Adaptive Disclosure: Theoretical Foundations, Evidence, and Future Directions View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-05-14

AUTHORS

Benjamin C. Darnell, Maya Bina N. Vannini, Breanna Grunthal, Natasha Benfer, Brett T. Litz

ABSTRACT

Purpose of ReviewModern evidence-based practice (EBP) primarily consists of the blanket application of treatment packages to purportedly treat behavioral health syndromes regardless of patient characteristics or context, which may be why current EBPs for posttraumatic stress disorder (PTSD) are less effective for treating veterans and military service members (SMs) than for civilians. Adaptive Disclosure is designed to operate within the culture and ethos of the military, and developments since the publication of the original manual reflect further effort to meet the needs of this population. This review presents to providers the rationale and evidence for the original AD manual, as well as an overview of the more recent developments and directions of the literature.Recent FindingsThe original AD manual has demonstrated efficacy in two clinical trials and noninferiority when compared to another EBP for PTSD. Additional treatment elements and enhancements are based on a rehabilitative model for treatment, primarily targeting functional outcomes over symptom reduction and promoting shared decision-making.SummaryAD and its recent enhancements target symptoms related to PTSD, moral injury, and traumatic loss, but more importantly, they target the functional concerns of veterans and SMs within the military cultural context. Current research is focused on maximizing treatment flexibility to provide clinicians and patients with an adaptable and evidence-based framework for treatment. More... »

PAGES

85-100

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s40501-022-00264-4

DOI

http://dx.doi.org/10.1007/s40501-022-00264-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1147886509


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