Keywords

Post traumatic stress disorder, ptsd, treatment matching, exposure therapy, prolonged exposure therapy, cognitive processing therapy, mechanisms of action, confirmatory factor analysis, combat, moral injury, physiological arousal, oif, oef, veterans

Abstract

The current study takes an initial step toward deriving a method for empirically based, theory-driven treatment matching in a military population suffering from PTSD. Along with the more overt symptoms of PTSD (e.g., persistent hyperarousal), secondary cognitive symptoms have also been shown to be significantly associated with avoidance and intrusive symptoms, as well as contribute to functional impairment. Based on the factor analytic and treatment literature for PTSD, it appears that there are two central mechanisms associated with beneficial therapeutic change that underlies both CPT and PE treatments (i.e., habituation, changes in cognitions). Additionally, different traumatic events and peritraumatic responses may be associated with unique symptom profiles and may necessitate targeted treatment. The present study proposes a novel approach to treatment matching based on the factor structure of PTSD and underlying mechanisms of treatment response. More broadly, this paper provides evidence for a broader understanding of peritraumatic responses and the potential implications of these responses for symptom profiles and illness trajectories.

Notes

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Graduation Date

2015

Semester

Spring

Advisor

Bowers, Clint

Degree

Master of Science (M.S.)

College

College of Sciences

Department

Psychology

Degree Program

Psychology; Clinical Psychology

Format

application/pdf

Identifier

CFE0005727

URL

http://purl.fcla.edu/fcla/etd/CFE0005727

Language

English

Release Date

May 2020

Length of Campus-only Access

5 years

Access Status

Masters Thesis (Open Access)

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