Social and Behavioral Sciences Commons^™

Potential Moderating Impact Of Circulating Endocannabinoids On Resting State Networks And Post-Traumatic Stress Disorder, Emily Anne Albertina

Theses and Dissertations

Introduction: Traumatic injury increases risk for long-term adverse outcomes such as the development of post-traumatic stress disorder (PTSD). Research has found that risk for the development of PTSD after such an injury varies depending on individuals’ race/ethnic group and sex. Although prior work has explored relationships between injury and PTSD in these groups utilizing imaging paradigms (e.g., resting state functional connectivity) and biological paradigms (e.g., the endocannabinoid system), the relationship between these factors has been understudied. The present study explored the potential moderating effect circulating endocannabinoids may have on the relationship between resting state functional connectivity and post traumatic stress …

The Relationship Between Parental Trauma History And Perceptions Regarding Their Child’S Healthcare And Utilization Of Healthcare Services, Krishna Patel

Theses and Dissertations

Abstract

TITLE: The Relationship Between Parental Trauma History and Perceptions Regarding Their Child’s Healthcare and Utilization of Healthcare Services

Adverse child events (ACEs) have been associated with a number of physical and mental health problems and have also been linked to increased health care utilization. While parents who have an ACE history may tend to seek healthcare services for themselves, limited studies have examined the impact of their trauma history on seeking healthcare services for their child. Healthcare utilization may also depend on the parents’ level of health anxiety, as well as their anxiety about their child’s health status. This …

Screening Bodies: Post-Dictatorship Chilean Cinema, Elaine Joy (Ej) Basa

Theses and Dissertations

Censorship was the modus operandi during Augusto Pinochet’s dictatorship. People and media alike suffered as the oppressive Chilean government suppressed many truths about the Coup, the torture and disappearance of victims and their families, and facts about the state violence that took place from 1973 to the late 1980s. The resulting trauma nurtured a culture of silence, a divided social fabric, and many gaps in historical knowledge. Those who absorbed the media experienced a lack of connection and identification with fabricated and falsified histories, thereby essentially cut off from truly engaging with the traumas of Chile’s dark history. The struggle …

Finding The Why: Trauma's Origins And Effects In Morrison's The Bluest Eye, Hope Lopez

Theses and Dissertations

This thesis analyzes the effects of Toni Morrison’s first novel, The Bluest Eye, on its readers and the public discourse surrounding the central issue of systemic racism and incest. The central focus of the analysis is trauma in the novel: how Morrison captures that trauma in writing, how the reader encounters and interprets that trauma, and the effects of that trauma on the narrative and the reader. To construct this argument, I apply the lenses of reader response criticism, psychoanalysis, and trauma studies to the novel.

Morrison expressed concern that readers would miss the crucial message of why the …

An Exploration Of Racial Trauma And Protective Factors In Black Youth, Daria Chantal Thompson

Theses and Dissertations

Black students’ experiences in school can vary due to racism and discrimination within and outside of the classroom, which can impact their academic progress and overall well-being. In this three-part study, the impact of discrimination is observed to determine if there is a long-term effect of these situations and, if so, determine if there is utility to implement school-based resources to decrease these negative effects. The first study examined whether ethnic-racial socialization in childhood could moderate against symptoms of trauma in young adulthood that were potentially caused by discrimination from peers and teachers in childhood through hierarchical regressions. The second …

Historical Trauma: Literary And Testimonial Responses To Hiroshima, Mariam Ghonim

Theses and Dissertations

The concept of trauma is controversial in literature. While one may be able to come up with ways to describe trauma in fiction, representing historical trauma is a hard task for writers. Some argue that trauma can not be described through those who did not experience it, while others claim that, provided some elements are added, one can represent trauma to the reader. This thesis focuses on twentieth-century historical traumas related to a nuclear catastrophe and explores the different literary and testimonial responses to the catastrophic man-made event of Hiroshima (1945). In this thesis, Kathleen Burkinshaw’s historical fiction The Last …

