Social and Behavioral Sciences Commons^™

Differences In Resilience And Mental Health Symptoms Among Us First Responders With Secure And Insecure Attachment, Donna Schuman, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Kathryn Shahan, Katelyn Jetelina

Faculty Publications

Objective: This observational study aimed to determine whether attachment style predicted first responders' mental health and resilience. Method: Data were from a treatment-seeking sample of first responders (N = 237). Each participant completed six assessments measuring attachment, resilience, generalized anxiety, depression, suicidality, and posttraumatic stress disorder. Results: On the attachment assessment, 25.3%were categorized as secure, 19.0%as dismissive, 25.3% as preoccupied, and 30.4% as fearfully attached. As predicted, securely attached participants had the lowest scores for generalized anxiety, depression, suicidality, and posttraumatic stress disorder and the highest scores on the resiliency measure, followed by dismissive, preoccupied, and fearfully …

Predictors Of Suicide And Differences In Attachment Styles And Resilience Among Treatment-Seeking First Responder Subtypes, Warren Ponder, Jose Carbajal, James Whitworth, Donna Schuman, Jeanine Galusha, R Andrew Yockey

Faculty Publications

Objective: To identify the predictors of suicide for firefighters (FFs), emergency medical technicians (EMTs), and law enforcement officers (LEOs). Methods: We used baseline data from FFs/EMTs (n = 69) and LEOs (n = 81) to investigate the unique predictors for both first-responder subtypes. We conducted confirmatory factor analysis on validated assessments of posttraumatic stress disorder (PTSD) and depression.Measures of attachment, resilience, PTSD, depression, generalized anxiety, trauma history, and substance use were the independent variables in two backward stepwise regressions predicting suicide. Results: Substance use and somatic depression were significant predictors for LEOs, whereas affective depression, anhedonia, externalizing …

Affective Depression Mediates Ptsd To Suicide In A Sample Of Treatment-Seeking First Responders, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Donna Schuman

Faculty Publications

Objective: The aim of this study was to examine the associations of comorbid

posttraumatic stress disorder (PTSD), affective or somatic depression, and

suicide among first responders (FRs). Method: We used baseline data from

FRs (N = 232) who sought services at a nonprofit mental health agency specializing

in treating trauma exposed FRs. We conducted two PROCESS simple

mediation models with PTSD as the predictor, affective depression and somatic

depression as the mediators, and suicidality as the dependent variable.

Results: Affective depression significantly mediated the relationship between

PTSD and suicidality, whereas somatic depression did not. The direct effect …

Validation Of The Pcl-5, Phq-9, And Gad-7 In A Sample Of Veterans, Aazi Ahmadi, Warren Ponder, Jose Carbajal, Donna Schuman, James Whitworth, R Andrew Yockey, Jeanine Galusha

Faculty Publications

Objective: Veterans can present at nongovernment (Department of Defense, Department of Veterans Affairs) mental health agencies with complex symptom constellations that frequently include posttraumatic stress disorder, depression, and generalized anxiety. To date, no veteran study has validated these measures on a treatment-seeking sample of veterans outside the DoD and VA. Methods: We used a treatment-seeking sample of veterans (N = 493) to validate measures that assess these constructs (PTSD Checklist 5, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7). Results: The seven-factor posttraumatic stress disorder hybrid configuration was the best fit. The best fitting model of the depression …

Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows

Antioch University Full-Text Dissertations & Theses

This study explored the experiences of African American mental health clinicians’ during the intersecting crises of the Black mental health crisis, the highly publicized racial tension tied to extrajudicial violence and over-policing of Black Americans, and the COVID-19 pandemic. The pandemic started a global crisis that affected millions of people’s physical and mental health and overall well-being. Shared trauma explores the duality of mental health clinicians’ personal and professional experiences. Grounded in critical race theory and models of trauma, this study explores Black mental health clinicians’ lived experiences and lessons. This is an interpretive phenomenological study with narrative interviews of …

Veterans Treatment Court: Outreach Specialist, Francisco Narewski

Capstone Projects and Master's Theses

The Monterey Military and Veterans Affairs Office (MVAO) is a lifeline to Monterey County veterans who suffer from PTSD, substance abuse, and have fallen into the justice system due to service connected disabilities. The MVAO has a justice outreach program that includes peer mentorship. The project's purpose is to ensure that veterans comply with the rules and regulations of the Monterey County Veterans Court and graduate from the program. The current program manager is tasked with the huge responsibility of veteran advocate, court liaison, peer program manager, and Veterans Affairs subject matter expert. The next steps the agency can take …

