Post Traumatic Stress Disorder
Conditions
Keywords
Post Traumatic Stress Disorder, Marital Therapy, Veterans, Telemedicine, Couples
Brief summary
Untreated posttraumatic stress disorder (PTSD) is a costly condition associated with impairment in functioning across a host of psychosocial domains including occupational and academic functioning, marital and family functioning, parenting, and socialization. Impairment is not limited to Veterans with PTSD because the entire family is affected, particularly the Veteran's intimate partner. PTSD symptoms can produce negative effects on both members of the dyad. Despite the need for treatment, many Veterans and their families do not access PTSD-related services due to a number of barriers to accessing care (e.g., living in rural or remote areas where no specialty services exist, concerns about stigma around using mental health services, limited clinic hours to accommodate patient schedules). The objective of this study is to assess whether providing Cognitive-Behavioral Conjoint Therapy, in which PTSD symptoms and intimate relationship functioning are addressed, to Veterans and their romantic partners in their homes via clinical video teleconferencing leads to better outcomes compared to office based treatment.
Detailed description
Anticipated Impact on Veterans' Healthcare: This project addresses the mental health and functioning needs of Veterans and their families by increasing the access to an established treatment using telemental health technology. Project Background: Veterans and their families experience the deleterious effects of posttraumatic stress disorder (PTSD) and associated negative sequelae. PTSD is related to a variety of comorbid mental health symptomatology and psychosocial impairment, including high rates of intimate relationship problems which impact Veterans' recovery and functioning. Despite available couple-based interventions, barriers to care such as stigma regarding mental health treatment, travel time to receive care, and transportation costs, make it difficult for Veterans and their families to access specialty PTSD treatments necessary for rehabilitation. Home-based clinical video teleconferencing (CVT) delivers specialized mental health treatments to clients in the ease of their own home, which allows clinicians to directly observe the client's home environment and family milieu. Cognitive-Behavioral Conjoint Therapy (CBCT), a couple-based treatment designed to target PTSD symptoms and improve individual and relationship functioning, has shown evidence of improvements in clinical symptom outcomes in research conducted with Veterans and their partners. Project Objectives: This is a 4-year randomized controlled trial. The primary objective of this study is to compare the clinical efficacy (PTSD symptoms, relationship distress, and functional impairment) of CBCT delivered via an office-based (CBCT-OB) or a home-based CVT (CBCT-HB) delivery modality to the PTSD Family Education control condition (PFE). In addition, this study will estimate and compare the difference in clinical efficacy between CBCT delivered via an office-based (CBCT-OB) or a home-based CVT (CBCT-HB) delivery modality if indicated by results of the primary objective. This study will also compare process outcomes (therapeutic alliance, enrollment and dropout rates, and treatment satisfaction) for CBCT-OB, CBCT-HB, and PFE. Project Methods: Participants will be 180 intent-to-treat couples in which one partner is a PTSD-positive Veteran. Couples will be randomly assigned to receive treatment through one of the three treatment delivery modalities: CBCT-OB, CBCT-HB or PFE. Assessments will be conducted at baseline, mid- and post-treatment, and 3- and 6-months post-treatment. The primary outcome variables of clinical efficacy will be measures of PTSD symptom severity, relationship distress, and functional impairment. Secondary outcome variables include PTSD diagnostic status, self- reported PTSD symptoms, depression, anger, and relationship conflict. Additionally, primary process outcomes will include measures of treatment retention, attendance, therapeutic alliance, and treatment satisfaction. Variability in scores for each of the primary and secondary outcome measures will be examined individually in a series of separate multilevel models. The results will provide evidence that can be used to further increase the clinical efficacy, ease of access to, and utilization of specialty PTSD treatment to Veterans and their families.
Interventions
BEHAVIORALCBCT-Home Based (CBCT-HB)
Couples in CBCT-HB will receive 8 sessions of standardized Cognitive-Behavioral Conjoint Therapy (CBCT), a manualized couple-based intervention for PTSD designed to simultaneously reduce PTSD and enhance relationship and functioning. The psychotherapy is administered over 8 to 15 weeks to the Veterans home via home-based clinical video teleconferencing (CVT).
BEHAVIORALCBCT-Office Based (CBCT-OB)
Couples in CBCT-OB will receive 8 sessions of standardized Cognitive-Behavioral Conjoint Therapy (CBCT), a manualized couple-based intervention for PTSD designed to simultaneously reduce PTSD and enhance relationship and functioning. The psychotherapy is administered over 8 to 15 weeks in-person in the therapist's office.
BEHAVIORALPTSD Family Education (PFE)
Couples in the PFE condition will receive 8 sessions of standardized PTSD Family Education, a manualized psychoeducational program designed to help couples learn more about posttraumatic stress disorder and related difficulties. This psychotherapy is administered over 8 to 15 weeks and is delivered in-person in the therapist's office.
Sponsors
VA Office of Research and Development
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Study assessors are kept blind to the couple's randomly assigned treatment condition.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Be a Veteran (age 18 or older) with a current Diagnostic and Statistical Manual-5 (DSM-5) diagnosis of PTSD (as assessed by the CAPS) no less than 3 months after the index trauma occurred (to allow for potential natural recovery) * Be on a stable psychoactive medication regimen for at least 2 months (if eligible) * Be an intimate partner (age 18 or older) who is willing to participate in the intervention. * Be randomized into any of the three treatment conditions * Have assessment and treatment sessions audio recorded * Agree not to receive other individual or conjoint psychotherapy for PTSD during the treatment portion of the study * Consistent with home-based clinical trials and actual clinical practice * Participants enrolled into the study will need to have access to internet via Digital Subscriber Line (DSL) or a cable provider in case they are randomized into the home-based condition. * The frequency of occurrence of no internet service will be tracked * If the PTSD-positive Veteran is currently receiving treatment at the VA, study staff will consult with their primary clinician prior to their inclusion in the study
Exclusion criteria
* Current substance dependence in either member of the couple not in remission for at least 3 months, as assessed by the Alcohol Use Disorders Identification Test (AUDIT)108 and Drug Abuse Screening Test (DAST) * Any current uncontrolled psychotic disorder in either member of the couple * Imminent suicidality or homicidality in either member of the couple * Any severe cognitive impairment in either member of the couple * Any perpetration of severe physical or sexual relationship aggression in the past year (as assessed by the Conflict Tactics Scale-2 \[CTS-2\]). * Participants who do not meet study criteria will be offered referrals to alternate services, as well as assistance in contacting the referral sites as needed
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Working Alliance Inventory- Short Form (WAI-S) | Approximately week 3 of all treatment conditions | This adaptation of the Working Alliance Inventory- short form (WAI-S) includes 14 items assessing therapeutic alliance as reported by the patient on a 7-point Likert scale. Higher sum scores (14 to 98) represent higher patient-reported working alliance. |
| Clinician Administered PTSD Scale (CAPS) | Baseline | The CAPS-5 is a 30-item clinician administered interview designed to diagnose current and lifetime PTSD and to assess PTSD symptom-severity over the past week. The interview assesses 20 DSM-5 PTSD symptoms as well as onset, duration, distress, and functional impact, overall validity, PTSD severity, and presence of dissociation. Prior to assessing symptoms, the clinical interviewer works with the patient to establish an index-trauma and each follow-up question focuses on symptoms as they relate to the index trauma. \*Score range: 0-80 with higher score indicating greater symptom severity |
| Couples Satisfaction Index (CSI) | Baseline | The Couples Satisfaction Index is a 32-item self-report survey assessing several domains of relationship satisfaction. Higher sum scores (range 0 to 161) represent higher relationship satisfaction. |
| Inventory of Psychosocial Functioning (IPF) | Baseline | The Inventory of Psychosocial Functioning (IPF) is an 80-item self-report measure designed to assess multiple dimensions of functional impairment related to psychiatric disturbances. Higher sum scores (range 0 to 100) indicate more functional impairment. |
| Client Satisfaction Questionnaire (CSQ) | 1 Month Post Treatment | Client Satisfaction Questionnaire (CSQ) is an 8-item measure about satisfaction with treatment rated on a 4-point Likert scale. Higher mean scores (range 0 to 4) represent higher satisfaction with treatment services. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Beck Depression Inventory-II (BDI-2) | Baseline | The BDI is a 21-item self report questionnaire assessing symptoms of depression. Scores range from 0 to 63, with higher scores representing more severe symptoms. |
| State-Trait Anger Inventory (STAXI) | Baseline | The STAXI-2 is a self-report questionnaire assessing state and trait anger. The State subscale (15 items) ranges from 15 to 60, and the Trait subscale (10 items) ranges from 10 to 40, with higher scores representing more anger. |
| Conflict Tactics Scale Short Form- (CTS-2S) | Baseline | 20-item self-report inventory yielding 5 scales. Most widely used measure of its kind. Scores on the Psychological Aggression and Negotiation subscales range from 0 to 24, with higher scores representing more Psychological Aggression and more Negotiation. |
| PTSD Checklist-5 (PCL-5) | Baseline | The PCL-5 is a 20 item self report questionnaire assessing symptoms of PTSD based on DSM-V criteria. Scores range from 0 to 80, with higher scores representing more severe symptoms. |
Countries
United States
Participant flow
Recruitment details
During the recruitment period from October 2016 to March 2020, we received 706 referrals from the myriad of community-based outpatient clinics (CBOCs; e.g., VA Mission Valley Clinic), VA associated clinics (e.g., Family Mental Health), and self-referrals, typically from Veterans who see our study ads (both virtual and physical) in the La Jolla VA Main Hospital.
