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Themes In Help-Seeking Of Female Military Sexual Assault Survivors, Priscilla Phan

Doctoral Dissertations

While large efforts have been made to address military sexual assault, there are still barriers in the help-seeking journey that need attention. This study aimed to examine barriers and facilitators to formal and informal help-seeking behaviors and to understand the role of stigma in survivors' help-seeking behaviors for female military sexual assault survivors. Through semi-structured interviews, the study explored the help-seeking experiences and mental health sequela of fourteen female military sexual assault survivors. This study focused on cis-gender women over the age of eighteen who experienced a military sexual assault, by another military service member, while on active-duty. Women shared …

The Impact Of Discharge Type On Military To Civilian Reintegration: Conformity To Masculinity As A Moderating Factor, Kirsten Thiemke

Theses and Dissertations

Literature has shown that reintegrating back into civilian life and mentality has proven to be one of the most difficult aspects of transitioning from military service. Based on aspects such as qualifications for benefits, perceived stigma, and amount of community support, discharge status at the time of separation has been shown to have an impact on how separated service members reintegrate. Additionally, rigid adherence to the hypermasculine environment of the United States military could serve to further complicate reintegration for service members. The current study evaluates the relationship between discharge status and military to civilian reintegration, with adherence to traditional …

The Moderating Effect Of Race On Ipts Factors And Suicidal Ideation In A Military Sample, Shelan A. Porter

Research Psychology Theses

Suicide rates have increased over the last 20 years in all ethnic and racial groups in the US, but most prominently for veterans and non-white racial subgroups. Suicidal Ideation is a predictor for suicide but there is limited research looking at mental health differences in the at-risk military community due to race. 794 military personnel were surveyed electronically on a range of mental health measures in a southern US joint forces training center between 2014 and 2015. Guided by the Interpersonal-Psychological Theory of Suicide, this secondary data analysis considered the moderating effect of a three-group race model on the relationship …

Masculinity Ideology As A Moderator On The Effects Of Lethal Means Counseling And Distribution Of Cable Locks On Firearm Storage Practices Among National Guard Personnel, Samantha E. Daruwala

Dissertations

Safer firearm storage practices, which may reduce suicide risk, can be promoted by lethal means counseling (LMC). A recent trial found that providing a single LMC session or distributing cable locks can lead to sustained changes in firearm storage practices within a sample of firearm-owning National Guard personnel (Anestis et al., 2021). An important next step is to consider if the intervention effects may differ based on participant characteristics. One particularly relevant sociodemographic characteristic to consider is traditional masculine norms, which are evident in the military and firearm cultures and associated with several negative outcomes. The current study evaluated if …

Using Nudges To Increase Engagement With Suicide Prevention Resources In An Online Sample Of United State Military Veterans, Brian W. Bauer

Dissertations

Suicide rates have continually increased from 1999 to 2019 in the United States, with populations such as military Veterans showing substantially higher suicide death and attempt rates than civilians. Behavioral economics researchers have demonstrated that people regularly make decisions that are not aligned with their own self-interests (i.e., irrational decisions). These irrational decisions often stem from humans having bounded rationality (i.e., limited computational power), which produce reliable cognitive biases that occur outside of people’s awareness and influence the decisions they make. There are many important decisions leading up to a suicide attempt (e.g., whether to engage with suicide prevention resources), …

Do Suicide Attempt Survivors Have Reduced Long-Term Well-Being? A Study Of Veterans Across Three Nationally Representative Cohorts, Bradley A. Brown

USF Tampa Graduate Theses and Dissertations

Prior suicide attempts are known to elevate the risk for re-attempting suicide and death by suicide. However, most people who attempt suicide will neither die by suicide nor re-attempt suicide. Establishing comprehensive knowledge about the prognosis of suicide attempts would be valuable for multiple stakeholders, including suicide attempt survivors, their loved ones, and mental health professionals treating suicidal patients. Nearly all work on functioning after a non-fatal suicide attempt centers on elevated risk, and the effects of a suicide attempt on long-term psychological well-being are unknown. The present study addressed this gap in the literature by comparing psychological well-being among …

The Impact Of Moral Injury And Moral Distress On Spirituality From A Military Perspective, Emily Sproule

Dissertations

The purpose of this study was to gain greater insight and understanding of how moral injury, moral distress, and shame can influence spirituality and to determine ways to effectively improve treatment to support and serve those carrying these unspeakable wounds. The experience of loss, betrayal, uncertainty, and fractured spirits can affect an individual’s beliefs about the self. The primary aim of this study was to explore how veterans now view themselves in the eyes of God or their Higher Power or why they so choose not to partake in their spirituality. Results were based on aggregate analyses and summations of …

