Resilience as a predictor of treatment response in patients with posttraumatic stress disorder treated with venlafaxine extended release or placebo.

dc.contributor.author

Davidson, Jonathan

dc.contributor.author

Stein, Dan J

dc.contributor.author

Rothbaum, Barbara O

dc.contributor.author

Pedersen, Ron

dc.contributor.author

Szumski, Annette

dc.contributor.author

Baldwin, David S

dc.date.accessioned

2022-10-01T18:04:07Z

dc.date.available

2022-10-01T18:04:07Z

dc.date.issued

2012-06

dc.date.updated

2022-10-01T18:04:06Z

dc.description.abstract

This post-hoc analysis evaluated resilience as a predictor of treatment response in patients with posttraumatic stress disorder (PTSD). Data were pooled from two randomized, double-blind studies conducted with adult outpatients treated with flexible doses of venlafaxine extended release (ER) 37.5 to 300 mg/day or placebo. The 17-item Clinician-Administered Posttraumatic Stress Disorder Scale (CAPS-SX(17)) was the primary outcome measure. Baseline Connor-Davidson Resilience Scale (CD-RISC) scores for the 25-, 10-, and 2-item versions were used to predict changes in PTSD symptom severity at week 12 and symptomatic remission (CAPS-SX(17) ≤ 20). Analyses were conducted for the overall population and separately for the individual treatment groups. In total, pretreatment resilience predicted a positive treatment response. For the overall population, all versions of the CD-RISC predicted CAPS-SX(17) change scores and remission after controlling for variables such as treatment group and baseline symptom severity. For venlafaxine ER-treated patients, all versions of the CD-RISC were predictive of remission, but only the 10-item version was predictive of CAPS-SX(17) change score. Our results suggest that higher pretreatment resilience is generally associated with a positive treatment response. Future research may be warranted to explore the relationship between response to active treatment and the spectrum of resiliency.

dc.identifier

0269881111413821

dc.identifier.issn

0269-8811

dc.identifier.issn

1461-7285

dc.identifier.uri

https://hdl.handle.net/10161/25998

dc.language

eng

dc.publisher

SAGE Publications

dc.relation.ispartof

Journal of psychopharmacology (Oxford, England)

dc.relation.isversionof

10.1177/0269881111413821

dc.subject

Humans

dc.subject

Cyclohexanols

dc.subject

Delayed-Action Preparations

dc.subject

Treatment Outcome

dc.subject

Double-Blind Method

dc.subject

Stress Disorders, Post-Traumatic

dc.subject

Psychiatric Status Rating Scales

dc.subject

Female

dc.subject

Male

dc.subject

Resilience, Psychological

dc.subject

Venlafaxine Hydrochloride

dc.title

Resilience as a predictor of treatment response in patients with posttraumatic stress disorder treated with venlafaxine extended release or placebo.

dc.type

Journal article

pubs.begin-page

778

pubs.end-page

783

pubs.issue

6

pubs.organisational-group

Duke

pubs.organisational-group

School of Medicine

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Psychiatry & Behavioral Sciences

pubs.organisational-group

Psychiatry & Behavioral Sciences, Adult Psychiatry & Psychology

pubs.publication-status

Published

pubs.volume

26

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
JPsychopharmacol - Resil as predictor June 2012.pdf
Size:
217.52 KB
Format:
Adobe Portable Document Format