Alexandra Macdonald

ORCID: 0000-0002-7559-2085
Publications
Citations
Views
---
Saved
---
About
Contact & Profiles
Research Areas
  • Posttraumatic Stress Disorder Research
  • Attachment and Relationship Dynamics
  • Child Abuse and Trauma
  • Grief, Bereavement, and Mental Health
  • Psychotherapy Techniques and Applications
  • Migration, Health and Trauma
  • Traumatic Brain Injury Research
  • Maternal Mental Health During Pregnancy and Postpartum
  • Healthcare professionals’ stress and burnout
  • Family Support in Illness
  • Counseling Practices and Supervision
  • Schizophrenia research and treatment
  • Musculoskeletal pain and rehabilitation
  • Child and Adolescent Psychosocial and Emotional Development
  • Behavioral Health and Interventions
  • Eating Disorders and Behaviors
  • Cultural Competency in Health Care
  • Mental Health Treatment and Access
  • Resilience and Mental Health
  • Problem Solving Skills Development
  • Evolutionary Psychology and Human Behavior
  • Ophthalmology and Visual Impairment Studies
  • Diagnosis and Treatment of Venous Diseases
  • Stress and Burnout Research
  • Motivation and Self-Concept in Sports

Citadel
2016-2024

National Center for PTSD
2012-2015

Boston University
2006-2015

National Center for Post Traumatic Stress Disorder
2011-2015

VA Boston Healthcare System
2011-2015

University School
2012-2014

United States Department of Veterans Affairs
2010-2012

Medical University of South Carolina
2009-2010

National Center for Victims of Crime
2010

<h3>Context</h3>Posttraumatic stress disorder (PTSD) is a prevalent condition associated with intimate relationship problems, and factors have been shown to affect individual PTSD treatment outcomes.<h3>Objective</h3>To compare cognitive-behavioral conjoint therapy for (a manualized couple delivered patients their significant others simultaneously treat symptoms enhance satisfaction) wait-list condition.<h3>Design, Setting, Participants</h3>Randomized controlled trial of heterosexual...

10.1001/jama.2012.9307 article EN JAMA 2012-08-15

Video teleconferencing (VTC) is used for mental health treatment delivery to geographically remote, underserved populations. However, few studies have examined how VTC affects individual or group psychotherapy processes. This study compares process variables such as therapeutic alliance and attrition among participants receiving anger management therapy either through traditional face-to-face by VTC.The current represents secondary analyses of a randomized noninferiority trial (Morland et...

10.1037/a0020158 article EN Journal of Consulting and Clinical Psychology 2010-01-01

Abstract Seven couples participated in an uncontrolled trial of cognitive–behavioral conjoint therapy for posttraumatic stress disorder (PTSD). Among the 6 who completed treatment, 5 patients no longer met criteria PTSD and there were across‐treatment effect size improvements patients' total symptoms according to independent clinician assessment, patient report, partner report ( d = 1.32–1.69). Three 4 relationally distressed at pretreatment satisfied posttreatment. Partners reported...

10.1002/jts.20604 article EN Journal of Traumatic Stress 2011-01-10

Abstract Background Trauma-focused psychotherapies for combat-related posttraumatic stress disorder (PTSD) in military veterans are efficacious, but there many barriers to receiving treatment. The objective of this study was determine if cognitive processing therapy (CPT) PTSD among active duty personnel and would result increased acceptability, fewer dropouts, better outcomes when delivered In-Home or by Telehealth as compared In-Office Methods trial used an equipoise-stratified...

10.1186/s12888-022-03699-4 article EN cc-by BMC Psychiatry 2022-01-17

Posttraumatic stress disorder (PTSD) is often considered the primary problematic outcome of child sexual abuse (CSA). However, a number other, relatively understudied negative sequelae appear to be prevalent as well. Data from 269 adolescents with CSA history National Survey Adolescents-Replication Study were therefore used examine prevalence risky behaviors (i.e., alcohol and drug use, delinquent behavior) depression in this sample. The frequencies these problems youth without PTSD also...

10.1177/1077559509350075 article EN Child Maltreatment 2009-11-18

Abstract The current study sought to determine if different spheres of social adjustment, and leisure, family, work income improved immediately following a course cognitive processing therapy (CPT) when compared with those on waiting list in sample 46 U.S. veterans diagnosed posttraumatic stress disorder (PTSD). We also whether changes PTSD symptom clusters were associated these adjustment. Overall extended family relationships, housework completion significantly the CPT versus waiting‐list...

10.1002/jts.21735 article EN Journal of Traumatic Stress 2012-10-01

Numerous studies document an association between posttraumatic stress disorder (PTSD) and impairments in intimate relationship functioning, there is evidence that PTSD symptoms associated are improved by cognitive-behavioral conjoint therapy for (CBCT PTSD; Monson & Fredman, 2012). The present study investigated changes across treatment clinician-rated symptom clusters patient-rated trauma-related cognitions a randomized controlled trial comparing CBCT with waitlist sample of 40 individuals...

10.1037/fam0000177 article EN other-oa Journal of Family Psychology 2015-12-14

A number of studies have documented that posttraumatic stress disorder (PTSD) symptoms in "one" partner are negatively associated with their intimate partner's psychological functioning. The present study investigated partners' mental health outcomes (i.e., depression, anxiety, and anger) a sample 40 partners individuals PTSD within randomized waitlist controlled trial cognitive-behavioral conjoint therapy for (Monson & Fredman, 2012). There were no significant differences between active...