The Effects Of Military Leadership And Its Implication On Mental Health Stigma And Treatment Seeking Behaviors Of Veterans In Garrison And Noncombat Deployment Environments, Alexis May Charrys

Dissertations

Military service members are more likely to endure a significant amount of stress and experience multiple traumatic events than civilians due to the nature of their job. Many studies have focused on the traumatic stressors encountered during combat despite the fact that many service members encounter stressors related to serving in the military. A study conducted by Dursa, Reinhard, Barth, and Schniderman (2014) found that 10.9% of nondeployed veterans screened positive for posttraumatic stress disorder (PTSD) with the highest prevalence of PTSD (13.8%) amongst nondeployed soldiers. Military mental health stigma is rampant due to the need to be ready for …

Predictors Of Postdeployment Distress In Female Veterans, Shalonda C. Griffin

PCOM Psychology Dissertations

The female veteran population is expected to increase over the next few decades, representing approximately 16.3% of the living population by the year 2042. Although research exists in regard to the entire veteran population, research relating to female veterans is lacking. The purpose of this study was (a) to identify factors associated and predictive of postdeployment distress and (b) to identify and explore stressors specific to female veterans’ experiences once they separate from the military. Findings from the study revealed significant relationships between the predictive factors (i.e., Life Events, Support, and Family Experiences) and criterion variables (i.e., Perceived Stress and …

Willingness To Seek Professional Help For Suicidal Thoughts: The Role Of Masculine Norms And Self-Stigma In Service Members, Samantha E. Daruwala

Master's Theses

Given the high rate of suicide, it is important to understand what barriers are preventing service members from seeking professional help for suicidal thoughts. Self-stigma and conformity to masculine norms, which are evident in the military culture, have been demonstrated as barriers to care in civilians. This study sought to better understand how these two factors are related to willingness to seek professional help for suicidal thoughts and a personal-emotional problem among service members. Specifically, we (1) identified service members’ willingness to seek help from a variety of sources for suicidal thoughts and a personal-emotional problem, (2) examined how conformity …

Understanding The Relationships Between Combat-Related Ptsd Symptoms And Drinking Motives On Military Parental Satisfaction, Melissa C. Hinely

Electronic Theses and Dissertations

As of 2017, over 1.3 million Americans are enlisted in the U.S. Armed Forces (Department of Defense, 2017). Military personnel, particularly those exposed to combat, are significantly more likely to experience Posttraumatic Stress Disorder (PTSD; Xue et al., 2015). Furthermore, persons with PTSD are more likely to misuse alcohol, particularly when motivated to drink as a means to cope with negative emotions related to their PTSD symptoms (Simpson et al., 2014). Both PTSD and alcohol misuse have been found to contribute negatively to parental satisfaction and distress (Chesmore et al., 2018; McGraw et al., 2018). Veterans/service members who were parents …

The Impact Of Trauma Experience, Adverse Early Circumstances And Unit Cohesion On Posttraumatic Growth In Active Duty Service Members, John Charleson

Clinical Psychology Dissertations

Active duty service members are regularly exposed to highly traumatic events. Commonly, individuals exposed to trauma experience positive changes as a result of the trauma they experienced. The likelihood of these changes occurring can be positively or negatively influenced by characteristics of the event itself, the biopsychosocial history of the service member, and the availability of internal and external coping resources. The present study aimed to evaluate how threat to life during a traumatic event influences posttraumatic growth using a sample of active duty service members (N = 818). Participant’s ranged in age from 19 to 54 (M …

A Military Chronic Pain Interdisciplinary Outpatient Program’S (Iop) Approach To Reducing Pain And Disability And Increasing Functional Ability, Paris N. Mcdonald

USC Aiken Psychology Theses

The present study employed self-report measures to assess pain intensity, self-report perception of disability, and patient activation, and objective functional measures to explore the outcomes of a military interdisciplinary chronic pain intensive outpatient program. Seventy-three Active Duty Service Members (SM) with chronic pain completed baseline measures (pre-IOP) and graduation day measures, 60 SMs completed one-month follow-up measures, and 28 completed three-month follow-up measures. Results indicated that self-report pain levels decreased from pre-IOP to graduation day. The decrease was maintained; however, no additional significant decrease in pain occurred following program completion. Further, participant’s self-reported perception of disability due to back pain …

The Associations Among Expressed Emotion, Relationship Satisfaction, Ptsd Symptoms, Alcohol Use, And Depression: A Longitudinal Investigation With A Military Sample, Laci Lee Zawilinski