Participants by arm
| Arm | Count |
|---|---|
| CBCT-Home Based (CBCT-HB) Couples in CBCT-HB will receive 8 sessions of standardized Cognitive-Behavioral Conjoint Therapy (CBCT), a manualized couple-based intervention for PTSD designed to simultaneously reduce PTSD and enhance relationship and functioning. The psychotherapy is administered over 8 to 15 weeks to the Veterans home via home-based clinical video teleconferencing (CVT).
CBCT-Home Based (CBCT-HB): Couples in CBCT-HB will receive 8 sessions of standardized Cognitive-Behavioral Conjoint Therapy (CBCT), a manualized couple-based intervention for PTSD designed to simultaneously reduce PTSD and enhance relationship and functioning. The psychotherapy is administered over 8 to 15 weeks to the Veterans home via home-based clinical video teleconferencing (CVT). | 92 |
| CBCT-Office Based (CBCT-OB) Couples in CBCT-OB will receive 8 sessions of standardized Cognitive-Behavioral Conjoint Therapy (CBCT), a manualized couple-based intervention for PTSD designed to simultaneously reduce PTSD and enhance relationship and functioning. The psychotherapy is administered over 8 to 15 weeks in-person in the therapist's office.
CBCT-Office Based (CBCT-OB): Couples in CBCT-OB will receive 8 sessions of standardized Cognitive-Behavioral Conjoint Therapy (CBCT), a manualized couple-based intervention for PTSD designed to simultaneously reduce PTSD and enhance relationship and functioning. The psychotherapy is administered over 8 to 15 weeks in-person in the therapist's office. | 92 |
| PTSD Family Education (PFE) Couples in the PFE condition will receive 8 sessions of standardized PTSD Family Education, a manualized psychoeducational program designed to help couples learn more about posttraumatic stress disorder and related difficulties. This psychotherapy is administered over 8 to 15 weeks and is delivered in-person in the therapist's office.
PTSD Family Education (PFE): Couples in the PFE condition will receive 8 sessions of standardized PTSD Family Education, a manualized psychoeducational program designed to help couples learn more about posttraumatic stress disorder and related difficulties. This psychotherapy is administered over 8 to 15 weeks and is delivered in-person in the therapist?s office. | 90 |
| Total | 274 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | Childcare | 2 | 0 | 2 |
| Overall Study | Moved away | 2 | 0 | 0 |
| Overall Study | Not Primary Health Concern | 0 | 0 | 2 |
| Overall Study | Other | 0 | 0 | 2 |
| Overall Study | Scheduling issues | 2 | 4 | 7 |
| Overall Study | Separation of couple | 6 | 8 | 2 |
| Overall Study | Transportation issues | 0 | 0 | 1 |
| Overall Study | Withdrawal by PI | 2 | 2 | 0 |
| Overall Study | Withdrawal by Subject | 6 | 6 | 4 |
Baseline characteristics
| Characteristic | CBCT-Home Based (CBCT-HB) | CBCT-Office Based (CBCT-OB) | PTSD Family Education (PFE) | Total |
|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 7 Participants | 5 Participants | 14 Participants | 26 Participants |
| Age, Categorical Between 18 and 65 years | 85 Participants | 87 Participants | 76 Participants | 248 Participants |
| Age, Continuous | 42.37 years STANDARD_DEVIATION 12.42 | 39.25 years STANDARD_DEVIATION 12.45 | 43.89 years STANDARD_DEVIATION 15.24 | 41.82 years STANDARD_DEVIATION 13.51 |
| B-IPF | 42.0 units on a scale STANDARD_DEVIATION 21.5 | 41.6 units on a scale STANDARD_DEVIATION 21.8 | 39.8 units on a scale STANDARD_DEVIATION 19.3 | 41.1 units on a scale STANDARD_DEVIATION 20.8 |
| CAPS-5 | 38.5 units on a scale STANDARD_DEVIATION 9.35 | 37.2 units on a scale STANDARD_DEVIATION 9.95 | 36.9 units on a scale STANDARD_DEVIATION 9.14 | 37.5 units on a scale STANDARD_DEVIATION 9.44 |
| CSI | 102.9 units on a scale STANDARD_DEVIATION 31.4 | 104.8 units on a scale STANDARD_DEVIATION 35.9 | 111.9 units on a scale STANDARD_DEVIATION 30 | 106.4 units on a scale STANDARD_DEVIATION 32.7 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 31 Participants | 33 Participants | 29 Participants | 93 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 60 Participants | 58 Participants | 58 Participants | 176 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 1 Participants | 1 Participants | 3 Participants | 5 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 3 Participants | 2 Participants | 2 Participants | 7 Participants |
| Race (NIH/OMB) Asian | 5 Participants | 2 Participants | 7 Participants | 14 Participants |
| Race (NIH/OMB) Black or African American | 13 Participants | 21 Participants | 12 Participants | 46 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 5 Participants | 3 Participants | 1 Participants | 9 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 16 Participants | 18 Participants | 15 Participants | 49 Participants |
| Race (NIH/OMB) White | 50 Participants | 46 Participants | 53 Participants | 149 Participants |
| Sex: Female, Male Female | 46 Participants | 46 Participants | 45 Participants | 137 Participants |
| Sex: Female, Male Male | 46 Participants | 46 Participants | 45 Participants | 137 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 92 | 0 / 92 | 0 / 90 |
| other Total, other adverse events | 8 / 92 | 14 / 92 | 14 / 90 |
| serious Total, serious adverse events | 0 / 92 | 0 / 92 | 0 / 92 |
Outcome results
Primary
Client Satisfaction Questionnaire (CSQ)
Client Satisfaction Questionnaire (CSQ) is an 8-item measure about satisfaction with treatment rated on a 4-point Likert scale. Higher mean scores (range 0 to 4) represent higher satisfaction with treatment services.
