Social and Behavioral Sciences Commons^™

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

Theses and Dissertations

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

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

Theses and Dissertations

Abstract

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

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

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

Theses and Dissertations

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

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

Theses and Dissertations

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

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

Theses and Dissertations

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

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

Theses and Dissertations

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

Effectiveness Of Writing Interventions For The Treatment Of Trauma: A Systematic Review, Melissa Maccarini

Theses and Dissertations

The effectiveness for writing interventions in the treatment of trauma has been a long-researched topic with research continuing to be conducted. This systematic review with narrative synthesis aimed to examine the effectiveness of writing interventions over the past two decades in reducing trauma or related symptoms in adults diagnosed with PTSD or having experienced a criterion-A event. Researchers searched the following databases: PsycINFO, Scopus, EBSCO, ProQuest (PTSDPubs), and PubMed. The last search yielded 100 manually full-text screened studies, with 18 articles included in the systematic review. The results point to some evidence for statistically significant decreases in trauma or related …

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

Theses and Dissertations

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

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

Theses and Dissertations

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

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

Theses and Dissertations

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

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

Theses and Dissertations

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

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

Theses and Dissertations

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

Effect Of Neighborhood Socioeconomic Disadvantage On Brain Functional Connectivity And Structural Properties In Trauma-Exposed Adults, Elisabeth Kathleen Webb

Theses and Dissertations

Though there has been substantial progress towards understanding brain-behavior relationships and characterizing the neurobiology of psychiatric disorders, research has not translated as expected into novel prevention and treatment of mental health conditions. One limitation may be the emphasis on individual-level variables (e.g., income) and omission of relevant area-level factors (e.g., neighborhood socioeconomic disadvantage). Recently, attention has been directed towards identifying the biological mechanisms by which neighborhoods impact mental health. The chronic stress associated with living in a disadvantaged neighborhood promotes a cascade of maladaptive events, which in turn impact brain structure and functioning. The processes affected by chronic neighborhood stressors …

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. …

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

Theses and Dissertations

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

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

Theses and Dissertations

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

Response To Uncertain Threat In Acute Trauma Survivors, Kenneth Bennett

Theses and Dissertations

Uncertainty is often associated with subjective distress and a potentiated anxiety response. The heightened response to uncertainty may be a central mechanism via which anxiety-, trauma-, and stressor-related disorders are developed and maintained. The current study compared the neural response to predictable and unpredictable threat in acute trauma survivors to clarify the role of the response to uncertain threat in fear circuitry and further inform the nature of the development of PTSD in the context of uncertain threat. The novel study showed that anticipating unpredictable (primarily negative images) relative to predictable images increased activation in a frontoparietal network and was …

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

Theses and Dissertations

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

Gender Role Conflict, Emotion Regulation, And Ptsd Symptom Severity In Acutely Injured Trauma Survivors, Katelyn Elaine Heyrman

Theses and Dissertations

Within the acutely injured population, men are at an increased risk for trauma exposure and hospitalization. Previous literature has suggested that emotional dysregulation and masculine gender roles are associated with psychological distress and maintenance of PTSD symptoms. Despite these findings, researchers have focused their attention on masculine gender roles within the Veteran and college populations. The current study aimed to assess the Gender Role Conflict within the acutely injured population and determine if emotion regulation strategy moderated the relationship between masculine gender roles and PTSD symptom severity. Participants consisted of 90 traumatically injured, cisgender males (Mage= 44.88 years; 60% White) …

The Role Of Perceived Heterosexism In Posttraumatic Stress Symptom Severity Among Trauma-Exposed Sexual Minority Individuals, Natalie M. Cereseto

Theses and Dissertations

This thesis employed structured posttraumatic stress disorder (PTSD) assessments, a micro-longitudinal 30-day daily diary assessment, and multilevel modeling to investigate the unique and interactive effects of traumatic stress and daily sexual minority-related discrimination on PTSD symptoms and negative affect in a diverse sample of 38 trauma-exposed SM individuals.

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

Theses and Dissertations

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

Lesbian, Gay, And Bisexual Discrimination: An Examination Of The Role Of Blame Cognitions In Ptsd And Depression Symptoms, Timothy Stahl

Theses and Dissertations

Lesbian, gay and bisexual (LGB) emerging adults experience higher rates of trauma and discrimination, and subsequent PTSD and depression, than heterosexual emerging adults (Feinstein et al., 2012; Hatzenbuehler et al., 2008; Roberts et al., 2010). Our understanding of the relations between trauma/discrimination and psychiatric sequelae in LGB emerging adults is limited by: (1) uncertainty in the possible differential impact of LGB-specific trauma versus non-LGB-specific trauma, (2) uncertainty of the unique impacts of trauma and discrimination, and (3) lack of studies integrating cognitive theories of trauma (Brewin & Holmes, 2003) into Hatzenbuehler’s (2009) psychological mediation framework. This cross-sectional study included 82 …

