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Gsep Research Symposium Proceedings - 2024 Sep 2024

Gsep Research Symposium Proceedings - 2024

GSEP Research Symposium

The 8th Annual GSEP Research Symposium, was themed "Dismantling Barriers between Research and Practice: Shining a Light on Global Interdisciplinary Solutions," took place on July 18-19, 2024, at the picturesque Château d'Hauteville in Saint-Légier-La Chiésaz, Switzerland.

The annual symposium is hosted by the Pepperdine University Graduate School of Education and Psychology (GSEP). The symposium served as a dynamic platform for students, faculty, alums, and staff to come together and explore innovative ideas across multiple disciplines. Featuring 69 selected presentations under five distinct tracks, the proceedings showcase groundbreaking research, foster meaningful discussions, and promote professional development.

The symposium aimed to bridge …


Utilizing Flow Arts Movement As An Expressive Arts Therapy Tool To Treat Trauma: A Literature Review And Autoethnography, Shannon Mcgrail May 2024

Utilizing Flow Arts Movement As An Expressive Arts Therapy Tool To Treat Trauma: A Literature Review And Autoethnography, Shannon Mcgrail

Expressive Therapies Capstone Theses

This expressive arts-based autoethnography research explores the effectiveness of using flow arts movement as a tool of expressive arts therapy to treat symptoms of trauma for individuals who experienced a traumatic event in their lifetime. While research on the use of flow arts movement to treat mental illness is in its early stage, much can be drawn from the literature on expressive arts therapy and dance/movement therapy research with a range of populations addressing trauma. Through exploration of trauma through neuroscience, mind, body, and integrated mindfulness through flow, this work aims to bring an understanding of using intermodal expressive arts …


The Use Of Music Therapy To Mitigate Trauma-Related Music Associations And Restore Personal Relationships With Music, Courtney Pitzer May 2024

The Use Of Music Therapy To Mitigate Trauma-Related Music Associations And Restore Personal Relationships With Music, Courtney Pitzer

Expressive Therapies Capstone Theses

For many people, music is positively associated with nostalgic memories, emotions, and experiences. But for some, it can be a painful reminder of the past. This literature review examines how music serves as a cue for reexperiencing trauma and demonstrates ways in which music therapy may be beneficial in reframing and reassociating those connections. Drawing from existing trauma treatment models such as CBT and exposure therapy, this review highlights the unique potential of music therapy in allowing clients to expose themselves to the activating stimulus while maintaining elements of safety within the music. This thesis prompts further exploration of desensitization …


Effectiveness Of A Peer-Supported Digital Brief Intervention: Reducing Alcohol Use & Related Harms In Young Adults With Histories Of Interpersonal Trauma, Caitlin Mcgettrick May 2024

Effectiveness Of A Peer-Supported Digital Brief Intervention: Reducing Alcohol Use & Related Harms In Young Adults With Histories Of Interpersonal Trauma, Caitlin Mcgettrick

Masters Theses & Specialist Projects

Alcohol is the most frequently used substance in the United States, and young adults ages 18-25 have the highest rates of heavy alcohol use. Heavy and persistent alcohol use is associated with a host of negative outcomes in young adults, including poor mental health, lower life satisfaction, cognitive impairments, poor academic performance, increased risk for motor vehicle accidents, and substance use disorders. Brief interventions (BI) are low-resource, short-term interventions designed to reduce problematic substance use and mitigate the substantial harms posed by heavy and persistent use of substances such as alcohol. BIs have limited effectiveness in trauma survivors despite trauma …


Pentecostal Hope In The Age Of Covid-19, Peter Althouse, Audrey E. Mccormick Apr 2024

Pentecostal Hope In The Age Of Covid-19, Peter Althouse, Audrey E. Mccormick

Salubritas: International Journal of Spirit-Empowered Counseling

This research sought to identify how Pentecostals and charismatics responded to the Coronavirus pandemic. Specifically, what role did eschatology play in provoking hope, and how did theologies on healing influence responses? Data revealed that Pentecostals were generally not casting their responses to the pandemic as a millennial expectation of a better future but were grieving their losses and seeking to provoke hope amidst suffering. While minimal miraculous healings were reported, healing was cast primarily as the ongoing presence of defiant hope amidst trauma, grief and suffering. We propose that grief and grieving is an eschatological response to loss and death.


