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Articles 4831 - 4860 of 8298
Full-Text Articles in Medicine and Health Sciences
Hippocampal Gaba Enables Inhibitory Control Over Unwanted Thoughts, Taylor W. Schmitz, Marta M. Correia, Catarina S. Ferreira, Andrew P. Prescot, Michael C. Anderson
Hippocampal Gaba Enables Inhibitory Control Over Unwanted Thoughts, Taylor W. Schmitz, Marta M. Correia, Catarina S. Ferreira, Andrew P. Prescot, Michael C. Anderson
Brain and Mind Institute Researchers' Publications
© 2017 The Author(s). Intrusive memories, images, and hallucinations are hallmark symptoms of psychiatric disorders. Although often attributed to deficient inhibitory control by the prefrontal cortex, difficulty in controlling intrusive thoughts is also associated with hippocampal hyperactivity, arising from dysfunctional GABAergic interneurons. How hippocampal GABA contributes to stopping unwanted thoughts is unknown. Here we show that GABAergic inhibition of hippocampal retrieval activity forms a key link in a fronto-hippocampal inhibitory control pathway underlying thought suppression. Subjects viewed reminders of unwanted thoughts and tried to suppress retrieval while being scanned with functional magnetic resonance imaging. Suppression reduced hippocampal activity and memory …
A Qualitative Study Of Group Therapy Incorporating Rap Music With Inmates, Abigail V. Richards
A Qualitative Study Of Group Therapy Incorporating Rap Music With Inmates, Abigail V. Richards
Graduate Theses/Dissertations
This study aims to explore the lived experiences of inmates who participate in group psychotherapy incorporating elements of rap music. Rap music includes elements such as emotional expression, songwriting, community building, freestyling, and beat, which can be beneficial for individuals experiencing typical symptoms of incarceration such as anxiety, self-discovery, and difficulties regulating emotion. Ten inmates of a Missouri county justice center (50% male) were recruited on a volunteer basis to participate in a five-week psychotherapy group. The study involves psychoeducation, group-drumming, self-expression, and improvisation. Qualitative data were collected through an interview process with participants, including inmates, facilitators and supervisors. Results …
Physical Aggressiveness And Gray Matter Deficits In Ventromedial Prefrontal Cortex, David S. Chester, Donald R. Lynam, Richard Milich, C. Nathan Dewall
Physical Aggressiveness And Gray Matter Deficits In Ventromedial Prefrontal Cortex, David S. Chester, Donald R. Lynam, Richard Milich, C. Nathan Dewall
Psychology Faculty Publications
What causes individuals to hurt others? Since the famous case of Phineas Gage, lesions of the ventromedial prefrontal cortex (VMPFC) have been reliably linked to physically aggressive behavior. However, it is unclear whether naturally-occurring deficits in VMPFC, among normal individuals, might have widespread consequences for aggression. Using voxel based morphometry, we regressed gray matter density from the brains of 138 normal female and male adults onto their dispositional levels of physical aggression, verbal aggression, and sex, simultaneously. Physical, but not verbal, aggression was associated with reduced gray matter volume in the VMPFC and to a lesser extent, frontopolar cortex. Participants …
Measuring Heightened Attention To Alcohol In A Naturalistic Setting: A Validation Study, Ramey G. Monem, Mark T. Fillmore
Measuring Heightened Attention To Alcohol In A Naturalistic Setting: A Validation Study, Ramey G. Monem, Mark T. Fillmore
Psychology Faculty Publications
Attentional bias to alcohol-related stimuli is believed to be an important contributor to the development and maintenance of drug abuse. There is a considerable body of research examining attentional bias, much of which has typically utilized image-display tasks as a means to assess the phenomenon. Little, however, is known about the nature of this bias in an individual’s natural environment. The current study sought to implement a novel approach to assessing attentional bias in vivo. Participants wore portable eye-tracking glasses that recorded video from their point of view and measured fixation time to objects they observed. They entered a room …
Effects Of Environmental Enrichment On Self-Administration Of The Short-Acting Opioid Remifentanil In Male Rats, Rebecca S. Hofford, Jonathan J. Chow, Joshua S. Beckmann, Michael T. Bardo
Effects Of Environmental Enrichment On Self-Administration Of The Short-Acting Opioid Remifentanil In Male Rats, Rebecca S. Hofford, Jonathan J. Chow, Joshua S. Beckmann, Michael T. Bardo
Psychology Faculty Publications
Background
Opioid abuse is a major problem around the world. Identifying environmental factors that contribute to opioid abuse and addiction is necessary for decreasing this epidemic. In rodents, environmental enrichment protects against the development of low dose stimulant self-administration, but studies examining the effect of enrichment and isolation (compared to standard housing) on the development of intravenous opioid self-administration have not been conducted. The present study investigated the role of environmental enrichment on self-administration of the short-acting μ-opioid remifentanil.
