The Resource The Role of Client Avoidance on PTSD Recovery throughout the Course of Trauma Therapy, Chelsea A. Gloth

The Role of Client Avoidance on PTSD Recovery throughout the Course of Trauma Therapy, Chelsea A. Gloth

Label
The Role of Client Avoidance on PTSD Recovery throughout the Course of Trauma Therapy
Title
The Role of Client Avoidance on PTSD Recovery throughout the Course of Trauma Therapy
Statement of responsibility
Chelsea A. Gloth
Creator
Subject
Genre
Language
eng
Summary
The accumulation of randomized controlled trials (RCTs) for the treatment of posttraumatic stress disorder (PTSD) over the past few decades has contributed to the development of clinical treatment guidelines (Chambless & Ollendick, 2001; Forbes et al., 2010; Truax & Thomas, 2003). Two treatments that have gained substantial support are Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT). Although these treatments result in most participants losing their PTSD diagnosis and obtaining meaningful reductions in symptoms, some clients remain refractory to treatment. Researchers have worked to identify predictors of treatment outcome, but have given minimal attention to aspects of client avoidance as process variables that could impact recovery. The current paper evaluates the role of client avoidance process variables on PTSD treatment outcome. Using therapy session tapes and client chart files for 70 participants who underwent CPT in two NIH-funded trials, the role of in-session avoidance, homework noncompliance, and irregular attendance were evaluated. Among in-session avoidance variables, greater avoidance of the trauma memory was negatively correlated with a reduction in posttraumatic symptoms. However, due to lack of variability in in-session engagement variables, few meaningful correlations were obtained for other in-session avoidance variables and PTSD and depression treatment outcome. Among the homework variables, perceived helpfulness of homework among completers was the only significant predictor of PTSD symptom change. Finally, attendance compliance and irregular session attendance did not significantly predict PTSD and depression change scores. Implications of these findings are discussed
Member of
Cataloging source
UMS
http://library.link/vocab/creatorName
Gloth, Chelsea A.
Degree
Ph.D.
Dissertation year
2016
Granting institution
University of Missouri--St. Louis
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
  • theses
http://library.link/vocab/subjectName
  • Post-traumatic stress disorder
  • Avoidance (Psychology)
  • Psychic trauma
Label
The Role of Client Avoidance on PTSD Recovery throughout the Course of Trauma Therapy, Chelsea A. Gloth
Instantiates
Publication
Note
Title from title page of PDF (University of Missouri--St. Louis, viewed November 3, 2016)
Bibliography note
Includes bibliographical references (pages 85-93)
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Control code
962028227
Extent
1 online resource (126 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
c
Specific material designation
remote
System control number
(OCoLC)962028227
Label
The Role of Client Avoidance on PTSD Recovery throughout the Course of Trauma Therapy, Chelsea A. Gloth
Publication
Note
Title from title page of PDF (University of Missouri--St. Louis, viewed November 3, 2016)
Bibliography note
Includes bibliographical references (pages 85-93)
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Control code
962028227
Extent
1 online resource (126 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
c
Specific material designation
remote
System control number
(OCoLC)962028227

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