Trauma Is A Wound: Demonstrating The Use Of Character Analysis To Practice Clinical Analysis, Madisyn Beare Apr 2024

Trauma Is A Wound: Demonstrating The Use Of Character Analysis To Practice Clinical Analysis, Madisyn Beare

Honors Projects

Evidence-based treatments of trauma require clinicians to base their treatments on the client’s specific and individual needs, experiences, cognitions, and place in recovery. Essentially, each new client is a new and unique case, and the practice of understanding how trauma may affect an individual only comes from clinical exposure.Literature provides the public with somewhat of an aid in these circumstances: fictional characters are not real people, and therefore can undergo limitless character analyses. Analyzing a fictional character allows clinicians the ability to practice their exploration of various behavioral indicators of mental health concerns while honoring the ethical code of non-maleficence, …


Teaching Students About Trauma, Stress And Brain Regulation, Kathy J. Van Horn Mar 2024

Teaching Students About Trauma, Stress And Brain Regulation, Kathy J. Van Horn

National Youth Advocacy and Resilience Conference

All students are impacted by stress and can benefit by understanding their brains, their stress response, and strategies for regulation. This presentation will provide practical principles and ideas for teaching students strategies and skills for physical, emotional, and cortical regulation.


An Exploration Of The Lived Experiences And Psychological States Of Migrants And Refugees, Zainab Akef, Senel Poyrazli, Isabel Quintero Jan 2024

An Exploration Of The Lived Experiences And Psychological States Of Migrants And Refugees, Zainab Akef, Senel Poyrazli, Isabel Quintero

The Qualitative Report

UNHCR reports that about 82.4 million individuals were forcibly displaced as they attempted to avoid persecution, conflict, or human rights violations in their home countries. In addition to traumatic experiences, refugees encounter stressors such as low income, reduced social support, and language barriers. This qualitative study aimed to explore the impact of pre-migration trauma and political detainment on mental health outcomes and living conditions. A total of eight interviewees participated in video conferencing interviews. A non-probability convenience sampling using the snowballing technique was utilized to identify participants. Data were analyzed using an inductive approach for thematic analysis. The software Dedoose …


Mental Health Practitioners’ Trauma Knowledge And Self-Efficacy Post-Emdr Training, Christy R. Collins, Shelby L. Dean, Jose Carbajal Jan 2024

Mental Health Practitioners’ Trauma Knowledge And Self-Efficacy Post-Emdr Training, Christy R. Collins, Shelby L. Dean, Jose Carbajal

Journal of Human Services: Training, Research, and Practice

This research study examines mental health practitioners’ level of trauma knowledge and trauma treatment self-efficacy pre- and post-EMDR therapy training in Texas. The purpose is to determine if practitioners' self-perception of efficacy in treating trauma and trauma knowledge will improve after completing EMDR training. The practitioner sample (N = 113) is from an EMDR trainer who conducted six EMDR trainings in Texas. Descriptive, correlational, and paired t-test statistical procedures were implemented to analyze the data for the study. The results show that practitioners’ self-perception of competence and knowledge could be attributed to their years of clinical experience treating clients with …


Ain’T I A Survivor Too: Contextualizing Black Women’S Experience Of Sexual Trauma And Healing, Danielle Alyssa Samuel Jan 2024

Ain’T I A Survivor Too: Contextualizing Black Women’S Experience Of Sexual Trauma And Healing, Danielle Alyssa Samuel

Antioch University Dissertations & Theses

The double bind of Black womanhood has been long documented in Black feminist literature. This dissertation seeks to greatly contextualize how Black women experience make sense of, and heal from, sexual trauma given the nature of gendered racism in the United States (U.S). Utilizing a convergent parallel design grounded in Black Feminist Theory and hermeneutic phenomenology, the lived experiences of 98 Black women from across the U.S. were investigated. Regression analyses revealed that the frequency of gendered racial microaggressions and the associated appraisal were not significant predictors of participants’ PTSD symptoms. Additionally, PTSD symptoms were inversely predictive of current perceptions …


Stigma As A Treatment Barrier In Trauma Exposed College Students, Lydia Sigurdson Jun 2023

Stigma As A Treatment Barrier In Trauma Exposed College Students, Lydia Sigurdson

