P P Schnurr
Affiliation: Dartmouth Medical School
- Physician-diagnosed medical disorders in relation to PTSD symptoms in older male military veteransP P Schnurr
Veterans Affairs National Center for Posttraumatic Stress Disorder, White River Junction Veterans Affairs Medical Center and Department of Psychiatry, Dartmouth Medical School, Vermont 05009, USA
Health Psychol 19:91-7. 2000..There was only weak evidence that PTSD mediated the effects of combat exposure on morbidity. Possible mediators of the relationship between combat exposure, PTSD, and physical morbidity are discussed...
- Measurement of a model of implementation for health care: toward a testable theoryJoan M Cook
Department of Psychiatry, Yale School of Medicine, 950 Campbell Avenue, NEPEC 182, West Haven, CT 06516, USA
Implement Sci 7:59. 2012..The present paper represents a first step in operationalizing Greenhalgh et al.'s model by providing background, rationale, working definitions, and measurement of key constructs...
- Work-related outcomes among female veterans and service members after treatment of posttraumatic stress disorderPaula P Schnurr
National Center for PTSD, U S Department of Veterans Affairs Medical Center, 116D, 215 N Main St, White River Junction, VT 05009, USA
Psychiatr Serv 63:1072-9. 2012..Additional analyses explored whether current depression and employment status moderated the effects of treatment and clinically significant change...
- RESPECT-PTSD: re-engineering systems for the primary care treatment of PTSD, a randomized controlled trialPaula P Schnurr
National Center for PTSD, VAMC, White River Junction, VT 05009, USA
J Gen Intern Med 28:32-40. 2013..Although collaborative care is effective for treating depression and other mental disorders in primary care, there have been no randomized trials of collaborative care specifically for patients with Posttraumatic stress disorder (PTSD)...
- Longitudinal analysis of the relationship between symptoms and quality of life in veterans treated for posttraumatic stress disorderPaula P Schnurr
National Center for Post Traumatic Stress Disorder, US Veterans Affrais Medical Center, VT 05009, USA
J Consult Clin Psychol 74:707-13. 2006..There were synchronous effects of symptom change on change in quality of life but no significant lagged effects. Results indicate the importance of measuring quality of life in future investigations of PTSD treatment...
- Cognitive behavioral therapy for posttraumatic stress disorder in women: a randomized controlled trialPaula P Schnurr
National Center for PTSD, VA Medical Center, White River Junction, VT 05009, USA
JAMA 297:820-30. 2007..Prior research suggests that cognitive behavioral therapy is a particularly effective treatment for PTSD...
- Exploration of gender differences in how quality of life relates to posttraumatic stress disorder in male and female veteransPaula P Schnurr
National Center for Posttraumatic Stress Disorder, VA Medical Center 116D, White River Junction, VT 05009, USA
J Rehabil Res Dev 45:383-93. 2008..For both men and women, numbing was uniquely associated with reduced quality of life. We suggest that quality of life should receive increased attention in research and clinical efforts to help veterans with PTSD...
- Posttraumatic stress disorder and quality of life: extension of findings to veterans of the wars in Iraq and AfghanistanPaula P Schnurr
National Center for PTSD, Executive Division, United States
Clin Psychol Rev 29:727-35. 2009..The review ends with discussion of the implications of the evidence for research and clinical practice...
- Risk factors for the development versus maintenance of posttraumatic stress disorderPaula P Schnurr
Department of Veterans Affairs National Center for PTSD, VA Medical Center, White River Junction, Vermont 05009, USA
J Trauma Stress 17:85-95. 2004..We conclude that development of PTSD is related to factors that occur before, during, and after a traumatic event, whereas failure to recover is related primarily to factors that occur during and after the event...
- Sexual function outcomes in women treated for posttraumatic stress disorderPaula P Schnurr
National Center for PTSD, Executive Division, White River Junction, Vermont 05009, USA
J Womens Health (Larchmt) 18:1549-57. 2009....
- Work-related quality of life and posttraumatic stress disorder symptoms among female veteransPaula P Schnurr
National Center for PTSD, White River Junction, Vermont 05009, USA
Womens Health Issues 21:S169-75. 2011..Although prior studies have shown that PTSD symptom clusters are differentially related to work-related quality of life, no study has assessed these relationships in women specifically...
- A descriptive analysis of PTSD chronicity in Vietnam veteransPaula P Schnurr
VA National Center for PTSD, White River Junction, Vermont 05009, USA
J Trauma Stress 16:545-53. 2003..The extent of chronicity observed in this sample underscores the need for treatments that address the persistence of posttraumatic symptoms...
