One of the strengths of the sampling approach is that the external validity is strong for the population of interest: the sample is randomly selected from veterans with PTSD all over the United States. The external validity is not strong for individuals who do not suffer from PTSD, or for individuals who do not live in the United States, as they are not included in the study. The random assignment of the study is also a strength, as this will help reduce sampling error and increase generalizability (Rubin & Babbie, 2016). Lastly, the compensation for completing the study could also be viewed as a strength, as it is likely to increase the amount of participation; a larger sample is beneficial as it will yield more results and make the study more general to the population of interest (Rubin & Babbie, 2016).
Research Design The name of the design is: experimental treatment pretest-posttest comparison design. After the participants are randomly selected for one of the four groups (one to receive PE, one to receive CPT, one to receive both PE and CPT, and one that does not receive an intervention), they are then administered the Posttraumatic Cognitions Inventory scale (Foa et al., 1999). The Posttraumatic Cognitions Inventory scale is used to measure PTSD symptoms, including frequency of dissociative reactions, recurrent distressing dreams, negative alterations in cognitions and mood, and marked alterations in arousal and reactivity, and is a reliable and valid scale (Foa et
This paper explores post-traumatic stress and how it is seen as a disorder. Post-traumatic stress can manifest into post-traumatic stress disorder. According to Sareen (2014), Post-traumatic stress disorder is defined in the Diagnostic and Statistical Manual of Mental Disorders, or DSM-5 as having 4 core features that are as follows. First, the person must witness or experience a stressful event. Secondly, the person or persons would re-experience symptoms of the event that include nightmares and/or flashbacks. The person or persons would also have hyper arousal symptoms, such as concentrations problems, irritability, and sleep disturbance. The final core feature dictates
Anxiety disorders may be assessed using the Screen for Child Anxiety Related Emotional Disorders [SCARED-C] (Birmaher et al., 2003). PTSD may be assessed using a variety of methods such as Structured Clinical Interview [SCI], the Diagnostic Interview Schedule [DIS], and the Clinician Administered PTSD Scale [CAPS] (cited in DeNigris, 2008). PTSD is a debilitating state that can develop from traumatic events (Marsh, 2008) . In a recent study conducted by Madigan and colleagues (2015) they state that Trauma-Focused Cognitive Behavioural Therapy [TF-CBT] is
Post-Traumatic Stress Disorder can do a range of things to the brain. Post-Traumatic Stress Disorder makes the victim continuously remember the event. It was originally known as “shell shock” where vets were struggling going through daily life. Finally after the Vietnam War Post-Traumatic Stress Disorder was “identified and given its name.” When these discoveries were made, proper treatment was then given to the victims. Research shows that
allows for participants that are more willing to adhere to the study, and therefore may impact the
The researchers used purposive sample but did not give any explanation as to why this choice sampling was made. It is essential to describe the sampling process in a research where this facilitates the reader to distinguish any bias in the whole sampling process. In studies using participants, the process of how to select, access, inform and retain research participants requires considerable thought. Sampling is a key issue, because it is
In this scenario, the independent variable is the type of treatment and the values are the treatment groups. The dependent variables are the patient’s measurable PTSD symptoms, including frequency of dissociative reactions, recurrent distressing dreams, negative alterations in cognitions and mood, and marked alterations in arousal and reactivity (American Psychiatric Association, 2013). The demographic variables in this study are age and ethnicity. The control variables are gender, geographic location, and PTSD.
