Psychology Commons^™

Patient Perceptions Of Trauma-Focused Telemental Health Services Using The Telehealth Satisfaction Questionnaire (Tsq), Bianca T. Villalobos, Aubrey R. Dueweke, Rosaura Orengo-Aguayo, Regan W. Stewart

Psychological Science Faculty Publications and Presentations

Telehealth services can address many barriers to traditional office-based mental health services. Few studies have assessed youth and caregiver perceptions of and satisfaction with trauma-focused interventions delivered via telemental health. The current study presents data collected using the Telehealth Satisfaction Questionnaire (TSQ), which was developed to measure child and caregiver satisfaction with services, comfort with the telehealth equipment, and barriers to traditional office-based services. Thirteen clinicians delivered home- and school-based Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) via videoconferencing on tablets and computers to 60 child patients (71.7% Latinx, 18.3% Black, and 10.0% non-Hispanic White). Patients and caregivers completed the TSQ at …

A Call To Create: Poetry As Healing And One Nurse’S Self-Discovery, Kim Cornett Henry, Kim Cornett Henry

English Theses

Florence Nightingale’s vision for nursing has changed greatly in the past one hundred and fifty years, with nursing’s identity replaced with an emphasis on science over caring. The fast-paced, technologically sophisticated environments, designed to meet the declining health of an American public, have resulted in nurses who are being pulled away from nurse-to-patient caring acts and the reasons they felt called to become nurses. These changes have had detrimental psychological and emotional effects on nurses and are especially evident in Intensive Care nurses. Expressive writing as poetry, autoethnography, and participation in vibrant writing communities offer nurses experiences for healing, voice, …

Positive Psychological Transformation: A Mixed Methods Investigation Into Catalysts And Processes Of Meaningful Change, Nick Fortino, Paul Dommert Jr., Nadia Santiago, Jen Smith

International Journal of Transpersonal Studies Advance Publication Archive

This mixed methods study investigated the experience of positive psychological transformation, including its catalysts, dynamics, supportive factors, and outcomes. The first phase of the study was a 13-item survey (N=130) that revealed trends and associations in participants’ experiences of transformation. The most significant correlation was between “expressing myself” and change stabilization (p < .01). Forty-four percent of participants reported trauma or emotional distress as the main catalyst of their transformation. Each of the other three main catalysts (dissonance, adaptation, and inspiration) drew approximately 18% of responses. Connecting with nature (71%), introspection (65%), solitude (63%) and empathy (61%) were commonly reported supportive factors. Common changes related to participants’ way of interacting with others (77%), perception (75%), and emotional patterns (70%). The process of transformation differed substantially depending on multiple factors including the catalyst and demographic categories. Additionally, the survey revealed a trend of moving away from organized religion toward a sense of being spiritual but not religious. The second phase of the study consisted of interviews with a portion of the participants who reported trauma as the main catalyst of their transformation (n = 26) and was focused on the experience of posttraumatic growth. Thematic analysis revealed that transformation is typically initiated by a series of traumatic events and that the process of transformation can involve impaired well-being/functioning before elevated well-being/functioning. The results of thematic analysis were consistent with existing data on posttraumatic growth.

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 …

A Preliminary Evaluation Of The Unified Protocol Among Trauma-Exposed Adults With And Without Ptsd, Caitlyn O. Hood, Matthew W. Southward, Christian Bugher, Shannon Sauer-Zavala

Psychology Faculty Publications

The purpose of this study was to evaluate whether the Unified Protocol (UP)—a mechanistically transdiagnostic psychological treatment—provides benefit to individuals with a range of trauma histories, psychological difficulties, and diagnostic comorbidity. Using data from a sequential multiple-assignment randomized trial (SMART), this exploratory analysis included a sample of 69 community-recruited adults seeking outpatient mental health treatment. We examined reductions in anxiety and depressive symptoms and changes in aversive and avoidant reactions to intense emotions—the UP’s putative mechanism—first by comparing individuals with and without trauma histories and then specifically among participants with PTSD. Findings suggest that the UP may lead to similar …

Secondary Traumatic Stress In School Psychology Practicum And Internship Students, John Phillip Burnett

Electronic Theses and Dissertations

School psychology practicum and internship students increasingly engaged in activities in which they assisted children and clients who were survivors of various traumatic experiences. It has become apparent that the psychological effects of secondary traumatic stress (STS) extend beyond those directly affected and impact those in a variety of helping professions. Despite research that examined STS in various helping professions, gaps currently exist that describe STS in school psychology. In reported research, similar helping professionals engaged in school psychology service activities, which resulted in elevated STS symptoms and other adverse outcomes (Ravi et al., 2021). This study posited that school …