- Randomized trial of trauma-focused group therapy for posttraumatic stress disorder: results from a department of veterans affairs cooperative studyPaula P Schnurr
Department of Veterans Affairs VA National Center for Posttraumatic Stres Disorder, White River Junction, VT 05009, USA
Arch Gen Psychiatry 60:481-9. 2003..Department of Veterans Affairs Cooperative Study 420 is a randomized clinical trial of 2 methods of group psychotherapy for treating posttraumatic stress disorder (PTSD) in male Vietnam veterans...
- Research on posttraumatic stress disorder: epidemiology, pathophysiology, and assessmentPaula P Schnurr
VA National Center for PTSD and Dartmouth Medical School, White River Junction, VT 05009, USA
J Clin Psychol 58:877-89. 2002..The review is limited to information about PTSD in adults, although some of the material may generalize to child and adolescent populations...
- Design of Department of Veterans Affairs Cooperative Study no. 420: group treatment of posttraumatic stress disorderP P Schnurr
VA National Center for PTSD, White River Junction, VT 05009, USA
Control Clin Trials 22:74-88. 2001..This article discusses these challenges and describes the design and methods of the study. Control Clin Trials 2001;22:74-88..
- Predictors and outcomes of posttraumatic stress disorder in World War II veterans exposed to mustard gasP P Schnurr
National Center for PTSD, Veterans Affairs Medical Center, White River Junction, Vermont 05009, USA
J Consult Clin Psychol 68:258-68. 2000..There is discussion of the traumatic elements of experimental mustard gas exposure, vulnerability to PTSD, and the relevance of these findings to understanding the broad range of outcomes associated with PTSD...
- A longitudinal study of retirement in older male veteransPaula P Schnurr
Veterans Affairs Medical Center, National Center for Posttraumatic Stress Disorder, White River Junction, VT 05009, USA
J Consult Clin Psychol 73:561-6. 2005..Results indicate that clinicians should recognize and address the potential for older individuals with PTSD to experience difficulties during retirement...
- Physical symptom trajectories following trauma exposure: longitudinal findings from the normative aging studyP P Schnurr
Department of Veterans Affairs National Center for PTSD, White River Junction, Vermont 05009, USA
J Nerv Ment Dis 186:522-8. 1998..Discussion focuses on the importance of considering physical as well as psychological outcomes of exposure to traumatic events...
- Issues in the design of multisite clinical trials of psychotherapy: VA Cooperative Study No. 494 as an examplePaula P Schnurr
VA National Center for PTSD, White River Junction, VT 05009, USA
Contemp Clin Trials 26:626-36. 2005..Discussion includes issues encountered in multisite psychotherapy trials along with the rationale for our decisions about how we addressed these issues in CSP #494...
- Change in posttraumatic stress disorder symptoms: do clinicians and patients agree?Candice M Monson
Women s Health Sciences Division, National Center for PTSD, Veterans Affairs Boston Healthcare System, Boston, MA 02130, USA
Psychol Assess 20:131-8. 2008..The value of multimodal assessment of PTSD treatment outcomes is discussed...
- Randomized trial of cognitive-behavioral therapy for chronic posttraumatic stress disorder in adult female survivors of childhood sexual abuseAnnmarie McDonagh
Veterans Affairs Medical Center, National Center for Posttraumatic Stress Disorder, White River Junction, VT, USA
J Consult Clin Psychol 73:515-24. 2005..CBT and PCT were superior to WL in decreasing PTSD symptoms and secondary measures. CBT had a significantly greater dropout rate than PCT and WL. Both CBT and PCT were associated with sustained symptom reduction in this sample...
- The rocks and hard places in psychotherapy outcome researchPaula P Schnurr
National Center for Posttraumatic Stress Disorder, White River Junction, VT 05009, USA
J Trauma Stress 20:779-92. 2007..The focus is on between-group randomized designs, and on outcome rather than process. Examples are drawn from posttraumatic stress disorder treatment studies to enhance relevance to the field of traumatic stress...
- Cognitive-Behavioral Couple's Treatment for posttraumatic stress disorder: initial findingsCandice M Monson
White River Junction VA Medical and Regional Office Center, White River Junction, Vermont 05009, USA
J Trauma Stress 17:341-4. 2004..The current findings are compared with findings on other forms of empirically validated treatment for PTSD and previous studies of CBCT for various individual problems. Theoretical implications and future directions are offered...
- Cognitive processing therapy for veterans with military-related posttraumatic stress disorderCandice M Monson
Veterans Affairs National Center for Posttraumatic Stress Disorder, Women s Health Sciences Division, Boston, MA 02130, USA
J Consult Clin Psychol 74:898-907. 2006..This trial provides some of the most encouraging results of PTSD treatment for veterans with chronic PTSD and supports increased use of cognitive- behavioral treatments in this population...
