Social and Behavioral Sciences Commons^™

All In The Image: Nightmares, Posttraumatic Stress, And Expressive Therapy: Critical Literature Review, Emma Geller

Expressive Therapies Capstone Theses

This paper reviews the therapeutic potential of combining expressive therapy approaches with dreamwork protocol in treating recurrent nightmares seen in populations with PTSD. The intersection between the dreaming state, nightmares, dreamwork, and trauma can provide important insights into the purpose of dreaming, subconscious processing of trauma, and effective treatments for individuals struggling with nightmares. Clinical implications of dreamwork are considered in working with posttraumatic stress disorder along with this condition’s connection to recurrent nightmares. In working with trauma and the arts at a sensory and affective level of experience, there is potential for individuals to explore and process their recurrent …

Healing Our Midwives With Art Therapy: A Literature Review To Identify Gaps In Research And Practice, Virginia Perry

Expressive Therapies Capstone Theses

The current crisis in the U.S. healthcare system, exacerbated by the pandemic, has had a marked negative impact on maternal health. Community-based midwives, who serve pregnant and birthing families outside of institutional and hospital settings, can be part of a systemic approach to improving maternal health. This literature review reveals an acute lack of research on and resources for these essential care providers. Current research on workplace-related stress in healthcare providers indicates a growing need to better understand healthcare providers’ traumatic experiences and to develop therapeutic methods for prevention and treatment. This review investigates the research base for using art …

Exploring Decolonial And Indigenous Mental Health Framework And Practice To Address Complex Trauma Among Palestinian Youth Living Under Violence Of Settler-Colonialism, Vivian L. Duong, Corrin Murphy

OHSU-PSU School of Public Health Annual Conference

The growing settler colonial project of Israel forced indigenous Palestinians to flee from their homeland to further the Zionist movement of establishing a Jewish-majority state. The forced dispossession and displacement of Palestinians at this time was referred to as the Nakba, or catastrophe (Masalha, 2002). From 1947 and 1949, approximately 750,000 Palestinians from a population of 1.9 million were made refugees (Al Jazeera, 2017). Also referred to as the ethnic cleansing of Palestine, Zionists forcibly took over 78 percent of Palestine, destroyed about 530 villages and cities, and killed around 15,000 Palestinians including more than 70 massacres (Al Jazeera, 2017). …

A Manualized Occupational Therapy Communication Skills Intervention For Veterans With Posttraumatic Stress Disorder, Kiara Ainsworth, Steven M. Gerardi

Spring 2024 Virtual OTD Capstone Symposium

Post-traumatic stress disorder (PTSD) affects many individual's participation in daily activities. There is a lack of research in the area of occupational therapy (OT) treatment for veterans with PTSD. However, there has been an expressed need in the literature for a developed intervention for veterans with PTSD that includes communication skills as a component. To date, a manualized communication skills OT intervention for veterans with PTSD has not been created. The purpose of this paper was to develop a resource tool for occupational therapists to utilize as an intervention when treating veterans with PTSD using the framework of the Model …

A Manualized Occupational Therapy Communication Skills Module For Clients With Ptsd, Lacey Kinard, Steven M. Gerardi

Spring 2024 Virtual OTD Capstone Symposium

Individuals with post-traumatic stress disorder (PTSD) experience a variety of barriers and challenges that impact their daily occupational performance, engagement, well-being, and quality of life. There is a lack of research in the area of manualized occupational therapy (OT) treatment options for people with PTSD. Literature has expressed a need for the development of a manual-based OT treatment program for people with PTSD with communication skills training as an intervention component. The purpose of this project is to create a manualized OT communication skills intervention module for occupational therapists to implement with clients with PTSD for improved occupational performance and …

Investigating The Potential Double-Edged Score Of Immigration-Related Stress, Discrimination, And Mental Health Access, Arthur R. Andrews, Kevin Escobar, Sandra Mariely Estrada Gonzalez, Sara Reyes, Laura M. Acosta

