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December 19, 2012

Couple Therapy for Posttraumatic Stress Disorder—Reply

Author Affiliations

Letters Section Editor: Jody W. Zylke, MD, Senior Editor.

Author Affiliations: Ryerson University, Toronto, Ontario, Canada (Dr Monson; candice.monson@psych.ryerson.ca); Women's Health Sciences Division, VA National Center for PTSD, Boston, Massachusetts (Dr Resick); and Executive Division, VA National Center for PTSD, White River Junction, Vermont (Dr Schnurr).

JAMA. 2012;308(23):2458. doi:10.1001/jama.2012.14573

In Reply: Dr Prasad contends that a wait list may be a particularly poor control in PTSD studies and expresses concern that waiting for cognitive-behavioral conjoint therapy may have caused a worsening in symptoms, thereby making the intervention appear falsely beneficial relative to the wait-list condition. In a randomized design, a wait list controls for common threats to internal validity such as selection, maturation, history, testing, and regression to the mean.1,2

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