Methods
Rats were raised in an enriched condition (Enr), standard condition (Std), or isolated condition (Iso) beginning at 21 days of …
Sex Worker And Proud: A Phenomenological Study Of Consensual Sex Workers' Lives, Michael Gerald Curtis Jr.
Sex Worker And Proud: A Phenomenological Study Of Consensual Sex Workers' Lives, Michael Gerald Curtis Jr.
UNLV Theses, Dissertations, Professional Papers, and Capstones
Ten consensual sex workers who were currently working in Nevada were qualitatively interviewed in an effort to explore their perceptions of the adult industry. Interviews specifically focused on their experience disclosing their profession to others and the potential effects that it has on their personal relationships, and access to effective treatment. The Moustakas method of phenomenological inquiry was used to analyze data from ten participants who self-identified as direct sex workers. Seven essential themes emerged from this analysis: (1) the adult industry provides professional and personal agency, (2) the industry is often transient, (3) disclosure is an impactful and ongoing …
The Substance Abuse Treatment Experience Of Men Who Have Sex With Men, Scott Sanford Johnson
The Substance Abuse Treatment Experience Of Men Who Have Sex With Men, Scott Sanford Johnson
Loma Linda University Electronic Theses, Dissertations & Projects
The following qualitative research study focuses on the substance abuse treatment experiences of men who have sex with men. Current research in this area indicates that while these men sometimes seek treatment for substance abuse issues, their treatment experience can be compromised due to personal fears or ignorance on the part of treatment staff members or others in treatment (Cabaj, 2008; Cheng, 2003; Hellman, Stanton, lee, Tytun, & Vachon, 1989). Specific goals of this study include: (1) gaining insight into the treatment experience(s) of these men and (2) learning about how their individual and collective treatment experience(s) contribute to their …
End-Of-Life Care And Opioid Use In India: Challenges And Opportunities, Aasems Jacob, Aju Mathew
End-Of-Life Care And Opioid Use In India: Challenges And Opportunities, Aasems Jacob, Aju Mathew
Markey Cancer Center Faculty Publications
No abstract provided.
Attitudes, Attachment Styles, And Gender: Implications On Perceptions Of Infidelity, Christian M. Stewart
Attitudes, Attachment Styles, And Gender: Implications On Perceptions Of Infidelity, Christian M. Stewart
UNLV Theses, Dissertations, Professional Papers, and Capstones
Understanding the impact infidelity has on individuals, couples, families, and societies has increasingly become a topic of interest over the last few decades. In recent years, scholars have sought to increase understanding of infidelity through investigating the relationship between infidelity and attachment theory. This research study examines the impact attitudes about infidelity, attachment styles, and gender have on the way in which individuals perceive infidelity. Data was gathered from 310 participants recruited from the University of Nevada, Las Vegas and social media. Participants were 18 years of age and older and were, at the time of the study, either in …
Parenting Stress And Emotion Dysregulation In Children With Dd: The Role Of Parenting Behaviors, Neilson Chan
Parenting Stress And Emotion Dysregulation In Children With Dd: The Role Of Parenting Behaviors, Neilson Chan
Loma Linda University Electronic Theses, Dissertations & Projects
Parents of children with developmental delays (DD) report higher levels of parenting stress compared to parents of typically developing children. High levels of parenting stress have been associated with negative outcomes for their children, including higher levels of emotion dysregulation. However, this relationship between parenting stress and child emotion dysregulation has rarely been examined in families of children with DD. Additionally, the mechanisms through which parenting stress influences child emotion dysregulation remain unclear; it may be that parenting stress impacts parenting behaviors (i.e., sensitive and intrusive parenting), which in turn influence the development of the child’s emotion regulatory abilities. In …
Parents' Perceptions Of Smartphone Use And Parenting Practices, David Jackson Johnson
Parents' Perceptions Of Smartphone Use And Parenting Practices, David Jackson Johnson
UNLV Theses, Dissertations, Professional Papers, and Capstones
The present study is a qualitative examination aiming to gain insight into parents’ perceptions of their smartphone use and the effects it may be having on their children as well as parenting practices. Participants (N=12) were smartphone using parents that consisted mostly of young college-educated females. Thematic analysis of individual interviews resulted in five primary themes: (1) Disengagement, (2) Concern for Future, (3) Change in Social Norms, (4) Boundaries, and (5) Cognitive Dissonance. These findings indicate significant effects parental smartphone use is having in the lives of study participants. These thematic findings call for additional research examining the impact parental …
Liking, Craving, And Attentional Bias In Non-Dependent Drinkers, David Lovett