Time frame: 1 Month Post Treatment
Population: Entire enrolled sample, both partners; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Client Satisfaction Questionnaire (CSQ) | 3.389157 score on a scale | Standard Error 0.1080726 |
| CBCT-Office Based (CBCT-OB) | Client Satisfaction Questionnaire (CSQ) | 3.423814 score on a scale | Standard Error 0.1029292 |
| PTSD Family Education (PFE) | Client Satisfaction Questionnaire (CSQ) | 3.421993 score on a scale | Standard Error 0.1092805 |
Primary
Clinician Administered PTSD Scale (CAPS)
The CAPS-5 is a 30-item clinician administered interview designed to diagnose current and lifetime PTSD and to assess PTSD symptom-severity over the past week. The interview assesses 20 DSM-5 PTSD symptoms as well as onset, duration, distress, and functional impact, overall validity, PTSD severity, and presence of dissociation. Prior to assessing symptoms, the clinical interviewer works with the patient to establish an index-trauma and each follow-up question focuses on symptoms as they relate to the index trauma. \*Score range: 0-80 with higher score indicating greater symptom severity
Time frame: 3-Months Post Treatment
Population: Entire enrolled sample, Veteran partners only; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Clinician Administered PTSD Scale (CAPS) | 24.483465 score on a scale | Standard Error 2.2550249 |
| CBCT-Office Based (CBCT-OB) | Clinician Administered PTSD Scale (CAPS) | 24.647374 score on a scale | Standard Error 2.2486121 |
| PTSD Family Education (PFE) | Clinician Administered PTSD Scale (CAPS) | 30.361910 score on a scale | Standard Error 2.2410544 |
Primary
Clinician Administered PTSD Scale (CAPS)
The CAPS-5 is a 30-item clinician administered interview designed to diagnose current and lifetime PTSD and to assess PTSD symptom-severity over the past week. The interview assesses 20 DSM-5 PTSD symptoms as well as onset, duration, distress, and functional impact, overall validity, PTSD severity, and presence of dissociation. Prior to assessing symptoms, the clinical interviewer works with the patient to establish an index-trauma and each follow-up question focuses on symptoms as they relate to the index trauma. \*Score range: 0-80 with higher score indicating greater symptom severity
Time frame: 6- Months Post Treatment
Population: Entire enrolled sample, Veteran partners only; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Clinician Administered PTSD Scale (CAPS) | 25.225243 score on a scale | Standard Error 2.3268567 |
| CBCT-Office Based (CBCT-OB) | Clinician Administered PTSD Scale (CAPS) | 24.869300 score on a scale | Standard Error 2.3450681 |
| PTSD Family Education (PFE) | Clinician Administered PTSD Scale (CAPS) | 28.281612 score on a scale | Standard Error 2.2157577 |
Primary
Clinician Administered PTSD Scale (CAPS)
The CAPS-5 is a 30-item clinician administered interview designed to diagnose current and lifetime PTSD and to assess PTSD symptom-severity over the past week. The interview assesses 20 DSM-5 PTSD symptoms as well as onset, duration, distress, and functional impact, overall validity, PTSD severity, and presence of dissociation. Prior to assessing symptoms, the clinical interviewer works with the patient to establish an index-trauma and each follow-up question focuses on symptoms as they relate to the index trauma. \*Score range: 0-80 with higher score indicating greater symptom severity
Time frame: 1 Month Post Treatment
Population: Entire enrolled sample, Veteran partners only; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Clinician Administered PTSD Scale (CAPS) | 25.400853 score on a scale | Standard Error 2.091249 |
| CBCT-Office Based (CBCT-OB) | Clinician Administered PTSD Scale (CAPS) | 25.949376 score on a scale | Standard Error 2.0622709 |
| PTSD Family Education (PFE) | Clinician Administered PTSD Scale (CAPS) | 31.697835 score on a scale | Standard Error 2.0545996 |
Comparison: Analyses were pooled across 50 imputed data sets. We used piecewise/spline mixed-effects regression models: one slope estimated from baseline to post (treatment impacts), with a separate slope estimated from post to 6-months (maintenance).p-value: 0.016Mixed-effects regression
Comparison: Analyses were pooled across 50 imputed data sets. We used piecewise/spline mixed-effects regression models: one slope estimated from baseline to post (treatment impacts), with a separate slope estimated from post to 6-months (maintenance).p-value: 0.002Mixed-effects regression
Comparison: Analyses were pooled across 50 imputed data sets. We used piecewise/spline mixed-effects regression models: one slope estimated from baseline to post (treatment impacts), with a separate slope estimated from post to 6-months (maintenance).p-value: 0.492Mixed-effects regression
Primary
Clinician Administered PTSD Scale (CAPS)
The CAPS-5 is a 30-item clinician administered interview designed to diagnose current and lifetime PTSD and to assess PTSD symptom-severity over the past week. The interview assesses 20 DSM-5 PTSD symptoms as well as onset, duration, distress, and functional impact, overall validity, PTSD severity, and presence of dissociation. Prior to assessing symptoms, the clinical interviewer works with the patient to establish an index-trauma and each follow-up question focuses on symptoms as they relate to the index trauma. \*Score range: 0-80 with higher score indicating greater symptom severity
Time frame: Baseline
Population: Entire enrolled sample, Veteran partners only; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Clinician Administered PTSD Scale (CAPS) | 38.456522 score on a scale | Standard Error 1.379178 |
| CBCT-Office Based (CBCT-OB) | Clinician Administered PTSD Scale (CAPS) | 37.239130 score on a scale | Standard Error 1.4665958 |
| PTSD Family Education (PFE) | Clinician Administered PTSD Scale (CAPS) | 36.933333 score on a scale | Standard Error 1.3627068 |
Primary
Couples Satisfaction Index (CSI)
The Couples Satisfaction Index is a 32-item self-report survey assessing several domains of relationship satisfaction. Higher sum scores (range 0 to 161) represent higher relationship satisfaction.
Time frame: 6- Months Post Treatment
Population: Entire enrolled sample, both partners; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Couples Satisfaction Index (CSI) | 109.384934 score on a scale | Standard Error 4.1233647 |
| CBCT-Office Based (CBCT-OB) | Couples Satisfaction Index (CSI) | 110.919753 score on a scale | Standard Error 4.7608962 |
| PTSD Family Education (PFE) | Couples Satisfaction Index (CSI) | 118.410443 score on a scale | Standard Error 3.9590245 |
Primary
Couples Satisfaction Index (CSI)
The Couples Satisfaction Index is a 32-item self-report survey assessing several domains of relationship satisfaction. Higher sum scores (range 0 to 161) represent higher relationship satisfaction.
Time frame: Baseline
Population: Entire enrolled sample, both partners; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Couples Satisfaction Index (CSI) | 102.936782 score on a scale | Standard Error 3.3421657 |
| CBCT-Office Based (CBCT-OB) | Couples Satisfaction Index (CSI) | 104.847826 score on a scale | Standard Error 3.7405059 |
| PTSD Family Education (PFE) | Couples Satisfaction Index (CSI) | 112.168689 score on a scale | Standard Error 3.2376775 |
Primary
Couples Satisfaction Index (CSI)
The Couples Satisfaction Index is a 32-item self-report survey assessing several domains of relationship satisfaction. Higher sum scores (range 0 to 161) represent higher relationship satisfaction.
