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Electronic Theses and Dissertations

2016

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Full-Text Articles in Clinical Psychology

Forgiveness And Suicidal Behavior In College Students: Cynicism And Psychache As Serial Mediators, Trever Dangel Dec 2016

Forgiveness And Suicidal Behavior In College Students: Cynicism And Psychache As Serial Mediators, Trever Dangel

Electronic Theses and Dissertations

Research has long documented beneficial associations between forgiveness and numerous health outcomes; however, its relationship to suicidal behavior has been relatively neglected. Both cynicism, and psychache, or agonizing psychological pain, have displayed deleterious associations with suicidal behavior, but have rarely been incorporated into more comprehensive models of suicidal behavior. Recent work has resulted in the development of a theoretical model of the forgiveness-suicidal behavior association, which can incorporate several mediator variables including cynicism and psychache. The present study used an undergraduate sample of college students (N = 312) to test a serial mediation model of the cross-sectional associations between forgiveness, …


Anxiety Sensitivity And Decision Making: Positive And Negative Risk Taking In Laboratory And Naturalistic Settings, Amanda Kutz Aug 2016

Anxiety Sensitivity And Decision Making: Positive And Negative Risk Taking In Laboratory And Naturalistic Settings, Amanda Kutz

Electronic Theses and Dissertations

As a group, anxiety disorders represent the most prevalent mental health condition. A hallmark feature of anxiety disorders is avoidant behavior. Along with this, anxious individuals have been shown to exhibit a risk aversion in decision making. However, anxiety disorders are simultaneously highly co-morbid with substance use disorders (e.g., Grant, Stinson, Dawson, & Chou, 2004), suggesting that certain individuals with anxiety disorders engage in particular forms of risk taking. However, much of the current literature on anxiety and risk taking has focused on risk aversion in anxiety, presupposing an inhibited model of anxious responding. In addition, there is little literature …


The Role Of Electronic Communication Processes Across The College Transition: Relations To The Maintenance And Formation Of Friendships, Psychological Well-Being, And College Adjustment, Patricia E. Dieter Aug 2016

The Role Of Electronic Communication Processes Across The College Transition: Relations To The Maintenance And Formation Of Friendships, Psychological Well-Being, And College Adjustment, Patricia E. Dieter

Electronic Theses and Dissertations

Friendship experiences play a vital role in the adjustment of adolescents. Late adolescents transitioning to college negotiate the important developmental tasks of both maintaining close hometown friendships and developing new college friendships. Electronic communication has become a prevalent way to quickly and easily communicate, and friendships that incorporate electronic communication with in-person communication are higher in quality (Baiocco et al., 2011). For some adolescents, however, Internet use becomes excessive and problematic (Ha et al., 2007).

The purpose of this investigation was to examine how individuals use different communication technologies with their existing hometown friends and their newer college friends, and …


Using The Theory Of Planned Behavior To Predict Executives’ Intentions To Hire Psychologists In Federally Qualified Health Centers, Robert M. Tolliver Aug 2016

Using The Theory Of Planned Behavior To Predict Executives’ Intentions To Hire Psychologists In Federally Qualified Health Centers, Robert M. Tolliver

Electronic Theses and Dissertations

Health psychologists with training in integrated care are ideal candidates to work in Federally Qualified Health Centers (FQHCs). However, despite the large documented need for more behavioral health providers in FQHCs, psychologists are underrepresented in this setting compared to other behavioral health professions. The purpose of this study was to: 1) examine the specific beliefs that are most relevant to executives’ intentions to hire psychologists, 2) determine how executives’ perceived control over hiring psychologists varies by several demographic variables, and 3) examine how well the Theory of Planned Behavior (TPB) predicts executives’ intentions to hire psychologists. Method: Executives (N …


Nurses' Intentions To Initiate An Antipsychotic Or Behavioral Intervention With Nursing Home Residents : The Role Of Norms, Being Evaluated, Self-Efficacy, Time Pressures, And Staffing., Brian M. Ludwin Aug 2016

Nurses' Intentions To Initiate An Antipsychotic Or Behavioral Intervention With Nursing Home Residents : The Role Of Norms, Being Evaluated, Self-Efficacy, Time Pressures, And Staffing., Brian M. Ludwin