Role Of Cortisol In The Development Of Post-Traumatic Stress And Dysphoria, Devi Jayan

Dissertations (1934 -)

Exposure to a traumatic event is a significant predictor for the development of posttraumatic stress disorder (PTSD) and depression. Identification of specific risk factors for PTSD and depression after trauma exposure has been challenging due to comorbid and heterogeneous presentations of these conditions. Pre-existing research demonstrates reduced cortisol response (hypocortisolism) in chronic PTSD and an exaggerated cortisol response (hypercortisolism) in depression. The current longitudinal study examined cortisol response following a traumatic injury as a potential biomarker for deciphering specific risk for PTSD, depression, and PTSD depression comorbidity. Saliva samples for cortisol assay (post-injury cortisol) were collected from 172 trauma survivors …

Acute Posterior Cingulum Integrity Post-Trauma Prospectively Predicts Depression But Not Ptsd Symptoms, Carissa N. Weiss, Ashley A. Huggins, Tara A. Miskovich, Jacklynn M. Fitzgerald, Kenneth P. Bennett, Jessica L. Krukowski, E Kate Webb, Terri A. Deroon-Cassini, Christine L. Larson

Psychology Faculty Articles

Background: Little is known about what distinguishes those who are resilient after trauma from those at risk for developing posttraumatic stress disorder (PTSD). Previous work indicates white matter integrity may be a useful biomarker in predicting PTSD. Research has shown changes in the integrity of three white matter tracts—the cingulum bundle, corpus callosum (CC), and uncinate fasciculus (UNC)—in the aftermath of trauma relate to PTSD symptoms. However, few have examined the predictive utility of white matter integrity in the acute aftermath of trauma to predict prospective PTSD symptom severity in a mixed traumatic injury sample.

Method: Thus, the …

Acute White Matter Integrity Post-Trauma And Prospective Posttraumatic Stress Disorder Symptoms, Carissa N. Weis, Ashley A. Huggins, Tara A. Miskovich, Jacklynn M. Fitzgerald, Kenneth P. Bennett, Jessica L. Krukowski, E. Kate Webb, Terri A Deroon-Cassini, Christine L. Larson

Psychology Faculty Research and Publications

Background: Little is known about what distinguishes those who are resilient after trauma from those at risk for developing posttraumatic stress disorder (PTSD). Previous work indicates white matter integrity may be a useful biomarker in predicting PTSD. Research has shown changes in the integrity of three white matter tracts—the cingulum bundle, corpus callosum (CC), and uncinate fasciculus (UNC)—in the aftermath of trauma relate to PTSD symptoms. However, few have examined the predictive utility of white matter integrity in the acute aftermath of trauma to predict prospective PTSD symptom severity in a mixed traumatic injury sample.

Method: Thus, the current study …

Positive Psychological Transformation: A Mixed Methods Investigation Into Catalysts And Processes Of Meaningful Change, Nick Fortino, Paul Dommert Jr., Nadia Santiago, Jen Smith

International Journal of Transpersonal Studies

This mixed methods study investigated the experience of positive psychological transformation, including its catalysts, dynamics, supportive factors, and outcomes. The first phase of the study was a 13-item survey (N=130) that revealed trends and associations in participants’ experiences of transformation. The most significant correlation was between “expressing myself” and change stabilization (p < .01). Forty-four percent of participants reported trauma or emotional distress as the main catalyst of their transformation. Each of the other three main catalysts (dissonance, adaptation, and inspiration) drew approximately 18% of responses. Connecting with nature (71%), introspection (65%), solitude (63%) and empathy (61%) were commonly reported supportive factors. Common changes related to participants’ way of interacting with others (77%), perception (75%), and emotional patterns (70%). The process of transformation differed substantially depending on multiple factors including the catalyst and demographic categories. Additionally, the survey revealed a trend of moving away from organized religion toward a sense of being spiritual but not religious. The second phase of the study consisted of interviews with a portion of the participants who reported trauma as the main catalyst of their transformation (n = 26) and was focused on the experience of posttraumatic growth. Thematic analysis revealed that transformation is typically initiated by a series of traumatic events and that the process of transformation can involve impaired well-being/functioning before elevated well-being/functioning. The results of thematic analysis were consistent with existing data on posttraumatic growth.

