AVAPL V-BA for PTSD

Ptsd behavioral conceptualization prior life

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Unformatted text preview: tion Focus: Present centered therapy Working from the outside-in Symptoms *Affective (Mood) *Avoidance Behaviors *Cognitive *Physiological Restricted Range of Behavior Less Rewarding Life Goals *Broadening behavior *Defining values & achieving goals *More fulfilling life Support for BA as a PTSD Treatment Treatment Clinical case studies: BA improves PTSD Clinical and co-morbid Major Depression-Mulick et al., Mulick and 2004 2004 BA is superior to treatment as usual for BA recently traumatized population-Wagner et al., Wagner recently 2006 2006 Open Trial of BA for Chronic PTSD PTSD Jakupcak et al., 2006 Participants Enrolled N=11 10 men; 1 woman; All Participants were White Age M(SD) Age Education M(SD) Vietnam era Post Vietnam 51.2 (12.65) 15 (2) 9 2 Trauma Exposure and Symptom Profiles Symptom Trauma type 8 VN Vets-Combat 1 VN Vet-Training Accident VN 1 Female-Military Sexual Assault 1 Post VN era Vet-Peace Keeping (sniper fire; mass Post graves) graves) Depression, Pain Symptoms, and Compensation 4 Major Depression/3 dystymia/1 etoh dependence, Major remission remission 7 Chronic pain 7 Actively seeking service connection for PTSD Outcome Measures Outcome Clinician Administered PTSD Scale Clinician (CAPS) Blake et al., 1990 Blake The PTSD Checklist (PCL) The Weathers et al., 1993 Weathers Beck Depression Inventory (BDI) Beck Beck & Steer, 1987 Beck Quality of Life Inventory (QOLI) Frisch, 1994 Frisch, Attrition Attrition Dropped out (n = 1; travel) Completed 15 of 16 sessions; lost to Completed follow up (n = 1) follow Symptom Severity One-tailed Paired t-test One-tailed Pre M CAPS PCL BDI QOLI *p < .05 75 52 26 -.88 Post SD M (22) (13) (15) (1.6) 60 48 22 .11 SD (24) (20) (17) (1.4) t (df) (df) Hedge’s g Hedge’s _____ 2.47 (8)* 1.00 (9) 0.86 (9) -2.10 (8) .58 .38 .30 -.61 Individual Change Scores CAPS; reliable change at |9| points PCL; reliable change at |5| points Six of ten showed improvement; 1 deteriorated Six BDI; reliable change at |5| points Five of nine of participants showed improvement four of ten showed improvement; four deteriorated QOLI; reliable change at |.7| points Four of nine showed improvement Case Example (“non-responder”) Case VN veteran, heavy combat exposure Chronic, vivid re-experiencing symptoms Wa...
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