Dissertations

Exposure to a traumatic event puts an individual at risk for subsequent psychological distress. Though trauma exposure is common in undergraduate students, college mental health services remain severely underutilized. One reason may be stigma associated with mental illness. The current study investigated the role of stigma on treatment seeking behaviors in trauma-exposed college students. Qualifying participants were randomly assigned to one of two stigma conditions. One week following measure completion, participants received an email offering a free, brief, self-guided intervention described with a stigmatizing label (“trauma symptoms”) in one condition, and as a broad problem (“stress”) in the other. It …


Family Strengths Among Native American Families And Families Living In Poverty: Preventing Adverse Childhood Experiences, Natira Mullet, Emily A. Waterman, Katie Edwards, Briana Simon, Skyler Hopfauf, Ramona Herrington Jun 2023

Family Strengths Among Native American Families And Families Living In Poverty: Preventing Adverse Childhood Experiences, Natira Mullet, Emily A. Waterman, Katie Edwards, Briana Simon, Skyler Hopfauf, Ramona Herrington

Nebraska Center for Research on Children, Youth, Families, and Schools: Faculty Publications

Objective: The purpose of this study was to understand how youth, caregivers, and community professionals perceive family strengths and adverse childhood experiences (ACEs) in their community. Specifically, this study was focused on the protective role of caregivers and families, positive youth development, and how Native American families and families living in poverty support adolescents’ social–emotional development and help them thrive in the face of adversity.

Background: Research documents the concerning rates and negative outcomes of ACEs. However, very little research has examined the views of families and professionals on how to prevent ACES among these populations.

Method: Participants were youth …


Sandtray Therapy Through The Lens Of The Expressive Therapies Continuum: Helping Children Who Experienced Trauma Tap Into Their Creative Potential, Mollie Lesnever May 2023

Sandtray Therapy Through The Lens Of The Expressive Therapies Continuum: Helping Children Who Experienced Trauma Tap Into Their Creative Potential, Mollie Lesnever

Expressive Therapies Capstone Theses

This study explores the use of Sandtray therapy with children in middle childhood who have experienced trauma. Sandtray therapy allows children to create a world of their own with sand and symbolic figures. It supports children’s need for autonomy and provides a way to engage in healing through playful and non-verbal means. Based on the intermodal nature of Sandtray therapy, it was presumed that the Expressive Therapies Continuum (ETC) could be used alongside the intervention as an assessment tool to better understand how development impacts artmaking. Based on the developmental needs of this population, a method including play and art-making …


The Psychedelic Dasein: Modelling The Effects Of Psilocybin With Heidegger’S Phenomenology, Eamon Robert Stuart Macdougall May 2023

The Psychedelic Dasein: Modelling The Effects Of Psilocybin With Heidegger’S Phenomenology, Eamon Robert Stuart Macdougall

Major Papers

This paper argues that the mystical experience induced by psilocybin (understood through the tradition of Heideggerian phenomenology) modulates the attuned understanding of oneself, the world, and how the individual relates to the world. This kind of particular experience is not accessible to the individual through ordinary consciousness, therefore psilocybin may give us access to a new kind of understanding. This understanding may offer a solution to the empirical deficiencies surrounding the short-term and long-term effects of psilocybin, such as how a meagre two to three high doses have yielded unprecedented results in the treatment of tobacco addiction, and in the …


Therapeutic Approaches To Working With Perinatal Loss Clients: A Grounded Theory Study, Heather H. Olivier May 2023

Therapeutic Approaches To Working With Perinatal Loss Clients: A Grounded Theory Study, Heather H. Olivier

University of New Orleans Theses and Dissertations

Perinatal loss (i.e., miscarriage, stillbirth, termination, and infant death) is commonly referred to in the literature as an invisible loss, non-loss, and even medical event. It is an ambiguous loss exhibiting the dialectical contradiction between the physical absence and psychological presence of the baby accompanied by disenfranchised grief, a reaction to a loss that is unacknowledged by society. Despite the likelihood of mental health clinicians working with clients who have experienced perinatal loss, there has yet to be a therapeutic model designed specifically for the unique grief and trauma reactions presented in this population. Existing grief models do not address …


Rural Social Work Practice: Trauma-Focused Interventions Social Workers Use, Jose Carbajal Apr 2023

