Effective Treatments for PTSD: Practice Guidelines from the International Society for Traumatic Stress Studies (New York: The Guilford Press, 2009).
21.
National Institute for Clinical Excellence, Post-Traumatic Stress Disorder (PTSD): The Management of PTSD in Adults and Children in Primary and Secondary Care (London: National Institute for Clinical Excellence, 2005).
22.
U.S. Department of Veterans Affairs & Department of Defense (2010), VA/DoD Clinical Practice Guideline for the Management of Post-Traumatic Stress (Washington, D.C.: VA/DoD. U.S. Department of Veterans Affairs, 2010).
23.
FoaE. B.HembreeE. A.RothbaumB. O., Prolonged Exposure Therapy for PTSD: Emotional Processing of Traumatic Experiences: Therapist Guide (New York: Oxford University Press, 2007).
24.
See Foa (2005), supra note 10.
25.
See also AsukaiN., “Efficacy of Exposure Therapy for Japanese Patients with Post-traumatic Stress Disorder Due to Mixed Traumatic Events: A Randomized Controlled Study,”Journal of Traumatic Stress23, no. 6 (2010): 744–750;.
26.
KarlinB. E., “Dissemination of Evidence-Based Psychological Treatments for Posttraumatic Stress Disorder in the Veterans Health Administration,”Journal of Traumatic Stress23, no. 6 (2012): 663–673;.
27.
NacaschN., “Prolonged Exposure Therapy for Combat- and Terror-Related Posttraumatic Stress Disorder: A Randomized Control Comparison with Treatment as Usual,”Journal of Clinical Psychiatry72, no. 9 (2011): 1174–1180.
28.
See supra note 10.
29.
For a review, see: FoaE. B., “Prolonged Exposure Therapy: Past, Present, and Future,”Depression and Anxiety28, no. 12 (2011): 1043–1047.
30.
See supra note 14.
31.
CahillS. P., “Effect of Cognitive-Behavioral Treatments for PTSD on Anger,”Journal of Cognitive Psychotherapy17, no. 2 (2003): 113–131;.
32.
Foa (2005), supra note 8.
33.
Depressive symptoms, see: TuerkP. W., “Prolonged Exposure Therapy for Combat-Related Posttraumatic Stress Disorder: An Examination of Treatment Effectiveness for Veterans of the Wars in Afghanistan and Iraq,”Journal of Anxiety Disorders25, no. 3 (2011): 397–403;.
34.
Serious mental illness, see: FruehB. C., “Exposure-Based Cognitive Behavioral Treatment of PTSD in Adults with Schizophrenia or Schizoaffective Disorder: A Pilot Study,”Journal of Anxiety Disorders23, no. 5 (2009): 665–675;.
35.
Traumatic brain injury, see: StromG. K., “A Preliminary Examination of Prolonged Exposure Therapy with Iraq and Afghanistan Veterans with a Diagnosis of Posttraumatic Stress Disorder and Mild to Moderate Traumatic Brain Injury,”Journal of Head Trauma Rehabilitation27, no. 1 (2012): 26–32;.
36.
Substance dependence, see FoaE. B.YuskoD. A., “Concurrent Treatment for Alcohol Dependence and PTSD,”44th Annual Convention of the Association for Behavioral and Cognitive Therapies, November 18–21, 2010, San Francisco, CA.
37.
See supra note 11.
38.
CasonD.GrubaughA.ResickP., “Gender and PTSD Treatment: Efficacy and Effectiveness,” in KimerlingR., eds., Gender and PTSD (New York: Guilford Press, 2002): At 305–334.
39.
See Tuerk, supra note 20.
40.
YoderM., “Prolonged Exposure Therapy for Combat-Related Posttraumatic Stress Disorder: Comparing Outcomes for Veterans of Different Wars,”Psychological Services9, no. 1 (2012): 16–25.
41.
