{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T08:14:09Z","timestamp":1790064849661,"version":"4.0.1"},"reference-count":35,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2024,11,16]],"date-time":"2024-11-16T00:00:00Z","timestamp":1731715200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"United States of America Department of Veterans Affairs","award":["C3322R"],"award-info":[{"award-number":["C3322R"]}]},{"name":"Veterans Health Administration","award":["C3322R"],"award-info":[{"award-number":["C3322R"]}]},{"name":"Rehabilitation, Research and Development Service (RR&amp;D)","award":["C3322R"],"award-info":[{"award-number":["C3322R"]}]},{"name":"VA Merit Review","award":["C3322R"],"award-info":[{"award-number":["C3322R"]}]},{"name":"Research Service of the VA Boston Healthcare System","award":["C3322R"],"award-info":[{"award-number":["C3322R"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>Military combat can result in the need for comprehensive care related to both physical and psychological trauma, most commonly chronic pain and post-traumatic stress disorder (PTSD). These conditions tend to co-occur and result in high levels of distress and interference in everyday life. Thus, it is imperative to develop effective, time-efficient treatments for these conditions before they become chronic and resistant to change. We developed and pilot-tested the Pain and Trauma Intensive Outpatient Treatment (PATRIOT) Program, a brief, intensive (3 weeks, six sessions) integrated chronic pain and PTSD treatment. An overview and session-by-session outline of the PATRIOT Program is provided, followed by results from the first pilot evaluation of the PATRIOT Program\u2019s feasibility, acceptability, and preliminary efficacy in a sample of eight participating Veterans with comorbid chronic pain and PTSD. There were no treatment dropouts. At post-treatment, there were significant reductions in PTSD symptoms based on the Clinician-Administered Assessment of PTSD (CAPS). Pain and catastrophic thinking also decreased from pre- to post-treatment. With continued investigations and support, the PATRIOT Program may offer a brief, cost-effective, and more easily accessible treatment option for individuals who could benefit from learning skills to manage pain and PTSD more effectively.<\/jats:p>","DOI":"10.3390\/bs14111103","type":"journal-article","created":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T04:07:09Z","timestamp":1731902829000},"page":"1103","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Intensive Treatment of Chronic Pain and PTSD: The PATRIOT Program"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5441-7421","authenticated-orcid":false,"given":"John D.","family":"Otis","sequence":"first","affiliation":[{"name":"Department of Veterans Affairs, VA Boston Healthcare System, Boston, MA 02130, USA"},{"name":"Department of Psychological and Brain Sciences, Center for Anxiety and Related Disorders at Boston University, Boston, MA 02215, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6872-4476","authenticated-orcid":false,"given":"Jonathan S.","family":"Comer","sequence":"additional","affiliation":[{"name":"Mental Health Interventions and Novel Therapeutics (MINT) Program, Florida International University, Miami, FL 33199, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0482-3149","authenticated-orcid":false,"given":"Terence M.","family":"Keane","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, VA Boston Healthcare System, Boston, MA 02130, USA"},{"name":"Department of Psychiatry, Boston University, Boston, MA 02118, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9250-5185","authenticated-orcid":false,"given":"Erica","family":"Checko (Scioli)","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, VA Boston Healthcare System, Boston, MA 02130, USA"},{"name":"Department of Psychiatry, Boston University, Boston, MA 02118, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4345-6097","authenticated-orcid":false,"given":"Donna B.","family":"Pincus","sequence":"additional","affiliation":[{"name":"Department of Psychological and Brain Sciences, Center for Anxiety and Related Disorders at Boston University, Boston, MA 02215, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2303","DOI":"10.1093\/milmed\/usae313","article-title":"Comorbid chronic pain and post-traumatic stress disorder: Current rates and psychiatric comorbidities among U.S. military veterans","volume":"189","author":"Hadlandsmyth","year":"2024","journal-title":"Mil. 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