Generations Of Pain: A Transgenerational Examination Of Trauma, Parenting Styles, And Attachment Of Black Women, Latoya Hampton

Dissertations

Historically, Black women have experienced horrendous acts of violence throughout the centuries and generations. The transmission of transgenerational trauma has impacted this community’s mental health, physical well-being, educational performance, and interpersonal interactions. Prior research has focused on general trauma and its effect on Black women; however, this review sought to explore transgenerational trauma and the implications of attachment and parenting styles of Black women. Previous studies have examined the majority population’s attachment, trauma, and parenting styles consecutively, though not simultaneously. With limitations found in the research of diverse populations, it is imperative that clinicians are culturally competent to implement effective …

Secondary Traumatic Stress In Intimate Partners And Children Of Service Members, Amber Foreman

Dissertations

This literature review addresses secondary traumatic stress (STS) in intimate partners and children of service members. More specifically, this literature review aims to explore if intimate partners and children of military service members are at risk for developing secondary traumatic stress. Secondly, this review aims to explore if there are specific risk factors associated with the development of secondary traumatic stress in intimate partners and children of service members. Finally, this review examines if there are other stressors and outcomes for intimate partners and children of service members. A systematic review of peer-reviewed research was explored to accomplish addressing the …

The Bidirectional Effects Of Serious Conduct Problems, Anxiety, And Trauma Exposure: Implications For Our Understanding Of The Development Of Callous-Unemotional Traits, Emily Lynne Robertson

LSU Doctoral Dissertations

The association of anxiety and trauma with childhood conduct problems has long been the focus of research, and more recently this area of research has become critical to understanding the development of callous-unemotional (CU) traits. Research in samples of children and adolescents has indicated that those elevated on both CU traits and anxiety seem to show more severe externalizing behaviors and are more likely to show histories of trauma. These findings have typically been interpreted as being indicative of a unique casual pathway to CU traits in those high on anxiety. However, an alternative explanation is that the higher rates …

Trauma-Informed Care Within The Homeless Service Milieu: Practical And Conceptual Considerations, Martina Mihelicova

College of Science and Health Theses and Dissertations

Research indicates that most individuals in the general population experience some form of trauma (Kilpatrick et al., 2013) and that factors such as homelessness place individuals at higher risk of experiencing traumatic events (Deck & Platt, 2015; Ellsworth, 2019; Kushel, Evans, Perry, Robertson, & Moss, 2003). Considering that environments may both promote and impede the trauma recovery process, Trauma-Informed Care (TIC) is a service framework intended to create a culture of trauma awareness and responsiveness (Fallot & Harris, 2006). Preliminary research demonstrates that TIC has positive outcomes for clients and staff (Damian, Mendelson, Bowie, & Gallo, 2018; Hales et al., …

A Phenomenology Of Challenging Psychedelic Experiences: From Relational Trauma To Relational Healing, Leland Guthrie

Electronic Theses and Dissertations

Psychedelic medicine is a re-emerging therapeutic paradigm with potentially significant clinical applications. This study contributes to an understanding of the aspects of challenging psychedelic experiences that may contribute to therapeutic outcomes. Interview and written data from five participants about their challenging Ayahuasca experiences was analyzed using Interpretative Phenomenological Analysis (IPA). The results of this analysis revealed a phenomenological structure of challenging psychedelic experiences consisting of a change process that moved the participants from a sense of disconnection to a sense of connection with themselves, others, nature and the cosmos. Findings from the study suggest that challenging psychedelic experiences may be …

Exploring Coaches’ Perceptions Of The Role Of Trauma In Sport Success, Elizabeth Sanborn

Dissertations, 2020-current

Recent research examining the antecedents to success in elite sport have led to claims that trauma is necessary to reach the highest levels of sport. Researchers have utilized theories of post-traumatic growth, stress-related growth, and related terms to elucidate the relationship between trauma and sport success, but have been inconsistent in how they define trauma and growth. The purpose of this study was to explore coaches’ perceptions regarding the relationship between trauma and sport success and how their perceptions may influence their coaching behaviors. An interpretivist phenomenological analysis framework was utilized for the study design and analysis. Ten NCAA Division …

Git (Gender-Informed Trauma) In Black N Blue Boys / Broken Men: How Concepts Of Gender Restrict The Black Male Actor’S Creative Process And The Methods He Can Use For Creative Freedom., Tyler Tate

