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A Systematic Review Of Psychological Treatments For Combat-Related Ptsd, Benson G. Munyan Iii

Undergraduate Honors Capstone Projects

With ongoing military operations spanning the globe, a new population of combat veterans is emerging. Posttraumatic stress disorder is an enormous issue for veterans, and knowing the status of psychosocial treatments for it seems necessary. The current study seeks to provide a more comprehensive description of the current status of outcome research for combat-related posttraumatic stress disorder, including treatments being utilized, attrition rates, percent responders/nonresponder, and population conflict (i.e., OIF, OEF, Vietnam). The literature was systematically reviewed and 10 randomized controlled trials were identified that focused solely on veteran populations with posttraumatic stress disorder. Treatments utilized in these studies included …

Development Of The Posttraumatic Stress Symptoms -- Childhood Obesity Model, Kristi Wilsman

Masters Theses & Specialist Projects

This project developed a model to account for an obesity outcome in children who have posttraumatic stress disorder (PTSD) and whose parents have posttraumatic stress symptoms (PTSS) or PTSD. A literature review provided the basis for the model and covered the areas of childhood obesity, parental PTSS, childhood PTSD, adverse childhood experiences, relational PTSD, ineffective parent support, and the stress response. A model to explain the outcome of obesity in children with PTSD as mediated by parental support provided after a traumatic event was developed: The Parental PTSSChildhood Obesity Model. The literature review supports a relational perspective for viewing child …

Prospective Investigation Of A Ptsd Personality Typology Among Individuals With Personality Disorders, Meghan E. Mcdevitt-Murphy, M. Tracie Shea, Shirley Yen, Carlos M. Grilo, Charles A. Sanislow, John C. Markowitz, Andrew E. Skodol

Charles A. Sanislow, Ph.D.

This study investigated the replicability of a previously proposed personality typology of posttraumatic stress disorder (PTSD, and explored stability of cluster membership over a 6-month period. Participants with current PTSD (n = 156) were drawn from the Collaborative Longitudinal Personality Disorders Study (CLPS). The CLPS project tracked a large sample of individuals who met criteria for 1 of 4 target diagnoses (borderline, schizotypal, avoidant, and obsessive-compulsive) and a contrast group of individuals who met criteria for depression but no personality disorder. A cluster analysis using scales from the Schedule of Nonadaptive and Adaptive Personality yielded 3 clusters: “internalizing,” “externalizing,” and …

Posttraumatic Stress And Myocardial Infarction Risk Perceptions In Hospitalized Acute Coronary Syndrome Patients, Donald Edmondson, Jonathan A. Shaffer, Ellen-Ge Denton, Daichi Shimbo, Lynn Clemow

Publications and Research

Posttraumatic stress disorder (PTSD) is related to acute coronary syndrome (ACS; i.e., myocardial infarction or unstable angina) recurrence and poor post-ACS adherence to medical advice. Since risk perceptions are a primary motivator of adherence behaviors, we assessed the relationship of probable PTSD to ACS risk perceptions in hospitalized ACS patients (n = 420). Participants completed a brief PTSD screen 3-7 days post-ACS, and rated their 1-year ACS recurrence risk relative to other men or women their age. Most participants exhibited optimistic bias (mean recurrence risk estimate between "average" and "below average"). Further, participants who screened positive for current PTSD (n …

Decision-Making Following Sexual Assault: Reporting Decisions And Exposure To The Criminal Justice System, Ryan Michael Walsh

Dissertations

Violent crimes represent significant costs to society and survivors; costs which include mental health conditions which may emerge afterward. Victims of sexual assault are at particularly heightened risk for developing posttraumatic stress disorder (PTSD) (Breslau, Davis, Andreski, & Peterson, 1991). Although Crime Victims’ Compensation (CVC) is available to assist with healthcare costs for some individuals who report the event to police (NACVCB, 2009), many crimes are not reported. Theories of crime-reporting behavior suggest that victims decide whether to report crimes to police through the use of a “cost-benefit analysis” (Gottfredson & Gottfredson, 1988, p. 25). Little research, however, has been …

Poppies And Ptsd: Opioid Influence On A Preclincal Model Of Posttraumatic Stress Disorder., Sarah Vunck

Theses and Dissertations

Posttraumatic Stress Disorder (PTSD) is an anxiety disorder that affects over 7.7 million adults and carries an estimated societal cost of $3.1 billion every year. People develop PTSD after exposure to a traumatic event. Alone or combined, approved pharmacotherapies or psychotherapy are somewhat effective, but symptoms for many remain refractory. Emerging evidence suggests that opiate systems may modulate the development and expression of PTSD, and their role can be investigated preclinically. Pavlovian fear conditioning is a preclinical model which elicits behaviors mirroring those that occur in humans during and after exposure to trauma. This presents an experimental tool that can …

Treatment Of Dual Diagnosis Post Traumatic Stress Disorder And Substance Use Disorders: A Meta-Analysis, Joshua Dolan

Dissertations (1934 -)