Colonial Trauma And Testimony In Mary Shelley’S Frankenstein And Jamaica Kincaid’S Autobiography Of My Mother, Leana Rene

Theses and Dissertations

This thesis will examine Freud’s Beyond the Pleasure Principle to examine the colonial trauma and loss found in Mary Shelley’s Frankenstein and Jamaica Kincaid’s Autobiography of My Mother, not just on a character level, but in a much larger colonial context. Some scholars have suggested that Shelley’s monster is a symbol of a colonized other (due to his appearance and certain features he has). Kincaid’s Xuela is for sure a colonized other because of the heritage of her mother. This thesis explores their abandonment by their creators as the abandonment of colonized nations from their colonizers. Even now, formerly colonized …

The Moderating Role Of Developmental Assets On Relations Between Child Maltreatment, Trauma, And Dating Violence, Stephanie A. Hitti

Theses and Dissertations

Teenage dating violence (TDV) is prevalent and associated with an array of psychosocial and health problems. Thus, numerous studies have focused on the identification of risk and protective factors for TDV. Child maltreatment has been consistently identified as a risk factor for TDV victimization and perpetration. However, potential underlying mechanisms that may partially explain the relations between child maltreatment and TDV victimization and perpetration are not well understood. The present study explored indirect relations between child maltreatment and TDV victimization and perpetration via trauma symptoms, and examined whether internal and external developmental assets moderated relations between (a) child maltreatment and …

Effects Of Violent And Nonviolent Life Stressors Among Urban Early Adolescents: Testing Competing Models Of Comorbid Distress And Externalizing Symptoms, Erin Thompson

Theses and Dissertations

The strong association between stressful life events and the wide-ranging spectrum of psychopathology has led some to advocate for the reconceptualization of traumatic stress. There has been a longstanding debate on whether these symptoms are best represented by using dimensional versus categorical approaches. Moreover, further understanding of the risk factors associated with various dimensions or patterns of comorbid emotional and behavioral problems could inform future research and intervention efforts. The current study tested competing variable- and person-centered approaches and examined how stressful life events are associated with different patterns of distress and externalizing symptoms among a predominantly African American and …

Resource For A Brief Early Somatic Intervention To Reduce Symptoms Of Post-Traumatic Stress For Victims Of Violence Crime In Acute Hospital Settings In Southeast Los Angeles, Jamie Gamboa

Theses and Dissertations

The goal of this dissertation was to create an intervention resource guide containing recommendations that can be utilized by the South Los Angeles Trauma Recovery Center (SLATRC) to implement a brief early somatic intervention for victims of violent crime in acute hospital settings in Southeast Los Angeles. It was decided that an intervention based upon the Trauma Resiliency Model/Community Resiliency Model (TRM/CRM) would best fit the needs of the population. First, a systematic literature review was conducted to increase the efficacy of the resource by gathering information on similar interventions. The specific questions guiding this review were as follows: (1) …

Association Between Lifetime Adverse Events, Emotion Dysregulation, Posttraumatic Stress Symptoms, Acculturation, And Chronic Pain: A Moderated Mediation Model, Miriam El-Haj

Theses and Dissertations

The association between traumatic experiences and chronic pain is well established. Lesser is known about how acculturation might affect this relation, specifically with Hispanics. In the present study, self-report measures on traumatic experiences, posttraumatic stress symptoms, emotion dysregulation, chronic pain, and acculturation were administered to 140 participants (71.4% females) aged 18–65 years old (M = 35.06, SD = 11.55), to determine whether acculturation moderates the relation between adverse lifetime experiences and chronic pain as mediated by posttraumatic stress symptoms and emotion dysregulation.

Those who were highly acculturated to the U.S. Anglo culture were higher on chronic pain than those who …

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.

Adult And Juvenile Rats Differentially Express Mpfc Glua2 Following Traumatic Memory Retrieval, Edgar Rodriguez

Theses and Dissertations

To advance our understanding of how traumatic memories are modulated between adults and juveniles, we characterize the AMPAr subunits, GluA1, GluA2, GluA3 in the mPFC of rodents following traumatic memory retrieval.

GluA2 was differentially expressed in adults but not juveniles rats. There were no changes in GluA1 or GluA3 expression

Behavioral Hypervigilance In A Normative Population, Karly Weinreb

Theses and Dissertations

Hypervigilance is conceptualized as a symptom of trauma-related disorders, however it can also occur in a normative population. To distinguish normative hypervigilance from trauma-related hypervigilance, 372 participants (123 trauma-exposed and 249 non-trauma-exposed) completed a questionnaire assessing hypervigilance in contexts. Trauma-exposed participants reported greater levels of hypervigilance in 3 contexts.