المؤلفون: Monson, Candice M., Fredman, Steffany J., Fitzpatrick, Skye, Macdonald, Alexandra, Pukay‐Martin, Nicole D., Shepherd‐Banigan, Megan, Dworkin, Emily R., Luedtke, Brandi, Dekel, Rachel, Shoval‐Zuckerman, Yael, Sautter, Fred, Glynn, Shirley M.

المصدر: Journal of Traumatic Stress ; volume 37, issue 2, page 344-347 ; ISSN 0894-9867 1573-6598

الإتاحة: https://doi.org/10.1002/jts.23039Test

المؤلفون: Fitzpatrick, Skye, Varma, Sonya, Chafe, David, Norouzian, Nikoo, Traynor, Jenna, Goss, Sophie, Earle, Elizabeth, Di Bartolomeo, Alyssa, Siegel, Ashley, Fulham, Lindsay, Monson, Candice M., Liebman, Rachel E.

المساهمون: American Foundation for Suicide Prevention, Stratas Foundation

المصدر: Borderline Personality Disorder and Emotion Dysregulation ; volume 11, issue 1 ; ISSN 2051-6673

مصطلحات موضوعية: Biological Psychiatry, Psychiatry and Mental health, Clinical Psychology

الوصف: Background Research suggests that interpersonal dysfunction may be central to borderline personality disorder (BPD), and that the relationships of people with BPD are particularly impaired. Further, the significant others of people with BPD exhibit elevated psychological problems but little access to mental healthcare. Despite this, most BPD interventions are delivered individually and do not routinely incorporate significant others. This manuscript presents the first case series of Sage, a 12-session manualized intervention for people with borderline personality disorder (BPD) and their intimate partners with three targets: a) BPD severity, b) relationship conflict, and c) intimate partner mental health. Findings Five couples of people with BPD with frequent suicidal/self-injurious behavior or high suicidal ideation and their intimate partners received Sage. Measures of Sage targets as well as tertiary outcomes were administered at pre-, mid-, and post-intervention. Four out of five dyads completed Sage, with high intervention satisfaction ratings. Improvements were generally demonstrated in BPD severity, suicidal ideation, and suicidal behavior/self-injury. Half of dyads exhibited improvements in conflict, and additional improvements in mental health outcomes for dyad members were demonstrated. One dyad exhibited poor outcomes and speculations regarding this are offered. Conclusions Findings provide proof of concept of Sage as an intervention that can improve BPD and other mental health outcomes in those with BPD and their intimate partners. Incorporating intimate partners into BPD treatment may optimize and expedite its outcomes. However, further testing is needed. Trial registration This project was pre-registered at Clinicaltrials.gov (Identifier: [NCT04737252]).

الإتاحة: https://doi.org/10.1186/s40479-023-00244-xTest

المؤلفون: Monson, Candice M., Pukay-Martin, Nicole D., Wagner, Anne C., Crenshaw, Alexander O., Blount, Tabatha H., Schobitz, Richard P., Dondanville, Katherine A., Young-McCaughan, Stacey, Mintz, Jim, Riggs, David S., Brundige, Antoinette, Hembree, Elizabeth A., Litz, Brett T., Roache, John D., Yarvis, Jeffrey S., Peterson, Alan L.

المساهمون: U.S. Department of Defense, U.S. Army Medical Research and Materiel Command, Congressionally Directed Medical Research Programs

المصدر: European Journal of Psychotraumatology ; volume 15, issue 1 ; ISSN 2000-8066

الإتاحة: https://doi.org/10.1080/20008066.2024.2330305Test

المؤلفون: Swanson, Kera Mallard, Song, Jiyoung, Beristianos, Matthew, Aajmain, Syed, Lane, Jeanine EM, Landy, Meredith SH, Suvak, Michael K, Shields, Norman, Monson, Candice M, Stirman, Shannon Wiltsey

مصطلحات موضوعية: Applied and Developmental Psychology, Allied Health and Rehabilitation Science, Clinical and Health Psychology, Health Services and Systems, Health Sciences, Psychology, Post-Traumatic Stress Disorder (PTSD), Anxiety Disorders, Mind and Body, Mental Health, Consultation, PTSD, cognitive processing therapy, treatment fidelity