Psychological Science Faculty Publications and Presentations

Prior work has suggested that discrimination and immigration-related stress may impede mental health care seeking and utilization among Latinx populations. These effects may be more nuanced as both discrimination and immigration-related stress may increase symptomology, particularly post-traumatic stress disorder (PTSD) and depression. Both symptoms may, in turn, prompt attempts to seek care. The current study examined the direct effects of discrimination and immigration-related stress on care access, as well as potentially indirect effects with PTSD and depression symptoms as mediators. Interviews and online surveys were completed with 234 Latinx residents of the Midwest, assessing everyday discrimination, discrimination in healthcare, PTSD …

Negative Effects Of Combat Deployments On Military Partners, Brittany M. Harris

Doctoral Dissertations and Projects

Several military families experience trauma due to combat deployments and the methods they use to cope with those events can vary widely. Most research about military families is quantitative and focuses on the mental health of the service member who is directly affected by combat exposure. This study explored how military families describe the negative effects of deployment on them and how biblical faith helped them cope with those negative effects. This qualitative case study used a sample size of 14 military partners, with or without children who have experienced at least one combat deployment during the partner's time in …

Barriers To Mental Health Seeking Among Army Aviation Personnel: A Preliminary Report, Aric J. Raus

National Training Aircraft Symposium (NTAS)

This research explores barriers to mental health seeking, self-reported symptoms, and perspectives on self-help mental-wellness options among U.S. Army Aviation Personnel. Safe aviation operations require constant focus and mental clarity. These requirements expand when considering the implications and added stress of military operations, especially in combat scenarios. Yet, recent studies demonstrate that aviation personnel avoid seeking healthcare due to fears of losing their medical certification. This report provides preliminary results from the first known study on barriers to mental health seeking among U.S. Army aviation personnel. Utilizing an anonymous survey instrument, facilitated primarily through Social Media recruiting of current and …

Pathways From Childhood Sexual Abuse To Sexual Risk Behaviour In Msm: A Mixed Methods Study, Daniel Provenzano

Electronic Theses and Dissertations

Men who have sex with men (MSM) are disproportionately affected by childhood sexual abuse (CSA) compared to heterosexual men. CSA has been associated with a wide range of adverse outcomes later in life, including engagement in sexual risk behaviours (e.g., condomless anal intercourse), that place MSM at greater risk for HIV acquisition and transmission. Although the links between CSA and sexual risk are well-established among MSM, little research has investigated psychosocial factors that may mediate this relationship. Using a mixed-method approach, this study (a) explored psychosocial factors as pathways linking a composite of complex CSA experiences (i.e., CSA complexities) with …

An Ewas Of Dementia Biomarkers And Their Associations With Age, African Ancestry, And Ptsd, Mark W. Miller, Erika J. Wolf, Xiang Zhao, Mark W. Logue, Sage E. Hawn

Psychology Faculty Publications

Background

Large-scale cohort and epidemiological studies suggest that PTSD confers risk for dementia in later life but the biological mechanisms underlying this association remain unknown. This study examined this question by assessing the influences of PTSD, APOE ε4 genotypes, DNA methylation, and other variables on the age- and dementia-associated biomarkers Aβ40, Aβ42, GFAP, NfL, and pTau-181 measured in plasma. Our primary hypothesis was that PTSD would be associated with elevated levels of these markers.

Methods

Analyses were based on data from a PTSD-enriched cohort of 849 individuals. We began by performing factor analyses of the biomarkers, the results of which …

Confronting Ptsd In The Aftermath Of Abuse, Ayla A. Bilyeu

WWU Honors College Senior Projects

This narrative follows a young woman through seven clinical sessions with a psychiatrist as she confronts her diagnosis of PTSD following abuse sustained in a romantic relationship.

Ptsd, Chaos, And Subjective Executive Dysfunction, And Its Impact On Qol, Emmy Y. Velazquez Santiago

PCOM Psychology Dissertations

Research with veterans suggests executive dysfunction associated with PTSD often results in problems with quality of life. Objective impairments in executive functions do not significantly correlate with subjective reports; despite this discrepancy, the perception of dysfunction impacts quality of life. Research indicates that perception of chaos/unpredictability can undermine the ability to perform executive functions. This study explored how the perception of chaos impacts the relationship between PTSD and subjective executive dysfunction and quality of life among veterans. A Pearson product-moment correlation was used to determine whether a relationship exists between PTSD symptomatology and subjective executive dysfunction and between subjective executive …