Dissertations

PTSD in military personnel is highly prevalent and accompanied by elevated rates of additional issues such as depression, problematic alcohol use, and interpersonal relationship problems. Family members and spouses of military personnel have also been shown to be negatively impacted by PTSD symptoms. Previous research has indicated that family members and spouses’ expressed emotion regarding the PTSD patients’ symptoms negatively impacts treatment outcome in civilian populations. However, studies have yet to investigate the effect of expressed emotion on the course of PTSD symptoms and associated problems in military personnel. Therefore, the purpose of the present investigation was to examine the …

Ecosystemic Effects Of Military Sexual Trauma In Male Service Members And Veterans, Jessica A. Carlile

Clinical Psychology Dissertations

Military sexual trauma (MST) represents a significant, endemic concern in the United States Armed Forces. Although approximately 50% of individuals who experience MST are male, few studies have been published examining the overall experience of males who survived MST, and no known project has recruited a sample unaffiliated with Veterans Health Administration (VHA). Therefore, this study investigated the immediate and enduring ecosystemic effects of MST on male service members and veterans recruited entirely outside the VHA system. To evaluate the depth and richness of human experience, 12 participants—10 veterans and two active duty service members (50% Euro-American, 58% partnered, 75% …

Exploring The Inner Experience Of Veterans With Posttraumatic Stress Disorder, Stacy Reger

UNLV Theses, Dissertations, Professional Papers, and Capstones

Military veterans have returned from combat changed by exposure to trauma for as long as history has been recorded. The field of psychology contains a vast literature describing and attempting to understand Posttraumatic Stress Disorder (PTSD) and its detrimental effects on the lives of individuals with the disorder. Despite the volume of study dedicated to PTSD in the literature, in-depth accounts of the lived experience of individuals with PTSD are rare. The current study utilized Descriptive Experience Sampling (DES), a method based on apprehending high-fidelity accounts of momentary inner experience, to explore the inner experience of eight Operation Iraqi Freedom …

A Parent At War And The "Invisible Wounds" They Carry Home: Ptsd In Military Veterans And A Review Of Psychosocial Family System Challenges, Melina Sofia Calle

Dissertations, Theses, and Capstone Projects

Operation Enduring Freedom and Operation Iraqi Freedom have created a new generation of military veterans and military families, many of which must manage and cope with psychosocial challenges such as posttraumatic stress, depression, anxiety, and alcohol abuse induced by the psychological trauma(s) faced during war. Risk factors, buffering factors, and war zone stressors influencing the development of PTSD following military-related trauma will be reviewed. As many of these affected veterans return to living with spouses and children, these psychosocial issues show to bring forth tension, stress, and friction to the family system. This thesis explores the literature of family system …

Anxiety Sensitivity As A Moderator For Ptsd Mediated Combat Exposure In Predicting Suicide Risk In A Military Sample, Barry Donovan Eye

Master's Theses and Doctoral Dissertations

Suicide took almost 40,000 U.S. lives in 2011, with military rates exceeding the general population (and rising). Anxiety sensitivity (AS; the fear of fear) includes three components: physical, cognitive, and social. Recent studies indicate a connection between AS and suicidality through the Interpersonal-Psychological Theory of Suicide (IPTS). Separate research has proposed that the development of severe psychopathology, like posttraumatic stress disorder (PTSD) and suicide, may be moderated by AS. The present study considered this mechanism from an IPTS perspective with a cross-sectional sample of veterans and active duty members from a Veterans Affairs clinic database. Regression models tested whether physical …

Military Mental Health: Problem Recognition, Treatment-Seeking, And Barriers, Laura Bein

Dissertations (1934 -)

Substantial numbers of military troops are serving overseas in military operations and are returning home with elevated reports of psychological symptoms; however, a treatment gap exists between those reporting mental health problems and those receiving appropriate treatment. Stigma has been cited as a potential barrier to treatment-seeking, although few studies distinguish between perceived and public stigma or between stigma for having a mental illness versus that for seeking treatment.

In the present study, Army National Guard soldiers returning from deployment to Iraq were asked to complete questionnaires assessing psychological symptoms, as well as reports of perceived stigma from self and …

Using The Unmatched Count Technique To Increase The Accuracy Of Base Rate Estimates Of Psychosocial Problems In Returning Active Duty Service Members, Sean C. Sheppard

Legacy Theses & Dissertations (2009 - 2024)

The wars in Iraq and Afghanistan represent the most extensive conflicts since the Vietnam War, and a large body of research has focused on identifying base rates of PTSD, depression, and alcohol abuse and related behaviors in returning service members.