Electronic Theses and Dissertations

Purpose of the Study: This experimental study examined whether exposure to an injunctive norm against antipsychotic use and a sense of being evaluated influenced nurses’ intentions to initiate an antipsychotic or behavioral intervention with nursing home residents who have dementia-related behavioral difficulties, and examined the interrelationships of perceived time pressures, staffing, self-efficacy, and the nurses’ treatment intentions. Design and Methods: A total of 158 nurses from 28 long-term care facilities were randomized to one of four conditions within a two (injunctive norm: salient vs. not salient) x two (sense of evaluation: salient vs. not salient) between-participants design in …


Social Comparison Processes As Contributors To Consistent Physical Activity., Holly M. Knight Aug 2016

Social Comparison Processes As Contributors To Consistent Physical Activity., Holly M. Knight

Electronic Theses and Dissertations

The present study examined the impact that attention to social comparison (SC) information may have on consistency in physical activity (PA) behaviors across genders. SC factors, including SC frequency, SC direction and trait tendency to compare (SCO) were assessed within the Dynamic Relapse Model (DRM) as markers of PA consistency within men and women. Participants were N=200 individuals engaging in physical activity at YMCA gym facilities. Data collection utilized cross-sectional methods including anthropomorphic data collection at the point of recruitment and online selfreport measures post-recruitment. High adherence to regular physical activity was observed, with participants reporting infrequent slips in PA …


Sensation Seeking And Conscientiousness In Relation To Caffeine Consumption And Expectancy, Cheyenne Bullock Jul 2016

Sensation Seeking And Conscientiousness In Relation To Caffeine Consumption And Expectancy, Cheyenne Bullock

Electronic Theses and Dissertations

Habitual caffeine consumers often report difficulty reducing caffeine use with many continuing to use caffeine despite experiencing symptoms suggestive of substance dependence. Given the evidence of a positive association between sensation seeking and substance use as well as initial reports of a negative relationship between elevated conscientiousness and substance use, this study proposed to evaluate the relationship of both factors on caffeine consumption and expectancy. Two hundred sixty-five students in an introductory psychology course completed a series of brief surveys assessing caffeine consumption, caffeine expectancies, sensation seeking, and conscientiousness. A statistically significant positive correlation was hypothesized for sensation seeking and …


Substance Use Among College Students: Correlations With Intent To Graduate, Academic Integration, And Social Integration, Cecilia M. Clowdus May 2016

Substance Use Among College Students: Correlations With Intent To Graduate, Academic Integration, And Social Integration, Cecilia M. Clowdus

Electronic Theses and Dissertations

Substance use is one of the greatest concerns for adolescents and emerging adults. The consequences of prolonged substance use can lead to physical, psychological, and financial consequences for those suffering from use as well as their loved ones. One consequence that has not been researched thoroughly is the association between substance use and the decision to leave higher education, which is a decision that could have lasting effects on former students’ ability to obtain satisfactory employment in the future. This research looks at substance use and variables that are associated with the decision to leave college, which are derived from …


Religiosity And Internalized Homonegativity: The Effect Of Religious Conservatism On Depression In Sexual Minorities, Matthew Thaxton May 2016

Religiosity And Internalized Homonegativity: The Effect Of Religious Conservatism On Depression In Sexual Minorities, Matthew Thaxton

Electronic Theses and Dissertations

Sexual minorities report higher rates of mental illnesses than the general population, most notably depression. This study focuses on the relationship between religious commitment in sexual minorities, internalized homonegativity, and depression. In order to do this, 265 participants answered a survey that consisted of inventories to test for sexual orientation, religious commitment, political and religious views, and internalized homonegativity. Participants came from Abilene Christian University and LGBT groups from the surrounding Abilene, Texas area. Of the 265 participants, 33 self-identified as a sexual minority. The data from those that identified as a sexual minority was analyzed to find correlations between …


The Relationship Of Empathy And Impulsivity To The Dark Tetrad Of Personality, Ashlee Justice Apr 2016

The Relationship Of Empathy And Impulsivity To The Dark Tetrad Of Personality, Ashlee Justice