Time frame: Mid Treatment (Approximately week 5 of all treatment conditions)
Population: Entire enrolled sample, both partners; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Couples Satisfaction Index (CSI) | 103.004524 score on a scale | Standard Error 3.8251803 |
| CBCT-Office Based (CBCT-OB) | Couples Satisfaction Index (CSI) | 108.112456 score on a scale | Standard Error 4.1797505 |
| PTSD Family Education (PFE) | Couples Satisfaction Index (CSI) | 114.748458 score on a scale | Standard Error 3.5772543 |
Primary
Couples Satisfaction Index (CSI)
The Couples Satisfaction Index is a 32-item self-report survey assessing several domains of relationship satisfaction. Higher sum scores (range 0 to 161) represent higher relationship satisfaction.
Time frame: 1 Month Post Treatment
Population: Entire enrolled sample, both partners; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Couples Satisfaction Index (CSI) | 109.481289 score on a scale | Standard Error 4.1068688 |
| CBCT-Office Based (CBCT-OB) | Couples Satisfaction Index (CSI) | 112.741213 score on a scale | Standard Error 4.3721817 |
| PTSD Family Education (PFE) | Couples Satisfaction Index (CSI) | 120.408861 score on a scale | Standard Error 3.5479556 |
Comparison: Analyses were pooled across 50 imputed data sets. We used piecewise/spline mixed-effects regression models: one slope estimated from baseline to post (treatment impacts), with a separate slope estimated from post to 6-months (maintenance).p-value: 0.872Mixed-effects regression
Comparison: Analyses were pooled across 50 imputed data sets. We used piecewise/spline mixed-effects regression models: one slope estimated from baseline to post (treatment impacts), with a separate slope estimated from post to 6-months (maintenance).p-value: 0.686Mixed-effects regression
Comparison: Analyses were pooled across 50 imputed data sets. We used piecewise/spline mixed-effects regression models: one slope estimated from baseline to post (treatment impacts), with a separate slope estimated from post to 6-months (maintenance).p-value: 0.798Mixed-effects regression
Primary
Couples Satisfaction Index (CSI)
The Couples Satisfaction Index is a 32-item self-report survey assessing several domains of relationship satisfaction. Higher sum scores (range 0 to 161) represent higher relationship satisfaction.
Time frame: 3- Months Post Treatment
Population: Entire enrolled sample, both partners; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Couples Satisfaction Index (CSI) | 108.873270 score on a scale | Standard Error 4.3020165 |
| CBCT-Office Based (CBCT-OB) | Couples Satisfaction Index (CSI) | 111.135788 score on a scale | Standard Error 4.8525214 |
| PTSD Family Education (PFE) | Couples Satisfaction Index (CSI) | 119.612750 score on a scale | Standard Error 3.8630495 |
Primary
Inventory of Psychosocial Functioning (IPF)
The Inventory of Psychosocial Functioning (IPF) is an 80-item self-report measure designed to assess multiple dimensions of functional impairment related to psychiatric disturbances. Higher sum scores (range 0 to 100) indicate more functional impairment.
Time frame: Mid Treatment (Approximately week 5 of all treatment conditions)
Population: Entire enrolled sample, Veteran partners only; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Inventory of Psychosocial Functioning (IPF) | 43.4390 score on a scale | Standard Error 3.79594 |
| CBCT-Office Based (CBCT-OB) | Inventory of Psychosocial Functioning (IPF) | 43.0393 score on a scale | Standard Error 3.68072 |
| PTSD Family Education (PFE) | Inventory of Psychosocial Functioning (IPF) | 44.8664 score on a scale | Standard Error 3.95252 |
Primary
Inventory of Psychosocial Functioning (IPF)
The Inventory of Psychosocial Functioning (IPF) is an 80-item self-report measure designed to assess multiple dimensions of functional impairment related to psychiatric disturbances. Higher sum scores (range 0 to 100) indicate more functional impairment.
Time frame: 1 Month Post Treatment
Population: Entire enrolled sample, Veteran partners only; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Inventory of Psychosocial Functioning (IPF) | 33.2541 score on a scale | Standard Error 4.09738 |
| CBCT-Office Based (CBCT-OB) | Inventory of Psychosocial Functioning (IPF) | 33.9657 score on a scale | Standard Error 3.82502 |
| PTSD Family Education (PFE) | Inventory of Psychosocial Functioning (IPF) | 34.0572 score on a scale | Standard Error 3.8824 |
Comparison: Analyses were pooled across 50 imputed data sets. We used piecewise/spline mixed-effects regression models: one slope estimated from baseline to post (treatment impacts), with a separate slope estimated from post to 6-months (maintenance).p-value: 0.631Mixed-effects regression
Comparison: Analyses were pooled across 50 imputed data sets. We used piecewise/spline mixed-effects regression models: one slope estimated from baseline to post (treatment impacts), with a separate slope estimated from post to 6-months (maintenance).p-value: 0.56Mixed-effects regression
Comparison: Analyses were pooled across 50 imputed data sets. We used piecewise/spline mixed-effects regression models: one slope estimated from baseline to post (treatment impacts), with a separate slope estimated from post to 6-months (maintenance).p-value: 0.922Mixed-effects regression
Primary
Inventory of Psychosocial Functioning (IPF)
The Inventory of Psychosocial Functioning (IPF) is an 80-item self-report measure designed to assess multiple dimensions of functional impairment related to psychiatric disturbances. Higher sum scores (range 0 to 100) indicate more functional impairment.
Time frame: 3- Months Post Treatment
Population: Entire enrolled sample, Veteran partners only; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Inventory of Psychosocial Functioning (IPF) | 35.6696 score on a scale | Standard Error 4.15061 |
| CBCT-Office Based (CBCT-OB) | Inventory of Psychosocial Functioning (IPF) | 33.6290 score on a scale | Standard Error 4.3715 |
| PTSD Family Education (PFE) | Inventory of Psychosocial Functioning (IPF) | 34.5942 score on a scale | Standard Error 4.08413 |
Primary
Inventory of Psychosocial Functioning (IPF)
The Inventory of Psychosocial Functioning (IPF) is an 80-item self-report measure designed to assess multiple dimensions of functional impairment related to psychiatric disturbances. Higher sum scores (range 0 to 100) indicate more functional impairment.
Time frame: 6- Months Post Treatment
Population: Entire enrolled sample, Veteran partners only; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Inventory of Psychosocial Functioning (IPF) | 38.3285 score on a scale | Standard Error 4.15604 |
| CBCT-Office Based (CBCT-OB) | Inventory of Psychosocial Functioning (IPF) | 34.5207 score on a scale | Standard Error 4.36232 |
| PTSD Family Education (PFE) | Inventory of Psychosocial Functioning (IPF) | 37.2820 score on a scale | Standard Error 4.10112 |
Primary
Inventory of Psychosocial Functioning (IPF)
The Inventory of Psychosocial Functioning (IPF) is an 80-item self-report measure designed to assess multiple dimensions of functional impairment related to psychiatric disturbances. Higher sum scores (range 0 to 100) indicate more functional impairment.
