Psychology Commons^™

The Association Between Social Support And Posttraumatic Stress Symptoms Among Survivors Of Betrayal Trauma: A Meta-Analysis, Vanessa Tirone, Daria Orlowska, Ashton M. Lofgreen, Rebecca K. Blais, Natalie R. Stevens, Brian Klassen, Philip Held, Alyson K. Zalta

University Libraries Faculty & Staff Publications

Background: Betrayal traumas have a particularly deleterious effect on mental health. Although social support is a robust predictor of posttraumatic stress disorder (PTSD) symptom severity, it is not clear what factors may impact this relationship among betrayal trauma survivors.

Objective: This study sought to describe the association between social support and PTSD symptom severity among survivors of betrayal trauma and examine whether methodological, sample, trauma, and social support characteristics moderated this association.

Method: A comprehensive search identified 29 studies that assessed the cross-sectional association between PTSD symptom severity and social support among 6,510 adult betrayal trauma survivors.

Results: The average …

The Effects Of Familial Support, Social Support, And On-Campus Involvement On Posttraumatic Stress Symptoms On Academic Achievement, Kelsey G. Coulthard

LSU Master's Theses

Research demonstrates that students with higher levels of posttraumatic stress symptoms (PTS) exhibit lower grades in college (Pereira, et al., 2018). Further, higher levels of PTS during the first semester of college leads to higher rates of withdrawing from school (Boyraz, Horne, Owens, & Armstrong, 2013). Although there is ample evidence that the association between traumatic experiences are negatively correlated with academic performance, little is known about factors that may moderate or influence the relationship. Research has determined that higher levels of social support may facilitate recovery from trauma exposure and may lessen PTS symptoms in college students (Grasso, 2011). …

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 …

The Role Of Affect In The Relationship Between Social Stress And Posttraumatic Stress Disorder Symptomology, Alyssa S. Mielock

Graduate Research Theses & Dissertations

Posttraumatic stress disorder (PTSD) is a psychological disorder that may develop following a traumatic event. Many factors have been shown to contribute to maintaining the distressing and impairing symptoms in response to the event. Internal factors, such as increased negative affect (NA), is positively associated with PTSD symptom severity (PTSS). External factors like social support have a negative relationship with PTSS; increased levels of social support are associated with decreased PTSS. Another external factor that may contribute to PTSS is increased stress. There are mixed findings as to how a psychosocial stressor impacts trauma-exposed samples physiologically. The current study addressed …

Childhood Trauma And Ptsd Symptoms: Disentangling The Roles Of Emotion Regulation And Distress Tolerance, Jenna E. Russo, Deepali M. Dhruve, Arazais D. Oliveros

College of Arts and Sciences Publications and Scholarship

Background: Research documents that individuals with a history of childhood trauma experience greater emotion regulation difficulties (ED), as well as lower distress tolerance (DT), two constructs that independent lines of research implicate as transdiagnostic factors in post-traumatic stress disorder (PTSD). To help elucidate how such mechanisms may influence the etiology, maintenance, and treatment of PTSD, the current study investigates the distinct mediating roles of ED and DT and explores which accounts for more unique variance.

Methods: Participants (N = 385, aged 18-48) with a childhood trauma history provided self-ratings of cumulative trauma exposure, and endorsed current ED, DT, and …

Perceptions Of Effectiveness Of Eye Movement Desensitization And Reprocessing Treatment Intervention From Survivors Of Intimate Partner Violence, Laurinda Cumming

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a national health care problem. This violence affects 10 million people on average in the United States every year. This research focused on the treatment resistance for PTSD, a severe and disabling condition. This qualitative descriptive study provided a purposeful sampling of female survivors’ lived experiences and perceived effectiveness of EMDR in treating PTSD symptoms as a result of IPV. Study participants were 7 females, 18 years or older, residing in the Southwestern United States. The theoretical framework of the self-efficacy model was used to look at how posttraumatic symptoms can be so severe from …

The Interactive Effects Of Brain-Derived Neurotrophic Factor (Bdnf) Polymorphisms And Posttraumatic Stress Disorder On Neurocognitive Functioning In U.S. Military Veterans, Colton Shafer Rippey

Theses and Dissertations--Psychology

Posttraumatic Stress Disorder (PTSD) is associated with mild-to-moderate deficits in neurocognitive functioning. Single nucleotide polymorphisms (SNPs) in the brain-derived neurotrophic factor (BDNF) gene, namely, the Met allele, may also be associated with mild deficits in neurocognitive functioning. However, findings are inconsistent and may be sensitive to environmental epigenetic moderators such as psychopathology.

