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Combat Related Guilt and the Mechanisms of Intensive Exposure Therapy
Title
Combat Related Guilt and the Mechanisms of Intensive Exposure Therapy.
Creator
Trachik, Benjamin, Bowers, Clint, Beidel, Deborah, Jentsch, Florian, University of Central Florida
Abstract / Description
Posttraumatic stress disorder (PTSD) is highly prevalent in military populations, and is associated with significant medical costs. Due to these high costs and corresponding health infrastructure required to meet the needs of military service personnel, it is essential that the most effective and efficient treatments be implemented. Exposure therapy (EXP) is one of the most widely used and empirically supported treatments for PTSD; however, some researchers have questioned its efficacy with...
Show morePosttraumatic stress disorder (PTSD) is highly prevalent in military populations, and is associated with significant medical costs. Due to these high costs and corresponding health infrastructure required to meet the needs of military service personnel, it is essential that the most effective and efficient treatments be implemented. Exposure therapy (EXP) is one of the most widely used and empirically supported treatments for PTSD; however, some researchers have questioned its efficacy with specific populations and in targeting specific symptoms. One such symptom, guilt, has garnered increased attention in the PTSD treatment literature, as it is associated with worse symptomatology and outcomes. The current study examined cognitive changes in guilt in response to Intensive (3-week) and standard (17-week) Trauma Management Therapy (TMT) and the impact of these cognitions on the mechanisms underlying TMT treatment. Sample size for these analyses varied by the measure being considered. 102 individuals completed the PCL-M, 42 individuals completed the TRGI, and 39 individuals completed the CAPS supplemental guilt items. Results suggest that a secondary benefit in guilt symptoms is achieved by targeting anxious-related distress with exposure therapy. Furthermore, in this sample guilt did not seem to inhibit the mechanisms or effectiveness of exposure therapy.
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Date Issued
2016
Identifier
CFE0006510, ucf:51365
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006510
Treatment Matching in PTSD: A Confirmatory Factor Analysis Based On Therapeutic Mechanisms of Action
Title
Treatment Matching in PTSD: A Confirmatory Factor Analysis Based On Therapeutic Mechanisms of Action.
Creator
Trachik, Benjamin, Bowers, Clint, Beidel, Deborah, Jentsch, Florian, University of Central Florida
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...
Show moreThe 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.
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Date Issued
2014
Identifier
CFE0005727, ucf:50126
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0005727