{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T23:38:40Z","timestamp":1784936320890,"version":"3.55.0"},"reference-count":41,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T00:00:00Z","timestamp":1744761600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"U.S. Department of Defense, Defense Health Program, Psychological Health and Traumatic Brain Injury Research Program","award":["W81XWH-13-2-0065"],"award-info":[{"award-number":["W81XWH-13-2-0065"]}]},{"name":"U.S. Department of Defense, Defense Health Program, Psychological Health and Traumatic Brain Injury Research Program","award":["I01CX001136-01"],"award-info":[{"award-number":["I01CX001136-01"]}]},{"name":"U.S. Department of Defense, Defense Health Program, Psychological Health and Traumatic Brain Injury Research Program","award":["U54MD000214"],"award-info":[{"award-number":["U54MD000214"]}]},{"name":"U.S. Department of Defense, Defense Health Program, Psychological Health and Traumatic Brain Injury Research Program","award":["K02AG059140"],"award-info":[{"award-number":["K02AG059140"]}]},{"name":"U.S. Department of Veterans Affairs, Office of Research &amp; Development, Clinical Science Research &amp; Development Service","award":["W81XWH-13-2-0065"],"award-info":[{"award-number":["W81XWH-13-2-0065"]}]},{"name":"U.S. Department of Veterans Affairs, Office of Research &amp; Development, Clinical Science Research &amp; Development Service","award":["I01CX001136-01"],"award-info":[{"award-number":["I01CX001136-01"]}]},{"name":"U.S. Department of Veterans Affairs, Office of Research &amp; Development, Clinical Science Research &amp; Development Service","award":["U54MD000214"],"award-info":[{"award-number":["U54MD000214"]}]},{"name":"U.S. Department of Veterans Affairs, Office of Research &amp; Development, Clinical Science Research &amp; Development Service","award":["K02AG059140"],"award-info":[{"award-number":["K02AG059140"]}]},{"name":"NIMHD","award":["W81XWH-13-2-0065"],"award-info":[{"award-number":["W81XWH-13-2-0065"]}]},{"name":"NIMHD","award":["I01CX001136-01"],"award-info":[{"award-number":["I01CX001136-01"]}]},{"name":"NIMHD","award":["U54MD000214"],"award-info":[{"award-number":["U54MD000214"]}]},{"name":"NIMHD","award":["K02AG059140"],"award-info":[{"award-number":["K02AG059140"]}]},{"name":"Military Health Institute at The University of Texas Health Science Center at San Antonio","award":["W81XWH-13-2-0065"],"award-info":[{"award-number":["W81XWH-13-2-0065"]}]},{"name":"Military Health Institute at The University of Texas Health Science Center at San Antonio","award":["I01CX001136-01"],"award-info":[{"award-number":["I01CX001136-01"]}]},{"name":"Military Health Institute at The University of Texas Health Science Center at San Antonio","award":["U54MD000214"],"award-info":[{"award-number":["U54MD000214"]}]},{"name":"Military Health Institute at The University of Texas Health Science Center at San Antonio","award":["K02AG059140"],"award-info":[{"award-number":["K02AG059140"]}]},{"name":"Department of Human Development and Family Studies at The Pennsylvania State University","award":["W81XWH-13-2-0065"],"award-info":[{"award-number":["W81XWH-13-2-0065"]}]},{"name":"Department of Human Development and Family Studies at The Pennsylvania State University","award":["I01CX001136-01"],"award-info":[{"award-number":["I01CX001136-01"]}]},{"name":"Department of Human Development and Family Studies at The Pennsylvania State University","award":["U54MD000214"],"award-info":[{"award-number":["U54MD000214"]}]},{"name":"Department of Human Development and Family Studies at The Pennsylvania State University","award":["K02AG059140"],"award-info":[{"award-number":["K02AG059140"]}]},{"name":"Center for Healthy Aging at The Pennsylvania State University","award":["W81XWH-13-2-0065"],"award-info":[{"award-number":["W81XWH-13-2-0065"]}]},{"name":"Center for Healthy Aging at The Pennsylvania State University","award":["I01CX001136-01"],"award-info":[{"award-number":["I01CX001136-01"]}]},{"name":"Center for Healthy Aging at The Pennsylvania State University","award":["U54MD000214"],"award-info":[{"award-number":["U54MD000214"]}]},{"name":"Center for Healthy Aging at The Pennsylvania State University","award":["K02AG059140"],"award-info":[{"award-number":["K02AG059140"]}]},{"name":"Edna P. Bennett Faculty Fellowship in Prevention Research in the College of Health and Human Development at The Pennsylvania State University","award":["W81XWH-13-2-0065"],"award-info":[{"award-number":["W81XWH-13-2-0065"]}]},{"name":"Edna P. Bennett Faculty Fellowship in Prevention Research in the College of Health and Human Development at The Pennsylvania State University","award":["I01CX001136-01"],"award-info":[{"award-number":["I01CX001136-01"]}]},{"name":"Edna P. Bennett Faculty Fellowship in Prevention Research in the