The current study analyzed data from European-American U.S. military veterans (n = 1,244) who participated in the 2011 National Health and Resilience in Veterans Study (NHRVS). Multivariate analyses of covariances were conducted to evaluate the unique and interactive effects of the Met allele and probable PTSD on …

Incorporating Psychological Trauma Into Adhd Differentials: A Pilot Study Of Primary Care Providers' Perspectives, Amber Nipper

PsyD Program in Clinical Psychology Doctoral Dissertations ( Seattle)

According to the American Academy of Pediatrics (AAP, n.d.), 40% to 50% of individuals seeking mental health services terminate prematurely due to lack of access, lack of transportation, financial constraints, child mental health professional shortages, and stigma related to mental health. These barriers contribute to primary care providers assessing and managing mental health concerns at increasing rates, particularly symptoms consistent with attention deficit/hyperactivity disorder (ADHD). ADHD is a neurobiological disorder beginning in childhood that is defined as “a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development” (American Psychiatric Association [APA], 2013, p. 59). Current literature shows …

The Risks For Eating Disorders/Disordered Eating In Refugee & Immigrant Experiences And The Imperative Of Culturally Alert Screening, Chantal A. Bushelle

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Eating Disorders (ED)/Disordered Eating (DE) largely remain outside of global mental health agendas. There are limited data on the epidemiology EDs/DE in refugee and immigrant populations, and there is a paucity of research on refugee and immigrant experiences of EDs/DE. Study of acculturation issues in refugee and immigrant populations have historically missed investigating what role and impact experiences of stress and trauma (e.g., historical, chronic) along with cultural change and transition may have on their food attitudes and eating behaviors. While there has been some study of eating habits within refugee and immigrant populations, the focus is typically on food …

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 Maladaptive Cognitions Of Moral Injury, Rachel L. Martin

Dissertations

Moral injury and Post-Traumatic Stress Disorder (PTSD) are two prominent mental health problems that affect military personnel. Moral injury results when the individual is exposed to a situation or event that violates their moral code; however, PTSD results when there is a substantial threat of harm. Moral injury is a relatively new construct within the literature with research starting in the late 2000s. Although distorted cognitions are core components of PTSD symptomatology, there has been no research of cognitions in moral injury. The current study sought to differentiate PTSD and moral injury using the specific maladaptive cognitions associated with trauma …

Mindfulness And Technology: Evaluating An Online Mindfulness Intervention For Symptoms Related To Sexual Assault, Erica Catherine Johnson

Dissertations

Sexual assault has been found to increase the risk of distressing psychological symptoms including PTSD, depression, somatization, drug and substance use, lower quality of life and experiential avoidance. As such, interventions for reducing the distress and negative impacts of sexual assault are of importance. Mindfulness is of particular interest as it addresses one of the prominent factors known to maintain psychological distress after trauma, experiential avoidance (Polusny et al., 2004; Merwin et al., 2009). Furthermore, an online mindfulness-based intervention can increase the accessibility and reduce the barriers to treatment. A within subjects repeated measures open clinical trial design was used …

Military Sexual Trauma In Veterans: Consequences, Treatment, And Therapeutic Implications, Chelsey Siville

Dissertations

Amongst Veterans served within the Veterans Affairs healthcare system, approximately 1 in 50 men and 1 in 3 women have experienced military sexual trauma (MST). While every individual is different, a common characteristic or identity amongst those who have served is that of a warrior – someone perceived as strong and ready to defend both their country and fellow soldier. Experiencing military sexual trauma can create a painful and discrepant identity as well as impact almost all domains of functioning. Unfortunately, trauma is an all too common occurrence in the lives of many service members and the multifinality of trauma …

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 …

Neurobiological Mechanisms Of Cognitive Processing Therapy For Post-Traumatic Stress Disorder: A Brain Network Approach, Tessa Vuper

Dissertations

Psychotherapy research is increasingly targeting both psychological and neurobiological mechanisms of therapeutic change. This trend is evident in and applicable to post-traumatic stress disorder (PTSD) treatment research given the high nonresponse rate of individuals with PTSD who undergo cognitive-behavioral therapy (CBT). A review of the literature investigating neurobiological mechanisms of CBT in PTSD reveals inconsistent results that fail to fully support dual process or learning models of CBT effects in the brain. However, network-based models of psychopathology provide a new framework from which to understand both mental disorder symptoms and therapeutic mechanisms. The current study investigated a) whether brain networks …