Time frame: Baseline
Population: Entire enrolled sample, Veteran partners only; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Inventory of Psychosocial Functioning (IPF) | 50.1419 score on a scale | Standard Error 3.53773 |
| CBCT-Office Based (CBCT-OB) | Inventory of Psychosocial Functioning (IPF) | 50.2336 score on a scale | Standard Error 3.63994 |
| PTSD Family Education (PFE) | Inventory of Psychosocial Functioning (IPF) | 47.5630 score on a scale | Standard Error 3.42855 |
Primary
Working Alliance Inventory- Short Form (WAI-S)
This adaptation of the Working Alliance Inventory- short form (WAI-S) includes 14 items assessing therapeutic alliance as reported by the patient on a 7-point Likert scale. Higher sum scores (14 to 98) represent higher patient-reported working alliance.
Time frame: Approximately week 3 of all treatment conditions
Population: Entire enrolled sample, both partners; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Working Alliance Inventory- Short Form (WAI-S) | 67.039390 score on a scale | Standard Error 1.3983512 |
| CBCT-Office Based (CBCT-OB) | Working Alliance Inventory- Short Form (WAI-S) | 71.116745 score on a scale | Standard Error 1.3928316 |
| PTSD Family Education (PFE) | Working Alliance Inventory- Short Form (WAI-S) | 68.748339 score on a scale | Standard Error 1.6357681 |
Primary
Working Alliance Inventory- Short Form (WAI-S)
This adaptation of the Working Alliance Inventory- short form (WAI-S) includes 14 items assessing therapeutic alliance as reported by the patient on a 7-point Likert scale. Higher sum scores (14 to 98) represent higher patient-reported working alliance.
Time frame: Approximately week 8 of all treatment conditions
Population: Entire enrolled sample, both partners; imputed using fully Bayesian model-consistent multiple imputation
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Working Alliance Inventory- Short Form (WAI-S) | 72.099053 score on a scale | Standard Error 1.3878994 |
| CBCT-Office Based (CBCT-OB) | Working Alliance Inventory- Short Form (WAI-S) | 73.882508 score on a scale | Standard Error 1.4738266 |
| PTSD Family Education (PFE) | Working Alliance Inventory- Short Form (WAI-S) | 75.647561 score on a scale | Standard Error 1.4537812 |
Secondary
Beck Depression Inventory-II (BDI-2)
The BDI is a 21-item self report questionnaire assessing symptoms of depression. Scores range from 0 to 63, with higher scores representing more severe symptoms.
Time frame: Mid Treatment (Approximately Week 5 of all treatment conditions)
Population: Entire enrolled sample, both partners, using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Beck Depression Inventory-II (BDI-2) | Intimate Partners | 15.8047 score on a scale | Standard Error 2.19033 |
| CBCT-Home Based (CBCT-HB) | Beck Depression Inventory-II (BDI-2) | Veterans | 19.9002 score on a scale | Standard Error 2.40992 |
| CBCT-Office Based (CBCT-OB) | Beck Depression Inventory-II (BDI-2) | Intimate Partners | 12.4473 score on a scale | Standard Error 2.63256 |
| CBCT-Office Based (CBCT-OB) | Beck Depression Inventory-II (BDI-2) | Veterans | 20.4560 score on a scale | Standard Error 2.2207 |
| PTSD Family Education (PFE) | Beck Depression Inventory-II (BDI-2) | Intimate Partners | 13.2118 score on a scale | Standard Error 2.8279 |
| PTSD Family Education (PFE) | Beck Depression Inventory-II (BDI-2) | Veterans | 23.4512 score on a scale | Standard Error 2.90633 |
Secondary
Beck Depression Inventory-II (BDI-2)
The BDI is a 21-item self report questionnaire assessing symptoms of depression. Scores range from 0 to 63, with higher scores representing more severe symptoms.
Time frame: 6-Months Post Treatment
Population: Entire enrolled sample, both partners; using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Beck Depression Inventory-II (BDI-2) | Veterans | 18.0075 score on a scale | Standard Error 2.5142 |
| CBCT-Home Based (CBCT-HB) | Beck Depression Inventory-II (BDI-2) | Intimate Partners | 12.1675 score on a scale | Standard Error 2.29771 |
| CBCT-Office Based (CBCT-OB) | Beck Depression Inventory-II (BDI-2) | Intimate Partners | 11.5881 score on a scale | Standard Error 2.08941 |
| CBCT-Office Based (CBCT-OB) | Beck Depression Inventory-II (BDI-2) | Veterans | 14.9098 score on a scale | Standard Error 2.42697 |
| PTSD Family Education (PFE) | Beck Depression Inventory-II (BDI-2) | Veterans | 20.0467 score on a scale | Standard Error 2.57977 |
| PTSD Family Education (PFE) | Beck Depression Inventory-II (BDI-2) | Intimate Partners | 11.1593 score on a scale | Standard Error 2.34132 |
Secondary
Beck Depression Inventory-II (BDI-2)
The BDI is a 21-item self report questionnaire assessing symptoms of depression. Scores range from 0 to 63, with higher scores representing more severe symptoms.
Time frame: 3- Months Post Treatment
Population: Entire enrolled sample, both partners; using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Beck Depression Inventory-II (BDI-2) | Veterans | 19.7016 score on a scale | Standard Error 2.61738 |
| CBCT-Home Based (CBCT-HB) | Beck Depression Inventory-II (BDI-2) | Intimate Partners | 11.8226 score on a scale | Standard Error 2.42731 |
| CBCT-Office Based (CBCT-OB) | Beck Depression Inventory-II (BDI-2) | Veterans | 15.6977 score on a scale | Standard Error 2.59297 |
| CBCT-Office Based (CBCT-OB) | Beck Depression Inventory-II (BDI-2) | Intimate Partners | 11.4500 score on a scale | Standard Error 2.28087 |
| PTSD Family Education (PFE) | Beck Depression Inventory-II (BDI-2) | Veterans | 18.4080 score on a scale | Standard Error 2.63802 |
| PTSD Family Education (PFE) | Beck Depression Inventory-II (BDI-2) | Intimate Partners | 12.1826 score on a scale | Standard Error 2.31299 |
Secondary
Beck Depression Inventory-II (BDI-2)
The BDI is a 21-item self report questionnaire assessing symptoms of depression. Scores range from 0 to 63, with higher scores representing more severe symptoms.
Time frame: 1 Month Post Treatment
Population: Entire enrolled sample, both partners, using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Beck Depression Inventory-II (BDI-2) | Veterans | 18.6926 score on a scale | Standard Error 2.50075 |
| CBCT-Home Based (CBCT-HB) | Beck Depression Inventory-II (BDI-2) | Intimate Partners | 12.5802 score on a scale | Standard Error 2.48624 |
| CBCT-Office Based (CBCT-OB) | Beck Depression Inventory-II (BDI-2) | Veterans | 15.6840 score on a scale | Standard Error 2.42694 |
| CBCT-Office Based (CBCT-OB) | Beck Depression Inventory-II (BDI-2) | Intimate Partners | 11.6098 score on a scale | Standard Error 2.09489 |
| PTSD Family Education (PFE) | Beck Depression Inventory-II (BDI-2) | Veterans | 21.6229 score on a scale | Standard Error 2.59271 |
| PTSD Family Education (PFE) | Beck Depression Inventory-II (BDI-2) | Intimate Partners | 11.5033 score on a scale | Standard Error 2.26777 |
Secondary
Beck Depression Inventory-II (BDI-2)
The BDI is a 21-item self report questionnaire assessing symptoms of depression. Scores range from 0 to 63, with higher scores representing more severe symptoms.
