The Impact of Military Status on Cognitive Processing Therapy Outcomes in the Community

2019 ◽  
Vol 32 (2) ◽  
pp. 330-336 ◽  
Author(s):  
Kirsten H. Dillon ◽  
Stefanie T. LoSavio ◽  
Teague R. Henry ◽  
Robert A. Murphy ◽  
Patricia A. Resick
Keyword(s):  
Cognitive Processing ◽  
Cognitive Processing Therapy ◽  
Therapy Outcomes ◽  
The Impact ◽  
Military Status

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.

Trauma, Dissociation, and Post-traumatic Stress Disorder

2014 ◽  
pp. 363-391
Author(s):  
Terence M. Keane ◽  
Brian P. Marx ◽  
Denise M. Sloan ◽  
Anne DePrince
Keyword(s):  
Cognitive Processing ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Cognitive Processing Therapy ◽  
Post Traumatic Stress ◽  
Assessment And Treatment ◽  
Post Traumatic ◽  
Future Work ◽  
The Impact

Worldwide, post-traumatic stress disorder (PTSD) is among the most common psychological disorders; over the past three decades researchers have made considerable progress in understanding the prevalence of PTSD and its psychological and biological underpinnings, while developing methods for its assessment and treatment. Only included in the diagnostic nomenclature since 1980, the history of PTSD extends as far back as the oldest literature in Western civilization. Homer’s Iliad and Odyssey capture the impact of war on combatants and civilians, as do many of the works of writers and artists across the centuries. The focus of this chapter is on the integration of contemporary work on traumatic stress exposure, psychological dissociation, and the development of PTSD, a disorder characterized by concurrent high levels of anxiety and depression and, in many instances, considerable chronicity and disability. More than 50 randomized controlled treatment outcome studies suggest that cognitive- behavioral treatments are especially effective, and support the use of exposure therapy, stress management therapy, cognitive therapy, cognitive processing therapy, and eye movement desensitization and reprocessing in treating PTSD. All these approaches constitute key evidence-based psychological treatments for PTSD. Future work will determine which treatments used by which therapists are best for patients with specific symptoms and concomitant conditions.

A Critical Review of Negative Affect and the Application of CBT for PTSD

2016 ◽  
Vol 19 (2) ◽  
pp. 176-194 ◽  
Author(s):  
Wilson J. Brown ◽  
Daniel Dewey ◽  
Brian E. Bunnell ◽  
Stephen J. Boyd ◽  
Allison K. Wilkerson ◽  
...  
Keyword(s):  
Negative Affect ◽  
Cognitive Processing ◽  
Prolonged Exposure ◽  
Cognitive Processing Therapy ◽  
Initial Information ◽  
Emotional Reasoning ◽  
Negative Valence ◽  
Potential Efficacy ◽  
Behavioral Therapies ◽  
The Impact

Forms of cognitive and behavioral therapies (CBTs), including prolonged exposure and cognitive processing therapy, have been empirically validated as efficacious treatments for posttraumatic stress disorder (PTSD). However, the assumption that PTSD develops from dysregulated fear circuitry possesses limitations that detract from the potential efficacy of CBT approaches. An analysis of these limitations may provide insight into improvements to the CBT approach to PTSD, beginning with an examination of negative affect as an essential component to the conceptualization of PTSD and a barrier to the implementation of CBT for PTSD. As such, the literature regarding the impact of negative affect on aspects of cognition (i.e., attention, processing, memory, and emotion regulation) necessary for the successful application of CBT was systematically reviewed. Several literature databases were explored (e.g., PsychINFO and PubMed), resulting in 25 articles that met criteria for inclusion. Results of the review indicated that high negative affect generally disrupts cognitive processes, resulting in a narrowed focus on stimuli of a negative valence, increased rumination of negative autobiographical memories, inflexible preservation of initial information, difficulty considering counterfactuals, reliance on emotional reasoning, and misinterpretation of neutral or ambiguous events as negative, among others. With the aim to improve treatment efficacy of CBT for PTSD, suggestions to incorporate negative affect into research and clinical contexts are discussed.

Trauma, Dissociation, and Post-traumatic Stress Disorder

2010 ◽  
pp. 359-387
Author(s):  
Terence M. Keane ◽  
Brian P. Marx ◽  
Denise M. Sloan ◽  
Anne DePrince
Keyword(s):  
Cognitive Processing ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Cognitive Processing Therapy ◽  
Post Traumatic Stress ◽  
Assessment And Treatment ◽  
Post Traumatic ◽  
Future Work ◽  
The Impact

Worldwide, post-traumatic stress disorder (PTSD) is among the most common psychological disorders; over the past three decades researchers have made considerable progress in understanding the prevalence of PTSD and its psychological and biological underpinnings, while developing methods for its assessment and treatment. Only included in the diagnostic nomenclature since 1980, the history of PTSD extends as far back as the oldest literature in Western civilization. Homer’s Iliad and Odyssey capture the impact of war on combatants and civilians, as do many of the works of writers and artists across the centuries. The focus of this chapter is on the integration of contemporary work on traumatic stress exposure, psychological dissociation, and the development of PTSD, a disorder characterized by concurrent high levels of anxiety and depression and, in many instances, considerable chronicity and disability. More than 50 randomized controlled treatment outcome studies suggest that cognitive-behavioral treatments are especially effective, and support the use of exposure therapy, stress management therapy, cognitive therapy, cognitive processing therapy, and eye movement desensitization and reprocessing in treating PTSD. All these approaches constitute key evidence-based psychological treatments for PTSD. Future work will determine which treatments used by which therapists are best for patients with specific symptoms and concomitant conditions.

THE IMPACT OF DISSOCIATION ON PTSD TREATMENT WITH COGNITIVE PROCESSING THERAPY

2012 ◽  
Vol 29 (8) ◽  
pp. 718-730 ◽  
Author(s):  
Patricia A. Resick ◽  
Michael K. Suvak ◽  
Benjamin D. Johnides ◽  
Karen S. Mitchell ◽  
Katherine M. Iverson
Keyword(s):  
Cognitive Processing ◽  
Cognitive Processing Therapy ◽  
Ptsd Treatment ◽  
The Impact

The Impact of Cognitive Processing Therapy on Alcohol Abuse and Aggression in Active Duty Soldiers with PTSD

2012 ◽  
Author(s):  
Katherine Dondanville ◽  
Patricia Resick ◽  
Charity Wilkinson ◽  
Jennifer Schuster ◽  
Jim Mintz ◽  
...  
Keyword(s):  
Alcohol Abuse ◽  
Cognitive Processing ◽  
Active Duty ◽  
Cognitive Processing Therapy ◽  
The Impact

Fear of Losing Emotional Control Is Associated With Cognitive Processing Therapy Outcomes in U.S. Veterans of Afghanistan and Iraq

2015 ◽  
Vol 28 (5) ◽  
pp. 475-479 ◽  
Author(s):  
Shannon R. Miles ◽  
Tracey L. Smith ◽  
Kelly P. Maieritsch ◽  
Eileen P. Ahearn
Keyword(s):  
Cognitive Processing ◽  
Cognitive Processing Therapy ◽  
Emotional Control ◽  
Therapy Outcomes

Changing Perceptions on the Impact of Trauma: A Qualitative Study of Cognitive Processing Therapy

2008 ◽  
Author(s):  
Jennifer L. Price ◽  
Kathryn C. Adair ◽  
Helen Z. MacDonald ◽  
Candice M. Monson
Keyword(s):  
Qualitative Study ◽  
Cognitive Processing ◽  
Cognitive Processing Therapy ◽  
The Impact
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