{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:07:33Z","timestamp":1792609653637,"version":"4.5.0"},"reference-count":48,"publisher":"American Medical Association (AMA)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"<jats:sec><jats:title>Importance<\/jats:title><jats:p>Improved, efficient, and acceptable treatments are needed for combat-related posttraumatic stress disorder (PTSD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the efficacy of 2 compressed prolonged exposure (PE) therapy outpatient treatments for combat-related PTSD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design, Setting, and Participants<\/jats:title><jats:p>This randomized clinical trial was conducted among military personnel and veterans at 4 sites in Texas from 2017 to 2019. Assessors were blinded to conditions. Data were analyzed from November 2020 to October 2022.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>The interventions were massed-PE, which included 15 therapy sessions of 90 minutes each over 3 weeks, vs intensive outpatient program PE (IOP-PE), which included 15 full-day therapy sessions over 3 weeks with 8 treatment augmentations. The IOP-PE intervention was hypothesized to be superior to massed-PE.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcomes and Measures<\/jats:title><jats:p>Coprimary outcomes included the Clinician-Administered PTSD Scale for <jats:italic>Diagnostic and Statistical Manual of Mental Disorders<\/jats:italic> (Fifth Edition) (<jats:italic>DSM-5<\/jats:italic>) (CAPS-5) and the PTSD Checklist for <jats:italic>DSM-5<\/jats:italic> (PCL-5) administered at baseline and posttreatment follow-ups. Measures ranged from 0 to 80, with higher scores indicating greater severity. Diagnostic remission and reliable change were secondary outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 319 military personnel and veterans screened, 234 were randomized (mean [SD] age, 39.20 [7.72] years; 182 [78%] male participants), with 117 participants randomized to IOP-PE and 117 participants randomized to massed-PE. A total of 61 participants (26%) were African American, 58 participants (25%) were Hispanic, and 102 participants (44%) were White; 151 participants (65%) were married. Linear mixed-effects models found that CAPS-5 scores decreased in both treatment groups at the 1-month follow-up (IOP-PE: mean difference, \u221213.85 [95% CI, \u221216.47 to \u221211.23]; <jats:italic>P<\/jats:italic>\u2009&amp;amp;lt;\u2009.001; massed-PE: mean difference, \u221214.13 [95% CI, \u221216.63 to \u221211.62]; <jats:italic>P<\/jats:italic>\u2009&amp;amp;lt;\u2009.001). CAPS-5 change scores differed from 1- to 6-month follow-ups (mean difference, 4.44 [95% CI, 0.89 to 8.01]; <jats:italic>P<\/jats:italic>\u2009=\u2009.02). PTSD symptoms increased in massed-PE participants during follow-up (mean difference, 3.21 [95% CI, 0.65 to 5.77]; <jats:italic>P<\/jats:italic>\u2009=\u2009.01), whereas IOP-PE participants maintained treatment gains (mean difference, 1.23 [95% CI, \u22123.72 to 1.27]; <jats:italic>P<\/jats:italic>\u2009=\u2009.33). PCL-5 scores decreased in both groups from baseline to 1-month follow-up (IOP-PE: mean difference, \u221221.81 [95% CI, \u221225.57 to \u221218.04]; <jats:italic>P<\/jats:italic>\u2009&amp;amp;lt;\u2009.001; massed-PE: mean difference, \u221219.96 [95% CI, \u221223.56 to \u221216.35]; <jats:italic>P<\/jats:italic>\u2009&amp;amp;lt;\u2009.001) and were maintained at 6 months (IOP-PE: mean change, \u22120.21 [95% CI, \u22123.47 to 3.06]; <jats:italic>P<\/jats:italic>\u2009=\u2009.90; massed-PE: mean change, 3.02 [95% CI, \u22120.36 to 6.40]; <jats:italic>P<\/jats:italic>\u2009=\u2009.08). Both groups had notable PTSD diagnostic remission at posttreatment (IOP-PE: 48% [95% CI, 36% to 61%] of participants; massed-PE: 62% [95% CI, 51% to 73%] of participants), which was maintained at 6 months (IOP-PE: 53% [95% CI, 40% to 66%] of participants; massed-PE: 52% [95% CI, 38% to 66%] of participants). Most participants demonstrated reliable change on the CAPS-5 (61% [95% CI, 52% to 69%] of participants) and the PCL-5 (74% [95% CI, 66% to 81%] of participants) at the 1-month follow-up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions and Relevance<\/jats:title><jats:p>These findings suggest that PE can be adapted into compressed treatment formats that effectively reduce PTSD symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial Registration<\/jats:title><jats:p>ClinicalTrials.gov Identifier: <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/ct2\/show\/NCT03529435\">NCT03529435<\/jats:ext-link><\/jats:p><\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2022.49422","type":"journal-article","created":{"date-parts":[[2023,1,5]],"date-time":"2023-01-05T16:33:26Z","timestamp":1672936406000},"page":"e2249422","source":"Crossref","is-referenced-by-count":56,"title":["Massed vs Intensive Outpatient Prolonged 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