Electronic Theses and Dissertations

This study examines how the black male actor’s creative process can be affected by historical and cultural constructions of masculinity connected to race, sexuality, and physical movement. My research on black men’s experience with gender identity finds that social and cultural forces lead black men to reproduce behaviors that mirror a prescribed masculine ideal through physical movement. This prescribed masculine behavior is typically coded in terms of stiffness or lack of expression. This study explores how self-imposed restrictions reiterated by social standards of masculine behavior limit the creative freedom in the black male actor’s creative process. Specifically, black male actors’ …

Factors Influencing Psychotherapy Completion In Children Exposed To Adverse Childhood Experiences, Cheryl Kayleen Best

Legacy Theses & Dissertations (2009 - 2024)

Child maltreatment and childhood adversity are associated with a broad range of poor mental and physical health outcomes throughout the lifespan. The consequences of childhood adversity have led psychologists in efforts to identify the most effective therapeutic approaches and interventions with which to address the negative effects of childhood trauma. Even as a number of efficacious treatments have been established as best practices for treating childhood trauma, barriers exist in community mental health settings that oftentimes prevent full implementation of these interventions and practices. A growing body of research has focused on better understanding the high rates of attrition from …

A Systematic Review Examining The Efficacy And Effectiveness Of Trauma-Focused Cognitive Behavioral Therapy, Abigail R. Howerton

Psychology Capstone Projects

More than two-thirds of children and adolescents experience a traumatic event by the age of 16. Trauma comes in many forms and affects people in many ways. Trauma can affect behavioral, cognitive, emotional, physical, and neurological development. Trauma-focused cognitive behavioral therapy (TF-CBT) is a type of therapy created to treat children and adolescents who have experienced trauma. TF-CBT is an evidencebased treatment (EBT) and is currently the only EBT whose focus is solely on treating trauma in children and adolescents. This article reviews the literature assessing studies using randomized controlled trials (RCT’s) to determine the effectiveness and efficacy of TF-CBT …

Interpreter Perspectives On Working With Trauma Patients: Challenges And Recommendations To Improve Access To Care., Bianca T. Villalobos, Rosaura Orengo-Aguayo, Rebeca Castellanos, Freddie A. Pastrana, Regan W. Stewart

Psychological Science Faculty Publications and Presentations

Given the growing number of immigrant and limited-English-proficiency individuals in the U.S., accessing language-congruent services can be a significant barrier for many seeking mental health treatment. The use of spoken-language interpreters can help address this barrier; however, the interpretation in the context of trauma therapy can be particularly challenging for interpreters without mental health training. This quality improvement study explores issues identified by interpreters assisting in the provision of trauma-focused treatment for primarily immigrant populations. Ten certified medical interpreters (nine Spanish-language interpreters and one American Sign Language interpreter) participated in a focus group at a specialty trauma clinic in the …

Shame, Perceived Social Support, And Ptsd: Bridging The Gap Between Female And Male Survivors Of Sexual Assault, Kelsey Camille Woodward

Masters Theses & Specialist Projects

Sexual assault (SA) is prevalent in both females and males, with approximately 25% of females and 10% to 20% of males experiencing SA at some point of their lives. Social support and shame are important factors that are related to PTSD for SA survivors. However, little research has compared female and male SA survivors on these factors. Consequently, the purpose of the present study was to investigate the role of social support on PTSD in female and male SA survivors. Sex of the SA survivor was also examined as a moderator of the relationship between PTSD and social support and …

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. …

Child-Centered Play Therapy’S Impact On Externalized Behaviors Of Children Who Have Experienced Trauma: A Single-Case Research Design, Timothy "T.J." Schoonover

Graduate Theses and Dissertations

Adverse childhood experiences (ACEs) are defined as exposure to emotional abuse, physical abuse, sexual abuse, emotional neglect, physical neglect, loss of a parent, domestic violence, family member with addiction, family member with depression or mental illness, and family member incarcerated (Felitti et al., 1998). ACEs have been studied for many years and have shown to have long term negative health and social-emotional outcomes and costs the world over $1 trillion a year (Bellis et al., 2019; Felitti et al., 1998; Hughes et al., 2017). Due to the emotional, physical, and dollar amount cost to not addressing the impact of ACEs …

What Are We Missing?: A Comparison Of Experiences Of Race-Based Trauma By Black Americans And Black Jamaicans, Bianca R. Augustine

