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The effect of a motivational interviewing pretreatment on CBT treatment of PTSD in veterans

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TitleInfo
Title
The effect of a motivational interviewing pretreatment on CBT treatment of PTSD in veterans
SubTitle
a preliminary investigation
Name (type = personal)
NamePart (type = family)
Farber
NamePart (type = given)
Tanya
DisplayForm
Tanya Farber
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Petronko
NamePart (type = given)
Michael R.
DisplayForm
Michael R. Petronko
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = personal)
NamePart (type = family)
Fishman
NamePart (type = given)
Daniel B.
DisplayForm
Daniel B. Fishman
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School of Applied and Professional Psychology
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (encoding = w3cdtf); (qualifier = exact)
2015
DateOther (qualifier = exact); (type = degree)
2015-10
CopyrightDate (encoding = w3cdtf); (qualifier = exact)
2015
Place
PlaceTerm (type = code)
xx
Language
LanguageTerm (authority = ISO639-2b); (type = code)
eng
Abstract (type = abstract)
A significant number of veterans of all generations are affected by Posttraumatic Stress Disorder (PTSD) related to combat experiences as well as other traumatic events. While veterans with PTSD may benefit significantly from the evidence-based treatments available, this population in particular can face numerous obstacles to care, including avoidance of distressing traumatic memories, the impact of stigma, beliefs about psychological treatment, and minimization of the severity and impact of PTSD symptoms. To address these obstacles in the context of individual therapy, the present study used a pragmatic single-case study design to examine the implementation and impact of a Motivational Interviewing (MI) intervention delivered as a pretreatment prior to one veteran’s participation in Cognitive Processing Therapy (CPT) for PTSD. In a manner consistent with MI principles and therapeutic techniques, the pretreatment sought to help the veteran explore ambivalence about treatment, identify and strengthen personal reasons for change, and bolster self-efficacy related to his ability to work toward valued change goals. The present study explored the process of integrating MI with CPT and the resulting impact on one Vietnam War veteran’s motivation, engagement, and compliance with treatment. In addition, the question of whether MI served to enhance CPT treatment gains with regard to trauma-related symptoms and overall functioning was addressed. Qualitative and quantitative results suggested that the MI pretreatment was associated with improved intrinsic motivation consistent with values espoused by the veteran, which in turn impacted the course of subsequent therapy. In addition, it appeared that the moment-to-moment utilization of MI interventions throughout the process of CPT likely served to enhance client engagement in treatment, although the relationship to homework compliance was less clear. While the impact of MI on the veteran’s experience of trauma-related symptoms and functioning could not be isolated within the present study, the impact of the veteran’s pursuit of identified values-consistent goals on PTSD and related symptoms and functioning is discussed.
Subject (authority = RUETD)
Topic
Clinical Psychology
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_6473
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (ix, 155 p. : ill.)
Note (type = degree)
Psy.D.
Note (type = bibliography)
Includes bibliographical references
Subject (authority = ETD-LCSH)
Topic
Post-traumatic stress disorder
Subject (authority = ETD-LCSH)
Topic
Veterans--Mental health
Subject (authority = ETD-LCSH)
Topic
Cognitive therapy
Note (type = statement of responsibility)
by Tanya Farber
RelatedItem (type = host)
TitleInfo
Title
Graduate School of Applied and Professional Psychology Electronic Theses and Dissertations
Identifier (type = local)
rucore10001800001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3RB76JP
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Farber
GivenName
Tanya
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2015-04-29 18:08:41
AssociatedEntity
Name
Tanya Farber
Role
Copyright holder
Affiliation
Rutgers University. Graduate School of Applied and Professional Psychology
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2015-10-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2016-10-30
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after October 30th, 2016.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

RULTechMD (ID = TECHNICAL1)
ContentModel
ETD
OperatingSystem (VERSION = 5.1)
windows xp
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