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.

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.

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

scholarly journals 1070 An Examination of the Relationship Between Language Use in Post-Trauma Nightmares and Psychological Sequelae in a Treatment Seeking Population

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A407-A408
Author(s):  
C Paquet ◽  
J Davis
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Cognitive Processing ◽  
Cognitive Processes ◽  
Positive Emotion ◽  
Language Use ◽  
Stress Disorder ◽  
Ptsd Symptom ◽  
Emotion Words ◽  
The Relationship

Abstract Introduction Studying language use in dreams and nightmares has become an increasingly used tool to understand underlying emotional and cognitive processes. Specifically, in regards to post-trauma nightmares (PTNMs), nightmare transcriptions can offer a lens to understand a survivor’s interpretation of their trauma. The current study will utilize a method of quantitative text analysis to analyze the relationship between specific psychological constructs and symptoms of posttraumatic stress disorder (PTSD) and nightmare qualities. It is hypothesized that there will be a positive correlation between words related to perceptual processes and negative emotions in nightmares and PTSD symptom and nightmare severity. There will be a negative correlation between cognitive processes and positive emotion words, and PTSD symptom and nightmare severity. Methods Fifty-three nightmares were collected from participants that were recruited from the community in a Midwestern city as part of an ongoing investigation of the effectiveness of a brief cognitive-behavioral intervention for PTNM, Exposure, Relaxation, and Rescripting Therapy (ERRT). All participants were over the age of 18, have experienced a criterion A trauma, and have nightmares at least once weekly. Linguistic Inquiry and Word Count (LIWC) was utilized to analyze the nightmare transcriptions. The Posttraumatic Stress Disorder Checklist for the DSM-5 (PCL-5) and the Trauma-related Nightmare Survey (TRNS) were used to measure symptom severity. A Pearson’s correlation analysis was used for this exploratory study. Results Words related to perceptual processes were significantly positively correlated with PTSD symptom and nightmare severity (p<.05) Neither negative nor positive emotion words were significantly related to PTSD and nightmare symptoms (p>.05). Cognitive processing words were significantly negatively correlated with PTSD and nightmare symptoms (p<.05). Conclusion The results of this study support the hypothesis that language use in nightmares reveals important information about underlying cognitive and emotional functioning. The results of this study may have an important impact on treatment considerations for those who have experienced trauma. Analyzing language use in PTNM may help to understand the etiology and maintenance of PTSD symptoms. Support Support for this study comes from the University of Tulsa Institute of Trauma, Adversity, and Injustice.

Gender Differences in Complex Posttraumatic Stress Symptoms, and Their Relationship to Mental Health and Substance Abuse Outcomes in Incarcerated Adults

2017 ◽  
Vol 35 (5-6) ◽  
pp. 1133-1157 ◽  
Author(s):  
Paulette Giarratano ◽  
Julian D. Ford ◽  
Thomas H. Nochajski
Keyword(s):  
Mental Health ◽  
Gender Difference ◽  
Behavioral Health ◽  
Childhood Abuse ◽  
Symptom Severity ◽  
Justice System ◽  
Ptsd Symptom ◽  
Health Problems ◽  
Ptsd Symptom Severity ◽  
The Relationship

Complex trauma (CT; for example, childhood abuse) has been associated with significant behavioral health problems (i.e., mental health and substance use disorders) and symptoms that are consistent with complex posttraumatic stress disorder (C-PTSD). CT is prevalent in adult forensic populations, and particularly important for women as they tend to report more adverse consequences of exposure to traumatic stressors and are entering the criminal justice system at a heightened rate compared with men. However, no studies have empirically tested the relationship among CT, C-PTSD, and behavioral health problems with gender among incarcerated adults. The present study examined the relationship between gender and childhood abuse history, C-PTSD symptom severity, and behavioral health problems in 497 incarcerated adults. Findings indicate that women were more likely to report a history of childhood abuse, and more severe C-PTSD symptoms and behavioral health problems than men. Childhood abuse history significantly accounted for the gender difference observed in C-PTSD symptom severity. C-PTSD partially mediated the gender difference in psychiatric morbidity and in risk of hard drug use. Implications for trauma-informed and gender-responsive services and research in the adult criminal justice system are discussed.

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.

Sign in / Sign up

Export Citation Format

Share Document