Liking, Craving, And Attentional Bias In Non-Dependent Drinkers, David Lovett
Graduate Theses and Dissertations
The purpose of the present study was to better understand alcohol use problems by examining the effect of alcohol liking on alcohol attentional bias among non-dependent drinkers. An adapted model of Robinson and Berridge’s (1993) incentive-sensitization theory of addiction was proposed which theorized that manipulation of alcohol liking would produce alcohol attentional bias (assessed via visual probe task) among non-dependent drinkers. To test this adapted model, alcohol liking was manipulated and the effect on alcohol attentional bias was examined. Participants were 53 legal-age, college drinkers (Mage = 23.49; 32.1% female; 67.9% White Non-Hispanic). Participants completed measures of alcohol drink preference, …
Effects Of Animal-Assisted Therapy Among Children With Mental Health Disorders, Alysa Amelio
Effects Of Animal-Assisted Therapy Among Children With Mental Health Disorders, Alysa Amelio
Grace Peterson Nursing Research Colloquium
Abstract
Background: Mental health illness is on the rise amongst children in the United States. Research is still underway about alternative forms of therapy to provide to this vulnerable population. One of the alternative therapies utilized is Animal-Assisted Therapy (AAT).
Objectives: The aim of this study was to identify the effects of AAT on children whom have been diagnosed with a mental health disorder.
Method: An integrative literature review was conducted to include primary research that was peer reviewed, and completed within the last ten years. Data synthesis and analysis was completed to identify themes within the literature. The themes …
Pediatric Medical Traumatic Stress: An Integrative Literature Review, Cassia Onken
Pediatric Medical Traumatic Stress: An Integrative Literature Review, Cassia Onken
Grace Peterson Nursing Research Colloquium
Pediatric Medical Traumatic Stress (PMTS) is a common occurrence and not well understood by the medical community. Therefore, identifying key concepts is necessary to provide early intervention for children and parents. The purpose of this literature review is to evaluate current research to determine common themes of PMTS. Questions included “What is known about the defining characteristics of PMTS?” and “What variable interactions predispose a child to PMTS development?” Articles were found using CINAHL, PsychInfo, PubMed, ProQuest, and Academic Search Complete using key words like acute stress disorder, post-traumatic stress, medical traumatic stress, pediatric, child, parent, and guardian. Studies had …
Contributions Of Appetitive And Aversive Motivational Systems To Decision-Making, Heather E. Soder
Contributions Of Appetitive And Aversive Motivational Systems To Decision-Making, Heather E. Soder
USF Tampa Graduate Theses and Dissertations
Optimal decision-making entails outcome evaluation, comparing received costs and benefits with predicted costs and benefits. The anterior cingulate cortex (ACC), a brain area with major connections to the appetitive and aversive motivation systems, may provide the neural substrate of this evaluation process. One way to measure the relative contribution of these systems on decision-making is to measure individual differences in risk-taking behaviors. For individuals who make risky choices, this evaluation step may be biased: some show a preference for immediate, short-term rewards (increased appetitive system), while devaluing the long-term consequences of their choices (decreased aversive system). However, most studies supporting …
Family Income, Cumulative Risk Exposure, And White Matter Structure In Middle Childhood, Alexander J. Dufford, Pilyoung Kim
Family Income, Cumulative Risk Exposure, And White Matter Structure In Middle Childhood, Alexander J. Dufford, Pilyoung Kim
Psychology: Faculty Scholarship
Family income is associated with gray matter morphometry in children, but little is known about the relationship between family income and white matter structure. In this paper, using Tract-Based Spatial Statistics, a whole brain, voxel-wise approach, we examined the relationship between family income (assessed by income-to-needs ratio) and white matter organization in middle childhood (N = 27, M = 8.66 years). Results from a non-parametric, voxel-wise, multiple regression (threshold-free cluster enhancement, p < 0.05 FWE corrected) indicated that lower family income was associated with lower white matter organization [assessed by fractional anisotropy (FA)] for several clusters in white matter tracts involved in cognitive and emotional functions including fronto-limbic circuitry (uncinate fasciculus and cingulum bundle), association fibers (inferior longitudinal fasciculus, superior longitudinal fasciculus), and corticospinal tracts. Further, we examined the possibility that cumulative risk (CR) exposure might function as one of the potential pathways by which family income influences neural outcomes. Using multiple regressions, we found lower FA in portions of these tracts, including those found in the left cingulum bundle and left superior longitudinal fasciculus, was significantly related to greater exposure to CR (β = -0.47, p < 0.05 and β = -0.45, p < 0.05).