Veteran Participation In Operation Song: Exploring Resiliency In A Songwriting Experience, Danielle E. Lauber, Steven Estes, Michael E. Sherr

Social Work Faculty Publications

This study takes a phenomenological approach to explore the experience of Operation Song, a United States nonprofit organization’s songwriting program for military veterans with posttraumatic stress disorder (PTSD). Six participants completed semi-structured interviews to identify the structural, textural, and composite descriptions of the Operation Song experience. Findings were analyzed through an interpretive phenomenological analysis, which led to themes describing the essence as a “catalyst to invoke personal change.” When restructured for this article, original key themes describing the overall experience were reestablished as a setting that promoted authenticity, trusted social support, uniquely skilled songwriters, songwriting, and listening to the songs. …

Secondary Traumatic Stress (Sts) – Its Impact On The Child Welfare Workforce And Strategies For Agencies To Address It, Quality Improvement Center For Workforce Development

Other QIC-WD Products

Secondary traumatic stress (STS) can mimic symptoms of post-traumatic stress disorder (PTSD) (Bride, 2007). These symptoms include having dreams and flashbacks of the traumatic event, avoiding activities or places that might remind someone of the traumatic event, having sleep issues, being irritable, difficulty concentrating, or being hypervigilant. In this video, child welfare staff share how the trauma they experience as part of their job affects them, including physical and emotional reactions and the desire to leave the field. Unfortunately, experiencing STS is very common among the child welfare workforce. Although child welfare is not the only profession that is exposed …

Posttraumatic Stress Disorder: Comparing Short-Term, Intensive Therapy To Traditional, Long-Term Therapy, Laura Gonzalez, Sean Kruckenberg

Electronic Theses, Projects, and Dissertations

ABSTRACT

Posttraumatic Stress Disorder (PTSD) is a mental health diagnosis that occurs following a traumatic event, and military veterans are at higher risk of exposure to hazardous or life-threatening situations that may result in psychological trauma. PTSD sufferers experience symptoms such as distressing memories, nightmares, flashbacks, hypervigilance, and heightened arousal. Individuals with PTSD also experience higher rates of depressive and substance use disorders, involvement with the justice system, and self-harm and suicide. Many agencies, such as the Department of Veteran’s Affairs (VA) provide treatment PTSD, however most programs experience dropout rates as high as 36%. Recent studies have shown that …

The Experiences Of Iraqi Refugees In Canada: A Life History Study Of War And Resilience In The Aftermath Of Migration, Nada Nessan

Electronic Thesis and Dissertation Repository

This thesis reports on a life history narrative on the experiences of Iraqi refugees who resettled in Canada after living through war. The aim of this study is to help change the narrow perspectives on the mental health of war affected populations to a broader perception shaped by cultural and social aspects and to inform the development of meaningful and cultural relevant programs and policies with a particular attention to the concept of resilience.

The first part of the study presents the chronological narratives, or profiles. of eight participants. The second part of the study is a thematic discussion of …

Mental Health And Psychosocial Functioning In Recently Separated U.S. Women Veterans: Trajectories And Bi-Directional Relationships, Karen A. Lawrence, Dawne Vogt, Adam Dugan, Shawn R. Nigam, Emily Slade, Brian N. Smith

Social Work Faculty Publications

Prior research on the relationship between veterans’ mental health and psychosocial functioning has primarily relied on male samples. Here, we investigated prospective longitudinal relationships between mental health and psychosocial functioning in 554 female Iraq and Afghanistan War veterans who were surveyed three times between two- and seven-years following separation from service. Mixed effects modeling revealed that increasing depression and posttraumatic stress disorder (PTSD) severity predicted declines in work functioning. Increasing PTSD severity predicted declining parental functioning and worsening depression predicted a decline in relationship functioning. In turn, decreased work and intimate relationship functioning predicted increased PTSD and depression symptom severity …

Prevalent Posttraumatic Stress Disorder Among Emergency Department Personnel: Rapid Systematic Review, Diane In Trudgill, Kevin Gorey, Elizabeth A. Donnelly Dr.