Rural Social Work Practice: Trauma-Focused Interventions Social Workers Use, Jose Carbajal

Journal of Human Services: Training, Research, and Practice

This research study examines rural social workers’ level of trauma knowledge and trauma treatment self-efficacy and the use of evidence-based interventions (CBT, TF-CBT, CPT, EMDR and PE). A retrospective design was used to examine Texas rural social workers’ use of evidence-based interventions. The Texas rural social worker sample (N=19) was extrapolated from a larger study (N=1007) conducted in 2014 examining Texas social workers’ trauma treatment and their use of evidence-based interventions. Descriptive and correlation statistical procedures were implemented to analyze the data for the current study. The results show social workers’ knowledge of trauma and treatment self-efficacy scores are above …


The Correlation Of Adverse Childhood Experiences And Pornography Consumption In Adulthood, Branden Henry Jan 2023

The Correlation Of Adverse Childhood Experiences And Pornography Consumption In Adulthood, Branden Henry

Walden Dissertations and Doctoral Studies

Over the past 25 years, significant research has gone into understanding how adverse childhood experiences (ACEs) correlate with a variety of negative health and behavioral outcomes, while at the same time, pornography consumption has increased dramatically. However, limited research has been done to understand whether a relationship exists between ACEs and pornography consumption. Attachment theory, which was used as the theoretical framework for this study, includes the idea that childhood experiences play a major role in a person’s development of various behaviors throughout life, including coping mechanisms like pornography consumption. The purpose of this quantitative, cross-sectional, correlational study was to …


The Correlation Of Adverse Childhood Experiences And Pornography Consumption In Adulthood, Branden Henry Jan 2023

The Correlation Of Adverse Childhood Experiences And Pornography Consumption In Adulthood, Branden Henry

Walden Dissertations and Doctoral Studies

Over the past 25 years, significant research has gone into understanding how adverse childhood experiences (ACEs) correlate with a variety of negative health and behavioral outcomes, while at the same time, pornography consumption has increased dramatically. However, limited research has been done to understand whether a relationship exists between ACEs and pornography consumption. Attachment theory, which was used as the theoretical framework for this study, includes the idea that childhood experiences play a major role in a person’s development of various behaviors throughout life, including coping mechanisms like pornography consumption. The purpose of this quantitative, cross-sectional, correlational study was to …


From A Boy To A Leader, Alejandro Zayas Jan 2023

From A Boy To A Leader, Alejandro Zayas

Antioch University Dissertations & Theses

The following autoethnographic dissertation examines my personal experiences of trauma, abuse, and violence. Drawing on journals, memories, and artifacts from my life, I use self-reflection to illustrate the impacts of trauma on my childhood and adulthood. My traumatic experiences of sexual abuse, childhood violence, and emotional abuse are situated within broader sociocultural contexts of masculinity, Hispanic culture, and social norms. This study illuminates possibilities for healing and transformation for myself and others with shared traumatic backgrounds. It calls for trauma-informed education, masculinity, and resiliency. Evocatively sharing my traumatic life events provides an accessible window into often silenced experiences, bearing witness …


Trauma And Crisis Counselor Preparation: The Relationship Of An Online Trauma And Crisis Course And Counseling Self-Efficacy, Julia Leigh Lancaster Dec 2022

Trauma And Crisis Counselor Preparation: The Relationship Of An Online Trauma And Crisis Course And Counseling Self-Efficacy, Julia Leigh Lancaster

Counseling & Human Services Theses & Dissertations

The field of trauma and crisis is growing and ubiquitous to all counseling specialties. Updates in 2009 and 2016 to the Council for Accreditation of Counseling and Related Educational Programs (CACREP) counselor preparation standards added mandated teachings on crisis, trauma, and disaster counseling in counselor preparation programs’ (CPPs) curricula. Since then, some CPPs have created stand-alone crisis courses, while the majority have infused various related content and trainings into already established counseling courses. Research does, in fact, support an increased crisis, trauma, and disaster readiness with more hours dedicated to the study and practice of domain specific content, and confirms …


Hope Agency And Hope Pathways As Potential Mediators Of Trauma Exposure And Psychological Adjustment In Emerging Adults, Miranda R. Schaffer, Edward C. Chang, Alaina E. Gregory, Misu Kwon, Claire J. Shimshock, Nithya M. Rao, Paige K. Demers, Madeleine R. Vieth, Jameson K. Hirsch Aug 2022