10.1002/jts.21893 article EN Journal of Traumatic Stress 2014-04-01

Partner accommodation of posttraumatic stress disorder (PTSD) symptoms (i.e., altering one's own behaviors to minimize patient distress and/or relationship conflict due patients' PTSD symptoms) has been shown be positively associated with and partner psychopathology negatively satisfaction cross-sectionally. However, the prognostic value in treatment outcomes is unknown. The goals present study were determine if decreases as a function couple therapy for pretreatment moderates efficacy...

10.1037/ccp0000061 article EN other-oa Journal of Consulting and Clinical Psychology 2015-10-26

Black/African American individuals experience high rates of posttraumatic stress disorder (PTSD), which is frequently chronic and undertreated in this population. Intimate relationships are a salient resource for adults’ psychological well-being. To help advance health equity, study serves as an initial, proof-of-concept investigation patient outcomes among adults who received disorder-specific couple therapy PTSD. Participants were subsample seven (mean age = 40.56 years, SD 10.18; 85.7%...

10.3390/bs15040537 article EN cc-by Behavioral Sciences 2025-04-16

Abstract Cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) has been shown to reduce symptoms of PTSD in a veteran population. This study explored patterns self‐reported symptom change during CPT. Veterans ( N = 60) with were randomized receive CPT immediately or after 10 weeks. We hypothesized that those treated would evidence initial stability followed by decline compared who waited, whose remain stable. The best model fit based on deviance statistics and Bayesian...

10.1002/jts.20642 article EN Journal of Traumatic Stress 2011-05-27

Limited attention has been paid to the development and evaluation of interventions that reduce risk for substance use, while also targeting trauma-related psychopathology among maltreated adolescents. Risk Reduction through Family Therapy (RRFT) is a multicomponent treatment integrates principles from existing empirically supported treatments. The purpose current study was evaluate feasibility implementation initial efficacy RRFT an open pilot trial involving small sample (N = 10) female...

10.1177/1077559510367939 article EN Child Maltreatment 2010-06-08

Abstract Posttraumatic growth (PTG) is defined as a positive psychological change that can emerge following traumatic life event. Although documented in noninterventional studies of traumatized individuals, there are scant data on the potential for therapy to induce or improve PTG. Thus, primary goal this study was examine changes PTG controlled trial cognitive–behavioral conjoint posttraumatic stress disorder versus waitlist (CBCT PTSD; Monson &amp; Fredman, 2012). We also examined whether...

10.1002/jts.22122 article EN Journal of Traumatic Stress 2016-07-19

This three-arm randomized trial tested a brief version of cognitive-behavioral conjoint therapy (bCBCT) delivered in two modalities compared to couples' psychoeducation sample U.S. veterans with posttraumatic stress disorder (PTSD) and their intimate partners.Couples were receive (a) in-person, office-based bCBCT (OB-bCBCT), (b) via home-based telehealth (HB-bCBCT), or (c) an in-person comparison condition (PTSD family education [OB-PFE]). Primary outcomes clinician-assessed PTSD severity...

10.1037/ccp0000731 article EN Journal of Consulting and Clinical Psychology 2022-05-01

Cognitive behavioral conjoint therapy for posttraumatic stress disorder (CBCT PTSD; Monson & Fredman, 2012) is associated with improvements in patients' and partners' mental health relationship satisfaction. Some pretreatment characteristics have predicted CBCT PTSD outcomes patients, but findings were limited to a single community sample consisting primarily of female patients male partners. A better understanding whether predict other patient populations there are partners who may be...

10.1037/fam0001185 article EN other-oa Journal of Family Psychology 2024-02-08

Abstract This study conducted secondary analyses of a published trial and sought to determine if different domains psychosocial functioning (e.g., daily living, work, nonfamily relationships) improved following trauma‐focused treatment for posttraumatic stress disorder (PTSD). Cognitive processing therapy (CPT), an empirically supported that involves evaluating trauma‐related beliefs written trauma accounts, was compared its components: CPT without the accounts or only in sample 78 women...

10.1002/jts.21954 article EN Journal of Traumatic Stress 2014-10-01

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 cognitive-behavioral conjoint therapy (CBCT) for PTSD (Monson & Fredman, 2012). Additionally, we examined influence distress on outcomes. Thirty-seven patients their intimate partners who participated in course CBCT were assessed symptoms with Clinician-Administered Scale Checklist,...

10.1037/cfp0000050 article EN other-oa Couple and Family Psychology Research and Practice 2015-11-23

Cognitive‐behavioral conjoint therapy for posttraumatic stress disorder (CBCT PTSD) is associated with improvements in patients’ PTSD symptoms, partners’ psychological distress, and relationship satisfaction. However, little known about whether CBCT changes other domains that have theoretical clinical relevance to the relational context of PTSD. The current study a secondary analysis outcomes from an uncontrolled, within‐group trial designed examine abbreviated, intensive, multi‐couple group...

10.1111/famp.12654 article EN Family Process 2021-04-20

Burnout impacts adversely on professional and personal life, holds implications for patient care. Current research burnout mainly focuses established general practitioners but it is unclear how early the signs of really start. This work seeks to identify whether specific GP trainee groups are particularly at risk aspects training they find stressful.A longitudinal cohort study, collecting qualitative quantitative data through a single mode collection (questionnaire) took place with trainees...

10.1080/14739879.2016.1217170 article EN Education for Primary Care 2016-08-10

Interpersonal difficulties are common among veterans with posttraumatic stress disorder (PTSD) and associated poorer treatment response. Treatment outcomes for PTSD, including relationship functioning, improve when partners included engaged in the therapy process. Cognitive-behavioral conjoint PTSD (CBCT) is a manualized 15-session intervention designed couples which one partner has PTSD. CBCT was developed specifically to treat engage treatment, interpersonal functioning. However, recent...

10.1016/j.conctc.2019.100369 article EN cc-by-nc-nd Contemporary Clinical Trials Communications 2019-04-30
Coming Soon ...