RauchS. A. M., “Prolonged Exposure for PTSD in a Veterans Health Administration PTSD Clinic,”Journal of Traumatic Stress22, no. 1 (2009): 60–64.
42.
WolfG. K., “A Preliminary Examination of Prolonged Exposure Therapy with Iraq and Afghanistan Veterans with a Diagnosis of Posttraumatic Stress Disorder and Mild to Moderate Traumatic Brain Injury,”Journal of Head Trauma Rehabilitation27, no. 1 (2012): 26–32.
43.
ThorpS. R., “Prolonged Exposure Therapy for Older Veterans with Posttraumatic Stress Disorder: A Pilot Study,”American Journal of Geriatric Psychiatry20, no. 3 (2012): 276–280.
44.
TuerkP. W., “A Pilot Study of Prolonged Exposure Therapy for Posttraumatic Stress Disorder Delivered via Telehealth Technology,”Journal of Traumatic Stress23, no. 1 (2010): 116–123.
45.
See SteenkampM. M.LitzB. T., “Psychotherapy for Military-Related Posttraumatic Stress Disorder: Review of the Evidence,”Clinical Psychology Review33, no. 1 (2012): 45–53.
46.
Substance dependence, see BackS. E., “Use of an Integrated Therapy with Prolonged Exposure to Treat PTSD and Comorbid Alcohol Dependence in an Iraq Veteran,”American Journal of Psychiatry169, no. 7 (2012): 688–691;.
47.
Compulsive checking, see: TuerkP. W., “Diagnosis and Treatment of PTSD-Related Compulsive Checking Behaviors in Veterans of the Iraq War: The Influence of Military Context on the Expression of PTSD Symptoms,”American Journal of Psychiatry166, no. 7 (2009): 762–767;.
48.
World War II, see: YoderM. S.TuerkP. W.AciernoR., “Prolonged Exposure with a World War II Veteran: 60 Years of Guilt and Feelings of Inadequacy,”Clinical Case Studies9, no. 6 (2010): 457–467.
49.
See supra note 29.
50.
HembreeE. A., “Do Patients Drop Out Prematurely From Exposure Therapy for PTSD?”Journal of Traumatic Stress16, no. 6 (2003): 555–562.
51.
CigrangJ. A., “Treatment of Active-Duty Military with PTSD in Primary Care: Early Findings,”Psychological Services8, no. 2 (2011): 104–113;.
52.
McLayR. N., “Development and Testing of Virtual Reality Exposure Therapy for Post-Traumatic Stress Disorder in Active Duty Service Members Who Served in Iraq and Afghanistan,”Military Medicine177, no. 6 (2012): 635–642;.
53.
RegerG. M., “Effectiveness of Virtual Reality Exposure Therapy for Active Duty Soldiers in a Military Mental Health Clinic,”Journal of Traumatic Stress24, no. 1 (2011): 93–96.
54.
See supra note 9.
55.
Veterans Health Administration. VHA Handbook 1160.01, Uniform Mental Health Services in Medical Centers and Clinics (Veterans Health Administration, 2008), available at <http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1762>(last visited March 20, 2014).
56.
See RauchS. A. M.EftekhariA.RuzekJ. I., “Review of Exposure Therapy: A Gold Standard for PTSD Treatment,”Journal of Rehabilitation Research and Development49, no. 5 (2012): 679–688.
57.
See Foa (2005), supra note 10.
58.
PowersM. B., “A Meta-Analytic Review of Prolonged Exposure for Posttraumatic Stress Disorder,”Clinical Psychology Review30, no. 6 (2010): 635–641.
59.
See AsukaiNacasach, supra note 15;.
60.
van MinnenA.FoaE. B., “The Effect of Imaginal Exposure Length on Outcome of Treatment for PTSD,”Journal of Traumatic Stress19, no. 4 (2006): 427–438.
61.
For review, see RichardsonL. K., “Current Directions in Videoconferencing Tele–Mental Health Research,”Clinical Psychology: Science and Practice16, no. 3 (2009): 323–338.
