Psychology Commons^™

Experiential Avoidance Post-Trauma: Investigating Predictors Of Traumatic Stress And Problematic Behavior., Elise Trim

Honors Theses

Experiential avoidance (EA) is the unwillingness to remain in contact with distressing thoughts, feelings, memories, and other private experiences (Hayes et al., 2004; Hayes, Strosahl, & Wilson, 1999). Although the use of EA may lead to immediate reductions in distress, prolonged use can result in problem behaviors such as substance misuse (Hayes, Wilson, Gifford, Follette, & Strosahl, 1996). Although a strong temporal relationship has yet to be established, findings suggest a possibility that EA could be a mechanism by which posttraumatic stress disorder (PTSD) symptoms are developed and maintained (Krause, Mendelson, & Lynch, 2003; Rosenthal, Polusny, & Follette, 2006; Dvorak, …

Examining Resilience In Relation To Ptsd Symptomatology In Maltreated Youth, Timothy Day

UNLV Theses, Dissertations, Professional Papers, and Capstones

Resilience following exposure to adverse life situations is an ongoing process that reduces the impact of traumatic experiences and opens potential for posttraumatic growth (Fincham, Altes, Stein, & Seedat, 2009; Luthar, Cicchetti, & Becker, 2000). The relationship between resilience and risk for PTSD in maltreated youth, however, remains unclear. This study sought to explore this relationship by examining a sense of mastery, a sense of relation to others, and emotional reactivity in youth endorsing a history of maltreatment related trauma. Participants were recruited from a Las Vegas Department of Family Services affiliated clinic and were administered the Children’s PTSD Inventory …

Cultural Conceptualizations Of The Trauma Response: The Role Of Locus Of Control, Religiosity, And Religious Coping, Yu-Feng Emily Hu

Dissertations

Posttraumatic stress disorder (PTSD) is a relatively recent diagnosis that results in significant personal and societal costs. Given the diversity of American mental health consumers, a more thorough understanding of PTSD and its relation to cultural factors may have important implications for treatment implementation and refinement. Cultural factors such as locus of control, religiosity, and religious coping have been frequently overlooked in trauma research, yet show a clear link to PTSD risk and symptomatology. This study examined these cultural factors in more detail with relation to race and trauma type and their combined influence on PTSD symptomatology. A national sample …

The Effects Of Hope, Rumination, Resilience, And Unit Support On Post-Traumatic Stress Disorder Symptom Severity In Veterans, Laura Elizabeth Blackburn

Doctoral Dissertations

The current study investigated potential protective resources: hope, rumination, resilience and unit support as they related to PTSD symptom severity among service members who deployed to Iraq or Afghanistan and experienced combat (N = 191). We also investigated each variable for possible interactions with combat exposure. Correlational analyses and hierarchical linear regression were used to analyze the data. Hope, resilience and unit support were all negatively correlated with PTSD symptom severity and combat exposure. Deliberate rumination and intrusive rumination were positively correlated with PTSD symptom severity. In the regression, significant predictors were rank, combat exposure, resilience and intrusive rumination, …

Neural Correlates Of Rumination In Posttraumatic Stress Disorder Before And After Cognitive Processing Therapy, Katherine Ruth Buchholz

Dissertations

The utilization of functional magnetic resonance imaging (fMRI) techniques to examine biomarkers and neural activity patterns related to posttraumatic stress disorder (PTSD) has provided a way to investigate mechanisms that underlie the development, maintenance, and recovery from PTSD. Studying the neural correlates of individual differences related to transdiagnostic factors has the potential to provide clinically relevant information beyond that of diagnostic categories. Rumination is one such factor. Rumination, defined as repetitive, negative, self-focused thinking is considered to be a transdiagnostic factor that is associated with depression, anxiety, and PTSD. In individuals with PTSD, rumination serves as a cognitive avoidance factor …

Ptsd Symptom Severity And Neurocognitive Performance As A Function Of Combined Tms And Imaginal Exposure In Oif/Oef Combat Veterans With Treatment Resistant Ptsd, Katharine Seagly

