Digital Commons Network^™

The Role Of Childhood Trauma History In Relation To Decent Work, Matthew Reiland

Theses and Dissertations

This study used structural equation modeling to examine the impact of childhood trauma on decent work. Childhood trauma was added as an exogenous variable in the Psychology of Working Theory (PWT) model and hypothesized to have direct and indirect effects on decent work. An online sample of 643 working adults completed PWT measures and a measure on childhood trauma. Additionally, participants completed a single Likert-type item measure assessing negative impact of COVID-19 on work so that model invariance could examined among two high and low impact groups. Group invariance was satisfied at the configural, metric, and scalar levels, and the …

Effectiveness Of Writing Interventions For The Treatment Of Trauma: A Systematic Review, Melissa Maccarini

Theses and Dissertations

The effectiveness for writing interventions in the treatment of trauma has been a long-researched topic with research continuing to be conducted. This systematic review with narrative synthesis aimed to examine the effectiveness of writing interventions over the past two decades in reducing trauma or related symptoms in adults diagnosed with PTSD or having experienced a criterion-A event. Researchers searched the following databases: PsycINFO, Scopus, EBSCO, ProQuest (PTSDPubs), and PubMed. The last search yielded 100 manually full-text screened studies, with 18 articles included in the systematic review. The results point to some evidence for statistically significant decreases in trauma or related …

Gender And Ptsd: An Examination Of Socialized Masculinity As Moderator Of Ptsd Symptom Development, Kirsten Schmidt

Theses and Dissertations

This study seeks to explain observed gender differences in PTSD risk and protective factors and subsequent PTSD symptoms by use of a Masculine Heuristic moderator variable. Drawing from heuristic and gender role theories, this study utilizes a sample of male and female trauma survivors to examine the interaction between a Masculine Heuristic style and trauma exposure in the development of PTSD symptoms. Structural Equation Modeling and moderation analysis were used to explore these constructs. Results are discussed and incorporated into current literature, while limitations of the current study and suggestions for future research are explored.

Anamnesis: A Film About Forgetting, Neville Pullar Elder

Theses and Dissertations

In the film Anamnesis I bear witness to the injury and death of my childhood best friend Dominic, when I was 11. The film is a quest: A search for a visual memory that I have forgotten or perhaps, deliberately hidden from myself. Can remembering the events in their entirety and chronological order help me heal? Is searching for the lost memories nothing more than a smokescreen to avoid the steps I must take to deal/heal the trauma?

I communicate the relationship between the interplay of memory-making and sense-making and the reconstruction process that enables our past and present to …

Effect Of Neighborhood Socioeconomic Disadvantage On Brain Functional Connectivity And Structural Properties In Trauma-Exposed Adults, Elisabeth Kathleen Webb

Theses and Dissertations

Though there has been substantial progress towards understanding brain-behavior relationships and characterizing the neurobiology of psychiatric disorders, research has not translated as expected into novel prevention and treatment of mental health conditions. One limitation may be the emphasis on individual-level variables (e.g., income) and omission of relevant area-level factors (e.g., neighborhood socioeconomic disadvantage). Recently, attention has been directed towards identifying the biological mechanisms by which neighborhoods impact mental health. The chronic stress associated with living in a disadvantaged neighborhood promotes a cascade of maladaptive events, which in turn impact brain structure and functioning. The processes affected by chronic neighborhood stressors …

Post-Traumatic Stress Disorder Symptoms Impacting Caregivers Of Children With Charge Syndrome, Matthew A. Ferrigno

Theses and Dissertations

The current study aimed to focus on Post-Traumatic Stress Disorder (PTSD) symptoms in parents who have a child diagnosed with a rare genetic syndrome called CHARGE Syndrome. While previous studies have investigated related factors to parental PTSD (Reda & Hartshorne, 2008; Wulffaert et al., 2009), this study was one of the first to focus on parental PTSD symptomology and possible traumatic experiences related to CHARGE (e.g., medical complications). Specific concerns related to PTSD addressed in the current study included trauma histories, the number of surgeries a child underwent, and parent stress levels. One hundred and ninety-seven parents completed surveys that …

Individualized Music Relaxation And Composition As A Coping Skill For Survivors Of Intimate Partner Abuse In And Out Of The Therapeutic Setting, J. Juliet Weight

Theses and Dissertations

In one day in 2016, there were 41,195 domestic violence victims reported in emergency shelters or transitional housing units within the United States. Many of these victims struggle with PTSD, stress, and anxiety. There is a need for creating a coping skill that can address traumatic responses in and out of the therapeutic setting. Creating a musical representation of a survivor’s internal safe space could be used as a coping skill to reduce trauma responses. The purpose of this study was to see if the creation of an individualized musical safe space as a coping skill could reduce stress of …