الوصف: Background: Consultation is an implementation strategy that improves delivery and clinical outcomes for Cognitive Processing Therapy (CPT), an evidence-based practice (EBP) for posttraumatic stress disorder (PTSD). However, little is known about the specific components of consultation that influence the fidelity of treatment delivery or clinical outcomes. Methods: The current study examined whether specific activities performed during CPT consultation meetings were associated with better fidelity to the CPT protocol among 60 newly trained therapists or improved clinical outcomes among 135 clients treated by these therapists. Consultation activities that fall under three broad categories (discussion of the application of CPT to individual cases, review/feedback on fidelity, and technical difficulties) were measured by consultant checklists for each consultation session. Treatment fidelity (adherence to the protocol and competence of delivery) was rated by trained observers for a random sample of therapists' CPT sessions following consultation. The self-reported PTSD Checklist-IV assessed PTSD symptom change. Results: Multilevel regression analyses indicated that higher therapist consultation attendance predicted a greater decrease in their clients' PTSD symptoms and that attendance was not associated with observer-rated treatment fidelity. Discussion of the application of specific CPT strategies was the only consultation activity that was significantly associated with greater improvement in PTSD symptoms. Lastly, no consultation activities were significantly associated with treatment fidelity. Conclusions: Our findings suggest that specific consultation strategies such as emphasizing the discussion of the application of specific CPT strategies to individual cases during consultation meetings may be effective in improving the clinical outcomes of CPT.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/7267982dTest

المؤلفون: Song, Jiyoung, Johnson, Clara, Suvak, Michael K, Shields, Norman, Lane, Jeanine EM, Monson, Candice M, Wiltsey-Stirman, Shannon

المصدر: European Journal of Psychotraumatology. 11(1)

مصطلحات موضوعية: Clinical and Health Psychology, Psychology, Mental Health, Clinical Research, Behavioral and Social Science, Anxiety Disorders, Mind and Body, Post-Traumatic Stress Disorder (PTSD), physical health, physical functioning, cognitive processing therapy, treatment moderators, PTSD, Clinical Sciences, Clinical sciences, Applied and developmental psychology, Clinical and health psychology

الوصف: Background: Physical health concerns (e.g. chronic pain, fatigue) are common among clients with posttraumatic stress disorder (PTSD). Prior research has indicated that clients report improved physical functioning and fewer physical health symptoms after receiving Cognitive Processing Therapy (CPT) for PTSD. However, less is known about the impact of physical functioning on the clients' PTSD symptom improvement in CPT. Objective: The current study examined the patterns of change of and between physical functioning and PTSD symptoms over the course of CPT among a diverse military, veteran, and community sample. Method: We collected clients' (N = 188) physical functioning and PTSD symptom severity prior to and during CPT using the 12-Item Short Form Health Survey and the PTSD Checklist. We used multilevel modelling to 1) evaluate the impact of baseline physical functioning on the PTSD symptom trajectory, 2) examine the trajectory of physical functioning, and 3) assess the dynamics between physical functioning and PTSD symptoms over the course of CPT. Results: Our multilevel analyses indicated that 1) physical functioning significantly improved for those with low levels of functioning prior to treatment, 2) poorer baseline physical functioning predicted slower improvements in PTSD symptoms, and 3) poorer physical functioning in one session predicted less PTSD symptom improvement by the next session. Conclusions: Our findings demonstrate that while physical functioning can interfere with PTSD symptom improvement, physical functioning can also improve over the course of CPT. In light of the interconnected nature of physical health and PTSD symptoms, clinicians may need to attend to lower levels of physical functioning when providing CPT or other trauma-focused therapies. Future research to determine whether specific treatment adaptations may benefit such clients is needed.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/3688840rTest

المؤلفون: Morland, Leslie A, Macdonald, Alexandra, Grubbs, Kathleen M, Mackintosh, Margaret-Anne, Monson, Candice M, Glassman, Lisa H, Becker, Julia, Sautter, Frederic, Buzzella, Brian, Wrape, Elizabeth, Wells, Stephanie Y, Rooney, Benjamin M, Glynn, Shirley

مصطلحات موضوعية: Cognitive behavioral conjoint therapy, Couple therapy, Home-based care, Randomized controlled trial, Veterans, Videoconferencing