Time frame: Baseline
Population: Entire enrolled sample, both partners, using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Beck Depression Inventory-II (BDI-2) | Veterans | 29.2906 score on a scale | Standard Error 2.01236 |
| CBCT-Home Based (CBCT-HB) | Beck Depression Inventory-II (BDI-2) | Intimate Partners | 11.3114 score on a scale | Standard Error 1.32078 |
| CBCT-Office Based (CBCT-OB) | Beck Depression Inventory-II (BDI-2) | Veterans | 26.6096 score on a scale | Standard Error 1.74223 |
| CBCT-Office Based (CBCT-OB) | Beck Depression Inventory-II (BDI-2) | Intimate Partners | 11.8069 score on a scale | Standard Error 1.33799 |
| PTSD Family Education (PFE) | Beck Depression Inventory-II (BDI-2) | Veterans | 26.7542 score on a scale | Standard Error 1.9177 |
| PTSD Family Education (PFE) | Beck Depression Inventory-II (BDI-2) | Intimate Partners | 11.4000 score on a scale | Standard Error 1.48861 |
Secondary
Conflict Tactics Scale Short Form- (CTS-2S)
20-item self-report inventory yielding 5 scales. Most widely used measure of its kind. Scores on the Psychological Aggression and Negotiation subscales range from 0 to 24, with higher scores representing more Psychological Aggression and more Negotiation.
Time frame: 6-Months Post Treatment
Population: Entire enrolled sample, both partners; using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Psychological aggression subscale | 4.2911 score on a scale | Standard Error 0.79419 |
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Psychological aggression subscale | 3.9574 score on a scale | Standard Error 0.6844 |
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Negotiation subscale | 14.4958 score on a scale | Standard Error 1.06696 |
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Negotiation subscale | 15.7043 score on a scale | Standard Error 0.97081 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Negotiation subscale | 13.6076 score on a scale | Standard Error 1.13738 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Psychological aggression subscale | 4.1617 score on a scale | Standard Error 0.7254 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Negotiation subscale | 13.9513 score on a scale | Standard Error 1.15916 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Psychological aggression subscale | 4.5597 score on a scale | Standard Error 0.71441 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Negotiation subscale | 15.0468 score on a scale | Standard Error 1.10333 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Psychological aggression subscale | 3.5832 score on a scale | Standard Error 0.67381 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Negotiation subscale | 13.4718 score on a scale | Standard Error 1.06347 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Psychological aggression subscale | 3.1872 score on a scale | Standard Error 0.65897 |
Secondary
Conflict Tactics Scale Short Form- (CTS-2S)
20-item self-report inventory yielding 5 scales. Most widely used measure of its kind. Scores on the Psychological Aggression and Negotiation subscales range from 0 to 24, with higher scores representing more Psychological Aggression and more Negotiation.
Time frame: Baseline
Population: Entire enrolled sample, both partners; using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Psychological aggression subscale | 8.1739 score on a scale | Standard Error 0.58591 |
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Psychological aggression subscale | 8.9130 score on a scale | Standard Error 0.50296 |
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Negotiation subscale | 17.5000 score on a scale | Standard Error 0.74129 |
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Negotiation subscale | 18.4348 score on a scale | Standard Error 0.61042 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Negotiation subscale | 17.7609 score on a scale | Standard Error 0.70689 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Psychological aggression subscale | 8.5217 score on a scale | Standard Error 0.63149 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Negotiation subscale | 18.2174 score on a scale | Standard Error 0.76828 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Psychological aggression subscale | 7.8696 score on a scale | Standard Error 0.60242 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Negotiation subscale | 17.4889 score on a scale | Standard Error 0.86551 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Psychological aggression subscale | 7.5778 score on a scale | Standard Error 0.68423 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Negotiation subscale | 18.7111 score on a scale | Standard Error 0.65568 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Psychological aggression subscale | 7.8444 score on a scale | Standard Error 0.55592 |
Secondary
Conflict Tactics Scale Short Form- (CTS-2S)
20-item self-report inventory yielding 5 scales. Most widely used measure of its kind. Scores on the Psychological Aggression and Negotiation subscales range from 0 to 24, with higher scores representing more Psychological Aggression and more Negotiation.
Time frame: Mid Treatment (Approximately week 5 of all treatment conditions)
Population: Enrolled sample only, both partners; using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Psychological aggression subscale | 4.3120 score on a scale | Standard Error 0.72809 |
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Psychological aggression subscale | 4.2366 score on a scale | Standard Error 0.72491 |
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Negotiation subscale | 13.6238 score on a scale | Standard Error 1.02718 |
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Negotiation subscale | 13.9197 score on a scale | Standard Error 1.01009 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Negotiation subscale | 12.9316 score on a scale | Standard Error 0.95512 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Psychological aggression subscale | 4.8690 score on a scale | Standard Error 0.64106 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Negotiation subscale | 13.7363 score on a scale | Standard Error 0.89228 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Psychological aggression subscale | 4.6851 score on a scale | Standard Error 0.65959 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Negotiation subscale | 14.2217 score on a scale | Standard Error 0.89814 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Psychological aggression subscale | 3.5465 score on a scale | Standard Error 0.65402 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Negotiation subscale | 14.6018 score on a scale | Standard Error 0.9131 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Psychological aggression subscale | 3.6182 score on a scale | Standard Error 0.70126 |
Secondary
Conflict Tactics Scale Short Form- (CTS-2S)
20-item self-report inventory yielding 5 scales. Most widely used measure of its kind. Scores on the Psychological Aggression and Negotiation subscales range from 0 to 24, with higher scores representing more Psychological Aggression and more Negotiation.
Time frame: 1 Month Post Treatment
Population: Entire enrolled sample, both partners; using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Psychological aggression subscale | 4.1295 score on a scale | Standard Error 0.71564 |
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Psychological aggression subscale | 3.5965 score on a scale | Standard Error 0.65219 |
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Negotiation subscale | 14.9523 score on a scale | Standard Error 0.9933 |
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Negotiation subscale | 15.3302 score on a scale | Standard Error 0.90193 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Negotiation subscale | 14.9261 score on a scale | Standard Error 1.03747 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Psychological aggression subscale | 4.0524 score on a scale | Standard Error 0.6869 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Negotiation subscale | 14.6470 score on a scale | Standard Error 0.99507 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Psychological aggression subscale | 4.7797 score on a scale | Standard Error 0.65758 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Negotiation subscale | 14.3585 score on a scale | Standard Error 1.1189 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Psychological aggression subscale | 3.7661 score on a scale | Standard Error 0.68853 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Negotiation subscale | 14.9224 score on a scale | Standard Error 0.94777 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Psychological aggression subscale | 3.4079 score on a scale | Standard Error 0.63721 |
Secondary
Conflict Tactics Scale Short Form- (CTS-2S)
20-item self-report inventory yielding 5 scales. Most widely used measure of its kind. Scores on the Psychological Aggression and Negotiation subscales range from 0 to 24, with higher scores representing more Psychological Aggression and more Negotiation.
