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  • 1
    Online Resource
    Online Resource
    Wiley ; 2023
    In:  Journal of Traumatic Stress Vol. 36, No. 4 ( 2023-08), p. 668-681
    In: Journal of Traumatic Stress, Wiley, Vol. 36, No. 4 ( 2023-08), p. 668-681
    Abstract: Transdiagnostic treatments have been designed to target common processes for clusters of disorders. One such treatment, transdiagnostic behavior therapy (TBT), targets avoidance across emotional disorders, including posttraumatic stress disorder (PTSD), depressive disorders, and anxiety disorders, and has demonstrated efficacy in randomized controlled trials. The current study was designed to examine whether distinct treatment trajectories would emerge in a sample of 112 veterans receiving TBT and whether diagnostic comorbidity, baseline levels of several transdiagnostic risk factors, or treatment engagement influence trajectory membership. Growth mixture modeling revealed three distinct trajectories across depression, d s = 0.55–1.09; PTSD d s = −0.07–1.43; and panic disorder symptoms, d s = −0.13–1.09. Notably, for PTSD and panic disorder symptoms, separate classes for responders and nonresponders emerged among participants with high baseline symptom levels. Findings for the risk factors suggested that PTSD and panic nonresponders evidenced significantly higher behavioral avoidance at baseline and reduced engagement in treatment procedures and homework completion compared to responders. Together, the findings provide additional support for the use of TBT in the treatment of emotional disorders, including PTSD. Potential adaptations are discussed for patients with significantly elevated behavioral avoidance to improve treatment engagement and related outcomes.
    Type of Medium: Online Resource
    ISSN: 0894-9867 , 1573-6598
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2017312-X
    SSG: 2,1
    SSG: 5,2
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  • 2
    Online Resource
    Online Resource
    Wiley ; 2019
    In:  Suicide and Life-Threatening Behavior Vol. 49, No. 3 ( 2019-06), p. 826-837
    In: Suicide and Life-Threatening Behavior, Wiley, Vol. 49, No. 3 ( 2019-06), p. 826-837
    Abstract: Little is known about suicidal ideation stability, including whether stability is heterogeneous or homogeneous between individuals. Studies of this kind are necessary to understand the progression from suicidal ideation to action. Method This study examined suicidal ideation trajectories, using growth mixture modeling, in a sample of 359 past/current military service members ( M age = 32.1 years, SD  = 7.7; 88.3% male). Self‐reported suicidal ideation information was collected at baseline and follow‐up sessions at months 1, 3, 6, and 12. Following extraction of the best‐fitting solution, predictors of trajectory status were examined and trajectory status was used to predict suicidal behavior between baseline and month 12 assessments. Results Results revealed four trajectories, Low‐Stable ( n  =   125), Moderate‐Stable ( n  =   101), High‐Stable ( n  =   76), and High‐Rapidly Declining ( n  =   57). In general, the High‐Stable trajectory had the highest levels of perceived burdensomeness, thwarted belongingness, PTSD symptoms, and drug use. The High‐ and Moderate‐Stable trajectories had the highest rates of suicidal behavior between baseline and month 12. Conclusions Suicidal ideation, even in individuals with elevated ideation, is not a homogeneous construct over time. Stability of suicidal ideation might be an important risk factor, even if ideation is only moderately elevated.
    Type of Medium: Online Resource
    ISSN: 0363-0234 , 1943-278X
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2019
    detail.hit.zdb_id: 2045937-3
    SSG: 2,1
    SSG: 5,2
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  • 3
    In: Journal of Traumatic Stress, Wiley, Vol. 35, No. 2 ( 2022-04), p. 546-558
    Abstract: JOTS‐20‐0497.R2 Spanish Abstracts by Asociación Chilena de Estrés Traumático (ACET) Dinámica temporal del cambio de síntomas entre los veteranos que reciben un tratamiento integrado para el TEPT y los trastornos por uso de sustancias MEDIADORES DEL CAMBIO EN EL TEPT Y LOS TRASTORNOS POR ABUSO DE SUSTANCIAS El presente estudio examinó los patrones temporales de cambio de los síntomas durante el tratamiento de los trastornos de estrés postraumático (TEPT) y los trastornos por uso de sustancias (SUD por sus siglas en inglés) comórbidos. Planteamos la hipótesis de que la gravedad de los síntomas del TEPT predeciría el uso de sustancias en sesiones posteriores y que esta asociación sería particularmente fuerte entre los pacientes que recibieron un tratamiento integrado frente al tratamiento solo para SUD. Los participantes fueron 81 militares veteranos de los Estados Unidos con TEPT actual y un SUD que se inscribieron en un ensayo controlado aleatorio de 12 semanas que examinaba la eficacia de un tratamiento integrado llamado Tratamiento Concurrente de TEPT y Trastornos por Uso de Sustancias usando Exposición Prolongada (COPE por sus siglas en inglés) en comparación con terapia cognitivo conductual de prevención de recaídas (PR). Los modelos multinivel rezagados indicaron que la mejora de los síntomas del TEPT no predijo significativamente la probabilidad de consumo de sustancias en la siguiente sesión (probabilidad de consumo: B = 0.03, EE = 0.02, p = .141; porcentaje de días de uso B = ‐0.02, EE = 0.01, p = .172. Ni el consumo de sustancias, B = 1.53, EE = 1.79, p = .391, ni la frecuencia de uso, B = 0.26, E E = 0.50, p = .612, predijeron la gravedad de los síntomas de TEPT en la siguiente sesión en ambas condiciones de tratamiento. Se esperaban asociaciones más fuertes entre los síntomas de TEPT y el uso de sustancias en la próxima sesión dada la hipótesis de la automedicación. Se necesita investigación adicional para comprender mejor la dinámica temporal del cambio de los síntomas, así como los mediadores y mecanismos específicos que subyacen al cambio de los síntomas.
    Type of Medium: Online Resource
    ISSN: 0894-9867 , 1573-6598
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 2017312-X
    SSG: 2,1
    SSG: 5,2
    Library Location Call Number Volume/Issue/Year Availability
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