Exploring The Experience Of Psychological Distress For Young Adults With Cancer: Implications For A New Diagnosis Of Medical Traumatic Stress, Audrey Ryan

Counseling and Psychology Dissertations

The purpose of this qualitative study was to investigate how a serious medical diagnosis, such as cancer, can act as an acute or prolonged trauma. This was explored through the lived experiences of psychological distress of young cancer survivors. Participants were 12 men and women who had been diagnosed with cancer within the past seven years when they were between the ages of 18 and 39. From these interviews several themes emerged that describe the phenomenon of what I have termed medical traumatic stress.

Trauma from a medical event does not currently meet criteria for PTSD in the DSM-5 …

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.

Ptsd Symptom Interaction Among Victims Of Interpersonal Violence: A Network Analysis, Robert Graziano

Dissertations

Along with numerous combinations of symptoms, posttraumatic stress disorder (PTSD) is linked to high dropout and non-response rates in treatment. Poor treatment response may be due to an inaccurate conceptualization of PTSD. One newer approach to the conceptualization of psychopathology is network theory. Network theory posits that symptoms both directly and indirectly reinforce each other, with connections between symptoms varying in strength. Previous studies of network theory and PTSD have found intrusive symptoms to be highly central, but have not included samples of individuals traumatized by interpersonal violence. Because trauma type has been shown to predict symptom presentations, this represents …

Examining The Factor Structures Of The A-Des And Ptci To Identify Unique Predictors Of Ptsd Symptom Clusters In Maltreated Youth, Amanda Howard

UNLV Theses, Dissertations, Professional Papers, and Capstones

Research on childhood posttraumatic stress disorder (PTSD) has increased over the past decade. Youth who experience maltreatment are more likely to exhibit symptoms of PTSD. At present, the literature largely focuses on youth who have experienced general trauma or PTSD symptoms, while maltreated youth are understudied. To date, no studies have examined the psychometric properties of the Adolescent Dissociative Experiences Scale (A-DES) or the Posttraumatic Cognitions Inventory (PTCI) in a sample of maltreated youth. Predictors of childhood PTSD for maltreated youth remain unknown. The present study was the first research study to date to examine the factor structures of the …

Dissociation And Metacognition: A Mixed Methods Analysis, Richard E. Nalbandian

Doctor of Psychology (PsyD)

Dissociation commonly occurs as a defense against trauma and can be understood as a breakdown in metacognition. The present research investigated the relationship between trauma, dissociation, and metacognition in subjects with PTSD, a trauma-related disorder. Specifically, we investigated a potential inverse relationship between metacognition and dissociation in participants who have undergone psychoanalytic therapy. Participants were patients admitted to the Austen Riggs Center, who consented to be a part of the Follow Along Study (FAS), a longitudinal investigation spanning 15 years. Quantitative and qualitative analyses examined differences in themes of dissociation across initial and follow-up-clinical interviews. Quantitatively, all subscales for metacognition …

Does Counselor Type Affect A Manualized Treatment?, Cynthia C. Kay

Walden Dissertations and Doctoral Studies

This quantitative study was to determine whether there are differences in client treatment outcomes based upon the type of counselor who conducted an empirically supported treatment called Seeking Safety for persons diagnosed with posttraumatic stress disorder and substance use disorder. Many studies show that counselors’ personal attributes impact treatment; however, this study added to the literature by focusing on a standardized treatment for the co-occurrence disorder of substance use and posttraumatic stress disorder. Archival data from an outpatient treatment facility was used. Clients were provided integrated services, which included psychological and substance use treatment. The participants/clients were men and women …

Factors Affecting Commitment For Military Couples, Laura Villalobos Garza

Walden Dissertations and Doctoral Studies

The reintegration process for combat veterans is challenging not only for soldiers but also for their spouses and family members. The purpose of this quantitative study was to examine factors affecting relationship commitment in military couples in which a service member has shown signs of post-traumatic stress disorder (PTSD). Sternberg’s triangular theory of love provided the framework for the study. Independent variables were passion, intimacy, age, and social support, and the dependent variable was commitment. Survey data were collected from 116 participants using Sternberg’s Triangular Love Scale and the Multidimensional Perceived Social Support Scale. The results of multiple linear regression …

Writing And Well-Being: Comparing Varied Expressive Writing Tasks On Posttraumatic Stress Symptoms And Life Satisfaction, Zena Dadouch