Time frame: 3- Months Post Treatment
Population: Entire enrolled sample, both partners; using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Negotiation subscale | 14.7853 score on a scale | Standard Error 1.00807 |
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Negotiation subscale | 15.0919 score on a scale | Standard Error 1.03404 |
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Psychological aggression subscale | 4.0795 score on a scale | Standard Error 0.6941 |
| CBCT-Home Based (CBCT-HB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate partners - Psychological aggression subscale | 3.7899 score on a scale | Standard Error 0.71769 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Negotiation subscale | 14.8986 score on a scale | Standard Error 1.071 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Psychological aggression subscale | 4.0335 score on a scale | Standard Error 0.69447 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Negotiation subscale | 14.6806 score on a scale | Standard Error 1.04556 |
| CBCT-Office Based (CBCT-OB) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate partners - Psychological aggression subscale | 4.5018 score on a scale | Standard Error 0.69773 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Psychological aggression subscale | 3.7106 score on a scale | Standard Error 0.60643 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate partners - Psychological aggression subscale | 3.8952 score on a scale | Standard Error 0.66721 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Veterans - Negotiation subscale | 14.3893 score on a scale | Standard Error 1.1123 |
| PTSD Family Education (PFE) | Conflict Tactics Scale Short Form- (CTS-2S) | Intimate Partners - Negotiation subscale | 14.3492 score on a scale | Standard Error 1.02322 |
Secondary
PTSD Checklist-5 (PCL-5)
The PCL-5 is a 20 item self report questionnaire assessing symptoms of PTSD based on DSM-V criteria. Scores range from 0 to 80, with higher scores representing more severe symptoms.
Time frame: Mid Treatment (Approximately week 5 of all treatment conditions)
Population: Entire enrolled sample, both partners, using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | PTSD Checklist-5 (PCL-5) | Veterans | 38.0555 score on a scale | Standard Error 3.3583 |
| CBCT-Home Based (CBCT-HB) | PTSD Checklist-5 (PCL-5) | Intimate Partners | 31.2492 score on a scale | Standard Error 4.04086 |
| CBCT-Office Based (CBCT-OB) | PTSD Checklist-5 (PCL-5) | Veterans | 40.1717 score on a scale | Standard Error 3.38226 |
| CBCT-Office Based (CBCT-OB) | PTSD Checklist-5 (PCL-5) | Intimate Partners | 25.7970 score on a scale | Standard Error 3.86422 |
| PTSD Family Education (PFE) | PTSD Checklist-5 (PCL-5) | Veterans | 44.8501 score on a scale | Standard Error 3.61442 |
| PTSD Family Education (PFE) | PTSD Checklist-5 (PCL-5) | Intimate Partners | 30.2030 score on a scale | Standard Error 3.93086 |
Secondary
PTSD Checklist-5 (PCL-5)
The PCL-5 is a 20 item self report questionnaire assessing symptoms of PTSD based on DSM-V criteria. Scores range from 0 to 80, with higher scores representing more severe symptoms.
Time frame: Baseline
Population: Entire enrolled sample, both partners, using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | PTSD Checklist-5 (PCL-5) | Veterans | 50.3573 score on a scale | Standard Error 2.39404 |
| CBCT-Home Based (CBCT-HB) | PTSD Checklist-5 (PCL-5) | Intimate Partners | 16.5869 score on a scale | Standard Error 2.09389 |
| CBCT-Office Based (CBCT-OB) | PTSD Checklist-5 (PCL-5) | Veterans | 50.5211 score on a scale | Standard Error 2.2214 |
| CBCT-Office Based (CBCT-OB) | PTSD Checklist-5 (PCL-5) | Intimate Partners | 16.6637 score on a scale | Standard Error 2.13649 |
| PTSD Family Education (PFE) | PTSD Checklist-5 (PCL-5) | Veterans | 51.2357 score on a scale | Standard Error 2.20064 |
| PTSD Family Education (PFE) | PTSD Checklist-5 (PCL-5) | Intimate Partners | 15.6440 score on a scale | Standard Error 1.94226 |
Secondary
PTSD Checklist-5 (PCL-5)
The PCL-5 is a 20 item self report questionnaire assessing symptoms of PTSD based on DSM-V criteria. Scores range from 0 to 80, with higher scores representing more severe symptoms.
Time frame: 6-Months Post Treatment
Population: Entire enrolled sample, both partners, using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | PTSD Checklist-5 (PCL-5) | Veterans | 35.6725 score on a scale | Standard Error 3.70946 |
| CBCT-Home Based (CBCT-HB) | PTSD Checklist-5 (PCL-5) | Partners | 27.8900 score on a scale | Standard Error 3.90941 |
| CBCT-Office Based (CBCT-OB) | PTSD Checklist-5 (PCL-5) | Veterans | 31.0392 score on a scale | Standard Error 3.71211 |
| CBCT-Office Based (CBCT-OB) | PTSD Checklist-5 (PCL-5) | Partners | 25.1507 score on a scale | Standard Error 3.9443 |
| PTSD Family Education (PFE) | PTSD Checklist-5 (PCL-5) | Veterans | 39.8824 score on a scale | Standard Error 3.63766 |
| PTSD Family Education (PFE) | PTSD Checklist-5 (PCL-5) | Partners | 27.9336 score on a scale | Standard Error 3.78858 |
Secondary
PTSD Checklist-5 (PCL-5)
The PCL-5 is a 20 item self report questionnaire assessing symptoms of PTSD based on DSM-V criteria. Scores range from 0 to 80, with higher scores representing more severe symptoms.
Time frame: 3- Months Post Treatment
Population: Entire enrolled sample, both partners, using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | PTSD Checklist-5 (PCL-5) | Veterans | 36.2751 score on a scale | Standard Error 3.66118 |
| CBCT-Home Based (CBCT-HB) | PTSD Checklist-5 (PCL-5) | Intimate Partners | 27.5520 score on a scale | Standard Error 4.20814 |
| CBCT-Office Based (CBCT-OB) | PTSD Checklist-5 (PCL-5) | Veterans | 30.1964 score on a scale | Standard Error 3.83395 |
| CBCT-Office Based (CBCT-OB) | PTSD Checklist-5 (PCL-5) | Intimate Partners | 26.1153 score on a scale | Standard Error 3.98684 |
| PTSD Family Education (PFE) | PTSD Checklist-5 (PCL-5) | Veterans | 38.3393 score on a scale | Standard Error 3.43143 |
| PTSD Family Education (PFE) | PTSD Checklist-5 (PCL-5) | Intimate Partners | 28.9425 score on a scale | Standard Error 4.09243 |
Secondary
PTSD Checklist-5 (PCL-5)
The PCL-5 is a 20 item self report questionnaire assessing symptoms of PTSD based on DSM-V criteria. Scores range from 0 to 80, with higher scores representing more severe symptoms.
Time frame: 1 Month Post Treatment
Population: Entire enrolled sample, both partners, using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | PTSD Checklist-5 (PCL-5) | Veterans | 34.1452 score on a scale | Standard Error 3.75753 |
| CBCT-Home Based (CBCT-HB) | PTSD Checklist-5 (PCL-5) | Intimate partners | 28.9042 score on a scale | Standard Error 3.92662 |
| CBCT-Office Based (CBCT-OB) | PTSD Checklist-5 (PCL-5) | Veterans | 31.1537 score on a scale | Standard Error 3.3948 |
| CBCT-Office Based (CBCT-OB) | PTSD Checklist-5 (PCL-5) | Intimate partners | 25.2462 score on a scale | Standard Error 3.54497 |
| PTSD Family Education (PFE) | PTSD Checklist-5 (PCL-5) | Veterans | 42.1752 score on a scale | Standard Error 3.53403 |
| PTSD Family Education (PFE) | PTSD Checklist-5 (PCL-5) | Intimate partners | 27.4718 score on a scale | Standard Error 3.14068 |
Secondary
State-Trait Anger Inventory (STAXI)
The STAXI-2 is a self-report questionnaire assessing state and trait anger. The State subscale (15 items) ranges from 15 to 60, and the Trait subscale (10 items) ranges from 10 to 40, with higher scores representing more anger.