Preliminary Evidence For The Impact Of Combat Experiences On Gray Matter Volume Of The Posterior Insula, Ashley N. Clausen, Sandra A. Billinger, Jason-Flor V. Sisante, Hideo Suzuki, Robin L. Aupperle
Preliminary Evidence For The Impact Of Combat Experiences On Gray Matter Volume Of The Posterior Insula, Ashley N. Clausen, Sandra A. Billinger, Jason-Flor V. Sisante, Hideo Suzuki, Robin L. Aupperle
Department of Educational Psychology: Faculty Publications
Background: Combat-exposed veteran populations are at an increased risk for developing cardiovascular disease. The anterior cingulate cortex (ACC) and insula have been implicated in both autonomic arousal to emotional stressors and homeostatic processes, which may contribute to cardiovascular dysfunction in combat veteran populations. The aim of the present study was to explore the intersecting relationships of combat experiences, rostral ACC and posterior insula volume, and cardiovascular health in a sample of combat veterans.
Method: Twenty-four male combat veterans completed clinical assessment of combat experiences and posttraumatic stress symptoms. Subjects completed a magnetic resonance imaging scan and autosegmentation using FreeSurfer was …
Volition And Action In The Human Brain: Processes, Pathologies, And Reasons, Itzhak Fried, Patrick Haggard, Biyu J. He, Aaron Schurger
Volition And Action In The Human Brain: Processes, Pathologies, And Reasons, Itzhak Fried, Patrick Haggard, Biyu J. He, Aaron Schurger
Psychology Faculty Articles and Research
Humans seem to decide for themselves what to do, and when to do it. This distinctive capacity may emerge from an ability, shared with other animals, to make decisions for action that are related to future goals, or at least free from the constraints of immediate environmental inputs. Studying such volitional acts proves a major challenge for neuroscience. This review highlights key mechanisms in the generation of voluntary, as opposed to stimulus-driven actions, and highlights three issues. The first part focuses on the apparent spontaneity of voluntary action. The second part focuses on one of the most distinctive, but elusive, …
The Nyc Board Of Education Mandates Pledging Allegiance [Poem], Kate Abell
The Nyc Board Of Education Mandates Pledging Allegiance [Poem], Kate Abell
Occasional Paper Series
Kate Abell shares a poem following September 11. It is a criticism of the requirement of pledging allegiance to the flag in school.
Principles For Responding To Children In A Traumatic Time, Sal Vascellaro
Principles For Responding To Children In A Traumatic Time, Sal Vascellaro
Occasional Paper Series
A list of principles that aim to help educators in their struggle to respond to the range of traumatic experiences many children have to live with—the death of a loved one, serious illness, violence, drug addiction, homelessness. This list offers something tangible to use as they respond to the children in their care.