Electronic Theses and Dissertations

Though relationships between empathy, impulsivity, and personality traits making up the Dark Tetrad of personality have been studied individually, the relationship of empathy and impulsivity to the Dark Tetrad of personality simultaneously has not been studied. The current study examined the relationship of both empathy and impulsivity to the Dark Tetrad simultaneously, and assessed specific combinations of traits, empathy, and impulsivity. Participants from a private university completed online surveys. Correlations and predictions of variables were examined. Individuals who rated high on Machiavellianism, psychopathy, and sadism had significantly lower scores on empathy subscales, and individuals rating high on these as well …


Reading Comprehension Deficits In Children With Adhd: The Mediating Roles Of Working Memory And Orthographic Conversion, Lauren Friedman Jan 2016

Reading Comprehension Deficits In Children With Adhd: The Mediating Roles Of Working Memory And Orthographic Conversion, Lauren Friedman

Electronic Theses and Dissertations

Reading comprehension deficits in children with ADHD are well-established; however, limited information exists concerning the cognitive mechanisms that contribute to these deficits and the extent to which they interact with one another. The current study examines two broad cognitive processes known to be involved in children's reading comprehension abilities—(a) working memory (i.e., central executive processes [CE], phonological short-term memory [PH STM], and visuospatial short-term memory [VS STM]) and (b) orthographic conversion—to elucidate their unique and interactive contribution to ADHD-related reading comprehension deficits. Thirty-one children with ADHD and 30 typically developing (TD) children aged 8 to 12 years (M = 9.64, …


Childhood Trauma, Reflective Functioning And Attributions, Self-Efficacy, And Perceived Parenting Competence: What Happens When The Traumatized Child Grows Up And Becomes A Mother?, Annelise Cunningham Jan 2016

Childhood Trauma, Reflective Functioning And Attributions, Self-Efficacy, And Perceived Parenting Competence: What Happens When The Traumatized Child Grows Up And Becomes A Mother?, Annelise Cunningham

Electronic Theses and Dissertations

Previous research documented the relationship between self-efficacy and perceived parenting competence. Further, previous evidence supported the cognitive, emotional, and behavioral consequences of early exposure to trauma. To build on these previously noted relationships, the present study examined the relationships among reflective functioning and attributions, self-efficacy, and perceived parenting competence, with self-efficacy serving as a mediating variable. Specifically, this study sought to focus on the cognitive variables associated with mothers' perceived self-efficacy and parenting competence and how those variables interact differently when early exposure to trauma is present. As part of this study, a national community sample of 126 culturally diverse …


Psychometric Properties Of A Social Skills Assessment Using Virtual Environment, Thien-An Le Jan 2016

Psychometric Properties Of A Social Skills Assessment Using Virtual Environment, Thien-An Le

Electronic Theses and Dissertations

Background: Social Anxiety Disorder (SAD) is a marked and persistent fear of social and/or performance situations in which embarrassment or scrutiny from others may occur. In children, this marked and persistent fear must be present in peer settings and is not exclusive to interactions with adults (American Psychiatric Association [APA], 2013). Behaviorally, children with SAD may avoid eye contact and exhibit other behavioral symptoms such as stooped shoulders, nail biting, trembling voice, avoidance of social and performance situations, muffled voice, longer speech latency, inappropriate tone or low voice volume, and lack of spontaneous speech (Beidel & Turner, 2007; Ollendick, Benoit, …


The Longitudinal Relationship Between Moderate Alcohol Use And Cognitive Aging Among Older Adults., Danielle Herring Jan 2016

The Longitudinal Relationship Between Moderate Alcohol Use And Cognitive Aging Among Older Adults., Danielle Herring

Electronic Theses and Dissertations

Cognitive aging appears inconsistent across cognitive domains, indicating that domains may not all decline at the same rate across individuals. Individual trajectories of cognitive aging can vary widely and are affected by numerous lifestyle and health factors. Alcohol use among older adults is known to confer both health risks, typically related to excessive use, and protective effects, often associated with moderate consumption. Moderate alcohol use has been linked with better cognitive functioning as well as a decrease in cardiovascular mortality and systemic inflammation, as compared to heavy or abstinent users. Given that extant research has identified C-reactive protein (CRP) as …


Mothers' History Of Child Maltreatment And Regulation Abilities: Interactions Among Young Children's Temperament, Attachment, And Maltreatment Potential, Jayme Puff Jan 2016

Mothers' History Of Child Maltreatment And Regulation Abilities: Interactions Among Young Children's Temperament, Attachment, And Maltreatment Potential, Jayme Puff

