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Psychology

Theses/Dissertations

PTSD

Virginia Commonwealth University

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Acute Stress Disorder In Neonatal Intensiver Care Unit Mothers: Modeling Risk Factors And Trauma Appraisals Modeling, Allison Baylor 5435882 Jan 2020

Acute Stress Disorder In Neonatal Intensiver Care Unit Mothers: Modeling Risk Factors And Trauma Appraisals Modeling, Allison Baylor 5435882

Theses and Dissertations

Postpartum mental health is a public health priority, particularly for mothers with infants in the Neonatal Intensive Care Unit (NICU), who may have experienced a precipitous birth, followed by a traumatic NICU hospitalization. However, little research has focused on NICUrelated posttraumatic stress (PTSS), despite its presumed prevalence and ripple effects on infant development, family functioning, and provider burnout during the critical early bonding period. In particular, little research has evaluated: early posttraumatic stress (Acute Stress Disorder symptoms, ASD), index and sequential traumas related to NICU/birth, and relations among preexisting risk factors, and trauma appraisals/ objective trauma characteristics (related to infant …


Examining Ptsd Symptoms And The Effectiveness Of Group Therapy Among African American And Caucasian Veterans, Jennifer A. Coleman Jan 2016

Examining Ptsd Symptoms And The Effectiveness Of Group Therapy Among African American And Caucasian Veterans, Jennifer A. Coleman

Theses and Dissertations

Millions of Americans have served in the military, and improved survival rates in wars have increased the percentage of those who return home. Posttraumatic stress disorder (PTSD) is one of the most prevalent mental health diagnoses for veterans. Although few studies have examined the link, previous research as well as the minority stress model and transgenerational trauma theories, suggest that race may be associated with PTSD, particularly in military samples. The current study examined whether there were differences in PTSD symptomology (global and symptom cluster-specific) based on veterans’ race and whether group therapy effectively reduced symptoms of PTSD. Data were …


Evaluation Of Behavioral Distress Tolerance Task Stability Across Settings, Cassie Overstreet Jan 2015

Evaluation Of Behavioral Distress Tolerance Task Stability Across Settings, Cassie Overstreet

Theses and Dissertations

Distress tolerance (DT) is considered to be a trait-like factor encompassing an individual’s behavioral and/or perceived ability to withstand negative affective states. Behavioral measures of DT are being increasingly utilized, however, these tasks have been implemented in studies prior to thoroughly establishing the psychometric properties. The present study aimed to evaluate the reliability of two DT behavioral tasks (Breath-Holding Task [BHT], computer-based Paced Auditory Serial Addition Task [PASAT-C]) in different settings (laboratory, online) among a sample of college students. Participants completed the tasks during two sessions, approximately one week apart. 52 participants were in the laboratory condition, and 65 were …


Examining The Role Of Unit Cohesion As A Moderator Of The Relationship Between Warfare Exposure And Ptsd, Shaina Gulin Jan 2014

Examining The Role Of Unit Cohesion As A Moderator Of The Relationship Between Warfare Exposure And Ptsd, Shaina Gulin

Theses and Dissertations

The purpose of the current study was to examine the effects of warfare exposure and unit cohesion on posttraumatic stress disorder (PTSD) symptomatology among male and female National Guard and Reserve service members deployed to Iraq or Afghanistan. National Guard and Reserve soldiers and female service members have been shown to be at greatest risk of psychological distress, and thus identification of resiliency factors among this population is worthy of further study. An emerging body of research has identified unit cohesion as a potentially modifiable protective factor against the deleterious effects of warfare exposure; however, such research is in its …


Long-Term Outcomes Of Prolonged Exposure And Naltrexone For Patients With Comorbid Posttraumatic Stress Disorder And Alcohol Dependence, Shelley Avny Jan 2014

Long-Term Outcomes Of Prolonged Exposure And Naltrexone For Patients With Comorbid Posttraumatic Stress Disorder And Alcohol Dependence, Shelley Avny