Social Work Publications

This research review synthesized the evidence on the prevalence of posttraumatic stressdisorder among emergency department personnel in Canada and the USA. No previous suchsynthesis, specific to this crucial aspect of North American health care had previously beenpublished. Broad keyword searches of interdisciplinary research databases, both peer-reviewed and grey, retrieved 10 surveys published between 1996 and 2019. Their outcomeswere synthesized with sample-weighted, pooled analyses. The most significant reviewfindingwas that one of everyfive such emergency care personnel met posttraumatic stress disorderdiagnostic criteria; 18.6% (95% confidence interval 16.9, 20.4). However, this synthesis ofgenerally small, nonprobability surveys with high nonparticipation rates, could only suggestthat …

Risk And Protective Factors Of Dementia Among Adults With Post-Traumatic Stress Disorder: A Systematic Review Protocol, Karen A. Lawrence, Theresia M. Pachner, Molly M. Long, Stephanie Henderson, Donna L. Schuman, Brenda L. Plassman

Social Work Faculty Publications

INTRODUCTION: Post-traumatic stress disorder (PTSD) is associated with an increased risk of dementia. Individual epidemiological studies have controlled for several confounders of the relationship between PTSD and increased dementia risk, yet particular risk factors underlying this relationship have not been determined. This systematic review protocol aims to identify risk and protective factors of dementia among adults with PTSD.

METHODS AND ANALYSIS: We will conduct an electronic search of the databases: PubMed, CINAHL, PsychINFO, The Cochrane Library, Scopus and ProQuest Dissertation and Theses Global. After screening the studies, quantitative synthesis will be performed, if possible. Otherwise, a narrative synthesis will be …

Development Of A Method For Utilizing Oriental Belly Dance Rhythms To Deepen A Client’S Understanding Of Their Emotions After Experiencing Trauma, And Move Towards Healing, Jenny Nehir Eish-Baltaoglu

Expressive Therapies Capstone Theses

A workshop was offered to local women in North Eastern Ohio who have experienced trauma and are facing uncomfortable emotions or unpleasant memories as a result. A guided body scan, Focusing Oriented Art directives, and improvisational movement explorations were employed to deepen awareness and understanding of the emotions and memories participants wished to have better control over. Three movement rhythms, which are central to the ancient feminine dance form popularly known as belly dance, were explored through improvisational movement both as a group and independently. These movement rhythms included staccato pops and locks, fluid figure eights, and vibratory shimmies. Participants …

Integrated Health Approaches To Pain Management And Ptsd With Adolescent Gunshot-Wound Survivors, Sean E. Snyder

Social Work (Graduate) Student Work

Integrative healthcare approaches are known to improve patient outcomes by delivering systematic and cost-effective approaches to care (Raney, 2015). Adolescents who survive gunshot wounds present to primary care for long term management with a complex constellation of physiological and psychological symptoms, and these youth require a systematic approach to their recovery. Collaboration between primary care providers and behavioral health providers allows for treatment of the whole person, including pain management, physical recovery, and psychological recovery. Furthermore, integrated care also yields benefits to providers such as professional support and education outside of their primary area of expertise. This case report highlights …

Perceptions Of Organizational Support Among Social Workers Exposed To Vicarious Trauma, Paula Denise Downie

Walden Dissertations and Doctoral Studies

Repeated exposure to clients’ trauma has led to secondary or vicarious emotional distress for social workers, which has negatively impacted their professional and personal lives. The purpose of this qualitative action research study was to explore social workers’ perceptions of organizational support of social workers with symptoms of vicarious trauma. Ecological systems theory provided the framework for the study. The sample consisted of 6 clinical licensed social workers who participated in 2 focus group sessions, one with 4 participants and one with 2 participants. Data were inductively coded and analyzed to identify patterns and themes. Findings indicated that social workers …

Does Ethnic Identity, In-Group Preference, And Acculturation Protect Latinas With A History Of Interpersonal Trauma From Developing Symptoms Of Ptsd?, Evelyn M. Ramirez

Dissertations, Theses, and Capstone Projects

Previous research suggests ethnic identity, a sense of belonging to a particular cultural group, may be protective against symptoms of post-traumatic stress disorder (PTSD). However, the role of ethnic identity, in-group preference (i.e., an individual’s preference for interactions with members of their own ethnic group) and acculturation (i.e., the level of comfort with the mainstream culture) have not been investigated as protective factors for Latinas with a history of interpersonal and sexual trauma. In this study, ethnic identity, in-group preference and acculturation were assessed via self-report on the Scale of Ethnic Experience in two samples of undergraduate Latina and non-Latina …

Experiences Of Veterans With Ptsd And Sud In An Outpatient Setting, Andrew Breault, Hannah Shifflett-Kohler