Electronic Theses and Dissertations

Given the impact that parents' and young children's characteristics have on the potential for child maltreatment, the present study sought to examine how mothers' ratings of their own childhood maltreatment, their psychological symptoms, their regulation abilities (i.e., emotion regulation, reflective functioning, attributions, and coping with young children's negative emotions), and their perceptions of their young children's temperament were related to their narratives of their attachment relationships with their young children and their child maltreatment potential. As part of this study, 54 mothers rated themselves and their young children on the aforementioned variables. Binary logistic hierarchical regression analysis suggested that mothers' …


Declarative Memory, Theory Of Mind, And Community Functioning In Schizophrenia, Andrew Deptula Jan 2016

Declarative Memory, Theory Of Mind, And Community Functioning In Schizophrenia, Andrew Deptula

Electronic Theses and Dissertations

Cognitive impairments are highly prevalent in individuals with schizophrenia and are now considered hallmark features of the disorder. Over the past decade, considerable evidence has demonstrated the functional significance of social and nonsocial cognitive impairments in individuals with schizophrenia. However, the nature of the relationship between specific domains of social and nonsocial cognition and how they relate to functional outcome in this population is less clear. In particular, declarative memory impairment has been suggested to have critical consequences for the everyday life of individuals with schizophrenia and may play a role in their social integration difficulties. Preliminary evidence also indicates …


Mothers' Temperament, Adverse Childhood Experiences, And Psychological Symptoms: How Are Enduring Maternal Characteristics Related To Mothers' Perceptions Of Children's Temperament, Behavior Problems, And Adaptive Functioning?, Ellen Kolomeyer Jan 2016

Mothers' Temperament, Adverse Childhood Experiences, And Psychological Symptoms: How Are Enduring Maternal Characteristics Related To Mothers' Perceptions Of Children's Temperament, Behavior Problems, And Adaptive Functioning?, Ellen Kolomeyer

Electronic Theses and Dissertations

Extant literature documented the impact of mothers' characteristics and parenting behaviors on young children's psychosocial outcomes. Additionally, previous studies demonstrated the importance of mothers' adverse childhood experiences in the relationships among some of these constructs. To expand on the existing knowledge, the present study examined the relationships among mothers' temperament, reflective functioning, attributions, and specific parenting behaviors, with reflective functioning and attributions serving as two potential mediating variables in these relationships. A community sample of 224 diverse mothers of young children who were between 2- to 5-years of age rated their own adverse childhood experiences, temperament, reflective functioning, attributions, specific …


Pathways From Childhood Abuse To Positive Adapation: The Moderating Roles Of Social Support And Coping Style, Sarah Elizabeth Cleary Jan 2016

Pathways From Childhood Abuse To Positive Adapation: The Moderating Roles Of Social Support And Coping Style, Sarah Elizabeth Cleary

Electronic Theses and Dissertations

Studies show that up to 50% of children worldwide are affected by physical, emotional, sexual abuse and/or neglect. While these traumatic events can have profound consequences on development across the lifespan, it is important to note that approximately 20-30% of childhood abuse survivors do not report negative impacts. One explanation for this difference in outcomes is the concept of resilience, defined as successful adaptation in spite of the experience of high-risk trauma. Many studies have been conducted to delineate factors fostering resilience. Some researchers argue that individuals' ability to achieve resilience is a direct result of the environment, while others …


Biopsychosocial Models Of The Development Of Childhood Disruptive Behaviors, Anne Bernard Arnett Jan 2016

Biopsychosocial Models Of The Development Of Childhood Disruptive Behaviors, Anne Bernard Arnett

Electronic Theses and Dissertations

Hyperactivity/attention problems (HAP) and conduct problems (CP) are common and impairing disruptive behaviors in childhood and adolescence. Previous research has established that HAP and CP are highly comorbid, and that outcomes are worse for youth exhibiting both symptom clusters relative to youth with only one disruptive behavior type. Despite ample evidence that HAP and CP share common etiological factors and maladaptive outcomes, the nature of their developmental association remains unclear. This dissertation clarifies three important characteristics of comorbid HAP and CP development, in two replicate, longitudinal, population samples of youth. First, I test the theory that within-person variation in HAP …