The Lived Experiences Of 911 Telecommunicators: Life Outside Of The Call Center, Mary's Dariela Martinez

Theses and Dissertations

911 operators are tasked with solving the caller's problem by promptly and efficiently decoding a cry for help, collecting pertinent information, quickly deciding its priority level, and dispatching the appropriate assistance. These employees are responsible for what happens on that line, internalizing their problems to solve those of the callers, which often result in stress disorders, trauma, and personal, professional, and social issues. Their job duties are extensive, the responsibility is vast, and the overall environment can be overwhelming. Aside from the environmental stressors, the details of each critical incident leave the employee susceptible to various risk factors and other …

Demonstrated Sensitivity, Kate Crankshaw

Theses and Dissertations

Flameworking is a tedious process that demands all of your attention and focus. Making multiples of a shape in this process allows my body and mind to fall into a rhythm. During these times, it allows my anxious mind to be quieted and helps me dive into processing past memories, trauma, and grief. It is commonly suggested in Dialectical Behavioral Therapy practices to find an activity to do that is both physical and repetitive to work through grief. This stimulates the physical and mental parts of the body, both areas where the effects of grief and trauma are held. Relaxing …

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 …

Physical Intimate Partner Violence Of African American Women: Promising Practices And Pitfalls In Treatment, Melissa Erinn Duncan

Theses and Dissertations

Intimate partner violence is a serious health concern among African American women. It is estimated about 41% of African American women experience physical violence from an intimate partner. A number of risk factors, as well as cultural and contextual dynamics (e.g., gendered racism, low socioeconomic status, cultural norms, exposure to family violence, as well as cultural mistrust of the healthcare and legal systems), are associated with the high prevalence rate of African American women experiencing physical abuse. Due to the unique challenges that African American women survivors of partner violence often experience, there is a gap in the current literature …

Empathy And Cultural Involvement As Pathways To Resilience In The Face Of Adverse Childhood Experiences Among Native American Indians, Joy Rodriguez

Theses and Dissertations

The purpose of this research study was to examine two specific pathways to resilience for Native American Indians (NAIs) that have experienced at least one adverse childhood experience (ACE) and are seeking behavioral health services on the Choctaw Indian reservation: empathy and cultural involvement. The study is an examination of the effects of empathy and cultural involvement on the resilience of NAIs with one or more ACEs. The researcher also investigated the type of ACEs reported among adult NAIs seeking behavioral health services on the Mississippi Band of Choctaw Indian (MBCI) Reservation. Lastly, the association between ACEs and resilience was …

The Effects Of Trauma And Statelessness On Refugee Employment Outcomes, Seth Hershberger

Theses and Dissertations

An empirical study, this paper examines the relationship of pre-resettlement refugee characteristics on their respective economic outcomes post-resettlement. In particular, it places special focus on the correlation that a refugee’s level of trauma and duration of statelessness, or time spent in a temporary country of asylum, have with that refugee’s real wages, probability of being employed at 180 days post-resettlement, and duration of initial unemployment in the country of final resettlement. Through the development of three sets of models, this paper finds a quadratic relationship between the length of a refugee’s statelessness and real wages post-resettlement, where increases in duration …

An Interpretative Phenomenological Analysis Of The Lived Experience Of Parental Caregivers For Children With Severe Epidermolysis Bullosa, Michael J. Valentine

Theses and Dissertations

Providing care to child with a chronic, rare diseases has been identified as a major life stressor with a myriad of negative physical and mental health consequences. These stresses have previously been found to create burden that may impair caregiving efforts and increase the risk of mortality for both the caregiver and affected child. Many rare diseases affect children. It is not known how caregiver burden and the source of stress varies by disease. Qualitative methods have been used to understand caregiver experience with the rare disease, epidermolysis bullosa (EB), but no such studies have occurred in the United States. …

Impact Of Covid-19 Pandemic On Women Interpersonal Violence Survivors, Melissa Fernandez