62.
GrosD. F., “Exposure Therapy for PTSD Delivered to Veterans via Telehealth: Predictors of Treatment Completion and Outcome and Comparison to Treatment Delivered in Person,”Behavior Therapy42, no. 2 (2011): 276–283;.
63.
TuerkP. W., “A Pilot Study of Prolonged Exposure Therapy for Post-traumatic Stress Disorder Delivered via Telehealth Technology,”Journal of Traumatic Stress23, no. 1 (2010): 116–123.
FoaE. B.HuppertJ. D.CahillS. P., “Emotional Processing Theory: An Update,” in RothbaumB. O., ed., Pathological Anxiety: Emotional Processing in Etiology and Treatment (New York: Guilford, 2006): 3–24.
66.
HoytT.CandyC., “Providing Treatment Services for PTSD at an Army FORSCOM Installation,”Military Psychology23, no. 3 (2011): 237–252.
67.
See supra note 9.
68.
BrewinC. R.AndrewsB.ValentineJ. D., “Meta-Analysis of Risk Factors for Posttraumatic Stress Disorder in Trauma-Exposed Adults,”Journal of Consulting and Clinical Psychology68, no. 5 (2000): 748–766.
69.
ResickP. A., “Long-Term Outcomes of Cognitive-Behavioral Treatments for Posttraumatic Stress Disorder among Female Rape Survivors,”Journal of Consulting and Clinical Psychology80, no. 2 (2012): 201–210.
70.
See McLay, supra note 33.
71.
See supra note 9.
72.
For example, see DicksteinB. D., “Targeting Self-Stigma in Returning Military Personnel and Veterans: A Review of Intervention Strategies,”Military Psychology22, no. 2 (2010): 224–236;.
73.
HogeC. W., “Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care,”New England Journal of Medicine351, no. 1 (2004): 13–22.
74.
See supra note 29.
75.
van MinnenA., “Examining Potential Contraindications for Prolonged Exposure Therapy for PTSD,”European Journal of Psychotraumatology3, special section (2012): 1–14.
76.
See supra note 9.
77.
JASON, “The $100 genome: Implications for the DoD,” Report No. JSR-10–100, December 2010.
78.
For reviews, see AmstadterA. B.NugentN. R.KoenenK. C., “Genetics of PTSD: Fear Conditioning as a Model for Future Research,”Psychiatry Annals39, no. 6 (2009): 358–367;.
79.
NorrholmS. D.ResslerK. J., “Genetics of Anxiety and Trauma-Related Disorders,”Neuroscience164, no. 1 (2009): 272–287;.
80.
YehudaR., “The Role of Genes in Defining a Molecular Biology of PTSD,”Disease Markers30, nos. 2–3 (2011): 67–76.
81.
For example, see MustapicM., “Dopamine Beta-Hydroxylase (DBH) Activity and -1021C/T Polymorphism of DBH Gene in Combat-Related Post-Traumatic Stress Disorder,”American Journal of Medical Genetics144B, no. 8 (2007): 1087–1089.
82.
For example, see WangZ., “The Relationship between Combat-Related Posttraumatic Stress Disorder and the 5-HTTLPR/rs25531 Polymorphism,”Depression and Anxiety28, no. 12 (2011): 1067–1073.
83.
For example, see BachmanA., “Glucocorticoid Receptor Polymorphisms and Post-Traumatic Stress Disorder,”Psychoneuroendocrinology30, no. 3 (2005): 297–306.
84.
BryantR. A., “Preliminary Evidence of the Short Allele of the Serotonin Transporter Gene Predicting Poor Response to Cognitive Behavior Therapy in Posttraumatic Stress Disorder,”Biological Psychiatry67, no. 12 (2010): 1217–1219.
85.
CohenB. W., “Mental Health Diagnoses and Utilization of VA Non-mental Health Medical Services among Returning Iraq and Afghanistan Veterans,”Journal of General Internal Medicine25, no.1 (2010): 1117–1123.