Hope Agency And Hope Pathways As Potential Mediators Of Trauma Exposure And Psychological Adjustment In Emerging Adults, Miranda R. Schaffer, Edward C. Chang, Alaina E. Gregory, Misu Kwon, Claire J. Shimshock, Nithya M. Rao, Paige K. Demers, Madeleine R. Vieth, Jameson K. Hirsch

Adultspan Journal

The present study examined hope as a mediator between trauma exposure and negative affective conditions in 490 college students. Hope agency, but not hope pathways, mediated some of the association. Trauma exposure maintained a significant association with negative affective conditions. Implications for counselors working with trauma-exposed college students are discussed.


Trauma Treatment For Youth In Foster Care: A Mixed-Methods Study Of Clinician Perspectives And Treatment Model Use, Allison Blake Smith Aug 2022

Trauma Treatment For Youth In Foster Care: A Mixed-Methods Study Of Clinician Perspectives And Treatment Model Use, Allison Blake Smith

Graduate Theses and Dissertations

Youth in foster care experience trauma exposure and subsequent trauma-related disorders at much higher rates than their peers, with prevalence rates comparable with veterans of war. Although youth in foster care appear to receive services at higher rates than their peers, little is known about what outpatient care consists of, particularly for trauma-related disorders. Furthermore, although several evidence-based treatments exist for the treatment of child and adolescent trauma, little is known about how appropriate and effective existing treatment approaches are for youth in foster care. The current study used a mixed methods approach to examine a) the range of evidence-based …


Where I’M From: Internal Manifestations Among Cambodian Women Using The Expressive Arts A Literature Review, Noeun Chhim May 2022

Where I’M From: Internal Manifestations Among Cambodian Women Using The Expressive Arts A Literature Review, Noeun Chhim

Expressive Therapies Capstone Theses

Chronic mental illness has affected many Cambodian people, but, culturally, Cambodians aren’t accustomed to opening up and discussing their feelings, rather defining mental illness to craziness and seeking help is presumed taboo. Thus, Cambodians are often reluctant to talk about their experiences and/or their related illnesses. Though Cambodians have experienced inconceivable suffering and violence during the Khmer Rouge era, for the purpose of this thesis, I will be discussing the role of Cambodian women and investigate the extent of what they’ve witnessed and experienced. Cambodian women have suffered through many years of trauma and grief, during and after the Khmer …


The Necessity Of Trauma-Focused Curricula In Mental Health Graduate Programs: Advocating For Comprehensive Trauma Etiology And Treatment Education With Proposed Course Outline, Aaron S. Gillespie May 2022

The Necessity Of Trauma-Focused Curricula In Mental Health Graduate Programs: Advocating For Comprehensive Trauma Etiology And Treatment Education With Proposed Course Outline, Aaron S. Gillespie

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

During the past four decades, it has become increasingly clear how prevalent trauma, polytrauma and co-morbid trauma-related disorders are within our shared, global communities. A growing body of research continues to uncover the mind-boggling impact these overwhelming experiences have on individuals, their families, and the communities that support them, including mental health professionals. It behooves us as allied mental healthcare providers to learn what trauma is, how it may affect the individual across the lifespan, as well as how to effectively identify and treat the trauma-related symptoms our clients present with. However, despite a proliferation of research demonstrating the growing …


Borderline Personality Symptoms And Relationship Threat: The Moderating Role Of Perceived Parental Rejection, Elsa Baumgartner Apr 2022

Borderline Personality Symptoms And Relationship Threat: The Moderating Role Of Perceived Parental Rejection, Elsa Baumgartner

Student Research Submissions

Individuals with borderline personality disorder (BPD) often perceive relationship threats more intensely, resulting in increased emotional reactivity. However, this link has never been examined with physiological measures in “real time,” nor have reports of perceived parental rejection ever been investigated as a potential moderator of this link. To fill this gap, the present study induced romantic relationship threat, after which participants completed an emotional reactivity task while electroencephalography data were recorded. Results reveal that higher levels of BPD features were associated with increased emotional reactivity, indicated by larger late positive potential (LPP) amplitudes, to negative stimuli in the face of …


