Current Search: Marks, Madeline (x)
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- Title
- Habituation Trajectory During Exposure Therapy: Comparing Trauma Frequency and Trauma Type.
- Creator
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Marks, Madeline, Bowers, Clint, Beidel, Deborah, Newins, Amie, Jasinski, Jana, University of Central Florida
- Abstract / Description
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The current DSM-5 criteria for Posttraumatic Stress Disorder (PTSD) affords heterogeneous symptom presentations; however, current treatment fails to consider differences in trauma frequency and trauma type. These different symptom profiles that exist within the PTSD framework lead to questions about the generalizability of treatment outcomes from one group to another group. One group of interest is those that experience multiple traumatic events and report multiple index traumas (trauma...
Show moreThe current DSM-5 criteria for Posttraumatic Stress Disorder (PTSD) affords heterogeneous symptom presentations; however, current treatment fails to consider differences in trauma frequency and trauma type. These different symptom profiles that exist within the PTSD framework lead to questions about the generalizability of treatment outcomes from one group to another group. One group of interest is those that experience multiple traumatic events and report multiple index traumas (trauma frequency). The second group of interest is those with a PTSD diagnosis from occupational exposure to traumatic events (trauma type). Appreciation of the reinforcement schedule may be particularly crucial for understanding treatment response. The current study aims to investigate habituation responses during exposure therapy to inform treatment modifications and decisions. Exposure therapy process variables, session variables, and PTSD severity were examined for a sample of 128 participants that sought treatment for combat-related PTSD or occupation-related PTSD, some of whom endorsed multiple index traumas, and some of whom endorsed a single index trauma. Results revealed no significant differences based on trauma frequency or trauma type for within-session and between-session habituation. This suggests that the effectiveness of a flooding approach to extinguish avoidance behavior may overcome the impact of reinforcement schedule on fear habituation. The results of the present study contribute to the growing body of literature that suggests the exclusion of patients based on the pre-treatment characteristics of trauma frequency and trauma type is unfounded.
Show less - Date Issued
- 2019
- Identifier
- CFE0007676, ucf:52458
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007676
- Title
- Re-Conceptualizing Compassion Fatigue: A Confirmatory Factor Analysis.
- Creator
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Marks, Madeline, Bowers, Clint, Beidel, Deborah, Jentsch, Florian, University of Central Florida
- Abstract / Description
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Those who are not directly in danger themselves can and do experience negative effects, sometimes at higher rates than those directly exposed. These individuals who experience indirect exposure are often those who work in (")helping(") professions. Helping professionals include psychologists, physicians, nurses, social workers, and first responders, among others. Joinson (1992) described a phenomenon unique to helping professionals, which was termed compassion fatigue. Compassion fatigue...
Show moreThose who are not directly in danger themselves can and do experience negative effects, sometimes at higher rates than those directly exposed. These individuals who experience indirect exposure are often those who work in (")helping(") professions. Helping professionals include psychologists, physicians, nurses, social workers, and first responders, among others. Joinson (1992) described a phenomenon unique to helping professionals, which was termed compassion fatigue. Compassion fatigue describes these negative affects experienced by helping professionals as a cumulative process. These negative changes can be related to mood and/or a transformation in cognitions. Further, these changes are the result of the empathy and emotionally intense contact with people who experienced a traumatic event, which results in maladaptive psychological consequences that influence the ability to perform the role of a (")helper(") (Bride, Robinson, Yegidis, (&) Figley, 2004; Figley, 1995; McCann (&) Pearlman, 1990; McHolm, 2006; Pearlman (&) Saakvitne, 1995; Stamm, 1995). To measure compassion fatigue, the Professional Quality of Life Scale (Stamm, 2005, 2010) has emerged as the most widely used assessment of compassion fatigue. However, not enough theoretical information and psychometric data on the ProQOL exist to support compassion fatigue as the construct to explain the experiences of those in helping professions. The present study examines the most widely used measure of compassion fatigue, the Professional Quality of Life Scale (ProQOL-5; Stamm, 2010). Specifically, the current study examines the factor validity of the ProQOL-5 using confirmatory factor analysis. In light of the lack of model fit, the construct of compassion fatigue offers a unique and worthy view of the negative consequences of helping others. As a result, the current study proposes a novel approach to clarify a method for measurement and clear-up conceptual overlaps between related constructs. This novel method uses the framework of the information processing model of Whiting (1969).
Show less - Date Issued
- 2016
- Identifier
- CFE0006475, ucf:51434
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006475