Counseling & Human Services Theses & Dissertations

Current literature explains that events resulting from instances of white supremacy and racism are traumatizing for Black individuals (Phillips, 2020). Prior literature illuminates the impact of racism and resulting race-based trauma on Black individuals but is lacking regarding the lived experiences of race-based trauma in Black individuals in the U.S. and Black individuals from Jamaica. The goal of this study was to fill a gap in current literature by providing counselors and counselor educators with information regarding the experiences of Black clients to better inform multicultural, trauma-informed counseling practices and counselor education pedagogy. This study explored the experiences of race-based …

Mental Health Outcomes Of Various Types Of Fear Among University Students Who Have An Undocumented Legal Status During The Donald Trump Presidency, Liliana Campos

Doctoral Dissertations

Having an undocumented legal status is a risk factor for mental health conditions such as depression and anxiety among university students. Much of the literature on the experiences of university students who hold an undocumented legal status has primarily focused on better understanding the educational, social, financial, and legal challenges among undergraduate students. The literature has addressed how some of these difficulties impact components of their social and mental health wellness. Yet, there is still a dearth of research focused on further understanding the experiences of students who hold an undocumented legal status from a psychological perspective, and specifically, with …

Impact Of Moral Injury For Ethnic/Racial Minority Male Veterans, Kristopher Kern

Doctoral Dissertations

Trends in demographics of post-9/11 veterans (deployments to the Middle East after 2001) describe this group as having higher survival rates, increased service-connected disabilities, and more racially diverse (NCVAS, 2018; Schnurr et al., 2009; Tanelian & Jaycox, 2008). Additionally, their deployment experiences include combat-related experiences that contradict personal moral beliefs, later named “moral injury” (MI) (Litz et al., 2009). Currier, Holland, and Mallot (2015) describe MI as intense emotions of shame, guilt, and anger alongside maladaptive behaviors emerging after “witnessing and/or participating in warzone events that challenge one’s basic sense of humanity” (p. 231).

The research on MI continues to …

Efficacy Of Narrative Exposure Therapy Among Refugees With Post-Traumatic Stress Disorder, Jarom J. R. Hickenlooper

Intuition: The BYU Undergraduate Journal of Psychology

Post-traumatic stress disorder (PTSD) is prevalent among refugee and asylum-seeker populations. Narrative exposure therapy (NET) has been effective in reducing PTSD symptoms in multiple trials. The present review analyzed 19 studies from the PsychInfo database, in which NET was utilized for exclusively refugee or asylum-seeker populations in locations of resettlement. Studies demonstrated effectiveness in reducing PTSD symptoms. In most studies, NET was more effective than other mental health treatments. Results indicated moderate to insignificant symptom reduction in other measures as well, including measures of depression. Discussions in each of the studies were examined for common themes regarding efficacy. Implications for …

The Healing Of Historical Collective Trauma, Eugen Koh

Genocide Studies and Prevention: An International Journal

Historical collective trauma is embedded in the shared consciousness of a collective, which can be considered as being the collective’s culture. The healing of historical collective trauma is a most complex and challenging task. At the core of it is a collective process of working through painful and overwhelming experiences, which is only possible in a safe and supportive environment. This process involves remembering and making sense of defined events and depends on the possession of a capable and authentic “collective thinking apparatus,” which is proposed here, to be a function of a collective’s culture. The healing of single, …

Bringing The Body Into Art Therapy: The Use Of Touch And Body Awareness In Creative Healing, Janna Corsetti

Expressive Therapies Capstone Theses

The focus on the use of healing touch and body awareness in art therapy is critically lacking. Despite the research supporting the use of body-oriented techniques in clinical therapy, there is little research related to this use specifically in art therapy. Research reveals that healing touch and body awareness can be instrumental in healing trauma, if done with the proper training and boundaries in place. The first form of attachment and comfort for children is that of touch. Therefore, it is imperative to acknowledge the power of touch and body awareness when healing from traumatic experiences. The purpose of this …

Self-Compassion Integrated Art Therapy For Mothers During A Pandemic, Shannon Dover

Expressive Therapies Capstone Theses

This thesis reviews literature related to parental mental health and the novel coronavirus (COVID-19). COVID-19 is a collective trauma in which individuals experience the trauma differently depending on race, gender, and class. Women’s experience of living during COVID-19 related to changes in the workplace, caretaking, and more. The pandemic influenced parents and notably mothers with increased stress, depression, grief, and anxiety. The practice of self-compassion reduces shame and self-criticism which are common experiences during parenting and trauma. Self-compassion and art therapy can aid in resiliency and make living during COVID-19 more comfortable. With a literature review, results yield the following …