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AJP CME: October 2018 - Individual Treatment of Posttraumatic Stress Disorder Using Mantram Repetition: A Randomized Clinical Trial

Activity Type:

  • Journal CME

Release Date: 10/1/2018

Expiration Date: 9/30/2020

  • AMA PRA Category 1: 1
  • Participation: 1



Objective: Previous studies suggest that group “mantram” (sacred word) repetition therapy, a non-trauma-focused complementary therapy for posttraumatic stress disorder (PTSD), may be an effective treatment for veterans. The authors compared individually delivered mantram repetition therapy and another non-trauma-focused treatment for PTSD.

Method: The study was a two-site, open-allocation, blinded-assessment randomized trial involving 173 veterans diagnosed with military-related PTSD from two Veterans Affairs outpatient clinics (January 2012 to March 2014). The mantram group (N=89) learned skills for silent mantram repetition, slowing thoughts, and one-pointed attention. The comparison group (N=84) received present-centered therapy, focusing on currently stressful events and problem-solving skills. Both treatments were delivered individually in eight weekly 1-hour sessions. The primary outcome measure was change in PTSD symptom severity, as measured by the Clinician-Administered PTSD Scale (CAPS) and by self-report. Secondary outcome measures included insomnia, depression, anger, spiritual well-being, mindfulness, and quality of life. Intent-to-treat analysis was conducted using linear mixed models.


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Educational Objective

The participant will generate a plan to use the mantram repetition program in the treatment of posttraumatic stress disorder as a non-trauma-focused intervention for veterans.

Target Audience

This program is designed for all psychiatrists in clinical practice, residents in Graduate Medical Education programs, medical students interested in psychiatry, and other physicians who wish to advance their current knowledge of clinical medicine.

Estimated Time to Complete

Duration: 1 hour
Begin Date: October 1, 2018
End Date: September 30, 2020

How to Earn Credit

In order to earn CME credit, subscribers should read through the material presented in the article. After reading the article, complete the quiz and submit your evaluation and study hours (up to 1 AMA PRA Category 1 Credit™).  A score of 60% or higher is required to receive credit.

Continuing Education Credit

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The APA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

Title: Individual Treatment of Posttraumatic Stress Disorder Using Mantram Repetition: A Randomized Clinical Trial

Authors: Jill E. Bormann, Ph.D., R.N., Steven R. Thorp, Ph.D., A.B.P.P., Eric Smith, M.D., Ph.D., Mark Glickman, Ph.D., Danielle Beck, M.P.H., C.C.R.C., Dorothy Plumb, M.A., Shibei Zhao, M.P.H., Princess E. Ackland, Ph.D., M.S.P.H., Carie S. Rodgers, Ph.D., A.B.P.P., Pia Heppner, Ph.D., Lawrence R. Herz, M.D., A. Rani Elwy, Ph.D.

Affiliations: From the Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, San Diego (J.E.B., D.B.); the University of San Diego Hahn School of Nursing and the Beyster Institute for Nursing Research, San Diego (J.E.B.); the California School of Professional Psychology at Alliant International University, San Diego (S.R.T.); the Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Mass., and the Departments of Psychiatry and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester (E.S., D.P., S.Z., A.R.E.); the Department of Statistics, Harvard University, Cambridge, Mass. (M.G.); the Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, and the University of Minnesota (P.E.A.); the PsychArmor Institute and the Department of Psychiatry, University of California San Diego (C.S.R.); the Psychology Service, VA San Diego Healthcare System, San Diego (P.E.A., P.H.); the Department of Psychiatry, Boston University School of Medicine, Boston (L.R.H.); and the VA Boston Healthcare System and the Boston University School of Public Health, Boston (A.R.E.).

Disclosures: The authors report no financial relationships with commercial interests.

Discussion of unapproved or investigational use of products*: No.

*APA policy requires disclosure by CME authors of unapproved or investigational use of products discussed in CME programs. Off-label use of medications by individual physicians is permitted and common. Decisions about off-label use can be guided by scientific literature and clinical experience.

Program Planners

Robert Freedman, M.D. (Editor-in-Chief, AJP); Susan K. Schultz, M.D. (Deputy Editor, AJP); Michael D. Roy (Editorial Director, AJP); Michael A. Pogachar (Online Content Manager, Journals).

Dr. Schultz has received research support from the Alzheimer’s Disease Cooperative Study for projects conducted in partnership with Toyama Chemical Company and in partnership with Eli Lilly and Company. Dr. Freedman, Mr. Roy, and Mr. Pogachar report no financial relationships with commercial interests.

Hardware/Software Requirements

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.
Optimal System Configuration:
  • Flash Player: Adobe Flash Player 10.1+ 
  • Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+ 
  • Operating System: Windows XP+ or Mac OS X 10.4+ 
  • Internet Connection: 1 Mbps or higher
  • Screen Resolution: 1024 x 768 pixels.

Minimum Requirements:

  • Windows PC:500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
  • Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit

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