An Internal And External Contextual Autoethnography Of A Single Mother's Experience As It Intersects With Misogyny, Patriarchy, And Hegemonic Masculinity, Heidi Sampson

Antioch University Full-Text Dissertations & Theses

This dissertation is a contextual autoethnography of my lived experience with stigmatization, stereotypes, and institutional obstructions as a divorced single mother who previously experienced intimate partner violence and was diagnosed with post-traumatic stress disorder. The purpose of the study is to shed light on the complexity of the single motherhood experience, both internally and externally. From 2009 to 2019, the institutions I accessed for assistance as a single mother and those I interacted with for my children, my job, my health, and even within the church were unnecessarily burdensome financially, physically, and emotionally. This dissertation takes a contextual look at …

A Qualitative Study Of Music Therapy's Effectiveness On Treating Ptsd, Shariee Jones

Doctoral Dissertations and Projects

The purpose of this descriptive phenomenological study in this qualitative research described how music therapy has been beneficial to the treatment of trauma survivors suffering from post-traumatic stress disorder. The research in this study consisted of six participants and previous research to show how music therapy has been effective in treating PTSD. The six participants were individually interviewed based on their prior experiences with music therapy from Board Certified Music Therapists. For years, the U.S. Department of Veteran Affairs have used music therapy to treat trauma survivors with complementary and alternative medical treatment. Several studies have been done on music …

Survivor Experiences Of Male Childhood Sexual Abuse: A Literature Review, Elizabeth Burch B.S., Joseph T. Kenneally Psy.D., Stephanie Zepeda Phd

Psychology from the Margins

The World Health Organization (WHO) recognizes childhood sexual abuse (CSA) as a global health issue. CSA is a human violation that affects both female and male children and has a stronger detrimental impact on mental health than other traumatic childhood experiences. Despite a growing awareness of male survivors of CSA, male survivors are a marginalized group as most CSA research focuses on females. In addition, masculine norms can keep male adults from disclosing further, which can delay support and increase mental health issues. This meta- analysis reviews the current literature on this group of marginalized people and concludes with a …

God, Can You Help Me? Effects Of Religious Coping On Patients With Anxiety And Trauma, Camron Angell

Student Works

Historically, religion has been overlooked in psychology as a method of coping due to stigma and an apprehension to bring up religious beliefs. Recent literature suggests positive religious coping can help patients with anxiety and PTSD (Anastasi & Newberg, 2008; Areba et al., 2018; Plante et al., 2000; Starnino et al., 2019; Yazici et al., 2020). Religious coping, both positive and negative, appears to affect patients with anxiety and PTSD. Positive religious coping is thought to have a positive effect on both anxiety and PTSD and can lead to greater mental health outcomes (Areba et al., 2018; Harris et al., …

Herrens Veje: A Catalyst To Reflect Upon Military Chaplaincy And Ecclesial Issues In A Nordic Context, Jan Grimell, Mariecke Van Den Berg

Journal of Religion & Film

This article is based on an analysis of the first season of the Danish series Herrens Veje (The Way of the Lord; Price 2017). The series portrays the young, idealistic pastor and military chaplain August, who is deployed to a conflict zone with a military unit. He accompanies the unit on a patrol to win the trust of the soldiers. During the patrol, they engage in combat and August kills an innocent civilian woman. Upon return, the transition from military to civilian life proves to be increasingly challenging and troublesome. As the series proceeds, August’s mental health deteriorates and his …

Understanding The Experiences And Associated Symptomology Of Disclosers And Non-Disclosers Of Sexual Victimization, Kaitlin Carson

Dissertations, Theses, and Capstone Projects

ABSTRACT

According to the Center for Disease Control and Prevention, as many as 43% of women report experiencing some form of sexual victimization, with the highest rates occurring in emerging adulthood. It is estimated that 75% of survivors disclose this experience to someone else; the remainder of survivors keep the experience to themselves. While disclosure can be therapeutic, there are multiple factors that can complicate the disclosure process for sexual victimization survivors. There is limited research investigating why some women choose to disclose sexual victimization experiences and how their reasons may relate to psychopathology. Additionally, extant research primarily focuses on …

Trauma Mediating The Severity Of Depressive Symptoms In Veterans With Ptsd, Meghan Curtin

