{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T11:41:30Z","timestamp":1787917290114,"version":"build-2784847793"},"reference-count":43,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:00:00Z","timestamp":1760140800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:00:00Z","timestamp":1760140800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Resilience is associated with lower post\u2010traumatic stress disorder (PTSD) severity and may play a beneficial role in PTSD treatment. The present study explored if pre\u2010treatment resilience and changes in resilience during intensive treatment for PTSD were associated with PTSD and depression symptom change among veterans during and up to a year after treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 727 veterans (age:\n                      <jats:italic>M<\/jats:italic>\n                      \u2009=\u200945.1 years, SD\u2009=\u200910.3) participated in a 2\u2010week Cognitive Processing Therapy (CPT)\u2010based Intensive PTSD Treatment Program (ITP). Resilience was assessed at the start and end of the program, while PTSD and depression were assessed every other day of the program and 3\u2010, 6\u2010, and 12\u2010months post\u2010treatment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Veterans with higher pre\u2010treatment resilience tended to have lower PTSD (\n                      <jats:italic>b<\/jats:italic>\n                      \u2009=\u2009\u22120.24,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001,\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.04) and depression severity (\n                      <jats:italic>b<\/jats:italic>\n                      \u2009=\u2009\u22120.10,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001,\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.07) throughout the ITP. Pre\u2010treatment resilience was not associated with differing treatment trajectories for PTSD (\n                      <jats:italic>b<\/jats:italic>\n                      \u2009=\u2009\u22120.01,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.492) or depression (\n                      <jats:italic>b<\/jats:italic>\n                      \u2009=\u2009\u22120.01,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.184). Improvements in resilience from the beginning to end of treatment were associated with improvements in PTSD (\n                      <jats:italic>b<\/jats:italic>\n                      \u2009=\u2009\u22120.24,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001,\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.02) and depression symptoms (\n                      <jats:italic>b<\/jats:italic>\n                      \u2009=\u2009\u20100.10,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001,\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.01). Pre\u2010treatment resilience was associated with PTSD severity 3\u2010 and 12\u2010months following treatment, and with depression severity 3\u2010 and 6\u2010months post\u2010treatment. Changes in resilience during treatment were associated with PTSD severity up to 1 year post\u2010treatment, and up to 3 months for depression severity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings highlight that patients may experience similarly beneficial treatment trajectories regardless of their pre\u2010treatment resilience. This may offer hope to patients with lower resilience that they can still achieve meaningful PTSD and depression symptom reductions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jclp.70029","type":"journal-article","created":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T12:06:16Z","timestamp":1760184376000},"page":"1213-1220","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pre\u2010Treatment Resilience as a Predictor of Veterans' Post\u2010Traumatic Stress Disorder Symptom Outcomes Immediately and Up To 12\u2010Months Following Intensive Cognitive Processing Therapy"],"prefix":"10.1002","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7648-0352","authenticated-orcid":false,"given":"Michelle K.","family":"Ptak","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dale","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Illinois in Chicago Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Pridgen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Held","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2014.09.001"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00050067.2022.2089543"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/10926771.2015.1107174"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22059"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.5114\/cipp.2021.107337"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.10113"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269881111413821"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.3429"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2013.08.018"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2014.08.054"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0001100"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.3102\/10769986018003271"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.09m05780blu"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22831"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0001257"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2023.05.001"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012527"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/HRP.0000000000000194"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2016.10.017"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20685"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2014.02.031"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejtd.2018.07.002"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clbc.2011.06.008"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.b.32763"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/15504263.2018.1464237"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/08995605.2022.2086418"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2019.03.006"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2019.11.008"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcbs.2023.03.005"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2018.01.048"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40501-020-00219-7"},{"key":"e_1_2_8_34_1","volume-title":"Cognitive Processing Therapy for PTSD: A Comprehensive Therapist Manual","author":"Resick P. 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