{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T19:31:30Z","timestamp":1788550290838,"version":"build-2803163510"},"reference-count":39,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,12,23]],"date-time":"2021-12-23T00:00:00Z","timestamp":1640217600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Cognitive behavioral conjoint therapy (CBCT) for posttraumatic stress disorder (PTSD) is a 15\u2010session conjoint treatment for PTSD designed to improve PTSD symptoms and enhance intimate relationship functioning. Numerous studies of CBCT for PTSD document improvements in patient PTSD and comorbid symptoms, partner mental health, and relationship adjustment. However, little is known about its effectiveness in real\u2010world clinical settings. Using an intention\u2010to\u2010treat sample of couples who participated in CBCT for PTSD in an outpatient U.S. Veterans Affairs (VA) PTSD clinic (<jats:italic>N =<\/jats:italic> 113), trajectories of session\u2010by\u2010session reports of veterans\u2019 PTSD symptoms and both partners\u2019 relationship happiness were examined. Across sessions, there were significant reductions in veteran\u2010rated PTSD symptoms, <jats:italic>d<\/jats:italic> = \u22120.69, and significant increases in veteran\u2010 and partner\u2010rated relationship happiness, <jats:italic>d<\/jats:italic>s = 0.36 and 0.35, respectively. Partner ratings of veterans\u2019 PTSD symptoms increased before significantly decreasing, <jats:italic>d<\/jats:italic> = \u22120.24. Secondary outcomes of veteran and partner relationship satisfaction, <jats:italic>d<\/jats:italic>s = 0.30 and 0.42, respectively; veteran and partner depressive symptoms, <jats:italic>d<\/jats:italic>s = \u22120.75 and \u22120.29, respectively; and partner accommodation of PTSD symptoms, <jats:italic>d<\/jats:italic> = \u22120.44, also significantly improved from pre\u2010 to posttreatment. The findings suggest that CBCT for PTSD was effective for decreasing PTSD and comorbid symptoms in veterans, as well as for improving relationship functioning and partners\u2019 mental health, among a sample of real\u2010world couples seeking treatment in a VA PTSD specialty clinic.<\/jats:p>","DOI":"10.1002\/jts.22781","type":"journal-article","created":{"date-parts":[[2021,12,24]],"date-time":"2021-12-24T00:50:50Z","timestamp":1640307050000},"page":"644-658","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Effectiveness of cognitive behavioral conjoint therapy for posttraumatic stress disorder (PTSD) in a U.S. Veterans Affairs PTSD clinic"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5837-9282","authenticated-orcid":false,"given":"Nicole D.","family":"Pukay\u2010Martin","sequence":"first","affiliation":[{"name":"Trauma Recovery Center Cincinnati Veterans Affairs Medical Center  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffany J.","family":"Fredman","sequence":"additional","affiliation":[{"name":"Department of Human Development and Family Studies The Pennsylvania State University  University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen E.","family":"Martin","sequence":"additional","affiliation":[{"name":"Trauma Recovery Center Cincinnati Veterans Affairs Medical Center  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunying","family":"Le","sequence":"additional","affiliation":[{"name":"Department of Human Development and Family Studies The Pennsylvania State University  University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Haney","sequence":"additional","affiliation":[{"name":"Trauma Recovery Center Cincinnati Veterans Affairs Medical Center  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5758-2644","authenticated-orcid":false,"given":"Connor","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Trauma Recovery Center Cincinnati Veterans Affairs Medical Center  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Candice M.","family":"Monson","sequence":"additional","affiliation":[{"name":"Department of Psychology Ryerson University  Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen M.","family":"Chard","sequence":"additional","affiliation":[{"name":"Trauma Recovery Center Cincinnati Veterans Affairs Medical Center  Cincinnati Ohio USA"},{"name":"Department of Psychiatry and Behavioral Neuroscience University of Cincinnati  Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,23]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0015392"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22129"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000254"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2016.04.006"},{"key":"e_1_2_6_7_1","volume-title":"Statistical power analysis for the behavioral sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/cfp0000148"},{"key":"e_1_2_6_9_1","unstructured":"Department of Veterans Affairs & Department of Defense. 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