The dual diagnosis of post-traumatic stress disorder and substance use disorders affects a large number of people. Various treatments have been used for addressing these co-occurring disorders and have now been empirically tested. These treatments can be divided into two categories: sequential and integrated. The goal of this study was to meta-analytically examine the effectiveness of these treatments and compare these two categories of treatment. Secondary objectives included the exploration of potential moderator variables and the symptom interplay between the two disorders after treatment. The results of the study suggested that treatment for the dual diagnosis of posttraumatic stress disorder …

Intimate Partner Violence As A Risk Factor For Ptsd In Female Survivors Of Domestic Violence: A Meta-Analysis, Selena Tramayne

Dissertations

The purpose of this dissertation was to conduct two meta-analyses investigating the relationship between intimate partner violence (IPV) and Posttraumatic Stress Disorder (PTSD) symptomatology in female survivors of domestic violence. The first meta-analysis investigated the relationship between physical violence and PTSD symptomatology while the second meta-analysis investigated the relationship between psychological abuse and PTSD symptomatology. A moderator variable, recruitment setting, was investigated to see whether recruitment setting changed the relationship between physical violence and PTSD symptomatology and/or the relationship between psychological abuse and PTSD symptomatology. For both meta-analyses, a medium to large effect size was found. Recruitment setting was not …

Ptsd And High-Risk Behaviors In Trauma Survivors, Richard Jason Lawrence

ETD Archive

Many previous studies have shown that trauma survivors, with and without Posttraumatic Stress Disorder (PTSD), engage in more high-risk behaviors (e.g., Smith, Davis, & Fricker-Elhai, 2004). It is unclear whether the trauma exposure itself, or PTSD, is actually associated with the high-risk behaviors. The current study will be one of the first to examine differences in risk-taking between trauma survivors with and without PTSD, and will utilize the Balloon Analogue Risk Task (BART) to test risk-taking propensity in trauma survivors. We expect that trauma survivors with PTSD will engage in more high-risk behaviors, report greater perceived benefits, and demonstrate greater …

Differences In Risk-Taking In A Trauma Exposed Population, Ruth Anna Viehoff

ETD Archive

Previous studies have shown that depression and posttraumatic stress disorder (PTSD) are associated with a variety of risk-taking behaviors. However fewer studies have examined how comorbidity between the two disorders can differentially affect risk-taking. This study examined the relationship between depression, PTSD, past risk-taking, and perceived benefits of risk to further determine how comorbidity affects risk behaviors. It was expected that individuals who displayed symptoms of depression and PTSD would report more past risk-taking and associate greater benefits with taking risks. Depression symptoms were found to significantly predict past drug use. This suggests that comorbid individuals who report more depressive …

Attention Bias Toward Threat Is Associated With Exaggerated Fear Expression And Impaired Extinction In Ptsd, Negar Fani, Erin B. Tone, J. Phifer, Seth D. Norrholm, Bekh Bradley, Kerry J. Ressler, Asante R. Kamkwalala, Tanya Jovanovic

Psychology Faculty Publications

Background: Post-traumatic stress disorder (PTSD) develops in a minority of traumatized individuals. Attention biases to threat and abnormalities in fear learning and extinction are processes likely to play a critical role in the creation and/or maintenance of PTSD symptomatology. However, the relationship between these processes has not been established, particularly in highly traumatized populations; understanding their interaction can help inform neural network models and treatments for PTSD.

Method: Attention biases were measured using a dot probe task modified for use with our population; task stimuli included photographs of angry facial expressions, which are emotionally salient threat signals. A fear-potentiated startle …

The Impact Of Ptsd On Veterans’ Family Relationships: Mechanisms Of Distress And Available Treatments, Adam D. Lamotte

Senior Projects Spring 2012

When veterans return home from war with PTSD, the disorder can have detrimental effects on their close family relationships. Researchers have proposed different mechanisms underlying the distress experienced by partners and children of veterans with PTSD in the hopes that these mechanisms can be targeted in treatment. The purpose of this project is to review and synthesize the current literature on these mechanisms of distress, as well as the treatments that have been designed to address them. This review examines several key factors that account for veterans’ relationship distress, including the important factors of intimacy and aggression. Due to the …

Interpersonal Pathoplasticity In The Course Of Major Depression, Nicole M. Cain, Emily B. Ansell, Aidan G. C. Wright, Christopher J. Hopwood, Katherine M. Thomas, Anthony Pinto, John C. Markowitz, Charles A. Sanislow, Mary C. Zanarini, M. Tracie Shea, Leslie C. Morey, Thomas H. Mcglashan, Andrew E. Skodol, Carlos M. Grilo

Charles A. Sanislow, Ph.D.

Objective: The identification of reliable predictors of course in major depressive disorder (MDD) has been difficult. Evidence suggests that the co-occurrence of personality pathology is associated with longer time to MDD remission. Interpersonal pathoplasticity, the mutually influencing nonetiological relationship between psychopathology and interpersonal traits, offers an avenue for examining specific personality vulnerabilities that may be associated with depressive course. Method: This study examined 312 participants with and without a cooccurring personality disorder diagnosis who met criteria for a current MDD episode at baseline and who were followed for 10 years in the Collaborative Longitudinal Personality Disorders Study. Results: Latent profile …