Relations Between Ptsd Symptoms And Pain Interference Among Older Adults, Laura E. Travers

Theses and Dissertations

Both the older adult population and the frequency of natural disasters (e.g., hurricanes) increase in the U.S. each year. Consequently, understanding the health experiences that affect older adults specifically following a natural disaster is important for providing effective healthcare and promoting health expectancy. For example, the extent to which PTSD symptoms following a natural disaster contribute to pain severity (beyond the contributions of other psychosocial experiences such as depression) among older adults is not yet clear, and whether this contribution differs by gender or age has yet to be established. The aims of this study were (1) to determine whether …

Neural Correlates Underlying The Interactions Between Anxiety And Cannabis Use In Predicting Motor Response Inhibition, Richard Ward

Theses and Dissertations

The ability to effectively withhold an inappropriate response is a critical feature of cognitive control. Prior research indicates alterations in neural processes required for motor response inhibition in anxious individuals, including those with posttraumatic stress disorder (PTSD), and those who engage in regular cannabis use. However, thus far most research has examined how anxiety-related symptoms and cannabis use influence response inhibition in isolation of one another. The current study examined the interactions between anxious symptomology and recent cannabis use in a sample that recently experienced a traumatic event using functional magnetic resonance imaging (fMRI) during the completion of a Stop-Signal …

Modulation In Nmda Receptor Function Alleviates Safety Learning Deficit In Females Who Experienced Chronic Stress During Adolescence, Zuby C. Okafor

Theses and Dissertations

Anxiety disorders disproportionately impact women and are more prevalent in people with a history of chronic stress. Post-traumatic stress disorder (PTSD) is a type of stress and trauma-related disorder that is largely characterized by hyperarousal to fear-based cues. The inability to dissociate the fear-response from a non-threatening cue is known as impaired safety learning. Given that N-methyl-D-aspartate (NMDA) receptors are key mediators of learning behaviors, we examined the role of NMDAr function in deficient safety learning. Previous studies have shown that female rats with a history of stress have altered NMDAr gene expression and altered glutamatergic signaling; therefore, we hypothesized …

Data-Driven Approach To Dynamic Resting State Functional Connectivity In Post-Traumatic Stress Disorder, Carissa Weis

Theses and Dissertations

Posttraumatic stress disorder (PTSD) is a heterogenous psychological disorder that may result from exposure to a traumatic event. Using functional magnetic resonance imaging (fMRI), symptoms of PTSD have been associated with aberrations in brain networks that emerge in the absence of a given cognitive demand or task, called resting state networks. Most previous research in resting state networks and PTSD has focused on aberrations in the static functional connectivity among specific regions of interest (ROI) in the brain and within canonical networks constrained by a priori hypotheses. However, dynamic fMRI, an approach that examines changes in brain network characteristics over …

Exploring The Effect Of Service Dogs On Ptsd Symptoms In Veterans, Lauren Floore-Guetschow

Theses and Dissertations

Utilizing psychiatric service dogs for PTSD is a relatively new area of research and treatment option for veterans. This qualitative research study aims to look at the effects of the use of psychiatric service dogs on veterans with PTSD for veterans who have or were previously receiving traditional mental health treatment. The researcher was looking to see: how does day-to-day life look for these veterans, have they noticed a change in PTSD symptoms, what are their views on mental health treatment, and how do they view being in public? 7 veterans, from a variety of conflicts and branches were interviewed …

Response To Uncertain Threat In Acute Trauma Survivors, Kenneth Bennett

Theses and Dissertations

Uncertainty is often associated with subjective distress and a potentiated anxiety response. The heightened response to uncertainty may be a central mechanism via which anxiety-, trauma-, and stressor-related disorders are developed and maintained. The current study compared the neural response to predictable and unpredictable threat in acute trauma survivors to clarify the role of the response to uncertain threat in fear circuitry and further inform the nature of the development of PTSD in the context of uncertain threat. The novel study showed that anticipating unpredictable (primarily negative images) relative to predictable images increased activation in a frontoparietal network and was …

Gender Role Conflict, Emotion Regulation, And Ptsd Symptom Severity In Acutely Injured Trauma Survivors, Katelyn Elaine Heyrman

Theses and Dissertations

Within the acutely injured population, men are at an increased risk for trauma exposure and hospitalization. Previous literature has suggested that emotional dysregulation and masculine gender roles are associated with psychological distress and maintenance of PTSD symptoms. Despite these findings, researchers have focused their attention on masculine gender roles within the Veteran and college populations. The current study aimed to assess the Gender Role Conflict within the acutely injured population and determine if emotion regulation strategy moderated the relationship between masculine gender roles and PTSD symptom severity. Participants consisted of 90 traumatically injured, cisgender males (Mage= 44.88 years; 60% White) …