الوصف: Interpersonal difficulties are common among veterans with posttraumatic stress disorder (PTSD) and are associated with poorer treatment response. Treatment outcomes for PTSD, including relationship functioning, improve when partners are included and engaged in the therapy process. Cognitive-behavioral conjoint therapy for PTSD (CBCT) is a manualized 15-session intervention designed for couples in which one partner has PTSD. CBCT was developed specifically to treat PTSD, engage a partner in treatment, and improve interpersonal functioning. However, recent research suggests that an abbreviated CBCT protocol may lead to sufficient gains in PTSD and relationship functioning, and yield lower dropout rates. Likewise, many veterans report a preference for receiving psychological treatments through clinical videoteleconferencing (CVT) rather than traditional face-to-face modalities that require travel to VA clinics. This manuscript describes the development and implementation of a novel randomized controlled trial (RCT) that examines the efficacy of an abbreviated 8-session version of CBCT ("brief CBCT," or B-CBCT), and compares the efficacy of this intervention delivered via CVT to traditional in-person platforms. Veterans and their partners were randomized to receive B-CBCT in a traditional Veterans Affairs office-based setting (B-CBCT-Office), CBCT through CVT with the veteran and partner at home (B-CBCT-Home), or an in office-delivered, couple-based psychoeducation control condition (PTSD Family Education). This study is the first RCT designed to investigate the delivery of B-CBCT specifically to veterans with PTSD and their partners, as well as to examine the delivery of B-CBCT over a CVT modality; findings could increase access to care to veterans with PTSD and their partners.

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/60t914dsTest

المؤلفون: Fitzpatrick, Skye S., Liebman, Rachel E., Monson, Candice M., Resick, Patricia A.

المساهمون: National Institute of Mental Health, Canadian Institutes of Health Research

المصدر: Journal of Anxiety Disorders ; volume 95, page 102681 ; ISSN 0887-6185

الإتاحة: https://doi.org/10.1016/j.janxdis.2023.102681Test
https://api.elsevier.com/content/article/PII:S0887618523000191?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S0887618523000191?httpAccept=text/plainTest

المؤلفون: Sippel, Lauren M, Wachsman, Tamara R, Kelley, Mary E, Knopp, Kayla C, Khalifian, Chandra E, Maglione, Jeanne E, Glynn, Shirley M, Macdonald, Alexandra, Monson, Candice M, Flanagan, Julianne C, Holtzheimer, Paul E, Morland, Leslie A

المصدر: Contemp Clin Trials ; ISSN:1559-2030 ; Volume:141

مصطلحات موضوعية: Cognitive behavioral conjoint therapy, Couple therapy, Oxytocin, Randomized controlled trial, Veterans

الوصف: Leveraging military veterans' intimate relationships during treatment has the potential to concurrently improve posttraumatic stress disorder (PTSD) symptoms and relationship quality. Cognitive-Behavioral Conjoint Therapy (CBCT) and an 8-session Brief Cognitive-Behavioral Conjoint Therapy (bCBCT) are manualized treatments designed to simultaneously improve PTSD and relationship functioning for couples in which one partner has PTSD. Although efficacious in improving PTSD, the effects of CBCT on relationship satisfaction are small, especially among veterans. Intranasal oxytocin, which targets mechanisms of PTSD and relationship quality, may enhance the efficacy of bCBCT.

العلاقة: https://doi.org/10.1016/j.cct.2024.107534Test; https://pubmed.ncbi.nlm.nih.gov/38614447Test

الإتاحة: https://doi.org/10.1016/j.cct.2024.107534Test
https://pubmed.ncbi.nlm.nih.gov/38614447Test

المؤلفون: Fredman, Steffany J., Le, Yunying, Monson, Candice M., Mogle, Jacqueline A., Macdonald, Alexandra, Blount, Tabatha H., Hall-Clark, Brittany N., Fina, Brooke A., Dondanville, Katherine A., Mintz, Jim, Litz, Brett T., Young-McCaughan, Stacey, Yarvis, Jeffrey S., Keane, Terence M., Peterson, Alan L.

المساهمون: US Department of Defense, US Department of Veterans Affairs, University of Texas Health Science Center at San Antonio

المصدر: Journal of Family Psychology ; volume 38, issue 3, page 502-509 ; ISSN 1939-1293 0893-3200

الإتاحة: https://doi.org/10.1037/fam0001185Test
https://psycnet.apa.org/journals/fam/38/3/502.pdfTest

المؤلفون: Lenton-Brym, Ariella P., Landy, Meredith S. H., Whitfield, Kristen M., Burdo, Jessica, Monson, Candice M.

المصدر: Journal of Psychotherapy Integration ; volume 34, issue 1, page 102-113 ; ISSN 1573-3696 1053-0479

الإتاحة: https://doi.org/10.1037/int0000305Test
https://psycnet.apa.org/journals/int/34/1/102.pdfTest