Psychology Commons^™

The Effect Of Gender And Veteran Status On The Level Of Perceived Stigma Surrounding Ptsd, Ryan E. Lubock

Master's Theses

This paper explores how gender and veteran status effects the level of stigmatization around Posttraumatic Stress Disorder (PTSD). Participants were randomly assigned to one of four vignette conditions, which were distinguished by gender and veteran status. Participants were then asked to rate how they perceived the individual depicted in the vignette. The researchers analyzed the results by examining how the participants own report of gender, and masculinity, effected how each of the vignettes were judged. This paper addresses the stigma surrounding mental health in general, and more specifically how that stigma affects individuals suffering from PTSD across multiple domains. For …

Returning To Abusive Relationships: Related And Predictive Factors, Rachel Leanne Swadley

Graduate Theses/Dissertations

Domestic violence and interpersonal abuse affects one-third of women and can have extreme negative consequences on the victim's psychological and physical health and well-being. Recently, the related area of a victim's choice to return to an abusive relationship has been studied more thoroughly, although the body of literature in this area is still relatively small and only provides limited evidence for factors predicting return to abuse. The current research examined the possible risk factors of victims of interpersonal violence in leaving and returning to abusive situations. 40 participants were recruited from a domestic violence shelter and completed a questionnaire packet …

A Study Of The Effectiveness Of The Crisis Care & Counseling Course Within The Special Operations Forces At The Joint Special Operations University, Mary Ann Quartetti

Doctor of Education (Ed.D)

The Special Operations Forces have experienced a surge in PTSD and suicides in the past several years, now surpassing conventional military branches. Due to the attached stigma for seeking help from mental health professions and potential negative career effects, military personnel are more likely to seek counseling from their unit chaplain. The U.S. military does not require chaplains to have a counseling degree or certification in counseling as a prerequisite to performing duties as a chaplain, although most Masters of Divinity programs do include some counseling courses. The military does provide limited training to its chaplains in counseling. Special Operations …

Using Professional Development To Build Pre-Service Teachers' Self-Efficacy For Helping Students With Posttraumatic Stress Disorder To Learn, Natalie J. West

Masters Theses & Specialist Projects

The current study determined if a professional development on PTSD would improve pre-service teachers’ self-efficacy for helping students with posttraumatic stress disorder (PTSD) to learn. Participants consisted of 59 college students from one large, comprehensive, Mid-Southern university who were enrolled in an education program and an educational psychology course. Using a quasi-experimental method, participants either received the PTSD professional development (treatment) or regular instruction (control group). All participants completed a measure of demographics, a pre-test measure of selfefficacy for helping students with PTSD to learn, which was further dissected into four constructs (i.e., self-efficacy for identifying students with PTSD, adapting …

Gender, Population Type, And Coping As Predictors Of Ptsd Symptom Severity, Stacey A. Kerr

Electronic Theses and Dissertations

Research has demonstrated that a salient predictor of PTSD is experiencing a traumatic event. Additional research has indicated that there are other risk factors involved with predicting the development of PTSD including gender, population type, and emotion-focused coping. The purpose of the current study was to examine gender, population type, the interaction effect between gender and population type, and emotion-focused coping, specifically avoidant emotional coping and active emotional coping, as independent predictors of PTSD symptom severity. In total, 124 individuals participated in the current study. The sample consisted of 64 civilians and 60 military personnel. The results indicated that gender …

Improving Assessment Of Race, Ethnicity, And Culture To Further Veteran Ptsd Research., Jane M. Onoye, Michele Spoont, Julia M. Whealin, Nnamdi Pole, Margaret Anne Mackintosh, James L. Spira, Leslie A. Morland

Psychology: Faculty Publications

Objective: Racial and ethnic disparities in posttraumatic stress disorder (PTSD) and its treatment have been documented for both civilians and military veterans. To better understand the presence of disparities and factors that might contribute to them, accurate assessment of race and ethnicity is critical; however there still remains unstandardized assessment and challenges to implementation. The authors highlight specific problems in the assessment of race and ethnicity in research, such as missing data, misclassification, classification categories too limited to reflect many peoples' social identities, and inappropriate aggregation of ethnoracial subgroups. Conclusions: A proposal is made for a minimal uniform assessment standard …