Influence Of Self-Stigma, Distress Disclosure, And Self-Compassion On Post-Traumatic Stress Reactions In Deployment Veterans, June Marie Ashley Jan 2016

Influence Of Self-Stigma, Distress Disclosure, And Self-Compassion On Post-Traumatic Stress Reactions In Deployment Veterans, June Marie Ashley

Electronic Theses and Dissertations

Military deployments can contribute to significant changes among the service members who experience them. Particularly regarding traumatic or highly stressful deployment experiences, the potential exists for posttraumatic stress reactions with both detrimental outcomes and beneficial influence. The present study explored this spectrum of reactions through the lenses of posttraumatic stress disorder (PTSD) and posttraumatic growth (PTG). Given the well-researched presence of stigma within military culture toward psychological distress, consideration was given to how stigma may influence severity of PTSD and degree of PTG. Rather than focusing on public stigma, the present study explored the possible influence of internalized stigma, known …


Lesbian Couple Dynamics And Heterosexist Stressors: Building A Foundation For Culturally Competent Relationship Interventions, Shelby B. Scott Jan 2016

Lesbian Couple Dynamics And Heterosexist Stressors: Building A Foundation For Culturally Competent Relationship Interventions, Shelby B. Scott

Electronic Theses and Dissertations

Lesbian relationships are severely underrepresented in the couples and family literature (Hartwell, Serovich, Grafsky, & Kerr, 2012). The current study sought to expand the basic science on lesbian couples with the overarching goal of informing evidence-based relationship interventions. The first aim of this study was to examine processes found to be important to relationship success in previous studies of couples in general, including communication, external support, household tasks, intimacy, and sex, as these processes are typically targeted in relationship interventions. The second aim was to examine the role of factors more specific to lesbian couples and related to heterosexist stressors …


Predictors Of Emerging Psychopathology Among Toddlers And Preschoolers Of Mothers With Childhood Abuse Histories, Rebecca Lynne Babcock Fenerci Jan 2016

Predictors Of Emerging Psychopathology Among Toddlers And Preschoolers Of Mothers With Childhood Abuse Histories, Rebecca Lynne Babcock Fenerci

Electronic Theses and Dissertations

The purpose of this study was to elucidate cognitive and behavioral mechanisms involved in the intergenerational transmission of trauma from abuse-survivor mothers to their toddler/preschool-aged children. This study investigated whether maternal trauma-related cognitions, i.e. child abuse-related appraisals (betrayal, self-blame, fear, anger, shame, alienation), disorganized memory and intrusive memory for abuse were associated with toddler internalizing and externalizing symptoms, and whether mother-child dysfunctional interactions mediated these relationships among a sample of 113 mothers who survived child abuse. When controlling for maternal trauma symptoms, maternal child abuse-related appraisals, disorganized memory, and trauma symptoms predicted toddler internalizing symptoms, whereas maternal intrusive memory and …


Investigating The Relation Between Self-Compassion And Romantic Relationships, Emily Jacobson Jan 2016

Investigating The Relation Between Self-Compassion And Romantic Relationships, Emily Jacobson

Electronic Theses and Dissertations

Self-compassion has recently emerged as a component of psychological health. Research on self-compassion processes has grown in recent years, and shows that self-compassion is related to lower levels of psychological distress and higher levels of positive affect. The current study examined the extent to which self-compassion is related to the quality of romantic relationships. Undergraduates at the University of Mississippi (N=261) completed online self-report questionnaires assessing self-compassion and relationship quality. Correlational and hierarchical multiple regression analyses were conducted in order to assess the relation between self-compassion and relationship quality. Results indicated that self-compassion was positively and significantly correlated with relationship …


Testing A Brief Directive Intervention To Reduce Symptoms Associated With Trauma, Fernando Trivelli Alessandri Jan 2016

Testing A Brief Directive Intervention To Reduce Symptoms Associated With Trauma, Fernando Trivelli Alessandri

Electronic Theses and Dissertations

A randomized controlled trial was conducted to test the relative efficacy of a brief directive protocol (DP) aimed at reducing posttraumatic stress disorder (PTSD) symptoms and an expressive writing protocol (EW), which has more than a 30-year history (Pennebaker & Chung, 2011) of research showing mostly positive effects. The DP included components with research support from studies of expressive writing, prolonged exposure, cognitive processing therapy, and mindfulness-based therapies. Participants were primarily undergraduate students at a large public university in the southern United States who endorsed at least one traumatic experience and who manifested a minimal level of PTSD symptoms. The …


Examination Of The Relationship Between Religiosity And Psychological Well-Being: A Multiple Mediation Analysis, Tara Katrina Luchkiw Jan 2016

Examination Of The Relationship Between Religiosity And Psychological Well-Being: A Multiple Mediation Analysis, Tara Katrina Luchkiw

Electronic Theses and Dissertations

No abstract provided.