Psychology Theses & Dissertations

Posttraumatic Stress Disorder (PTSD) is a commonly occurring mental health diagnosis, and is particularly prevalent in combat veterans. Although there has been some success treating PTSD with various forms of therapy, many cases remain refractory to the current standard of care. This pilot study combines transcranial magnetic stimulation (TMS) to the right dorsolateral prefrontal cortex (DLPFC) and the supplementary motor area (SMA) with a standardized exposure protocol for the treatment of chronic, treatment-resistant PTSD. The aims are to (1) determine if the treatment is safe and well tolerated, (2) determine if PTSD and concomitant depression and anxiety symptoms improve, and …

Treating Trauma: The Efficacy Of Emdr As A Treatment For Ptsd, Grace S. Crawford

Honors Projects

This literature review examines the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) relative to other evidence-based treatments for Posttraumatic Stress Disorder (PTSD), such as Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT). The paper explores the problem of PTSD; outlines the history, theory, and initial trials of EMDR; and examines five randomized controlled trials which compare EMDR to PE or CPT. Results suggest that neither treatment model produces significantly greater reductions in PTSD symptoms, though there is some evidence that EMDR may be better tolerated and produce desired results faster than other treatments.

The Impact Of Childhood Trauma As Moderated By Ptsd, Relationship With Caregiver, And Rumination, Aislyn M. Allen

USC Aiken Psychology Theses

The current study explored the relationship between childhood trauma and deliberate rumination, as well as PTSD symptomology, psychological and physiological functioning. Participants consisted of 55 undergraduate students, ages 18-23; who completed measures about a specific traumatic event, psychological functioning, parental attachment, PTSD symptoms, deliberate rumination, childhood maltreatment, and a demographics questionnaire. Reported childhood trauma was a specifically identified traumatic life event, child maltreatment, or having a parent with a substance abuse or mental disorder. Following completion of measures, participants were asked to answer questions while heart rate, heart rate variability, and electrodermal activity were monitored. Results indicated there was relation …

Predicting Postraumatic Stress Disorder In Single-Incident Trauma Survivors With An Acute Injury, Joshua C. Hunt

Theses and Dissertations

The objective of this study was to create a brief and easily administered screen that can be used by hospital staff to identify those at risk for the later development of PTSD. Utilizing previous research examining pretrauma, peritrauma, and posttrauma risk factors for the development of PTSD among single-incident trauma survivors with an acute injury, an item pool was created and reviewed by experts in the field. This item pool along with a previously created screen were given to patients admitted to two level 1 trauma centers in the U.S. A follow-up was conducted at one month in which participants …

2nd Place Contest Entry: Treatment Of Post-Traumatic Stress Disorder In A Veteran Population: Efficacy Of Complementary And Alternative Medicine Therapies, Brooke D. Snelgrove

Kevin and Tam Ross Undergraduate Research Prize

This is Brooke Snelgrove's submission for the 2014-2015 Kevin and Tam Ross Undergraduate Research Prize, which won second place. She wrote about the treatment of post-traumatic stress disorder (PTSD) among veterans with Complementary and Alternative Medicine therapies. You can read the final essay that came out of her research here.

Mechanisms Of Regulation: Profiling The Impact Of Emotion Regulation On Posttraumatic Stress Symptoms, Samantha Ann Chesney

Master's Theses (2009 -)

Trauma survivors are at a high risk for developing symptoms of posttraumatic stress (PTS) and often experience difficulties with emotion regulation. However, there is no clear understanding of how multiple strategies may be used to effectively regulate PTS. The current study evaluates participants' use of six different strategies and investigates whether a specific profile of emotion regulation (i.e., the individual's default pattern of regulation, determined by the frequency with which s/he uses different strategies from a regulation inventory) is related to PTS. Results of a hierarchical cluster analysis indicated that four profiles of emotion regulation were present in the current …

The Mechanisms Of Transmission: Examining The Effects Of Childhood Interpersonal Violence Across Generations, Amber Nemeth