Thinking Matters Symposium Archive

In 2014, there were approximately 7.9 million adults in the United States with co-occurring Post Traumatic Stress Disorder (PTSD) and Substance Use Disorders (SUD) (SAMHSA, 2014). Of the veterans who served in the conflicts in Iraq and Afghanistan alone, 30% of those in SUD treatment also meet the criteria for PTSD (Seal et al, 2008, pp. 476). Furthermore, statistics show that about 20 Veterans in the United States complete suicide daily (Spiva, 2019, p. 8). The Department of Veterans Affairs is urgently seeking successful approaches to addressing the high incidence of suicides among all veterans along with the low retention …

When A Stone Is Not A Stone: Memories Of Clerical Abuse, Charles V. Sords

Dignity: A Journal of Analysis of Exploitation and Violence

From the fourth to the sixth grades, Charles V. Sords suffered traumatic sexual abuse by Catholic clergy. He suppressed these memories, yet the pain of what happened impacted every aspect of his life. As an adult, several strong, sensory experiences brought the truth of his childhood into focus. He confronted the Church—and the system that protected clerical criminals. This memoir is an account of childhood sexual abuse, the particularly shameful nature of being raped by priests, and how the Catholic Church’s method of handling this and similarly horrifying revelations has re-traumatized survivors.

Exploring How Emdr Social Workers In Eastern Canada Experience Vicarious Trauma, Ashley Amara Spinney

Walden Dissertations and Doctoral Studies

Social workers are increasingly using eye movement, desensitization, and reprocessing (EMDR) to help clients recover from trauma. Little is known about how social workers who work with traumatic client material while using EMDR as their main psychotherapeutic modality experience vicarious trauma. The purpose of this phenomenological study was to explore the experience of vicarious trauma among social workers in Eastern Canada who used EMDR in their practice with clients. Constructivist self-development theory was the framework that informed this study. Data were collected using semistructured interviews with 7 EMDR social work participants who were selected using purposive sampling. Participants were required …

Social Workers' Perceptions Of The Effects On United States Soldiers Of Multiple Deployments, Cynthia Louise Wilson

Walden Dissertations and Doctoral Studies

Military personnel who have served during Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn have experienced longer and more frequent deployments than U.S. personnel involved in any previous conflict. These multiple tours in combat zones have resulted in complex psychosocial needs for military personnel. The goal of this action research study was to understand social workers' perceptions and experiences of military personnel who experienced 3 or more deployments in a combat zone. The theoretical foundation for the study was narrative theory. Research questions sought to understand the social workers' perceptions of the psychosocial treatment needs of these veterans, …

Abuse Or Be Abused: Traumatic Memory, Sex Inequality, And Millennium As A Socio-Literary Device, Kate Rose

Dignity: A Journal of Analysis of Exploitation and Violence

This article applies the research of French psychiatrist Muriel Salmona to literary analysis of Stieg Larsson’s protagonist, Lisbeth Salander, in the Millennium trilogy (The Girl with the Dragon Tattoo, 2008; The Girl Who Played with Fire, 2009; The Girl Who Kicked the Hornet’s Nest, 2010). It suggests that Larsson’s novels may be useful in raising awareness of childhood sexual abuse, through reading neglected signs linked to the neurology of traumatic memory. In the tradition of Nordic noir novels, hyperboles in Salander’s sensationalized identity serve to magnify and bring to light a misunderstood social problem. The article …

Cognitive-Behavioral Therapy (Cbt) For Post-Traumatic Stress Disorder (Ptsd) On Veterans And Its Relationship To Suicidal Thoughts, Peggy Erwin

Electronic Theses, Projects, and Dissertations

This research project demonstrates the importance of the use of Cognitive Behavioral Therapy for Post-Traumatic Stress Disorder and its relationship to the frequency of suicidal thoughts in veterans through the use of the positivist paradigm. The correlation that was found showing that Cognitive Behavioral Therapy does reduce the frequency of suicide ideation through the collection of quantitative data, and the understanding of Cognitive Learning Theory it is this study offers clinicians another tool to combat suicide in veterans.