Habituation Of Distress And Craving During Treatment As Predictors Of Change In Ptsd Symptoms And Substance Use Severity, Christal L. Badour, Julianne C. Flanagan, Daniel F. Gros, Therese Killeen, Irene Pericot-Valverde, Kristina J. Korte, Nicholas P. Allan, Sudie E. Back

Psychology Faculty Publications

Objective—Increasing evidence supports the efficacy of trauma-focused exposure therapy in the treatment of posttraumatic stress disorder (PTSD) and co-occurring substance use disorders. Little is known, however, about the mechanisms of change in treatment for patients with PTSD and co-occurring substance use disorders. The aim of the present study was to examine whether within- and between-session habituation of distress and substance craving during imaginal exposure relates to treatment outcomes among U.S. military veterans with PTSD and a co-occurring substance use disorder (N = 54).

Method—Veterans received Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure, a manualized …

The Influence Of Self-Efficacy In The Relationship Between Variants Of Self-Blame And Psychological Distress, Andrea Barrera

Electronic Theses, Projects, and Dissertations

Sexual assault has consistently been found to be associated with depression and posttraumatic stress disorder (PTSD) symptomatology. Research shows that self-blaming attributions are directly linked to distress (Walsh, & Foshee, 1998; Walsh & Bruce, 2011). More specifically, the type of self-blame (i.e., behavioral and characterological) an individual associates with their experienced sexual assault, may influence their perceptions of avoidability of future assault and post-assault recovery. However, the role of self-efficacy in the relationship between behavioral and characterological self-blame in PTSD sexual assault survivors has been unexamined. The purpose of the proposed study is to assess the influence of self-efficacy in …

Battling On The Home Front: Posttraumatic Stress Disorder And Conflict Behavior Among Military Couples, Lynne M. Knobloch-Fedders, Catherine Caska-Walace, Timothy W. Smith, Keith Renshaw

Psychology Faculty Research and Publications

This study evaluated interpersonal behavior differences among male military service members with and without PTSD and their female partners. Couples (N = 64) completed a 17-minute videotaped conflict discussion, and their interaction behavior was coded using the circumplex-based Structural Analysis of Social Behavior model (SASB; Benjamin, 1979, 1987, 2000). Within couples, the behavior of partners was very similar. Compared to military couples without PTSD, couples with PTSD displayed more interpersonal hostility and control. Couples with PTSD also exhibited more sulking, blaming, and controlling behavior, and less affirming and connecting behavior, than couples without PTSD. Results advance our understanding of …

Words Of Change: How Linguistic Shifts Over The Course Of A Short-Term Exposure Therapy Represent Movement Towards Psychological Health, Zachary A. Kahn

Dissertations, Theses, and Capstone Projects

Exposure therapy is currently considered the “gold standard” in treating posttraumatic stress disorder (PTSD). Though exposure therapy has been increasingly used and studied as an intervention for PTSD in recent years, little is known about the mechanisms of change in this type of treatment. The Trauma and Addiction Project at the City College of New York ran a clinical research trial for individuals with co-morbid PTSD and Substance Use Disorders (SUDs). Participants randomized into the experimental group, Concurrent Treatment with Prolonged Exposure (COPE), participated in a twelve-session therapeutic intervention that combined exposure therapy focused on the participant’s primary trauma with …

The Effects Of Rape Myth Acceptance, Benevolent Sexism, Characterological Self-Blame, And Behavioral Self-Blame On Posttraumatic Stress Disorder Symptom Severity, Jacob Whitaker Camp

Theses, Dissertations and Capstones

Roughly 35 to 50 percent of victims of sexual assault begin to suffer from posttraumatic stress disorder (PTSD) relatively early after the assault (Elklit, Due, & Christiansen, 2009). Many victims of sexual assault who are diagnosed with PTSD continue to experience symptoms long after the incident occurred (Peter-Hagene & Ullman, 2015). Rape has serious effects on the psychological health of the victims. Although no study had been done directly examining the relationship between rape myth acceptance and PTSD symptom severity, studies have shown that benevolent sexism affects rape myth acceptance and that rape myth acceptance affects how individuals attribute blame …