Dissertations

Trauma serves as a risk factor for developing both posttraumatic stress disorder (PTSD) and depression. The purpose of this study was to examine trauma type as a mediator in the relationship between gender and severity of depressive symptoms among veterans with PTSD. The literature shows trauma type plays a role in developing PTSD and depressive symptoms. The first hypothesis was that female veterans who met the diagnostic criteria for PTSD would report higher levels of depressive symptoms than their male counterparts. The second hypothesis was that this gender difference would be partly mediated by levels of interpersonal trauma experience. Self-report …

Investigating The Differences Between Neuropsychological And Physiological Markers In A Ptsd-Only Group Among Vietnam Veterans, Ashtan Madsen

Dissertations

Individuals diagnosed with posttraumatic stress disorder (PTSD) have demonstrated extinction-resistant symptoms and long-lasting impacts on the brain’s functional activity (Krystal et al., 2017; Stark et al., 2015). PTSD illustrates a strong relationship with cognitive functioning, and research has found lower parietal and hippocampal volume and deterioration in brain function and structure, resulting in executive dysfunction, attentional deficits, mood dysregulation, and memory difficulties (Krystal et al., 2017; Stark et al., 2015; Weiner et al. 2017). Sleep has been investigated to better understand its contribution to AD pathologies as well as its impact on PTSD treatment and prognosis. Although sleep’s functions are …

Peer Victimization And Post-Traumatic Stress Problems Among Latinx Youth: The Role Of Emotional Reactivity And Gender, Ashley N. Harris

College of Science and Health Theses and Dissertations

Peer victimization is widespread and well-established as a risk factor for youth; however, few studies have examined the relation between peer victimization and post-traumatic stress symptoms among ethnic minority children and adolescents. Additionally, existing studies rarely investigate potential moderators of the relation and often utilize retrospective reports of peer victimization from adults. This study expands on the Regulatory Theory of Temperament (Strelau, 2008) by examining the role of emotional reactivity on the association between peer victimization and post-traumatic stress problems. The sample includes 275 predominantly low-income, Latinx (86.5%), and Mixed-Latinx (13.4%) Chicago Public School students ages 10-14 (M = …

Sexual Violence And Psychological Distress: The Roles Of Coping Self-Efficacy, Self-Blame, Shame, Activism, And Feminism, Charlotte Strauss Swanson

Doctoral Dissertations

In the current study, we investigated potential direct, indirect, and moderated relations in the links between exposure to sexual violence and PTSD symptom severity and depression among a sample of 440 United States women who had experienced sexual assault in adulthood. We found that sexual violence exposure was both directly and indirectly related to PTSD symptom severity via less trauma coping self-efficacy, greater behavioral and characterological self-blame, and more shame. Sexual violence exposure was also indirectly related to depression via the same explanatory variables, except for behavioral self-blame. Contrary to our hypotheses, results indicated that involvement in anti-sexual activism and …

The Role Of Childhood Trauma History In Relation To Decent Work, Matthew Reiland

Theses and Dissertations

This study used structural equation modeling to examine the impact of childhood trauma on decent work. Childhood trauma was added as an exogenous variable in the Psychology of Working Theory (PWT) model and hypothesized to have direct and indirect effects on decent work. An online sample of 643 working adults completed PWT measures and a measure on childhood trauma. Additionally, participants completed a single Likert-type item measure assessing negative impact of COVID-19 on work so that model invariance could examined among two high and low impact groups. Group invariance was satisfied at the configural, metric, and scalar levels, and the …

Combat Veteran Mental Health Care Advocacy, Gerald Graham

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal: The goal of Combat Veteran Mental Health Care Advocacy is to promote, support and draw attention to critical combat veteran mental health issues, such as PTSD, depression and substance abuse, where the real and actual consequence may lead to suicide.

