Changes in Social Adjustment With Cognitive Processing Therapy: Effects of Treatment and Association With PTSD Symptom Change

2012 ◽  
Vol 25 (5) ◽  
pp. 519-526 ◽  
Author(s):  
Candice M. Monson ◽  
Alexandra Macdonald ◽  
Valerie Vorstenbosch ◽  
Philippe Shnaider ◽  
Elizabeth S. R. Goldstein ◽  
...  
Keyword(s):  
Cognitive Processing ◽  
Social Adjustment ◽  
Ptsd Symptom ◽  
Cognitive Processing Therapy ◽  
Symptom Change

Competence in delivering Cognitive Processing Therapy and the therapeutic alliance both predict PTSD symptom outcomes

2021 ◽  
Author(s):  
John R. Keefe ◽  
Samantha Hernandez ◽  
Camila Johanek ◽  
Meredith S.H. Landy ◽  
Iris Sijercic ◽  
...  
Keyword(s):  
Therapeutic Alliance ◽  
Cognitive Processing ◽  
Ptsd Symptom ◽  
Cognitive Processing Therapy

Examining the Impact of Sexual Revictimization in a Sample of Veterans Undergoing Intensive PTSD Treatment

2020 ◽  
pp. 088626051989733
Author(s):  
Vanessa Tirone ◽  
Dale Smith ◽  
Victoria L. Steigerwald ◽  
Jenna M. Bagley ◽  
Michael Brennan ◽  
...  
Keyword(s):  
Cognitive Processing ◽  
Symptom Severity ◽  
Poor Mental Health ◽  
Treatment Seeking ◽  
Cognitive Processing Therapy ◽  
Depression Symptom ◽  
Symptom Change ◽  
Sexual Revictimization ◽  
The Impact ◽  
Predominately Female

Sexual revictimization refers to exposure to more than one incident of rape and is a known risk factor for poor mental health among civilians. This construct has been understudied among veterans. In addition, although individuals who have experienced revictimization generally have greater symptom severity than those who have experienced one rape, it is unclear whether these differences persist following treatment. This study examined differences between veterans who reported histories of revictimization ( n =111) or a single rape ( n = 45), over the course of a 3-week intensive cognitive processing therapy (CPT)-based treatment program for veterans with posttraumatic stress disorder (PTSD). The sample consisted of predominately female (70.5%) post–9/11 veterans (82.7%). Self-reported PTSD and depression symptom severity were assessed regularly throughout the course of treatment. Controlling for non-interpersonal trauma exposure and whether veterans were seeking treatment for combat or military sexual trauma, sexual revictimization was generally associated with greater pretreatment distress and impairment. However, sexual revictimization did not impact rates of PTSD or depression symptom change over the course of intensive treatment, or overall improvement in these symptoms posttreatment. Our findings suggest that the rates of sexual revictimization are high among treatment-seeking veterans with PTSD. Although veteran survivors of sexual revictimization tend to enter treatment with higher levels of distress and impairment than their singly victimized peers, they are equally as likely to benefit from treatment.

Identifying Patterns and Predictors of PTSD and Depressive Symptom Change During Cognitive Processing Therapy

2016 ◽  
Vol 40 (5) ◽  
pp. 617-626 ◽  
Author(s):  
Tara E. Galovski ◽  
Juliette M. Harik ◽  
Leah M. Blain ◽  
Courtney Farmer ◽  
Dana Turner ◽  
...  
Keyword(s):  
Depressive Symptom ◽  
Cognitive Processing ◽  
Cognitive Processing Therapy ◽  
Symptom Change

Patterns and temporal precedence of symptom change during cognitive processing therapy for military sexual trauma-related posttraumatic stress disorder

2019 ◽  
Vol 47 (5) ◽  
pp. 541-547
Author(s):  
Nicholas Holder ◽  
Ryan Holliday ◽  
Jessica Wiblin ◽  
Alina Surís
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Cognitive Processing ◽  
Sexual Trauma ◽  
Stress Disorder ◽  
Ptsd Symptom ◽  
Cognitive Processing Therapy ◽  
Military Sexual Trauma ◽  
Ptsd Symptoms ◽  
Symptom Criteria