Rape And Posttraumatic Stress Disorder (Ptsd): Examining The Mediating Role Of Explicit Sex-Power Beliefs For Men Versus Women, Daniel J. Snipes, Jenna M. Calton, Brooke A. Green, Paul B. Perrin, Eric G. Benotsch

Psychology Publications

Many rape survivors exhibit symptoms of post-traumatic stress disorder (PTSD), and recent literature suggests survivors' beliefs about sex and control may affect PTSD symptoms. The present study examined beliefs about sex and power as potential mediators of the relationship between rape and PTSD symptoms for men versus women. Participants (N = 782) reported lifetime history of rape, current PTSD symptoms, and beliefs about sex and power. Women reported higher levels of lifetime history of rape than men (19.7% for women; 9.7% for men). While rape history predicted PTSD symptoms for both genders, beliefs about sex and power were shown to …

Ptsd With Substance Use Disorders Female Versus Male Veterans: An Archival Study, Geri Cribbs

Walden Dissertations and Doctoral Studies

The present study examined men and women veterans diagnosed with posttraumatic stress disorder (PTSD) and substance use disorder (SUD). Women in the general public have been found to be at greater risk for a diagnosis of PTSD with life-long symptoms. Current literature involving military men and women veterans is at odds over which gender is more likely to have both PTSD and SUD. This study assessed the variables of gender and diagnosis. It also studied whether the age of female veterans affects their likelihood of having both PTSD and SUD. Archival data were gathered from the Veterans Administration (VA) for …

Ptsd, Alcohol Dependence, And Conduct Problems: Distinct Pathways Via Lability And Disinhibition, Jeffrey S. Simons, Raluca M. Simons, Carol O'Brien, Scott F. Stoltenberg, Jessica A. Keith, Jaime A. Hudson

Department of Psychology: Faculty Publications

This study tested the role of affect lability and disinhibition in mediating associations between PTSD symptoms and two forms of alcohol-related problems, dependence syndrome symptoms (e.g., impaired control over consumption) and conduct problems (e.g., assault, risk behaviors). Genotype at the serotonin transporter linked polymorphic region (5-HTTLPR) was hypothesized to moderate associations between traumatic stress and PTSD symptoms. In addition, the study tested whether childhood traumatic stress moderated associations between combat trauma and PTSD symptoms. Participants were 270 OIF/OEF/OND veterans. The hypothesized model was largely supported. Participants with the low expression alleles of 5-HTTLPR (S or L_G) exhibited stronger …

Mission Completion, Troop Welfare And Destructive Idealism: A Case Study On The Phenomenology Of A Combat Veteran’S Social Reintegration, Gary Senecal, Marycatherine Mcdonald

Philosophy Faculty Publications

Post-traumatic Stress Disorder (PTSD) among combat veterans remains an urgent and intractable problem for those who have served in the wars in Iraq and Afghanistan. In this paper, we argue that one of the reasons that combat related PTSD remains so difficult to treat is because psychologists - and American culture at large - do not fully understand it yet. It is our contention that there are two contributing factors that currently hinder our ability to successfully treat combat related PTSD. The first is a failure to look critically at the theoretical underpinnings that ground our current understanding of the …

The Soldier 360°Orgram: Strengthening Combat-Exposed, Noncommisioned U.S. Army Officers' Interpersonal Sensitivity, Anne Harper

Walden Dissertations and Doctoral Studies

Interpersonal sensitivity is a foundational component of interpersonal relationships. It encompasses an individual's self-concept and self-identity, which are formed as the individual develops. An individual's self-concept develops from the norms and mores of his or her society. Soldiers in the U.S. Army have been trained to form a repurposed self to engage in combat and work in combat-focused jobs. The consequence of this training in many cases has been diminished interpersonal sensitivity that has been detrimental to their interpersonal relationships. The Soldier 360° course is a comprehensive treatment program that takes a holistic approach to providing soldiers with self-empowering tools …

Clinicians' Perceptions Of Trauma Treatment For People With Intellectual Disabilities, Katherine Elaine Schoech

