PTG in Military and First Responders

Posttraumatic Growth-Oriented Peer-Based Training Among U.S. Veterans: Evaluation of Post-Intervention and Long-Term Follow-Up Outcomes

January 5, 2024
Frontiers in Psychology
Overall, the results provide strong empirical support for the effectiveness of the Warrior PATHH training program in promoting posttraumatic growth, positive affect, and the integration of stressful experiences...
Dr. Joshua Rhodes et al.


Introduction: Exposure to trauma among U.S. military veterans occurs at a high rate, often resulting in continued difficulty with emotional adjustment and a diagnosis of posttraumatic stress disorder (PTSD). The present study provides data from 184 U.S. military veterans who completed a manualized posttraumatic-growth oriented training program during an integrative seven-day retreat.

Methods: Data was collected at baseline, after program completion, and at 18-month follow-up.

Results: Results on primary outcomes indicated significant increases, with medium to large effect sizes, in growth related outcomes.

  • Specifically, there was a significant increase in scores by 54% on the posttraumatic growth outcome measure (PTGI-X) from baseline (M = 50.2, SD = 31.1) to endpoint (M = 77.4, SD = 29.6), t(183) = −8.78, p < 0.001.
  • Results indicate that immediately following training (Day 7), participants reported a significant decrease of 49% on the PCL-5 from baseline (M = 39.7, SD = 17.6) to endpoint (M = 20.1, SD = 13.2), t(183) = 11.75, p < 0.001.
  • Depression subscale scores decreased by 60% from baseline (M = 8.0, SD = 5.2) to endpoint (M = 3.2, SD = 3.0), t(183) = 10.68, p < 0.001.
  • Anxiety scores decreased by 28% from baseline (M = 5.8, SD = 4.3) to endpoint (M = 4.2, SD = 3.5), t(183) = 4.08, p < 0.001.
  • Stress scores decreased by 50% from baseline (M = 10.0, SD = 4.4) to endpoint (M = 5.0, SD = 3.3), t(183) = 12.21, p < 0.001.
  • Eighteen-month follow-up data was available for 74 participants and indicated that all significant changes in growth-related outcomes were maintained. Further, all significant changes in symptomatology-related outcomes were also maintained at follow-up.

Discussion: These findings demonstrate both the immediate and the long-lasting impact of an integrative posttraumatic growth-oriented training program on psychological growth and PTSD symptom reduction among U.S. military veterans.

Read the Article “Posttraumatic growth-oriented peer-based training among U.S. veterans: evaluation of post-intervention and long-term follow-up outcomes”

It is very noteworthy that participants reported significant reduction of PTSD symptomatology (49%)...Additional significant reductions were found for depression (60%), anxiety (28%), and stress (50%)...
Dr. Joshua Rhodes et al.

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