Significant Findings: Presently, there are about 18 million living veterans (Inoue et al., 2023; Vespa, 2020), of which approximately 7.7 million served between 1990 and the present; roughly 42 percent of the total (Vespa, 2020). Wounded Warrior Project (2022) reported that these combat veterans face significant mental health issues such as sleep deprivation, PTSD, anxiety, and depression. …

Workplace Traumatic Stress And Mental Health Sequelae Among Public Safety Telecommunications Officers In Florida, Kellie O'Dare, Tammie M. Johnson, Erin A. King, Joseph Herzog, Dana R. Dillard, Kimberley Powell, Arthur R. Kirby, Leah Atwell

Florida Public Health Review

Background: Public safety telecommunications officers (PSTCOs), aka emergency “dispatchers,” are exposed to workplace traumatic stress and can experience situations characterized by uncertainty, communication difficulties, and a lack of resources. Traumatic stress experienced by emergency dispatchers has led to mental health symptoms. Purpose: This paper aims to describe the results of a study examining the patterns of workplace traumatic stress and the relationship between workplace traumatic stress and mental health concerns among a sample of PSTCOs. Methods: PSTCOs (n=54) participated in a cross-sectional, anonymous survey including screeners for depression, anxiety, post-traumatic stress disorder (PTSD), suicidal thoughts, and harmful alcohol use. …

Treatment Outcome From Cognitive Processing Therapy Examined Three Ways, Sophie Haven

Dissertations

Cognitive Processing Therapy (CPT), a Cognitive Behavioral Therapy for treating Post Traumatic Stress Disorder (PTSD), is an evidence-based treatment that has been demonstrated to be effective in treating PTSD. Nonetheless, CPT can have a high rate of treatment non-completion. Attrition from therapy has been operationally defined using multiple contrasting methods. Understanding attrition using a definition with the most clinical utility is essential to improving outcomes from efficacious treatments. Two clinically relevant definitions for attrition, session attendance and symptom improvement, are critical to understanding attrition. Combining information from both definitions, to create four separate groups, will provide more accurate information about …

Healing Trauma Through Dance/Movement Therapy: Literature Review, Shelby Turner

Expressive Therapies Capstone Theses

Trauma comes in many ways, from car accidents, natural disasters, physical and emotional abuse, divorce, loss, and many more. Trauma and trauma responses have been studied for years, connecting how the human brain processes trauma events and how the body responds to the brain’s information. This literature review surveys the different trauma responses through the brain, nervous system, PTSD, and dissociative responses. It highlights trauma-informed care and clinical dance/movement therapy interventions. Those interventions include mirroring techniques, empowerment-focused dance, movement work, and Movement Assessment and Treatment Manual for Trauma (MAMT), a tool to use as a guideline in treatment, mindfulness, and …

Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton

Undergraduate Theses and Capstone Projects

The purpose of this study was to examine the relationship between crime victimization, age at the time of victimization, psychological health, and resilience. Past research has shown that crime victimization has been linked to higher levels of depression and suicidal ideation, anxiety, posttraumatic stress disorder (PTSD), and eating disorders, and that those who experience a traumatic event as a child are influenced more negatively than those who experience trauma as an adult. Additionally, resilience has been shown to mediate the influence that trauma has on an individual. Undergraduate students, graduate students, and faculty and staff were surveyed to determine their …

Differences In Resilience And Mental Health Symptoms Among Us First Responders With Secure And Insecure Attachment, Donna Schuman, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Kathryn Shahan, Katelyn Jetelina

Faculty Publications

Objective: This observational study aimed to determine whether attachment style predicted first responders' mental health and resilience. Method: Data were from a treatment-seeking sample of first responders (N = 237). Each participant completed six assessments measuring attachment, resilience, generalized anxiety, depression, suicidality, and posttraumatic stress disorder. Results: On the attachment assessment, 25.3%were categorized as secure, 19.0%as dismissive, 25.3% as preoccupied, and 30.4% as fearfully attached. As predicted, securely attached participants had the lowest scores for generalized anxiety, depression, suicidality, and posttraumatic stress disorder and the highest scores on the resiliency measure, followed by dismissive, preoccupied, and fearfully …

Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton

Graduate Dissertations and Theses

The purpose of this study was to examine the relationship between crime victimization, age at the time of victimization, psychological health, and resilience. Past research has shown that crime victimization has been linked to higher levels of depression and suicidal ideation, anxiety, posttraumatic stress disorder (PTSD), and eating disorders, and that those who experience a traumatic event as a child are influenced more negatively than those who experience trauma as an adult. Additionally, resilience has been shown to mediate the influence that trauma has on an individual. Undergraduate students, graduate students, and faculty and staff were surveyed to determine their …