Theses and Dissertations

Women have a significant risk of experiencing interpersonal violence over the course of their lifetime. There has been some suggestion that this risk has been exacerbated by the isolation experienced during the COVID-19 pandemic. The proposed study will evaluate levels of stress associated with interpersonal violence during the COVID-19 pandemic. Depression, coronavirus anxiety, Posttraumatic symptoms, and COVID-19 stress levels will be evaluated. It is hypothesized that participants who experienced interpersonal violence (childhood abuse, physical assault, unwanted sexual experiences, and/or intimate partner violence) will endorse higher levels of COVID-19 stress, Posttraumatic symptoms, depression. These outcomes would be mediated by experiential avoidance. …

The Role Of Social Skills In Protecting Against The Impact Of Family And Community Violence On Youth Psychopathology, Emily Christine Hockenberry

Theses and Dissertations

Children and adolescents are exposed to family and community violence at high rates, and poly victimization is common. Further study is needed to assess the unique and additive effects of witnessing or directly experiencing violence in multiple contexts on psychopathology in urban youth of color. Additionally, analyzing the role of protective factors, such as social skills, in moderating the relation between violence exposure and psychopathology may aid in identifying unique and shared pathways by which different forms of interpersonal violence may impact mental health outcomes. This study sought to examine whether social skills (cooperation and assertion) moderated the relation between …

The Experiences Of Religiously And Spiritually Diverse Counselors And Psychotherapists Who Work With Survivors Of Sexual Violence, John M. Waters

Theses and Dissertations

The purpose of this qualitative study was to examine the lived experiences of religiously and spiritually diverse counselors and psychotherapists who work with survivors of sexual violence. The researcher used a transcendental phenomenological approach to understand how the participants engaged their religious and/or spiritual identity to cope with the traumatic stress that accompanies continuous exposure to their clients’ trauma narratives over time. As the only study that has examined these phenomena qualitatively, the present study aimed to enhance counselors and counselor educators’ understanding of the ways that religiously and spiritually diverse counselors make meaning of their experiences. The researcher collected …

Music Interventions In The Treatment Of Adolescent Trauma: A Systematic Review, Diana C. Hereld

Theses and Dissertations

As multidisciplinary research continues to uncover the promise of non-invasive interventions such as music in mental health treatment, clinicians, researchers, and music scholars alike have increasingly come together through the field of music psychology. As such, it is unsurprising that some of the most significant findings have come from cross-disciplinary studies in music and medicine. The juxtaposition of music and mental health creates a unique and substantial need for integration of literature across multiple disparate settings, including clinical psychology, education, neuroscience, music therapy, behavioral medicine, and psychiatry. Through methodological application of a textual narrative evidence synthesis, this review examines multiple …

Icu-Related Medical Trauma: A Socioecological Exploration Of Contributing Factors And Experiences Of Traumatic Stress In Adult Icu Survivors, Jacqueline Hanson

Theses and Dissertations

Advances in biomedical technologies and critical care are leading to increased survivorship rates of ICU patients. During critical care, patients confront a variety of stressors that may contribute to adverse psychological outcomes, including posttraumatic stress. The nature of posttraumatic stress in this population differs from that associated with traditional trauma. The phenomenon of medical trauma in ICU survivors is complex: it is highly subjective, exists on a continuum, is cumulative in nature and carries cumulative effects, involves a combination of endogenous and exogenous, physical and emotional stressors that vary in intensity and duration, occurs in an interpersonal context that involves …

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 …

The Relationship Experiences Of Male Survivors Of Sexual Abuse: A Qualitative Analysis, Jordan Grant Gibby

Theses and Dissertations

Although the experience of sexual abuse is quite common among men, particularly among those in clinical populations, relatively little research has been done specifically with male survivors and the impact of abuse in their lives. More specifically, the impact of sexual abuse on male survivors' relationship dynamics has been underdeveloped in the research literature. Untapped online data can help illuminate these relationship dynamics, providing insight to clinicians for improved couple and family treatment. Through qualitative analysis of data from online discussion boards at MaleSurvivor.org, the present study examined the ways in which male survivors of sexual abuse described dynamics of …