College of Health and Human Development at The Pennsylvania State University","award":["U54MD000214"],"award-info":[{"award-number":["U54MD000214"]}]},{"name":"Edna P. Bennett Faculty Fellowship in Prevention Research in the College of Health and Human Development at The Pennsylvania State University","award":["K02AG059140"],"award-info":[{"award-number":["K02AG059140"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>Black\/African American individuals experience high rates of posttraumatic stress disorder (PTSD), which is frequently chronic and undertreated in this population. Intimate relationships are a salient resource for Black\/African American adults\u2019 psychological well-being. To help advance health equity, this study serves as an initial, proof-of-concept investigation of patient outcomes among Black\/African American adults who received a disorder-specific couple therapy for PTSD. Participants were a subsample of seven Black\/African American adults (mean age = 40.56 years, SD = 10.18; 85.7% male) who participated in an uncontrolled trial of an abbreviated, intensive, multi-couple group version of cognitive-behavioral conjoint therapy for PTSD with 24 military dyads. Treatment was delivered over 2 days in a weekend retreat format. Assessments were administered at baseline, 1 month post-retreat, and 3 months post-retreat. There were large and significant decreases in patients\u2019 PTSD symptoms based on clinicians\u2019 and patients\u2019 ratings (ds \u22121.37 and \u22121.36, respectively) by the 3-month follow-up relative to baseline. There were also large and significant decreases in patients\u2019 depressive, anxiety, and anger symptoms (ds \u22121.39 to \u22121.93) and a large, marginally significant decrease in patients\u2019 insomnia (d = \u22120.85; p = 0.083). Patients reported a medium, non-significant increase in relationship satisfaction (d = 0.68; p = 0.146) and a large, marginally significant increase in joint dyadic coping (d = 0.90; p = 0.069). Findings offer preliminary evidence that treating PTSD within a couple context is a relevant strategy to reduce PTSD and comorbid symptoms among partnered Black\/African American adults and a promising approach to enhance relationships.<\/jats:p>","DOI":"10.3390\/bs15040537","type":"journal-article","created":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T04:05:31Z","timestamp":1744776331000},"page":"537","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["An Initial Examination of Couple Therapy for PTSD Outcomes Among Black\/African American Adults: Findings from an Uncontrolled Trial with Military Dyads"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2053-8700","authenticated-orcid":false,"given":"Steffany J.","family":"Fredman","sequence":"first","affiliation":[{"name":"Department of Human Development and Family Studies, The Pennsylvania State University, University Park, PA 16802, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6577-5398","authenticated-orcid":false,"given":"Alyssa A.","family":"Gamaldo","sequence":"additional","affiliation":[{"name":"Department of Psychology, Clemson University, Clemson, SC 29634, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5971-9787","authenticated-orcid":false,"given":"August I. C.","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Department of Human Development and Family Studies, University of Illinois Urbana-Champaign, Urbana, IL 61801, USA"},{"name":"Department of Human Development and Family Science, Auburn University, Auburn, AL 36849, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunying","family":"Le","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Denver, Denver, CO 80210, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6082-228X","authenticated-orcid":false,"given":"Jacqueline A.","family":"Mogle","sequence":"additional","affiliation":[{"name":"Department of Psychology, Clemson University, Clemson, SC 29634, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6179-0788","authenticated-orcid":false,"given":"Candice M.","family":"Monson","sequence":"additional","affiliation":[{"name":"Department of Psychology, Toronto Metropolitan University, Toronto, ON M5B 2K3, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlene E.","family":"Gamaldo","sequence":"additional","affiliation":[{"name":"Department of Neurology, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Roland J.","family":"Thorpe","sequence":"additional","affiliation":[{"name":"Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21202, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5888-836X","authenticated-orcid":false,"given":"Brittany N.","family":"Hall-Clark","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, The University of Texas Health Science Center at San Antonio, 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