Military Parent’S Ptsd And Children’S Mental Health: A Scoping Review, Tara Collins

The Qualitative Report

It is widely recognized that the mental health of parents impacts children’s well-being. A scoping review was conducted to examine what was known from the research specific to mental health issues facing children as a consequence of their military parent’s PTSD. The parameters of this review were based on Arksey and O’Malley’s (2005) recommendations for completion of a scoping review. From the search, 163 articles were located from 5 electronic databases. Of those, 35 were related to the topic and, after implementing the inclusion and exclusion criteria 21 were included in this scoping review. Although the scoping review demonstrated that …

Social Work Trauma Interventions: Dialectical Behavioral Therapy, Kassie Baumann

Senior Honors Theses

According to Lynne Weilart (2013), in her article on the reasons why people seek out therapy, trauma is the number one reason people attend counseling. Many different trauma-informed approaches are designed specifically to address the consequences of trauma and to facilitate healing. Some of these approaches are as follows: Cognitive Behavioral Therapy (CBT); Dialectical Behavioral Therapy (DBT);Mentalization Based Therapy (MBT); Trauma Systems Therapy (TST); Trauma Assessment Pathway (TAP); and Attachment, Self-Regulation, and Competency (ARC) (de Arellano, Danielson, Ko, & Sprauge, 2008). The effectiveness of each trauma intervention will be examined. DBT is one of these trauma interventions that is growing …

The Role Of Somatic Psychotherapy In Treating First Responders: Providers’ Perspectives, Maggie Graham

Master of Social Work Clinical Research Papers

As part of their occupational responsibilities, first responders such as firefighters, law enforcement, paramedics, military medics and disaster relief workers are exposed to critical incidents and traumatic events on a routine basis. The dearth of literature on somatic-based interventions shows promise as a tool for addressing trauma, yet few, if any, studies address trauma among first responders specifically. This qualitative study explores somatic psychotherapy as a treatment of trauma within the first responder community. Participants for the study (n=6) were recruited through snowball sampling and online recruitment. Semi-structured, in-person interviews were completed with six mental health providers who practice somatic, …

A Systematic Review: Examination Of Yoga-Based Interventions To Determine Their Benefits And Effectiveness In Treating Ptsd In Women, Jessica Skaare

Master of Social Work Clinical Research Papers

This systematic review was designed to examine yoga-based interventions to determine their benefits and effectiveness in treating Posttraumatic Stress Disorder in women. The review was set up using peer reviewed articles published after 2007. The databases Scopus, CINHAL, AMED, Health Source, PsychINFO and Pilots were systematically searched using the terms: “post-traumatic stress disorder” or “PTSD” and “yoga-based interventions” or “yoga interventions” or “yoga” or “mind-body therapy”. Out of these searches nine articles satisfied criteria for inclusion and were used in the final review. Three themes emerged from the research synthesis regarding how yoga-based interventions can be beneficial and effective for …

Systematic Review: Considerations For Women With Co-Occurring Substance Use Disorder And Ptsd, Brittany Feller

Master of Social Work Clinical Research Papers

Statistics demonstrate the prevalence of co-occurring substance use disorder and PTSD among women, and the need for integrated mental health treatment. The researcher of this systematic literature review sought out to explore the following research question: “In what ways do helping professionals intervene with women with co-occurring substance use disorder and PTSD?” A systematic review was conducted using the following databases, SocINDEX, Social Work Abstracts, PsychINFO, and SAMSHA and searched variations of the terms, “Social Work,” “Helping Professionals,” “Women,” “Co-occurring Substance Use Disorder,” “PTSD,” and “Treatment.” All articles were peer-reviewed and involved some aspect of women with co-occurring substance use …

Trigger Warnings: From Panic To Data, Francesca Laguardia, Venezia Michalsen, Holly Rider-Milkovich

Department of Justice Studies Faculty Scholarship and Creative Works

Following a practice that originated online, university faculty and staff have increasingly used “trigger warnings” to alert students to the possibility that they might be affected or even harmed by potentially traumatic material. This practice has led to a passionate debate about whether such warnings stifle or encourage student expression and academic freedom, and whether they are beneficial or detrimental to learning. In this article, we illustrate the history and current state of this debate and examine the scientific support for the arguments for and against the use of such warnings. Specifically, we question the scientific basis for the suggestion …

The Body Recovers: Practitioner Perspective On Somatic Experiencing, Saoirse Mcmahon

Master of Social Work Clinical Research Papers

Most individuals are exposed to a traumatic event in their lifetime, but not all go on to develop post-traumatic stress disorder (PTSD). PTSD is characterized by symptoms of intrusion and avoidance of stimuli related to the traumatic event, as well as dissociation. PTSD has been linked to a number of somatic syndromes including chronic fatigue syndrome (CFS), chronic lower back pain, hypertension, and hypothalamic-pituitary adrenal (HPA) axis dysfunction resulting in hormonal imbalance. Several evidence-based interventions for PTSD exist, including prolonged exposure therapy (PE), eye-movement desensitization and reprocessing (EMDR), and cognitive processing therapy (CPT), however many of these approaches address trauma …