4 results on '"Steffany J, Fredman"'
Search Results
2. Male service members’ and civilian wives’ perceptions of partner connection regarding deployment and PTSD symptoms
- Author
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Galena K. Rhoades, Elizabeth S. Allen, Benjamin Loew, Howard J. Markman, Scott M. Stanley, and Steffany J. Fredman
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Social Psychology ,media_common.quotation_subject ,Context (language use) ,Moderation ,Article ,Clinical Psychology ,Military personnel ,Software deployment ,Perception ,Military Family ,Association (psychology) ,Psychology ,Military deployment ,Clinical psychology ,media_common - Abstract
In general, a sense of understanding and connection is an important aspect of marital relationships. In the context of military couples in which a service member may have symptoms of PTSD, spouses’ understanding of the nature and causes of service member PTSD symptoms may be protective for both partners’ marital satisfaction. However, partners may vary in the degree to which they understand and connect around (1) historical experiences of combat and deployment, versus understanding and connecting around (2) any ongoing manifestation of PTSD symptoms post deployment. In a sample of 58 male Army service members and their civilian wives drawn from a larger study of military couple functioning, we found that a measure of “Combat/Deployment connection” and a measure of “PTSD connection” were strongly correlated with each other yet not isomorphic. Both Combat/Deployment connection and PTSD connection had unique predictive effects for marital satisfaction. Both husbands and wives reported higher levels of PTSD connection relative to Combat/Deployment connection. At low or average levels of Combat/Deployment connection, higher levels of PTSD symptoms were associated with lower levels of marital satisfaction, whereas at high levels of Combat/Deployment connection this association was no longer significant. No such moderation effects were found for PTSD connection. The utility of distinguishing these two domains of potential connection for military couples is discussed.
- Published
- 2020
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3. A dyadic perspective on PTSD symptoms’ associations with couple functioning and parenting stress in first-time parents
- Author
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Timothy R. Brick, Mark E. Feinberg, Steffany J. Fredman, Amy D. Marshall, and Yunying Le
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Social Psychology ,Conceptualization ,05 social sciences ,Perspective (graphical) ,Parenting stress ,Context (language use) ,behavioral disciplines and activities ,Mental health ,Article ,law.invention ,Clinical Psychology ,Randomized controlled trial ,050902 family studies ,law ,Intervention (counseling) ,mental disorders ,0501 psychology and cognitive sciences ,0509 other social sciences ,Psychology ,Association (psychology) ,050104 developmental & child psychology ,Clinical psychology - Abstract
Posttraumatic stress disorder (PTSD) symptoms are associated with disruptions in both couple functioning and parenting, and limited research suggests that, among military couples, perceptions of couple functioning and parenting stress are a function of both one's own and one's partner's mental health symptoms. However, this work has not been generalized to civilian couples, and little is known about the associations between PTSD symptoms and family adjustment in specific family developmental contexts. We examined PTSD symptoms' associations with perceived couple functioning and parenting stress within a dyadic context in civilian couples who had participated in a randomized controlled trial of a universal, couple-based transition to parenthood program and at least one member of the couple reported having experienced a Criterion A1 traumatic event. Results of actor-partner interdependence models revealed that parents' own and partners' PTSD symptoms were negatively associated with perceived couple functioning; contrary to expectation, the association of partners' PTSD symptoms with perceived couple functioning was strongest among men who received the intervention. A parent's own PTSD symptoms were positively associated with parenting stress for both men and women and were unexpectedly strongest for men who received the intervention. Partner PTSD symptoms were also positively associated with increased parenting stress for both men and women. Findings support a dyadic conceptualization of the associations between spouses' PTSD symptoms and family outcomes during the transition to parenthood and suggest that participating in a couple-based, psychoeducational program during this phase in the family life cycle may be particularly salient for men.
- Published
- 2017
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4. A preliminary examination of the effects of pretreatment relationship satisfaction on treatment outcomes in cognitive-behavioral conjoint therapy for PTSD
- Author
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Nicole D. Pukay-Martin, Tiffany Jenzer, Philippe Shnaider, Shankari Sharma, Candice M. Monson, Steffany J. Fredman, and Alexandra Macdonald
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Relationship satisfaction ,Social Psychology ,business.industry ,Treatment outcome ,Symptom severity ,Cognition ,Ptsd checklist ,behavioral disciplines and activities ,Article ,Relationship distress ,World Wide Web ,Clinical Psychology ,Posttraumatic stress ,mental disorders ,Medicine ,business ,Clinical psychology - Abstract
OBJECTIVE The primary goal of the present study was to investigate whether pre-treatment relationship satisfaction predicted treatment drop-out and posttraumatic stress disorder (PTSD) symptom outcomes within a trial of cognitive-behavioral conjoint therapy (CBCT) for PTSD (Monson & Fredman, 2012). Additionally, we examined the influence of pre-treatment relationship distress on relationship outcomes. METHOD Thirty-seven patients and their intimate partners who participated in a course of CBCT for PTSD were assessed for PTSD symptoms with the Clinician-Administered PTSD Scale and PTSD Checklist, and for intimate relationship functioning with the Dyadic Adjustment Scale. CBCT for PTSD is a conjoint therapy designed to improve PTSD symptoms and enhance relationship functioning. Patients had to meet diagnostic criteria for PTSD to be included in the study; however, couples were not required to be in distressed relationships to receive treatment. RESULTS Neither patients' nor partners' pre-treatment relationship satisfaction, nor their interaction, predicted treatment drop-out (ORs = .97-1.01) or completing patients' post-treatment PTSD symptom severity (sr2 ≤ .03). However, participants who were in distressed relationships prior to treatment made greater gains in relationship satisfaction compared with those who began treatment in more satisfied relationships (g = 1.02). CONCLUSIONS Among patients receiving CBCT for PTSD, treatment drop-out and improvements in PTSD symptoms may be independent of pre-treatment relationship functioning, whereas improvements in relational functioning may be greater among those distressed prior to treatment.
- Published
- 2015
- Full Text
- View/download PDF
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