- Psychophysiological reactivity in female sexual abuse survivorsA McDonagh-Coyle
National Center for PTSD, VA Medical and Regional Office Center, White River Junction, Vermont 05009, USA
J Trauma Stress 14:667-83. 2001..They further suggest a negative association between PTSD severity and autonomic reactions to mental arithmetic...
- Cohesion, burnout, and past trauma in tri-service medical and support personnelJulia M Whealin
National Center for Post Traumatic Stress Disorder, VA Pacific Health Care System, 3375 Koapaka Street, Suite 1 560, Honolulu, HI 96819, USA
Mil Med 172:266-72. 2007..Results showed that history of trauma was correlated with poorer view of officers and higher levels on two components of burnout. We discuss how findings can apply to prevention and early intervention efforts...
- Domains of quality of life and symptoms in male veterans treated for posttraumatic stress disorderCarole A Lunney
VA National Center for PTSD, White River Junction, VT 05009, USA
J Trauma Stress 20:955-64. 2007..Change in numbing uniquely predicted change in relationships. Examining change in PTSD symptoms and quality of life domains may provide important information for treatment planning and evaluation...
- The Hawaii Vietnam Veterans Project: is minority status a risk factor for posttraumatic stress disorder?Matthew J Friedman
National Center for Post Traumatic Stress Disorder 116D, Department of Veterans Affairs Medical Center, 215 North Main St, White River Junction, VT 05009, USA
J Nerv Ment Dis 192:42-50. 2004..Adjustment for age and war zone exposure did not eliminate most of these differences. These results indicate that minority status per se is not a risk factor for PTSD...
- Understanding relationships among trauma, post-tramatic stress disorder, and health outcomesPaula P Schnurr
VA National Center for PTSD
Adv Mind Body Med 20:18-29. 2004..However, by addressing the physical health consequences of traumatic exposure in treatment and treatment systems, the burden on individuals and society may be reduced...
- A mediational model of PTSD in World War II veterans exposed to mustard gasM Kay Jankowski
New Hampshire Dartmouth Psychiatric Research Center, Lebanon, NH 03766, USA
J Trauma Stress 17:303-10. 2004..These findings contribute to our understanding of PTSD in older veterans, and have relevance for early intervention services to prevent PTSD among those at risk for exposure to toxic agents...
- Estimating population prevalence of posttraumatic stress disorder: an example using the PTSD checklistArtin Terhakopian
Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences, Bethesda, MD, USA
J Trauma Stress 21:290-300. 2008..In populations with a true PTSD prevalence of 15% or less, cutoff values below 44 will substantially overestimate PTSD prevalence. Uncalibrated use of the PCL for prevalence estimation may lead to large errors...
- Employment outcomes and PTSD symptom severityMark W Smith
Cooperative Studies Program and Health Services Research and Development Service, VA Palo Alto Health Care System, Menlo Park, California 94025, USA
Ment Health Serv Res 7:89-101. 2005..Alternative PTSD symptom measures produced similar results. Our findings suggest that even modest reductions in PTSD symptoms may lead to employment gains, even if the overall symptom level remains severe...
- Toward a VA Women's Health Research Agenda: setting evidence-based priorities to improve the health and health care of women veteransElizabeth M Yano
HSR and D Center of Excellence, VA Greater Los Angeles Healthcare System, Sepulveda, CA 91343, USA
J Gen Intern Med 21:S93-101. 2006..This paper summarizes the process and outcomes of this effort, outlining VA's research priorities for biomedical, clinical, rehabilitation, and health services research...
- Posttraumatic stress disorder symptoms, physical health, and health care utilization 50 years after repeated exposure to a toxic gasJulian D Ford
Department of Psychiatry, MC1410, University of Connecticut Health Center, 263 Farmington Avenue, Farmington, Connecticut 06030, USA
J Trauma Stress 17:185-94. 2004..Implications for researchers, mental health clinicians, and health care providers are discussed...
- Another grand challenge: mental healthPaula P Schnurr
Science 303:168-9. 2004
- Does compensation status influence treatment participation and course of recovery from post-traumatic stress disorder?Charlene Laffaye
VA HSR and D, 795 Willow Road 152 MPD, Menlo Park, CA 94025, USA
Mil Med 172:1039-45. 2007..Recommendations to strengthen future research in this area are provided, including using clear and consistent definitions of compensation status that differentiate compensation-seeking status from award status...
- The first 20 yearsPaula P Schnurr
J Trauma Stress 21:1-2. 2008