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Clinical Psychology

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University of Missouri, St. Louis

PTSD

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Full-Text Articles in Psychology

Treatment Outcome From Cognitive Processing Therapy Examined Three Ways, Sophie Haven May 2023

Treatment Outcome From Cognitive Processing Therapy Examined Three Ways, Sophie Haven

Dissertations

Cognitive Processing Therapy (CPT), a Cognitive Behavioral Therapy for treating Post Traumatic Stress Disorder (PTSD), is an evidence-based treatment that has been demonstrated to be effective in treating PTSD. Nonetheless, CPT can have a high rate of treatment non-completion. Attrition from therapy has been operationally defined using multiple contrasting methods. Understanding attrition using a definition with the most clinical utility is essential to improving outcomes from efficacious treatments. Two clinically relevant definitions for attrition, session attendance and symptom improvement, are critical to understanding attrition. Combining information from both definitions, to create four separate groups, will provide more accurate information about …


Neurobiological Mechanisms Of Cognitive Processing Therapy For Post-Traumatic Stress Disorder: A Brain Network Approach, Tessa Vuper Jun 2020

Neurobiological Mechanisms Of Cognitive Processing Therapy For Post-Traumatic Stress Disorder: A Brain Network Approach, Tessa Vuper

Dissertations

Psychotherapy research is increasingly targeting both psychological and neurobiological mechanisms of therapeutic change. This trend is evident in and applicable to post-traumatic stress disorder (PTSD) treatment research given the high nonresponse rate of individuals with PTSD who undergo cognitive-behavioral therapy (CBT). A review of the literature investigating neurobiological mechanisms of CBT in PTSD reveals inconsistent results that fail to fully support dual process or learning models of CBT effects in the brain. However, network-based models of psychopathology provide a new framework from which to understand both mental disorder symptoms and therapeutic mechanisms. The current study investigated a) whether brain networks …


Ptsd Symptom Interaction Among Victims Of Interpersonal Violence: A Network Analysis, Robert Graziano May 2020

Ptsd Symptom Interaction Among Victims Of Interpersonal Violence: A Network Analysis, Robert Graziano

Dissertations

Along with numerous combinations of symptoms, posttraumatic stress disorder (PTSD) is linked to high dropout and non-response rates in treatment. Poor treatment response may be due to an inaccurate conceptualization of PTSD. One newer approach to the conceptualization of psychopathology is network theory. Network theory posits that symptoms both directly and indirectly reinforce each other, with connections between symptoms varying in strength. Previous studies of network theory and PTSD have found intrusive symptoms to be highly central, but have not included samples of individuals traumatized by interpersonal violence. Because trauma type has been shown to predict symptom presentations, this represents …


Examining The Gender- And Sexuality-Related Cognitive “Stuck Points” Of Men And Women With Experiences Of Adult Sexual Assault: Implications For Cognitive Processing Therapy, Marin Beagley Jul 2019

Examining The Gender- And Sexuality-Related Cognitive “Stuck Points” Of Men And Women With Experiences Of Adult Sexual Assault: Implications For Cognitive Processing Therapy, Marin Beagley

Dissertations

Cognitive Processing Therapy (CPT) is considered a gold-standard psychotherapy protocol for the treatment of posttraumatic stress symptoms secondary to a variety of traumatic events. Despite its demonstrated efficacy, there is research to suggest CPT may not be as effective in reducing PTSD symptoms for men with an adult sexual assault trauma as it is for their female counterparts. The purpose of the present study was to determine whether CPT treatment outcome discrepancies may be attributable to gender differences in posttraumatic cognitions, or “stuck points.” As the act of sexual victimization is incongruent with socially prescribed masculine gender norms, it was …


Understanding Comorbid Depression In The Context Of Ptsd Through Underlying Dimensions, Melissa Turkel Apr 2019

Understanding Comorbid Depression In The Context Of Ptsd Through Underlying Dimensions, Melissa Turkel

Dissertations

Depression co-occurs with Posttraumatic Stress Disorder at a high rate, resulting in numerous complications for pathology and treatment. More research is needed regarding variables that may explain this common comorbidity. One possible variable is that of underlying dimensions, latent factors that give rise to these manifestations of psychopathology. This study explored potential underlying mechanisms of comorbid PTSD and depression, including negative affect, rumination, emotion dysregulation, neuroticism, and behavioral inhibition. While previous studies have investigated these dimensions individually, there is a dearth of research that simultaneously investigates multiple dimensions or determines the relative contributions of underlying dimensions to psychopathology. Thus, the …


Clinician Bias In The Diagnosis Of Posttraumatic Stress Disorder: How Clinician Characteristics And Training May Relate To Diagnosis, Renee Boeck Jun 2018

Clinician Bias In The Diagnosis Of Posttraumatic Stress Disorder: How Clinician Characteristics And Training May Relate To Diagnosis, Renee Boeck

Dissertations

As our understanding of PTSD has advanced, changing demographics in the United States over the past few decades have led to a growing awareness of the mental health needs of an increasingly diverse and multicultural population. Research on ethnoracial differences in PTSD has had mixed results and additional research exploring possible contributing factors is needed to better explain observed differences. This study explored the presence of and contributing factors to clinician bias in the diagnoses of PTSD based on race and context. It examined whether clinicians were more likely to diagnose PTSD in a Black or White man due to …