When Being Strong Hurts: Trauma And The Strong Black Woman Stereotype, Cynthia Nicole White

Theses and Dissertations

There are several research studies which suggest that, when confronted with stress or trauma, Black women in the United States seek help less than other populations, particularly White women. Part of the reason for this reluctance towards help-seeking may be explained by the American cultural stereotype of the Strong Black Woman (SBW). The Strong Black Woman is one who overcomes all obstacles, remains strong despite problems, and sacrifices herself for others. Research on the Strong Black Woman stereotype is scarce, but the limited research that exists found that the stereotype consists of 3 factors: Mask of Strength, Self-Reliance/Strength, and Caretaking. …

Relational And Mental Health Outcomes Of Trauma And Disaster: The Medicating Role Of Grit, Lacey A. Bagley

Theses and Dissertations

Current literature focusing on those exposed to disaster includes calls for more studies with populations who have regular exposure to extreme weather events. The current study reported on a secondary data analysis with a sample of 240 heterosexual couples living in or near coastal regions in the southeast US, who were at risk of experiencing disaster events during the 2019 hurricane season (June-December). An actor-partner interdependence model was fit to the dyadic data via path analysis to test the mediating effect of grit on the relationship dyadic coping (mental health and attachment behaviors) and disaster-related losses, accounting for trauma history. …

The Semantic And Acoustic Voice Features Differentiating Neutral And Traumatic Narratives, Yosef Shimon Amrami

Theses and Dissertations

This dissertation is a quantitative and qualitative exploration of how one linguistically communicates emotions through an autobiographical narrative. Psycholinguistic research has affirmed that linguistic features of a narrative, including semantic and acoustic features, indicate a narrator’s emotions and physiological. This study investigated whether these linguistic features could help differentiate between trauma and neutral narratives and if they can predict autobiographical narratives’ subjective trauma ratings (STR). Qualitative analyses of the positive and negative evaluative statements were also conducted, which indicated the narrators’ thought processes during recall. Twenty-two Spanish-English college students participated in this study and narrated both traumatic and neutral narratives. …

Decent Work As A Moderator For Survivors Of Traumatic Life Events, Matthew Carbonelli

Theses and Dissertations

The Psychology of Working Theory (PWT) is a vocational psychology theory that aims to explore the pathways and outcomes that may hinder or improve the likelihood of obtaining decent work by including contextual factors such as marginalization and economic constraints. Vocational psychology primarily focuses on individual characterological elements of obtaining work; however, limited evidence exists exploring how traumatic symptoms or exposure may affect one’s abilities to find work. This study seeks to utilize PWT to understand better how the relationship between trauma exposure and job satisfaction and personal wellbeing is moderated by decent work. Sampling consisted of 61.3% female (n …

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 …

School Psychologists' Beliefs, Perceived Competence, Knowledge, Social/Norms Expectations, And Implementation Of School-Based Trauma-Focused Interventions, Amanda Rian Hanrahan

Theses and Dissertations

Two out of every three children will experience a traumatic event before the age of 16 (APA, 2008). Due to a variety of barriers, many of these children will not receive the mental health treatment and support they need (GAO, 2009). Researchers have identified School Psychologists as the primary school-based mental health professionals to provide services in schools (Jaycox et al., 2007). The present study aimed to better understand the prevalence of childhood trauma, analyze the factors that lead to increased intervention implementation for School Psychologists, and identify factors that decrease the negative association between barriers and implementation frequency of …

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 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.

Approach And Avoidance Coping Humor Motives And Their Relation To Trauma Exposure And Physical Health, Andrea D. Dorbu

Theses and Dissertations

The present study investigated approach-avoidance motives for humor use and their association with physical health symptoms linked to childhood trauma exposure and adult relationship trauma exposure among military-affiliated people and civilians (N=100). Results indicated that approach-avoidance motives for humor use were not associated with study variables. However, adult relationship trauma exposure had a significant positive association with physical health symptoms among both groups. In addition, childhood trauma exposure was significantly positively associated with adult relationship trauma exposure.

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 …