Dissertations, Theses, and Capstone Projects

This study examined the direct relationship between maternal exposure to childhood interpersonal violence (sexual and/or physical abuse) and behavioral problems in her pre- to early-adolescent children. It also examined whether maternal aggression (psychological and physical aggression) and emotion dysregulation (lifetime PTSD diagnosis and alexithymia) exerted a significant indirect effect on this relationship. This study was a secondary analysis of data collected from a cross-sectional and cross-generational study designed to examine associations among maternal impairments (substance abuse, general psychopathology, neuropychological functioning), child-rearing deficits (parenting deficits, child neglect, child physical/ sexual abuse), and adverse child outcomes (self-regulation deficits, aggressive behavior, and substance …

Interactions Of Borderline Personality Disorder And Anxiety Disorders Over Ten Years, Alex S. Keuroghlian,, John G. Gunderson, Maria E. Pagano, John C. Markowitz, Emily B. Ansell, M. Tracie Shea, Leslie C. Morey, Charles A. Sanislow, Carlos M. Grilo, Robert L. Stout, Mary C. Zanarini, Thomas H. Mcglashan, Andrew E. Skodol

Charles A. Sanislow, Ph.D.

Combat-Related Posttraumatic Stress Disorder: Locus Of Control And Marital Satisfaction, Jesus Botello

Walden Dissertations and Doctoral Studies

Combat-related posttraumatic stress disorder (PTSD) is a psychological condition researchers have cited as a major cause of marital discord and divorce for veterans with PTSD. This study examined the psychological construct of locus of control among the wives of veterans diagnosed with combat-related PTSD and whether or not it was a predictor of marital satisfaction within this context. An extensive search of the current literature revealed no previous studies that had investigated this relationship. Utilizing the family systems theory to address this gap, this study sought to compare reported marital satisfaction in wives with an internal locus of control to …

Post Traumatic Stress Disorder Symptoms And Intimate Relationships Of Female Survivors Of Sexual Assault: The Effects Of Treatment With Prolonged Exposure, Group, And Supportive Counseling Therapy, Gabrielle Rhoads

PCOM Psychology Dissertations

Theory and research suggest that post traumatic stress disorder (PTSD) symptoms may disrupt intimate relationships of survivors of trauma. Nevertheless, little empirical research has examined the role of PTSD and how it affects intimate relationships of survivors of sexual assault. This study utilized selected measures to examine the degree to which symptoms and treatment(s) for PTSD contribute to relationship satisfaction in female survivors of sexual assault. Overall, the severity of PTSD predicted relationship maladjustment at baseline, which is consistent with past research findings. More specifically, avoidance and arousal were found to be the most robust predictors of relationship maladjustment. This …

Adhd Versus Ptsd In Preschool-Aged Children: Implications For Misdiagnosis, Klaudette D. Stewart

PCOM Psychology Dissertations

Attention Deficit Hyperactivity Disorder (ADHD) has been one of the most diagnosed disorders in children since it was included in the Diagnostic and Statistical Manual of Mental Disorders−III (DSM−III) in 1980. The number of children who have been diagnosed since that time has grown significantly, raising concerns about the overwhelming number of young children being diagnosed and prescribed medication. According to the literature, young children are diagnosed at a higher rate by pediatric primary care physicians (PCPs) than clinical child psychologists (CCPs) because they are taken to a PCP’s office by a parent, rather than referred from a school environment, …

Evaluation Of Behavioral Distress Tolerance Task Stability Across Settings, Cassie Overstreet

Theses and Dissertations

Distress tolerance (DT) is considered to be a trait-like factor encompassing an individual’s behavioral and/or perceived ability to withstand negative affective states. Behavioral measures of DT are being increasingly utilized, however, these tasks have been implemented in studies prior to thoroughly establishing the psychometric properties. The present study aimed to evaluate the reliability of two DT behavioral tasks (Breath-Holding Task [BHT], computer-based Paced Auditory Serial Addition Task [PASAT-C]) in different settings (laboratory, online) among a sample of college students. Participants completed the tasks during two sessions, approximately one week apart. 52 participants were in the laboratory condition, and 65 were …

Hiroshima And Mass Trauma Today: Treating Post-Traumatic Stress Disorder In Individuals And Communities, Ashley Martinez