Time frame: Baseline
Population: Entire enrolled sample, both partners; using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Intimate Partners - Trait subscale | 15.9926 score on a scale | Standard Error 0.57623 |
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Intimate Partners - State subscale | 16.5972 score on a scale | Standard Error 0.48672 |
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Veterans - Trait subscale | 22.7246 score on a scale | Standard Error 0.85906 |
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Veterans - State subscale | 21.9205 score on a scale | Standard Error 1.44069 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Veterans - Trait subscale | 22.4783 score on a scale | Standard Error 0.76595 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Intimate Partners - State subscale | 16.5322 score on a scale | Standard Error 0.58332 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Intimate Partners - Trait subscale | 17.3426 score on a scale | Standard Error 0.8747 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Veterans - State subscale | 23.3263 score on a scale | Standard Error 1.66076 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Veterans - State subscale | 23.6691 score on a scale | Standard Error 1.6697 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Intimate Partners - State subscale | 16.3185 score on a scale | Standard Error 0.46291 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Intimate Partners - Trait subscale | 16.2507 score on a scale | Standard Error 0.76938 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Veterans - Trait subscale | 23.6012 score on a scale | Standard Error 1.08541 |
Secondary
State-Trait Anger Inventory (STAXI)
The STAXI-2 is a self-report questionnaire assessing state and trait anger. The State subscale (15 items) ranges from 15 to 60, and the Trait subscale (10 items) ranges from 10 to 40, with higher scores representing more anger.
Time frame: Mid Treatment (Approximately week 5 of all treatment conditions)
Population: Entire enrolled sample, both partners; using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Veterans - State subscale | 20.8798 score on a scale | Standard Error 1.3931 |
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Intimate Partners - State subscale | 19.0822 score on a scale | Standard Error 1.19655 |
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Veterans - Trait subscale | 19.5022 score on a scale | Standard Error 1.03512 |
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Intimate Partners - Trait subscale | 17.0778 score on a scale | Standard Error 1.00838 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Intimate Partners - Trait subscale | 17.0418 score on a scale | Standard Error 0.96957 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Veterans - State subscale | 20.5599 score on a scale | Standard Error 1.49279 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Veterans - Trait subscale | 20.3355 score on a scale | Standard Error 1.04492 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Intimate Partners - State subscale | 17.2434 score on a scale | Standard Error 1.09043 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Intimate Partners - Trait subscale | 16.8182 score on a scale | Standard Error 1.02438 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Intimate Partners - State subscale | 17.7080 score on a scale | Standard Error 1.27415 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Veterans - Trait subscale | 21.6513 score on a scale | Standard Error 1.32337 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Veterans - State subscale | 23.5422 score on a scale | Standard Error 1.99174 |
Secondary
State-Trait Anger Inventory (STAXI)
The STAXI-2 is a self-report questionnaire assessing state and trait anger. The State subscale (15 items) ranges from 15 to 60, and the Trait subscale (10 items) ranges from 10 to 40, with higher scores representing more anger.
Time frame: 1 Month Post Treatment
Population: Entire enrolled sample, both partners; using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Veterans - State subscale | 19.6216 score on a scale | Standard Error 1.51017 |
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Veterans - Trait subscale | 19.2848 score on a scale | Standard Error 1.12873 |
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Intimate Partners - Trait subscale | 16.4488 score on a scale | Standard Error 1.1342 |
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Intimate Partners - State subscale | 17.7897 score on a scale | Standard Error 1.25246 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Intimate Partners - Trait subscale | 16.6423 score on a scale | Standard Error 1.12928 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Veterans - State subscale | 18.6260 score on a scale | Standard Error 1.36216 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Intimate Partners - State subscale | 17.8016 score on a scale | Standard Error 1.2199 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Veterans - Trait subscale | 19.0268 score on a scale | Standard Error 1.11595 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Intimate Partners - State subscale | 17.9761 score on a scale | Standard Error 1.24466 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Veterans - Trait subscale | 21.5299 score on a scale | Standard Error 1.35408 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Veterans - State subscale | 22.0156 score on a scale | Standard Error 1.57502 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Intimate Partners - Trait subscale | 16.4590 score on a scale | Standard Error 1.0105 |
Secondary
State-Trait Anger Inventory (STAXI)
The STAXI-2 is a self-report questionnaire assessing state and trait anger. The State subscale (15 items) ranges from 15 to 60, and the Trait subscale (10 items) ranges from 10 to 40, with higher scores representing more anger.
Time frame: 3- Months Post Treatment
Population: Entire enrolled sample, both partners; using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Veterans - Trait subscale | 18.7056 score on a scale | Standard Error 1.20307 |
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Intimate partners - Trait subscale | 15.9029 score on a scale | Standard Error 1.22085 |
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Veterans - State subscale | 20.5553 score on a scale | Standard Error 1.69937 |
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Intimate partners - State subscale | 17.8972 score on a scale | Standard Error 1.23307 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Intimate partners - State subscale | 17.4860 score on a scale | Standard Error 1.23456 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Veterans - Trait subscale | 18.9492 score on a scale | Standard Error 1.32233 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Veterans - State subscale | 19.7572 score on a scale | Standard Error 1.76798 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Intimate partners - Trait subscale | 16.9785 score on a scale | Standard Error 1.08067 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Intimate partners - State subscale | 18.8452 score on a scale | Standard Error 1.25349 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Intimate partners - Trait subscale | 16.7127 score on a scale | Standard Error 1.14092 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Veterans - State subscale | 20.0755 score on a scale | Standard Error 1.48921 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Veterans - Trait subscale | 20.5660 score on a scale | Standard Error 1.37056 |
Secondary
State-Trait Anger Inventory (STAXI)
The STAXI-2 is a self-report questionnaire assessing state and trait anger. The State subscale (15 items) ranges from 15 to 60, and the Trait subscale (10 items) ranges from 10 to 40, with higher scores representing more anger.
Time frame: 6-Months Post Treatment
Population: Entire enrolled sample, both partners; using multiply imputed data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Veterans - State subscale | 19.9870 score on a scale | Standard Error 1.37717 |
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Intimate Partners - State subscale | 17.5131 score on a scale | Standard Error 1.26957 |
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Intimate Partners - Trait subscale | 16.0526 score on a scale | Standard Error 1.22372 |
| CBCT-Home Based (CBCT-HB) | State-Trait Anger Inventory (STAXI) | Veterans - Trait subscale | 18.4906 score on a scale | Standard Error 1.07693 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Intimate Partners - State subscale | 17.2149 score on a scale | Standard Error 1.19453 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Veterans - Trait subscale | 18.9074 score on a scale | Standard Error 1.25158 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Veterans - State subscale | 20.0932 score on a scale | Standard Error 1.67819 |
| CBCT-Office Based (CBCT-OB) | State-Trait Anger Inventory (STAXI) | Intimate Partners - Trait subscale | 16.2891 score on a scale | Standard Error 1.0904 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Intimate Partners - Trait subscale | 16.0928 score on a scale | Standard Error 1.0977 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Intimate Partners - State subscale | 17.7645 score on a scale | Standard Error 1.1888 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Veterans - State subscale | 20.8182 score on a scale | Standard Error 1.31146 |
| PTSD Family Education (PFE) | State-Trait Anger Inventory (STAXI) | Veterans - Trait subscale | 19.7710 score on a scale | Standard Error 1.14792 |