Mental Health Providers’ Perspectives: The Link Between Childhood Trauma, Juvenile Delinquency And Long-Term Effects, Vanay Lashon Frederick-Ellis Jan 2022

Mental Health Providers’ Perspectives: The Link Between Childhood Trauma, Juvenile Delinquency And Long-Term Effects, Vanay Lashon Frederick-Ellis

Walden Dissertations and Doctoral Studies

Juvenile delinquency is an ongoing problem in society and is detrimental as many delinquents have mental and behavioral health issues. Delinquency is costly to society, and it was found that many delinquents have a traumatic past or adverse childhood experiences. They include child abuse and neglect, loss, separation/divorce of parents, witnessing domestic violence, parents who struggle with mental health and/or drug and substance abuse, parents who have their own trauma, death of a loved one, natural disaster, or other tragedies that are linked to an increase in the likelihood of juvenile delinquency. In this study, the relationship between juvenile delinquency …


Eye Movement Desensitization And Reprocessing: Standard Versus Pain-Focused Treatment Protocols, Joni Walsh Jan 2022

Eye Movement Desensitization And Reprocessing: Standard Versus Pain-Focused Treatment Protocols, Joni Walsh

Scripps Senior Theses

Typically used as a trauma therapy, Eye Movement Desensitization and Reprocessing (EMDR) may be a promising intervention for chronic pain, given the relationship (and rates of comorbidity) between chronic pain and post-traumatic stress (PTS). The purpose of the proposed study is to investigate how EMDR therapy might best be implemented as an integrated treatment for chronic pain among individuals with post-traumatic stress symptoms. This study will be the first of its kind to directly compare the standard trauma-focused (TF) EMDR treatment to a popular emerging pain-focused (PF) EMDR treatment modification (Grant, 2000). This study will utilize a matched-participants design and …


A Sense Of Trust: Somatic Spiritual Practices As A Path To Wholeness In Spiritually Integrated Trauma Care, Shyamaa Marie Creaven Jan 2022

A Sense Of Trust: Somatic Spiritual Practices As A Path To Wholeness In Spiritually Integrated Trauma Care, Shyamaa Marie Creaven

Electronic Theses and Dissertations

A traumatic event holds the power to rupture one’s world, generating lingering effects on embodied existence. Research has demonstrated that overwhelmingly stressful events often call into question deeply held values and beliefs and that spiritual struggles “tend to be partially responsible for the distress experienced" (Pomerleau et al., 2020, pp. 456–457). Similarly, research with veterans has demonstrated that religious and spiritual struggles mediate the relationship between a potentially morally injurious event and both anxiety and PTSD (Evans et al., 2018), often intensifying trauma and moral injury symptoms as well as opening a pathway for spiritual integration and growth (Pargament & …


Equine Assisted Psychotherapy: Implications For Treating Trauma, Kara L. Harrison Psy.D. Jan 2022

Equine Assisted Psychotherapy: Implications For Treating Trauma, Kara L. Harrison Psy.D.

Psychology Doctoral Specialization Projects

Trauma related symptoms and Posttraumatic Stress Disorder (PTSD) have been increasingly recognized for the key roles they occupy in mental health and overall individual well-being within both adult and childhood populations. They often represent significant barriers to the provision of mental healthcare within military populations and individuals diagnosed with serious mental illness (SMI). This original contribution to practice explores the significance of Equine Assisted Psychotherapy as a novel adjunctive approach to treating trauma. symptoms in adults and children. An extensive literature review examines current research and discussion on common definitions and nomenclature. It begins with discussion on the broader areas …


Shame, Perceived Social Support, And Ptsd: Bridging The Gap Between Female And Male Survivors Of Sexual Assault, Kelsey Camille Woodward Jul 2021

Shame, Perceived Social Support, And Ptsd: Bridging The Gap Between Female And Male Survivors Of Sexual Assault, Kelsey Camille Woodward

Masters Theses & Specialist Projects

Sexual assault (SA) is prevalent in both females and males, with approximately 25% of females and 10% to 20% of males experiencing SA at some point of their lives. Social support and shame are important factors that are related to PTSD for SA survivors. However, little research has compared female and male SA survivors on these factors. Consequently, the purpose of the present study was to investigate the role of social support on PTSD in female and male SA survivors. Sex of the SA survivor was also examined as a moderator of the relationship between PTSD and social support and …