International ResearchScape Journal

At 8:15 am on August 6^th, 1945, the world and the way in which we fight wars changed forever. Immediately following the drop of the Little Boy atomic bomb, the city of Hiroshima was decimated, leaving the surviving citizens to deal with poverty, starvation, loss of loved ones, and utter destruction of their lives. After the bombing, survivors were left with burns, radiation poisoning, and physical scars. Unknown to the survivors of the atomic bombings, or Hibakusha, were the ensuing psychological and emotional damages. In 2014, we know more about traumatic experiences than in 1945. Studies from …

Take A Deep Breath: How Yoga Postures And Breathing Techniques Can Impact Ptsd Symptoms, Sophia E. Armington

Scripps Senior Theses

Yoga postures (asana) and yoga breathing techniques (pranayama) could be an effective method of treating Post Traumatic Stress Disorder (PTSD). This study investigates the importance of the style of yoga treatment (pranayama, asana, or both) and the frequency with which these interventions are conducted (two or five times per week). The participants in this study will be military personnel with diagnosed PTSD who are currently receiving CBT and pharmaceutical treatment. All participants will have their PTSD symptoms assessed before the study begins, and then once a week each of the 12 weeks of the study. Structured interviews will be administered …

The Utilization Of Evidence-Based Treatments In Trauma Treatment Of Active Military Personnel And Their Families, Matt Brickell

Antioch University Full-Text Dissertations & Theses

This study reviewed the literature regarding the effectiveness of evidence-based treatments in addressing traumatic stress injuries such as post-traumatic stress disorder in active military personnel and their families. Top tier treatments recommended by the Department of Defense and Department of Veteran Affairs Clinical Practice Guidelines for the treatment of traumatic stress disorders are discussed, and the literature is critically examined with a focus on exploring the reported evidence of effectiveness. In addition, this study contributed unpublished archival clinical outcome data from evidence-based treatment of active military personnel and their families in real-world clinical settings. The effectiveness of an evidence-based treatment …

Africentric Resilience Training: A Prevention Program For African American Soldiers, Melissa Boudreau

Antioch University Full-Text Dissertations & Theses

The study develops a mental health prevention program for African American soldiers called, Africentric Resilience Training (ART). The goal of ART is to train soldiers to be psychologically fit, just as they train to be physically fit in the military. The ART curriculum aims to increase soldiers’ resilience and capacity to flourish, while educating them on the occurrence and prevention of Posttraumatic Stress Disorder. This program is founded on the principles and structure of the current Comprehensive Soldier and Family Fitness (CSF2) program in the Army (CSF2, 2012). ART is unique in its utilization of a culturally and racially modified …

The Effects Of Expert Testimony In Sexual Assault Trials, Lillybelle K. Deer

CMC Senior Theses

Recently, expert testimony in sexual assault trials shifted from an emphasis on Rape Trauma Syndrome (RTS) to Posttraumatic Stress Disorder (PTSD) and experts have tied these diagnoses either loosely or tightly to the victim’s condition following sexual assault. In the current study, 326 jury-eligible adults completed a survey on Amazon Mechanical Turk in which they read a synopsis of a sexual assault trial and an expert testimony with either RTS, PTSD or neither; along with either no, loose, or tight links made between the diagnosis and the victim’s condition. There was no main effect of diagnosis label but testimony linkage …

Therapeutic Horseback Riding With Military Veterans: Perspectives Of Riders, Instructors, And Volunteers, Leslie Lafleur

Antioch University Full-Text Dissertations & Theses

Statistics reveal that over 353,000 military members have been diagnosed with PTSD and/or TBI resulting from war-related activities. With the rising number of war stress injuries, there have not been enough psychotherapeutic services to meet the current demand for the care of returning veterans from Iraq and Afghanistan. Although some intervention strategies have been deemed successful, the current standards of care (e.g., exposure therapy, cognitive therapy) are limited by training inadequacies, accessibility, and outcomes (e.g., retention, early drop out, resistance, non-responsiveness). Furthermore, it is unclear whether these treatments are efficacious in addressing the unique symptom presentations of this population. The …