Patient Experience Of Taking Adjuvant Endocrine Therapy For Breast Cancer: A Tough Pill To Swallow, Kuang-Yi Wen, Rita Smith, Aruna Padmanabhan, Lori Goldstein
Patient Experience Of Taking Adjuvant Endocrine Therapy For Breast Cancer: A Tough Pill To Swallow, Kuang-Yi Wen, Rita Smith, Aruna Padmanabhan, Lori Goldstein
Patient Experience Journal
Adjuvant endocrine therapy (AET) has substantially improved the mortality rate among breast cancer survivors. Despite the proven efficacy, the non-adherence rate to therapy is still high. This study is aimed to examine women’s challenges related to AET adherence and management. Semi-structured interviews were conducted with six Caucasian and six African American breast cancer survivors who were prescribed for AET. The transcripts of audio-taped interviews were qualitatively analyzed. Key themes were: 1) positive beliefs in AET, 2) uncertainty about long-term adherence, 3) experiences with side effects, 4) forgetting and remembering, 5) other concerns and information needs, 6) potential intervention format, and …
Research Brief: "Service Delivery Experiences And Intervention Needs Of Military Families With Children With Asd", Institute For Veterans And Military Families At Syracuse University
Research Brief: "Service Delivery Experiences And Intervention Needs Of Military Families With Children With Asd", Institute For Veterans And Military Families At Syracuse University
Institute for Veterans and Military Families
This study describes the service delivery challenges and intervention needs of military families that include children with autism spectrum disorder (ASD) who have relocated. In practice and policy, military families with children with ASD living on a military base should consider serving as a mentor to new families on the base to offer information on schools and community resources, and would also benefit from the increased accessibility of resources by the Department of Defense (DoD). More research is needed to learn the best practices of service delivery for military families with children with ASD, and future studies on service delivery …
The Effects Of Sports Related Head Impact On Balance And Neurocognitive Functions, Shaquanda D. Ross-Simmons, Michelle L. Vieyra, Abhishek Jain, Keri Weed
The Effects Of Sports Related Head Impact On Balance And Neurocognitive Functions, Shaquanda D. Ross-Simmons, Michelle L. Vieyra, Abhishek Jain, Keri Weed
Journal of the South Carolina Academy of Science
The goal of this study was to investigate the effects of sports-related head injury on balance, attention, and memory. Reliable differences have been found using measures that directly tap into brain functioning, such as the auditory oddball task combined with EEG recording. We hypothesized that athletes reporting a diagnosed concussion or participation in high-risk sports would have compromised balance and neurocognitive functioning compared to athletes in low risk sports. Forty-five undergraduate participants were identified as either concussed, non-concussed in high-risk sports, or non-concussed in low-risk sports using a survey of athletic history, head trauma and demographics. The Biopac MP36 system, …
A Pilot Study Of Loss Aversion For Drug And Non-Drug Commodities In Cocaine Users, Justin Charles Strickland, Joshua S. Beckmann, Craig R. Rush, William W. Stoops
A Pilot Study Of Loss Aversion For Drug And Non-Drug Commodities In Cocaine Users, Justin Charles Strickland, Joshua S. Beckmann, Craig R. Rush, William W. Stoops
Psychology Faculty Publications
Background—Numerous studies in behavioral economics have demonstrated that individuals are more sensitive to the prospect of a loss than a gain (i.e., loss aversion). Although loss aversion has been well described in “healthy” populations, little research exists in individuals with substance use disorders. This gap is notable considering the prominent role that choice and decision-making play in drug use. The purpose of this pilot study was to evaluate loss aversion in active cocaine users.
Methods—Current cocaine users (N = 38; 42% female) participated in this within-subjects laboratory pilot study. Subjects completed a battery of tasks designed to assess …
Interactive Effects Of Ovarian Steroid Hormones On Alcohol Use And Binge Drinking Across The Menstrual Cycle, Michelle M. Martel, Tory Eisenlohr-Moul, Bethan A. Roberts
Interactive Effects Of Ovarian Steroid Hormones On Alcohol Use And Binge Drinking Across The Menstrual Cycle, Michelle M. Martel, Tory Eisenlohr-Moul, Bethan A. Roberts
Psychology Faculty Publications
Patterns and features of substance use and abuse vary across the menstrual cycle in humans. Yet, little work has systematically examined the within-person relationships between ovarian hormone changes and alcohol use across the menstrual cycle. Our study was the first to examine the roles of within-person levels of estradiol (E2) and progesterone (P4) in relation to daily alcohol use and binge drinking in young women. Participants were 22 naturally cycling women, ages 18-22, recruited through a university subject pool who reported any alcohol use and who completed a screening visit assessing study eligibility, followed by 35 subsequent days of data …
Saccade Adaptation Deficits In Developmental Dyslexia Suggest Disruption Of Cerebellar-Dependent Learning, Edward G. Freedman, Sophie Molholm, Michael J. Gray, Daniel Belyusar, John J. Foxe
Saccade Adaptation Deficits In Developmental Dyslexia Suggest Disruption Of Cerebellar-Dependent Learning, Edward G. Freedman, Sophie Molholm, Michael J. Gray, Daniel Belyusar, John J. Foxe
Publications and Research
Background: Estimates of the prevalence of developmental dyslexia in the general population range from 5% to as many as 10%. Symptoms include reading, writing, and language deficits, but the severity and mix of symptoms can vary widely across individuals. In at least some people with dyslexia, the structure and function of the cerebellum may be disordered. Saccadic adaptation requires proper function of the cerebellum and brainstem circuitry and might provide a simple, noninvasive assay for early identification and sub-phenotyping in populations of children who may have dyslexia.