Walden Dissertations and Doctoral Studies

People with intellectual disabilities (ID) experience trauma and posttraumatic stress disorder (PTSD) in similar ways as individuals in the general population. The purpose of this phenomenological study was to explore and describe clinicians perceptions of trauma treatment for people with ID. Theories of trauma, PTSD, and stigma were part of the conceptual framework from which interview questions were developed. Purposive and snowball sampling were used to recruit 8 participants in the Denver, Colorado area. Four participants had experience working with people with ID, and 4 participants did not have this experience. Participants sat for semi structured open-ended recorded interviews, which …

Healing From Racism With Compassion Meditation: Effects Of Coping On Mental Health, Courtney Chan

CMC Senior Theses

This study examines whether Compassion Meditation (CM) can help ethnic minority college students heal from race-related stress. The present study hypothesized that through participation in a CM intervention, the augmentation of adaptive coping strategies (i.e., self-compassion) and the reduction of maladaptive coping strategies (i.e., internalization, defined as self-blame, and detachment, defined as social isolation) would reduce depression and PTSD. Participants (N = 9) participated in an 8-session weekly CM intervention and completed three questionnaires at the beginning, middle, and end of the intervention. Results demonstrated that increasing self-compassion predicted decreases in depression, and that reducing coping via detachment predicted …

Service Members’ Perspectives On Treatment: Bridging The Military-Civilian Divide, Kevin R. O'Leary

Antioch University Dissertations & Theses

The difficulties some service members have reintegrating into and reconnecting with civilian society are well established across the literature. Despite the veteran’s voices describing these struggles to connect with civilians and the current zeitgeist in psychotherapy on the therapeutic relationship and multicultural competence, little attention has been given to the implications of the civilian military divide in therapy. This study used a mixed method approach to conduct an exploratory study of 70 service members’ perceptions of working with a civilian and active duty or veteran therapist and what factors contribute to therapeutic alliance. Of interest are service members’ beliefs about …

The Relationship Between Infertility, Infertility Treatment, Psychological Interventions, And Posttraumatic Stress Disorder, Antoinette Corley-Newman

Walden Dissertations and Doctoral Studies

The number of women diagnosed as infertile continues to grow every year. The psychological impact of the infertility experience has been said to create distress equivalent to that associated with life-threatening illnesses and has been linked with posttraumatic stress disorder (PTSD). Using shattered assumption and stress-buffering theory, this quantitative causal comparative study explored the potential functional relationship between infertility and PTSD. The majority of the (all-female) participants were 24- to 34-year-old college graduates. A 2 X 3 factorial between-subjects ANOVA examined and compared the cause and effect of the independent variables, fertility treatment and psychological intervention, on the dependent variable, …

Revealing Grace: The Lived Experiences Of America's Post-9/11 Military Caregivers, Jennifer J. Hunter

Antioch University Dissertations & Theses

This research focused on the lived experiences of fourteen military caregiving wives whose husbands were wounded, ill, or injured in a post-9/11 combat theater of war. All wives in this study had been vetted by and appointed to the Elizabeth Dole Military Caregiving Fellows Program and were either actively involved in the Fellowship or had become recent alumni of the two-year commitment at the time of this study. The purpose of this study was to provide a platform for their voices, understand their hopes, struggles, successes, and failures, and to give honor to their stories of military caregiving through the …

Stigmatizing Attitudes Towards Men And Women Combat Veterans With Combat Related Ptsd, Heather L. Caldwell

Electronic Theses & Dissertations

Veterans with PTSD experience stigma and discrimination. The extent to which women combat veterans with PTSD may experience stigma and discrimination has yet to be investigated. This is critical given the increasing number of women veterans exposed to combat and combat trauma. Level of familiarity may affect stigmatizing beliefs. Gender may also affect stigmatizing beliefs. To assess this, 126 undergraduate students (men, n = 69) were randomly assigned to view videos of a man or woman veteran describing combat experience and their PTSD symptoms. Participants completed questionnaires assessing PTSD symptoms, level of familiarity with veterans, and stigmatizing attitudes toward the …