The Role Of Coping Behaviors And Intoxication In Trauma Symptomology Subsequent To Sexual Victimization, Danika Martine Charles

Theses and Dissertations

College women are at an elevated risk for sexual victimization compared to the general population. One possible reason for the increase risk of sexual victimization on college campuses is that college is inherent with greater freedom and less supervision. This unsupervised environment may encourage students to explore alcohol and other drug use and abuse and engage in risky sexual behavior, which are risk factors for sexual victimization. Sexual victimization is defined as unwanted behaviors and tactics that range from oral, anal, vaginal contact or penetration where the perpetrator uses force, intimidation, or coercion. Sexual victimization is often conceptualized in terms …

The Role Of Perceived Heterosexism In Posttraumatic Stress Symptom Severity Among Trauma-Exposed Sexual Minority Individuals, Natalie M. Cereseto

Theses and Dissertations

This thesis employed structured posttraumatic stress disorder (PTSD) assessments, a micro-longitudinal 30-day daily diary assessment, and multilevel modeling to investigate the unique and interactive effects of traumatic stress and daily sexual minority-related discrimination on PTSD symptoms and negative affect in a diverse sample of 38 trauma-exposed SM individuals.

Lesbian, Gay, And Bisexual Discrimination: An Examination Of The Role Of Blame Cognitions In Ptsd And Depression Symptoms, Timothy Stahl

Theses and Dissertations

Lesbian, gay and bisexual (LGB) emerging adults experience higher rates of trauma and discrimination, and subsequent PTSD and depression, than heterosexual emerging adults (Feinstein et al., 2012; Hatzenbuehler et al., 2008; Roberts et al., 2010). Our understanding of the relations between trauma/discrimination and psychiatric sequelae in LGB emerging adults is limited by: (1) uncertainty in the possible differential impact of LGB-specific trauma versus non-LGB-specific trauma, (2) uncertainty of the unique impacts of trauma and discrimination, and (3) lack of studies integrating cognitive theories of trauma (Brewin & Holmes, 2003) into Hatzenbuehler’s (2009) psychological mediation framework. This cross-sectional study included 82 …

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 …

Weak Social Support As An Indicator For Worse Trauma Related Symptoms, Michael B. Sugarman

Theses and Dissertations

This study investigated the relationship between social support and trauma related symptoms in trauma exposed participants. Using the SCID and CAPS, weak family support factors were found to be associated with a greater number and severity of trauma related symptoms; suggesting that family support is important for trauma exposed people.

Adult And Juvenile Rats Differentially Express Mpfc Glua2 Following Traumatic Memory Retrieval, Edgar Rodriguez

Theses and Dissertations

To advance our understanding of how traumatic memories are modulated between adults and juveniles, we characterize the AMPAr subunits, GluA1, GluA2, GluA3 in the mPFC of rodents following traumatic memory retrieval.

GluA2 was differentially expressed in adults but not juveniles rats. There were no changes in GluA1 or GluA3 expression

White Matter Integrity In Individuals At-Risk For Ptsd Development: A Longitudinal Investigation, Carissa Weis

Theses and Dissertations

Trauma exposure is prevalent and while most are resilient, some go on to develop post-traumatic stress disorder (PTSD)—an anxiety-related disorder that results from traumatic experience. The brain changes that result from traumatic experience and PTSD are not well understood. Further, little is known about what distinguishes those who are resilient after trauma from those at risk for developing PTSD. Previous work indicates white matter integrity may be a useful biomarker in predicting PTSD and researchers have found changes in the integrity of three white matter tracts—the cingulum bundle, corpus callosum (CC), and uncinate fasciculus (UF)—in the aftermath of trauma. However, …

White Matter Integrity In Individuals At-Risk For Ptsd Development: A Longitudinal Investigation, Carissa Weis

Theses and Dissertations

Trauma exposure is prevalent and while most are resilient, some go on to develop post-traumatic stress disorder (PTSD)—an anxiety-related disorder that results from traumatic experience. The brain changes that result from traumatic experience and PTSD are not well understood. Further, little is known about what distinguishes those who are resilient after trauma from those at risk for developing PTSD. Previous work indicates white matter integrity may be a useful biomarker in predicting PTSD and researchers have found changes in the integrity of three white matter tracts—the cingulum bundle, corpus callosum (CC), and uncinate fasciculus (UF)—in the aftermath of trauma. However, …

A Mission At 311, Nan Li

Theses and Dissertations

My thesis intends to look at how the aftermath of Holocaust has a tremendous life-changing impact on the children of Holocaust survivors, and to explore how these people has carried these misfortunes and burden to be resilient and joyful in their everyday lives.