As stated by the name of this particular EBP, the focus is on cognition in those with PTSD. Cognitive Processing Therapy (CPT) is a form of the well-known cognitive behavioral therapy. For this particular therapy, the clients taking part are older adolescents and adults (18-55+) who have a PTSD diagnosis (SAMHSA, 2014). The preliminary focus on CPT is to look at the distorted thoughts about the trauma experienced by the client. Beliefs such as self-blame and denial are initial conative focus, then therapy moves on to looking at the clients how the clients think themselves, others, and the world (Resick, Nishith, Weaver, Astin, & Feuer, 2002). Clients who are undergoing this therapy use of worksheets and what is known as “Socratic questioning” (Resick,
CPT is based on the social cognitive theory of PTSD. This theory focuses on how the traumatic event is understood and how it is being coped with by the client who is struggling to regain control over his or her life. CPT also refers to the emotional processing theory of PTSD which is an extension of information processing theory by Foa, Steketee, and Rothbaum (Mullen, Holliday, Morris, Raja, and Surís 2014). This theory states PTSD emerges from the development of fear in one’s memory that creates avoidance behavior and provokes one to escape these memories. Mental fear builds stimuli, responses, and meaning elements (Mullen, Holliday, Morris, Raja, and Surís 2014). Therefore anything that is associated with the trauma may provoke fear that leads to the concept of escaping and avoidance behavior. In individuals with PTSD, the fear is known to be easily accessible. When the fear is activated by the reminders of one’s trauma, one builds intrusive symptoms due to the information trying to process and enter one’s consciousness. In order for an individual to avoid these feelings and thoughts, one tries to avoid it which leads to the avoidance symptoms of PTSD which include yet are not limited to depression, alienation (Mullen, Holliday, Morris, Raja, and Surís 2014). Emotional Processing Theory states the repetitive exposure of trauma in a safe environment such as a therapeutic setting, helps reduce PTSD symptoms by calming and addressing one’s fear (Mullen, Holliday, Morris,
However, the sample is still valid to use as long as each participant responded accurately and did now withhold any information pertaining to their feelings after their traumatic experience. There could also be a mono-method bias, which is a single method. Mono-method would be a threat to the construct validity due to the method taken to retrieve the participants, and particularly due to the self-reports that were given. Overall there would be possible threat to the internal and external validity due to there not being a way to control the
Probability sampling, also known as random sampling, requires that every member of the study population have an equal opportunity to be chosen as a study subject. For each member of the population to have an equal opportunity to be chosen, the sampling method must select members randomly. Probability sampling allows every facet of the study population to be represented without researcher bias. Four common sampling designs have been developed for selection of a random sample: simple random sampling, stratified random sampling, cluster sampling, and systematic sampling (Burns & Grove,
To effectively treat Post Traumatic Stress Disorder, PTSD in combat Veterans and service members, therapists use different techniques, which are preceded by addressing any underlying pain associated with the disorder. In their research, Chard et al. (2011) reported significant modifications to the CPT protocol for use with patients in a TBI-PTSD residential treatment facility, including increasing the number of sessions per week, combining group and individual therapy, and augmenting the treatment with cognitive rehabilitation. However, their research was marred with the use of few participants which provides doubts regarding the outcome of the proposed treatment procedures. Moreover, the researchers do not state with certainty as to the
Posttraumatic stress disorder (PTSD) is a widespread disorder that affects certain individuals psychologically, behaviorally, and emotionally following the experience of a traumatic event (Lee et al., 2005, p. 135). However, because of inconsistencies regarding the percentage of individuals who experience PTSD and the percentage of individuals who subsequently develop PTSD, researchers hypothesize that both biological and environmental factors contribute to the development of PTSD (Wolf et al. 2010, p. 328). In order gain a better understanding of this disorder and to discover contributing and predicative factors which contribute to the development of PTSD, this paper analyses the historical context and prevalence of PTSD, the
Sampling strategy is a focus on a smaller group to determine the conclusions of the larger population (Cooper & Schindler, 2014, p. 338). In this instance, the McMahon Group employed both focus groups and mail surveys as strategies to gather information and the dual approach produced relevant and valuable data for researchers.
The sampling technique in which I would utilize for this research design would be a stratified random sampling technique. In efforts to understand more of this particular research, the stratified random sampling technique will allow for sampling among a particular population, in this case female combat veterans who have endured combat operational stress. In order to create a stratified random sample, I would take the following steps:
The patients used it this design were outpatients referred in 1992 through 1995 by professionals, Victim Support, police, ambulance, fire services, and even the subjects themselves. The criteria that had to be met in order for the subjects to be used in this study were as followed: PTSD for 6 or more months; age of 16 to 65 years; and absence of melancholia or suicidal intent, organic brain disease, past or present psychosis, antidepressant drug (unless the patient had been receiving a stable dose for 3 or more months); and diazepam in a dose of 10 mg/d or more or equivalent, ingestion of 30 or more alcohol units a week, and past exposure or cognitive therapy for PTSD (Marks et al., 1998). The therapist used a procedure manual and 4 treatment manuals which covered each session in each treatment condition. The sessions were audiotaped and each individual session lasted either 90 minutes or 105 minutes in Exposure Combined with Cognitive Restructuring (EC) therapy.