86.
See Hoge, supra note 50;.
87.
KehleS. K., “Early Mental Health Treatment-Seeking among US National Guard Soldiers Deployed to Iraq,”Journal of Traumatic Stress23, no. 1 (2010): 33–40.
88.
InterianA., “Readjustment Stressors and Early Mental Health Treatment Seeking by Returning National Guard Soldiers with PTSD,”Psychiatric Services63, no. 9 (2012): 855–861.
89.
BeckerC. B.ZayfertC.AndersonE., “A Survey of Psychologists' Attitudes towards and Utilization of Exposure Therapy for PTSD,”Behaviour Research and Therapy42, no. 3 (2004): 277–292.
90.
See supra note 36.
91.
For a review, see SchnurrP. P., “Posttraumatic Stress Disorder and Quality of Life: Extension of Findings to Veterans of the Wards in Iraq and Afghanistan,”Clinical Psychology Review29, no. 8 (2009): 727–735.
92.
RenshawK. D.RodriguesC. S.JonesD. H., “Psychological Symptoms and Marital Satisfaction in Spouses of Operation Iraqi Freedom Veterans: Relationships with Spouses' Perceptions of Veterans' Experiences and Symptoms,”Journal of Family Psychology22, no. 4 (2008): 586–594;.
93.
RenshawK. D.RodriguesC. S.JonesD. H., “Combat Exposure, Psychological Symptoms, and Marital Satisfaction in National Guard Soldiers Who Served in Operation Iraqi Freedom from 2005 to 2006,”Anxiety, Stress, & Coping22, no. 1 (2009): 101–115.
94.
HosainG. M., “Sexual Dysfunction among Male Veterans Returning from Iraq and Afghanistan: Prevalence and Correlates,”Journal of Sexual Medicine10, no. 2 (2013): 516–523.
95.
PitmanJ. O., “Post-Traumatic Stress Disorder, Depression, and Health-Related Quality of Life in OEF/OIF Veterans,”Quality of Life Research21, no. 1 (2012): 99–103.
96.
SchnurrP. P.LunneyC. A., “Work-Related Outcomes among Female Veterans and Service Members after Treatment of Posttraumatic Stress Disorder,”Psychiatric Services63, no. 11 (2012): 1072–1079.
97.
HogeC. W., “Association of Posttraumatic Stress Disorder with Somatic Symptoms, Health Care Visits, and Absenteeism among Iraq War Veterans,”American Journal of Psychiatry164, no. 1 (2007): 150–153;.
98.
NazarianD.KimerlingR.FrayneS. M., “Posttraumatic Stress Disorder, Substance Use Disorders and Medical Comorbidity among Returning U.S. Veterans,”Journal of Traumatic Stress25, no. 2 (2012): 220–225.
99.
See also SchnurrGreen, supra note 6.
100.
See Hoge, supra note 70.
101.
CohenB. E., “Reproductive and Other Health Outcomes in Iraq and Afghanistan Women Veterans Using VA Health Care: Association with Mental Health Diagnoses,”Women's Health Issues22, no. 5 (2012):461–71.
102.
See supra note 6.
103.
See Cohen, supra note 60.
104.
MarshallR. P., “Medical-Care Costs Associated with Posttraumatic Stress Disorder in Vietnam Veterans,”Australian and New Zealand Journal of Psychiatry34, no. 6 (2000): 954–962.
105.
KilmerB., “Invisible Wounds, Visible Savings? Using Microsimulation to Estimate the Costs and Savings Associated with Providing Evidence-Based Treatment for PTSD and Depression to Veterans of Operation Enduring Freedom and Operation Iraqi Freedom,”Psychological Trauma: Theory, Research, and Policy3, no. 2 (2011): 201–211. 77.
106.
See supra note 76.
107.
TuerkP. W., “Health Service Utilization before and after Evidence-Based Treatment for PTSD,”Psychological Services10, no. 4 (2012): 401–409.