Better Than Before, Makia Harper

Theses and Dissertations

Better than Before is an experiential art installation that profiles the life of James Isreal, a Vietnam vet who shares a spiritual journey that is filled with self-discovery, introspection, and hope in the midst of war and abhorrent racism. His poignant retrospective follows his struggle to find peace in the midst of trauma and disease, providing life lessons that transcend the pangs of adversity and the unknown.

What Lies Beneath, Meg Wachs

Theses and Dissertations

What is the very first thing you notice about a person? Appearance? What if the first thing you saw was everything that they were trying to hide? We would see every flaw but we would also see every truth. What Lies Beneath is an exploration of interior and exterior and an exposure to the dark and abject inside all of us; the parts we keep hidden and the things that build up until they have no place else to go. Rooted in an examination of the human psyche, my thesis explores the difference between the facade we project to the …

Effects Of The Protective Factor Of Religiosity And Risk Factor Of Marijuana Use On Psychological Outcomes Among Racially Diverse Female Survivors Of Sexual Victimization, Tyonna P. Adams

Theses and Dissertations

The current study examines the utilization of religiosity as a protective factor and marijuana use as a risk factor for ethnically diverse female survivors of sexual victimization against the development of Posttraumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD), Irritable Depression (ID), and sexual revictimization. A sample of ethnically diverse female adult participants who endorsed sexual victimization from the National Comorbidity Survey Replication (NCS-R) were included in the study (n = 1115). Logistic regression analyses were used determine the probability of the predictor variables of religiosity, religious identification and marijuana use impacting the outcome variables and whether or not the …

Contexts Of Recovery: Community Resilience Capacity As A Predictor Of Trauma Symptoms, Douglas J. Archie Iii

Theses and Dissertations

In October 2015, the state of South Carolina was devastated by effects related to hurricane Joaquin. The event set new state records for rainfall totals. Contemporary research highlights the need to increase community resilience so that populations can better adapt to the unique stressors presented by natural disasters. Using the framework provided by Norris et al. (2008) we measure four “capacities” of community resilience: Economic Development, Social Capital, Information and Communication, and Social Trust to determine their relationship to the development of PTSD symptoms and feelings of hope. Results revealed that overall perceived community resilience was a significant predictor of …

Diagnostic Accuracy: The Role Of Symptom Severity And Functional Impairment, Destiny Lynn Peterson

Theses and Dissertations

Accuracy in applying diagnostic concepts is one of the most important aspects of any mental health professional’s work. Inaccuracy in diagnosing, or misdiagnosing, can lead to numerous problems including inappropriate and potentially harmful treatment, inaccurate prognosis, stigma, and wasted or misutilized resources. For mental health professionals, inaccuracy in diagnosing can happen both intentionally and unintentionally. The severity of a person’s symptoms or the level of functional impairment the person is experiencing are two factors which can easily confound diagnostic accuracy. The present study sought to determine how each of these factors contribute to diagnostic accuracy independently and in conjunction with …

Cultural Correlates Of Ptsd In Latinos Residing In The U.S., Gabriela A. Nagy

Theses and Dissertations

The present study examined the associations between cultural variables (i.e., acculturative stress, discrimination, social support, migration planning, and reasons for migrating) and exposure to trauma and PTSD in a sample of Latinos (N=2,554) residing in the United States, who participated in the National Latino and Asian America Study (NLAAS). Results showed that there were significant positive associations between trauma exposure and migrating because of political reasons, migrating in search of medical attention, migrating due to

marital or family problems, and forced migration, suggesting they may be risk factors for being exposed to trauma. There was a negative association between trauma …

Social Reactions To Sexual Assault Survivors Presenting With Ptsd: The Impact Of Survivor Gender And Psychotherapy Treatment-Seeking Status, Shannon Marie Sommer

Theses and Dissertations

The present study examined public perceptions of and willingness to provide social support to survivors of sexual assault presenting with posttraumatic stress disorder (PTSD) based on the survivor’s gender (male vs. female), psychotherapy treatment-seeking status (no treatment vs. dropped out after four sessions vs. still in treatment), and participant gender (male vs. female). Participants (n = 178) read one of six vignettes based on a 2 (gender of survivor of sexual assault: male vs. female) X 3 (treatment-seeking status: no treatment vs. dropped out of treatment after four sessions vs. still in treatment) factorial design describing the life circumstances and …