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University of Missouri, St. Louis

Cognitive Processing Therapy

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Full-Text Articles in Psychology

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 …


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 …


Fidelity To The Cognitive Processing Therapy Protocol: Further Evaluation Of Critical Elements, Courtney Chappuis Farmer Aug 2016

Fidelity To The Cognitive Processing Therapy Protocol: Further Evaluation Of Critical Elements, Courtney Chappuis Farmer

Dissertations

Despite advancements in the field of trauma-focused treatment, a close examination of the literature reveals three concerns. First, a significant number of RCT participants either do not respond to treatment or drop out prematurely. Second, despite significant dissemination of evidence-based interventions, fidelity to those interventions beyond trainings is not well understood. And finally, the effectiveness of trauma-focused interventions in the “real-world” community setting remains unclear. Literature suggests that identification of key treatment components could help to address these three concerns. This study focused on one evidence-based treatment in particular, Cognitive Processing Therapy (CPT), and aimed to extend the current literature …


Affectivity, Brain Structure And Function, And Treatment Outcomes In Cognitive Processing Therapy For Posttraumatic Stress Disorder, Wilson James Brown Jul 2015

Affectivity, Brain Structure And Function, And Treatment Outcomes In Cognitive Processing Therapy For Posttraumatic Stress Disorder, Wilson James Brown

Dissertations

Cognitive Processing Therapy (CPT) has been empirically validated as an efficacious treatment for Posttraumatic Stress Disorder (PTSD) (Resick, Nishith, Weaver, Astin, & Feuer, 2002; Cloitre, 2009). However, a deficiency of affect regulation skills may act as a barrier to the successful implementation of CPT in some cases, as CPT does not contain a module that directly addresses affectivity. The current study examined the relationship between affectivity and CPT by utilizing neuroimaging methodology to assess brain regions consistent with an affect regulation model of PTSD. Thirty-eight female interpersonal trauma survivors with PTSD received CPT, participating in assessment and scanning sessions at …


Motivational Interviewing As An Augmentation To Increase Effectiveness In Cognitive Processing Therapy For Ptsd: An Initial Trial, Leah Blain Aug 2013

Motivational Interviewing As An Augmentation To Increase Effectiveness In Cognitive Processing Therapy For Ptsd: An Initial Trial, Leah Blain

Dissertations

Currently, even well-supported cognitive behavioral therapies to treat posttraumatic stress disorder (PTSD) suffer from consistent rates of dropout and non-response to treatment, which represent barriers to dissemination and effective treatment. Research in anxiety disorders, including an initial group-based study with veterans suffering from PTSD, suggests that Motivational Interviewing (MI) may be an effective intervention for addressing issues of ambivalence and increasing readiness to change (RTC), resulting in decreases in dropout and non-response. The present pilot study sought to assess the efficacy of augmenting Cognitive Processing Therapy (CPT) with 3 sessions of MI in a sample of female interpersonal assault survivors …