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Treatment Matching in PTSD: A Confirmatory Factor Analysis Based On Therapeutic Mechanisms of Action

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Date Issued:
2014
Abstract/Description:
The current study takes an initial step toward deriving a method for empirically based, theory-driven treatment matching in a military population suffering from PTSD. Along with the more overt symptoms of PTSD (e.g., persistent hyperarousal), secondary cognitive symptoms have also been shown to be significantly associated with avoidance and intrusive symptoms, as well as contribute to functional impairment. Based on the factor analytic and treatment literature for PTSD, it appears that there are two central mechanisms associated with beneficial therapeutic change that underlies both CPT and PE treatments (i.e., habituation, changes in cognitions). Additionally, different traumatic events and peritraumatic responses may be associated with unique symptom profiles and may necessitate targeted treatment. The present study proposes a novel approach to treatment matching based on the factor structure of PTSD and underlying mechanisms of treatment response. More broadly, this paper provides evidence for a broader understanding of peritraumatic responses and the potential implications of these responses for symptom profiles and illness trajectories.
Title: Treatment Matching in PTSD: A Confirmatory Factor Analysis Based On Therapeutic Mechanisms of Action.
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Name(s): Trachik, Benjamin, Author
Bowers, Clint, Committee Chair
Beidel, Deborah, Committee Member
Jentsch, Florian, Committee Member
University of Central Florida, Degree Grantor
Type of Resource: text
Date Issued: 2014
Publisher: University of Central Florida
Language(s): English
Abstract/Description: The current study takes an initial step toward deriving a method for empirically based, theory-driven treatment matching in a military population suffering from PTSD. Along with the more overt symptoms of PTSD (e.g., persistent hyperarousal), secondary cognitive symptoms have also been shown to be significantly associated with avoidance and intrusive symptoms, as well as contribute to functional impairment. Based on the factor analytic and treatment literature for PTSD, it appears that there are two central mechanisms associated with beneficial therapeutic change that underlies both CPT and PE treatments (i.e., habituation, changes in cognitions). Additionally, different traumatic events and peritraumatic responses may be associated with unique symptom profiles and may necessitate targeted treatment. The present study proposes a novel approach to treatment matching based on the factor structure of PTSD and underlying mechanisms of treatment response. More broadly, this paper provides evidence for a broader understanding of peritraumatic responses and the potential implications of these responses for symptom profiles and illness trajectories.
Identifier: CFE0005727 (IID), ucf:50126 (fedora)
Note(s): 2015-05-01
M.S.
Sciences, Psychology
Masters
This record was generated from author submitted information.
Subject(s): Post-Traumatic Stress Disorder -- PTSD -- Treatment Matching -- Exposure Therapy -- Prolonged Exposure Therapy -- Cognitive Processing Therapy -- Mechanisms of Action -- Confirmatory Factor Analysis -- Combat -- Moral Injury -- Physiological Arousal -- OIF -- OEF -- Veterans
Persistent Link to This Record: http://purl.flvc.org/ucf/fd/CFE0005727
Restrictions on Access: campus 2020-05-15
Host Institution: UCF

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