Examining Hope And Resilience Among Mississippi Adolescents, Kristie Vail Schultz Jan 2016

Examining Hope And Resilience Among Mississippi Adolescents, Kristie Vail Schultz

Electronic Theses and Dissertations

Hope theory involves the way in which individuals perceive their abilities in relation to three factors: 1) clearly defined goals, 2) the specific strategies necessary to obtain those goals (called “pathways”), and 3) the sustained motivation necessary to use those specific strategies (called “agency thinking”) (Snyder et al., 1991; Snyder, Lopez, Shorey, Rand, & Feldman, 2003). Hopeful thinking is defined as a belief that an individual can find the pathways to reach a desired goal and the belief that one can use those designated pathways effectively (Snyder, 2002; Rand & Cheavens, 2009). Research shows that hope in adolescents is positively …


Cerebrovascular Burden And Depression: Examining A Process Model Of Geriatric Developmental Psychopathology, Rosanna Scott Jan 2016

Cerebrovascular Burden And Depression: Examining A Process Model Of Geriatric Developmental Psychopathology, Rosanna Scott

Electronic Theses and Dissertations

Depression is the second leading cause of disability worldwide, and is associated with substantial functional impairment and poor health implications in older adults. These adverse outcomes are exacerbated in older adults who exhibit comorbid depression and cerebrovascular burden (CVB). Given that the population of older adults is projected to double by year 2050, a process model of the development of depression in later-life and a subsequent clear delineation of the relationship between CVB and depression is paramount. One explanation of this process of disease development is the vascular depression theory, however alternative hypotheses have not been exhaustively falsified and the …


Relationships Between Information Adequacy, Illness Perceptions, And Distress Among Survivors Of Differentiated Thyroid Cancer, Chelsea Wiener Jan 2016

Relationships Between Information Adequacy, Illness Perceptions, And Distress Among Survivors Of Differentiated Thyroid Cancer, Chelsea Wiener

Electronic Theses and Dissertations

Patients and survivors of differentiated thyroid cancer (DTC) report experiencing significant distress despite excellent disease prognosis. Predictors of distress in this population, however, are largely unexplored. Two factors that relate to distress in other cancer populations are patient subjective experiences with information provision and patient illness perceptions. Thus, evaluation of information experiences and illness perceptions among survivors of DTC is warranted. In particular, the unique prognosis and treatment associated with DTC invites investigation of the relationship between patient subjective experiences with information quantity (termed "information adequacy" in this study) and distress in this population. Thus, the primary goals of this …


Evaluation Of An Interdisciplinary Chronic Arthritis Pain Group Intervention In An Outpatient Healthcare Setting, Natasha Depesa Jan 2016

Evaluation Of An Interdisciplinary Chronic Arthritis Pain Group Intervention In An Outpatient Healthcare Setting, Natasha Depesa

Electronic Theses and Dissertations

Rheumatoid arthritis (RA) is a chronic autoimmune disease that often results in inflammation, pain, fatigue, functional impairment, and psychosocial difficulties. The current study examines the effectiveness, feasibility, and sustainability of an interdisciplinary chronic pain intervention for patients with RA. Wearable fitness trackers were incorporated into the intervention and objectively measured participant physical activity. A total of 44 participants received the intervention and completed outcome measures. Results supported improvements across multiple domains at the end of treatment and at 4-week follow-up compared to treatment baseline. Mixed multilevel repeated measures modeling revealed significant overall improvements in many primary (i.e., self-efficacy for managing …


Combat Related Guilt And The Mechanisms Of Intensive Exposure Therapy, Benjamin Trachik Jan 2016

Combat Related Guilt And The Mechanisms Of Intensive Exposure Therapy, Benjamin Trachik

Electronic Theses and Dissertations

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 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. …