{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T21:37:35Z","timestamp":1769549855773,"version":"3.49.0"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T00:00:00Z","timestamp":1700265600000},"content-version":"am","delay-in-days":365,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#am"},{"start":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T00:00:00Z","timestamp":1668729600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000005","name":"U.S. Department of Defense","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000005","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Posttraumatic stress disorder (PTSD) is a common psychiatric disorder that frequently presents alongside other comorbid diagnoses. Although several evidence\u2010based psychotherapies have been well\u2010studied for PTSD, limited research has focused on the influence of diagnostic comorbidity on their outcomes. The present study sought to investigate the influence of comorbid social anxiety disorder on treatment outcomes in patients with PTSD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred and twelve treatment\u2010seeking female veteran participants with PTSD completed baseline assessments and received 12\u201315 sessions of Prolonged Exposure. Symptom measures were completed biweekly as well as at immediate posttreatment, 3\u2010month, and 6\u2010month follow\u2010ups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty (26.8%) participants seeking PTSD treatment also met diagnostic criteria for social anxiety disorder. Multilevel modeling was used to examine effects of social anxiety disorder diagnosis on post\u2010intervention symptoms and revealed significantly worse outcomes for symptoms of PTSD and depression in participants with comorbid PTSD and social anxiety disorder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Consistent with previous studies of co\u2010occurring PTSD and depression, present findings suggest that comorbid diagnoses may adversely affect disorder\u2010specific treatment outcomes. As such, the presence of diagnostic comorbidity may merit further consideration and potential adaptions to the traditional, disorder\u2010specific assessment and treatment practices for PTSD.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.23456","type":"journal-article","created":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T16:18:47Z","timestamp":1668788327000},"page":"1039-1050","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Influence of comorbid social anxiety disorder in PTSD treatment outcomes for Prolonged Exposure in female military sexual trauma survivors with PTSD"],"prefix":"10.1002","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3946-6716","authenticated-orcid":false,"given":"Daniel F.","family":"Gros","sequence":"first","affiliation":[{"name":"Mental Health Service Ralph H. 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Johnson VA Healthcare System Charleston South Carolina USA"},{"name":"Department of Psychiatry and Behavioral Sciences Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ron","family":"Acierno","sequence":"additional","affiliation":[{"name":"Mental Health Service Ralph H. Johnson VA Healthcare System Charleston South Carolina USA"},{"name":"Louis Faillace Department of Psychiatry University of Texas Health Science Center at Houston Houston USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2021.102461"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2018.11.032"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7894(04)80036-4"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/med:psych\/9780199772667.001.0001"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0033294119900975"},{"key":"e_1_2_8_7_1","doi-asserted-by":"crossref","unstructured":"Beck A. T. Steer R. A. &Brown G. K.(1996). 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