AbstractBackground:Cognitive processing therapy (CPT) is an effective treatment for posttraumatic stress disorder (PTSD), including for veterans with military sexual trauma (MST)-related PTSD. Most CPT research to date has focused on pre- to post-treatment change in total PTSD symptoms; however, PTSD symptom criteria may not change equivalently over the course of treatment. For example, changes in re-experiencing symptoms have been shown to precede changes in other PTSD criteria during other PTSD treatments (i.e. virtual reality exposure therapy, venlafaxine ER). An improved understanding of the mechanism of change in PTSD symptoms during CPT may assist in optimizing treatment.Aims:The purpose of this study was to identify the pattern and temporal precedence of change in PTSD symptom criteria during and after CPT using cross-lagged panel analyses.Method:Data from veterans (n = 32) enrolled in a randomized clinical trial investigating the effectiveness of CPT for MST-related PTSD were utilized for this secondary analysis. Using hierarchical linear modelling, each symptom criterion was entered as a predictor of subsequent change in the other PTSD symptom criteria.Results:All symptom criteria followed a logarithmic pattern of change. Hyperarousal symptoms were found to both predict and temporally precede change in avoidance symptoms, but not re-experiencing symptoms. Re-experiencing and avoidance symptoms did not predict change in other PTSD symptom criteria.Conclusions:These findings provide initial support that targeting and reducing hyperarousal symptoms may be a key component of PTSD intervention with CPT. Additional research is needed to identify factors that predict change in PTSD-related re-experiencing symptoms.

scholarly journals Homework Completion, Patient Characteristics, and Symptom Change in Cognitive Processing Therapy for PTSD

2018 ◽  
Vol 49 (5) ◽  
pp. 741-755 ◽  
Author(s):  
Shannon Wiltsey Stirman ◽  
Cassidy A. Gutner ◽  
Michael K. Suvak ◽  
Abby Adler ◽  
Amber Calloway ◽  
...  
Keyword(s):  
Cognitive Processing ◽  
Patient Characteristics ◽  
Cognitive Processing Therapy ◽  
Symptom Change ◽  
Homework Completion

Associations Between Functioning and PTSD Symptom Clusters in a Dismantling Trial of Cognitive Processing Therapy in Female Interpersonal Violence Survivors

2014 ◽  
Vol 27 (5) ◽  
pp. 526-534 ◽  
Author(s):  
Philippe Shnaider ◽  
Valerie Vorstenbosch ◽  
Alexandra Macdonald ◽  
Stephanie Y. Wells ◽  
Candice M. Monson ◽  
...  
Keyword(s):  
Cognitive Processing ◽  
Interpersonal Violence ◽  
Ptsd Symptom ◽  
Symptom Clusters ◽  
Cognitive Processing Therapy

scholarly journals The effect of early therapeutic alliance on treatment dropout in cognitive processing therapy and client factors as moderators of this relationship

2021 ◽  
Author(s):  
Iris Sijercic
Keyword(s):  
Therapeutic Alliance ◽  
Cognitive Processing ◽  
Ptsd Symptom ◽  
Dropping Out ◽  
Cognitive Processing Therapy ◽  
Treatment Dropout ◽  
Client Factors ◽  
Ptsd Symptom Severity ◽  
The Relationship ◽  
Implementation Trial

Although efficacious treatments, including Cognitive Processing Therapy (CPT), are available for treating Posttraumatic Stress Disorder (PTSD), a substantial number of clients do not receive a full course of CPT due to clients dropping out prematurely. Examining factors associated with treatment dropout may increase our understanding on how to tailor interventions to prevent treatment dropout. This study examined the relationship between early therapeutic alliance and treatment dropout, and client age and pretreatment PTSD symptom severity as predictors of dropout and moderators of the alliance-dropout association. Clients were part of a larger randomized implementation trial, and either began CPT and dropped out (n = 38) or completed 12 sessions of CPT (n = 74). Results indicated early therapeutic alliance did not significantly predict treatment dropout, and age and PTSD severity were not significant predictors or moderators of the alliance-dropout association. Clinical implications of the findings are discussed.

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