Objective: Many clinicians question whether patients with a history of childhood trauma will benefit from trauma-focused treatment. In this secondary analysis, we examined whether reports of childhood abuse moderated the efficacy of cognitive processing therapy (CPT) for active-duty military with posttraumatic stress disorder (PTSD). Methods: Service members (N = 254, mean age 33.11 years, 91% male, 41% Caucasian) were randomized to receive individual or group CPT (n = 106 endorsing and n = 148 not endorsing history of childhood abuse). Outcomes included baseline cognitive-emotional characteristics [Posttraumatic Cognitions Inventory (PTCI), Trauma-Related Guilt Inventory (TRGI), Cognitive Emotion Regulation Questionnaire-Short Form (CERQ)], treatment completion, and symptom outcome (PTSD Checklist, Beck Depression Inventory-II). We predicted participants endorsing childhood abuse would have higher scores on the PTCI, TRGI, and CERQ at baseline, but be noninferior on treatment completion and change in PTSD and depression symptoms. We also predicted those endorsing childhood abuse would do better in individual CPT than those not endorsing abuse. Results: Those endorsing childhood abuse primarily experienced physical abuse. There were no baseline differences between service members with and without a history of childhood abuse (all p ≥ .07). Collapsed across treatment arms, treatment completion and symptom reduction were within the noninferiority margins for those endorsing versus not endorsing childhood abuse. History of abuse did not moderate response to individual versus group CPT. Conclusions: In this primarily male, primarily physically abused sample, active-duty military personnel with PTSD who endorsed childhood abuse benefitted as much as those who did not endorse abuse. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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个人和团体认知处理疗法对有和没有虐待儿童历史的军人的疗效。

目的：许多临床医生质疑有童年创伤史的患者是否会从以创伤为重点的治疗中受益。在此二级分析中，我们检查了童年虐待的报告是否会降低认知加工疗法 (CPT) 对患有创伤后应激障碍 (PTSD) 的现役军人的疗效。方法：服务人员（N = 254，平均年龄 33.11 岁，91% 男性，41% 白种人）随机接受个人或团体 CPT（n = 106 支持，n = 148 不支持儿童虐待史）。结果包括基线认知情绪特征[创伤后认知量表 (PTCI)、创伤相关内疚量表 (TRGI)、认知情绪调节问卷 - 简表 (CERQ)]、治疗完成情况和症状结果（PTSD 检查表、贝克抑郁量表 -二）。我们预测，支持童年虐待的参与者在基线时的 PTCI、TRGI 和 CERQ 得分较高，但在治疗完成和 PTSD 和抑郁症状的变化方面不劣。我们还预测，那些支持童年虐待的人在个人 CPT 中会比不支持虐待的人做得更好。结果：那些支持童年虐待的人主要经历过身体虐待。有和没有儿童虐待史的服役人员之间没有基线差异（所有 p ≥ .07）。跨治疗组崩溃，治疗完成和症状减轻在那些支持与不支持儿童虐待的非劣效范围内。虐待史并没有缓和对个人与团体 CPT 的反应。结论：在这个主要是男性，主要是身体虐待的样本中，支持童年虐待的患有创伤后应激障碍的现役军人与不支持虐待的人一样受益。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。