Methods: Children between the ages of 7 and 15 served as participants in …
Entrainment Of Voluntary Movement To Undetected Auditory Regularities, Aaron Schurger, Nathan Faivre, Leila Cammoun, Bianca Trovó, Olaf Blanke
Entrainment Of Voluntary Movement To Undetected Auditory Regularities, Aaron Schurger, Nathan Faivre, Leila Cammoun, Bianca Trovó, Olaf Blanke
Psychology Faculty Articles and Research
In physics “entrainment” refers to the synchronization of two coupled oscillators with similar fundamental frequencies. In behavioral science, entrainment refers to the tendency of humans to synchronize their movements with rhythmic stimuli. Here, we asked whether human subjects performing a tapping task would entrain their tapping to an undetected auditory rhythm surreptitiously introduced in the guise of ambient background noise in the room. Subjects performed two different tasks, one in which they tapped their finger at a steady rate of their own choosing and one in which they performed a single abrupt finger tap on each trial after a delay …
Attrition In School Rowing In New Zealand: A Qualitative Descriptive Study, Simon R. Walters, Rebecca Beattie, Anthony R. H. Oldham, Sarah-Kate Millar
Attrition In School Rowing In New Zealand: A Qualitative Descriptive Study, Simon R. Walters, Rebecca Beattie, Anthony R. H. Oldham, Sarah-Kate Millar
The Qualitative Report
It is widely acknowledged that involvement in sport has positive physical and psychosocial benefits for adolescents. However, concerns have been expressed, both in New Zealand and internationally, about the relatively high attrition rates in youth sport. This qualitative study captured the experiences of eight (five male, three female) adolescents who were no longer participating in high school rowing programs in New Zealand. Data were gathered through semi-structured interviews, and we conducted an inductive thematic analysis. A secondary analysis was then conducted using a self-determination and basic psychological needs framework that placed specific emphasis on need satisfaction and need thwarting. Key …
Internet-Delivered Dialectical Behavioral Therapy Skills Training For Suicidal And Heavy Episodic Drinkers: Protocol And Preliminary Results Of A Randomized Controlled Trial., Chelsey Wilks, Qingqing Yin, Sin Ang, Brandon Matsumiya, Anita Lungu, Marsha Linehan
Internet-Delivered Dialectical Behavioral Therapy Skills Training For Suicidal And Heavy Episodic Drinkers: Protocol And Preliminary Results Of A Randomized Controlled Trial., Chelsey Wilks, Qingqing Yin, Sin Ang, Brandon Matsumiya, Anita Lungu, Marsha Linehan
Psychology Faculty Works
No abstract provided.
The Long-Term Impact Of Maritime Piracy On Seafarers’ Behavioral Health And Work Decisions, D Conor Seyle, Karina Therese G. Fernandez, Alexander Dimitrevich, Chirag Bahri
The Long-Term Impact Of Maritime Piracy On Seafarers’ Behavioral Health And Work Decisions, D Conor Seyle, Karina Therese G. Fernandez, Alexander Dimitrevich, Chirag Bahri
Psychology Department Faculty Publications
More than 6000 seafarers have been held hostage by pirates in the last ten years. There is a small but developing body of research showing that these seafarers may face lasting challenges in recovery. However, current studies on this question have been limited by a lack of comparison groups, a lack of statistical power, and other methodological challenges. This study contributes to this body of research through a survey of 101 former hostages and 363 seafarers not known to be exposed to piracy from India, the Philippines, and Ukraine. Using clinically validated scales for tracking lasting impact, this research finds …