Using machine learning to predict sudden gains in intensive treatment for PTSD.

Machine learning Massed treatment PTSD Predictors Sudden gains Treatment outcomes Veterans

Journal

Journal of anxiety disorders
ISSN: 1873-7897
Titre abrégé: J Anxiety Disord
Pays: Netherlands
ID NLM: 8710131

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 28 10 2022
revised: 12 09 2023
accepted: 06 10 2023
pubmed: 24 10 2023
medline: 24 10 2023
entrez: 23 10 2023
Statut: ppublish

Résumé

Sudden gains have been found in PTSD treatment across samples and treatment modality. Sudden gains have consistently predicted better treatment response, illustrating clear clinical implications, though attempts to identify predictors of sudden gains have produced inconsistent findings. To date, sudden gains have not been examined in intensive PTSD treatment programs (ITPs). This study explored the occurrence of sudden gains in a 3-week and 2-week ITP (n = 465 and n = 235), evaluated the effect of sudden gains on post-treatment and follow-up PTSD severity while controlling for overall change, and used three machine learning algorithms to assess our ability to predict sudden gains. We found 31% and 19% of our respective samples experienced a sudden gain during the ITP. In both ITPs, sudden gain status predicted greater PTSD symptom improvement at post-treatment (t

Identifiants

pubmed: 37871453
pii: S0887-6185(23)00121-4
doi: 10.1016/j.janxdis.2023.102783
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

102783

Informations de copyright

Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors have no known conflicts of interest to disclose.

Auteurs

Nicole M Christ (NM)

Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA.

Ryan A Schubert (RA)

Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA.

Rhea Mundle (R)

Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA.

Sarah Pridgen (S)

Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA.

Philip Held (P)

Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA. Electronic address: Philip_Held@rush.edu.

Classifications MeSH