Theses and Dissertations

A growing body of research is examining effective treatment(s) for individuals with comorbid posttraumatic stress disorder (PTSD) and alcohol dependence (AD). However, treatments for this comorbid population have been inadequately studied in the longer term. This study represents a long-term follow-up assessment of a randomized controlled trial that compared combined therapy (prolonged exposure + naltrexone) with monotherapies (prolonged exposure or naltrexone) for patients with PTSD and AD (see Foa, Yusko, McLean et al., 2013). Attempts were made to contact 120 participants 5-10 years after the original trial to assess the maintenance of treatment gains. Nineteen individuals were located and agreed …


Poppies And Ptsd: Opioid Influence On A Preclincal Model Of Posttraumatic Stress Disorder., Sarah Vunck Apr 2012

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 …


Efficacy Of A Cognitive-Behavioral Treatment For Insomnia Among Afghanistan And Iraq (Oef/Oif) Veterans With Ptsd, Margolies Skye Ochsner Nov 2011

Efficacy Of A Cognitive-Behavioral Treatment For Insomnia Among Afghanistan And Iraq (Oef/Oif) Veterans With Ptsd, Margolies Skye Ochsner

Theses and Dissertations

Sleep disturbances are a core and salient feature of PTSD and can maintain or exacerbate associated symptoms. Recent research demonstrates that cognitive-behavioral sleep-focused interventions improve sleep disturbances as well as PTSD symptoms. The present study is a randomized controlled trial comparing Cognitive Behavioral Therapy for Insomnia (CBT-I) to a waitlist control group. Conducted at a Veterans Affairs Medical Center, the study: 1) compared subjective outcome measures of sleep amongst veterans assigned to either a treatment group (CBT-I) or a waitlist control group; (2) examined the influence of the intervention on measures of PTSD, general mood and daytime functioning, comparing veterans …


The Influence Of Ethnicity And Gender On The Relationship Between Posttraumatic Stress Disorder Status And Cardiovascular Responding, Alison Eonta May 2010

The Influence Of Ethnicity And Gender On The Relationship Between Posttraumatic Stress Disorder Status And Cardiovascular Responding, Alison Eonta

Theses and Dissertations

Past research has found inconsistent effects of posttraumatic stress disorder (PTSD) status on cardiovascular responding. Inconsistencies may be explained by demographic differences in study samples. In this study, the influence of gender and ethnicity on the relationship between PTSD status and cardiovascular responding was explored. Participants’ (N = 245) heart rate (HR), systolic blood pressure (SBP), and diastolic blood pressure (DBP) readings were taken throughout baseline and anger recall periods. For all gender by ethnicity groups, baseline HR was higher in participants with PTSD than without PTSD, except for Black men. Whites with PTSD had lower baseline SBP than Whites …


Exploring The Cardiovascular Response To Anger Imagery And Speech In Vietnam Veterans With And Without Posttraumatic Stress Disorder, Jennifer Jane Runnals Jan 2007

Exploring The Cardiovascular Response To Anger Imagery And Speech In Vietnam Veterans With And Without Posttraumatic Stress Disorder, Jennifer Jane Runnals

Theses and Dissertations

Few studies directly compare the physiological consequences of anger under a variety of induction methods. The current study explored the patterns of cardiovascular responding associated with varying anger induction methods, specifically personal anger memory recall through verbalization versus imagery in a sample of Vietnam combat veterans with and without Posttraumatic Stress Disorder (PTSD). Spoken anger produced greater elevations in blood pressure than anger that was recalled through imagery but not spoken. This was true even after controlling for the metabolic activity associated with speech. However, for veterans with PTSD, anger imagery was also sufficient to produce an elevated response in …


The Role Of A Family History Of Alcohol Or Drug Abuse On Ptsd Outcomes Following Community Violence Exposure, Kathryn Reid-Quinones Jan 2007

The Role Of A Family History Of Alcohol Or Drug Abuse On Ptsd Outcomes Following Community Violence Exposure, Kathryn Reid-Quinones

Theses and Dissertations

Research consistently has revealed the damaging consequences of children's repeated exposure to community violence and Posttraumatic Stress Disorder (PTSD) is the most commonly cited internalizing disorder associated with such exposure. However, not all children who are exposed to community violence develop PTSD symptoms; thus, it is important to identify factors that contribute to this deleterious relationship. The purpose of the present study was to examine the relation of community violence exposure (CVE)and PTSD in a sample of urban adolescents. Additionally, the study assessed whether a maternal history of alcohol or drug abuse would exacerbate the association of CVE andPTSD symptoms …