Graduate Research Theses & Dissertations

Frontline treatments for posttraumatic stress disorder (PTSD) have been extensively researched, and there is significant support for their efficacy in decreasing PTSD symptomatology and improving life quality. However, the treatments seem to be burdensome, as a significant minority does not improve or drops out before the continuation of treatment. This pattern could be explained partially by the time commitment, cost of and access to treatment, and the resulting emotional overload. Therefore, it is useful to explore other avenues that could lead to improvements in symptomatology and well-being and that are more accessible and manageable. One possible direction is expressive writing …

Post-Traumatic Stress Symptoms In Sexual And Non-Sexual Trauma: Comparisons On Symptom Severity, Disgust, And Contamination Concerns., Jaime Murtagh

Electronic Theses and Dissertations

A number of emotions have been identified as contributing to the experience of Post-traumatic Stress Disorder (PTSD) and Obsessive Compulsive Disorder (OCD), including fear and disgust. Given the high rates of comorbidity between PTSD and OCD, research has suggested that disgust may be a likely link between these disorders. The current study examined the relation between contamination disgust, trauma symptom severity, and contamination related-OCD (C-OCD) symptoms in a sample of sexual and non-sexual trauma survivors (N = 206). Specifically, it was proposed that sexual trauma survivors would endorse more severe PTSD symptoms, higher levels of disgust, and more C-OCD symptoms. …

Confusing Conversations: Assessing Traumatic Stress In Young Children, Jennifer Lela Moniz

Antioch University Full-Text Dissertations & Theses

Early detection and interventions are important for the prevention of negative long-term effects of Posttraumatic Stress Disorder (PTSD). Current evaluations of PTSD in young children rely heavily on caregiver reports, and there are few self-report measures for children under 8 years old (Mash & Barkley, 2007). This study examined the construct validity of the Post Traumatic Symptom Inventory for Children (PT-SIC), a self-report measure of PTSD symptomatology for young children, through a comparison of results with the Trauma Symptom Checklist for Young Children (TSCYC), an empirically supported caregiver measure of child PTSD symptomatology. Results of the Spearman correlation indicated that …

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 …

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.

Self-Compassion And Suicide Risk In Veterans: Serial Effects Of Shame, Guilt, And Ptsd, Jessica Mckinney

Electronic Theses and Dissertations

Suicide is a significant public health concern and ranks as the 10^th leading cause of death in the U.S. Veterans are at a disproportionately higher risk for suicide, due to risk factors such as exposure to trauma and its negative cognitive-emotional sequalae, such as PTSD, shame, and guilt. However, not all veterans exposed to traumatic events, or who experience shame and guilt, die by suicide, perhaps as a result of the presence of individual-level protective factors such as self-compassion. Conceptualized as self-kindness, mindfulness and common humanity, self-compassion is beneficially associated with mental and physical health, including reduced suicide risk. …

The Relationship Between Frequency Of Yoga And Meditation On Ptsd Symptoms In Individuals Who Have Experienced Intimate Partner Violence, Kimberly Polignani

Dissertations

Intimate partner violence (IPV) has become a growing phenomenon in the United States,

affecting nearly 13% of the population. The adverse mental health outcomes from people who experience IPV are prevalent and more than half have a diagnosis of posttraumatic stress disorder (PTSD). Therefore, therapeutic techniques for PTSD appear to be feasible for IPV survivors and their mental health issues. Complementary and alternative medicine has become a widely accepted approach for PTSD. Being two complementary and alternative medicine techniques, yoga and meditation are effective forms of therapy in many diagnoses, including PTSD. This study utilized a not-for-profit organization called the …

Examining The Gender- And Sexuality-Related Cognitive “Stuck Points” Of Men And Women With Experiences Of Adult Sexual Assault: Implications For Cognitive Processing Therapy, Marin Beagley

Dissertations

Cognitive Processing Therapy (CPT) is considered a gold-standard psychotherapy protocol for the treatment of posttraumatic stress symptoms secondary to a variety of traumatic events. Despite its demonstrated efficacy, there is research to suggest CPT may not be as effective in reducing PTSD symptoms for men with an adult sexual assault trauma as it is for their female counterparts. The purpose of the present study was to determine whether CPT treatment outcome discrepancies may be attributable to gender differences in posttraumatic cognitions, or “stuck points.” As the act of sexual victimization is incongruent with socially prescribed masculine gender norms, it was …