Dopamine D1 Receptor Activity In The Basolateral Amygdala Is Important For Mediating Fear, Reward And Safety Discrimination Learning, Ka Ho Ng

Open Access Theses

Post traumatic stress disorder (PTSD) patients frequently show impairment in safety learning (Jovanovic, Kazama, Bachevalier, & Davis, 2012). Since the amygdala is known to be critical for emotional processing(Wassum & Izquierdo, 2015) and dopamine signaling in the amygdala is important for mediating both fear and reward learning, current experiments examined the role of dopamine signaling in the BLA in mediating both safety learning and reward seeking. We manipulated dopamine D1 receptor activity with a D1 receptor agonist (SKF 38393) or D1 receptor antagonist (SCH23390) either systemically or infused directly into the BLA 20 minutes prior to training rats in a …

Ashamed And Afraid: A Scoping Review Of The Role Of Shame In Post-Traumatic Stress Disorder (Ptsd), Tanya Saraiya, Teresa Lopez-Castro

Publications and Research

Background: Despite considerable progress in the treatment of post-traumatic stress disorder (PTSD), a large percentage of individuals remain symptomatic following gold-standard therapies. One route to improving care is examining affective disturbances that involve other emotions beyond fear and threat. A growing body of research has implicated shame in PTSD’s development and course, although to date no review of this specific literature exists. This scoping review investigated the link between shame and PTSD and sought to identify research gaps. Methods: A systematic database search of PubMed, PsycInfo, Embase, Cochrane, and CINAHL was conducted to find original quantitative research related to shame …

Ptsd From Childhood Trauma As A Precursor To Attachment Issues, Christy Owen

Fidei et Veritatis: The Liberty University Journal of Graduate Research

The past 20 years have been turbulent regarding Reactive Attachment Disorder (RAD), with conflicting research about its causes, effects, treatment, and prognosis. The current diagnostic criteria in the DSM-5 fails to adequately address this disorder. A number of deviant and maladaptive behaviors common amongst children with RAD are not even mentioned in the diagnostic criteria. As such, the diagnostic definition is almost unidentifiable or incompatible with real-life conduct manifestations of the disorder. Rather, this author contends that RAD is foundationally a unique and extreme form of Posttraumatic Stress Disorder (PTSD) from Early Childhood Trauma. The child endured unspeakable neglect and/or …

Reactivity And Recovery Among Oif/Oef/Ond Combat Veterans: Do Those With Subthreshold Ptsd Differ From Veterans With And Without Ptsd?, Paula Castro-Chapman

USF Tampa Graduate Theses and Dissertations

This study expanded the current literature by assessing PTSD in relation to reactivity and recovery from negative emotional arousal among OEF/OIF/OND Veterans. Cardiac impedance was employed during a speech task and a trauma imagery procedure. Those in the PTSD-S group displayed lower SBP and higher TPR reactivity relative to the PTSD- and PTSD+ groups; lower CO reactivity relative to the PTSD+ group; and more CO recovery than those in the PTSD+ group to the trauma task. For speech task, Veterans in the PTSD-S group exhibited lower HR reactivity for both speech preparation and delivery than those in the PTSD- group. …

Fidelity To The Cognitive Processing Therapy Protocol: Further Evaluation Of Critical Elements, Courtney Chappuis Farmer

Dissertations

Despite advancements in the field of trauma-focused treatment, a close examination of the literature reveals three concerns. First, a significant number of RCT participants either do not respond to treatment or drop out prematurely. Second, despite significant dissemination of evidence-based interventions, fidelity to those interventions beyond trainings is not well understood. And finally, the effectiveness of trauma-focused interventions in the “real-world” community setting remains unclear. Literature suggests that identification of key treatment components could help to address these three concerns. This study focused on one evidence-based treatment in particular, Cognitive Processing Therapy (CPT), and aimed to extend the current literature …

Understanding Factors Related To Negative Mental Health Outcomes Following Childhood Unintentional Injuries, Jennifer T. Kuhn

Dissertations

Unintentional injuries are the leading cause of death for children ages 0-19 and account for 9.2 million emergency room visits in the United States each year (Borse et al., 2008). Research shows that approximately 20% of children meet criteria for PTSD following an unintentional injury (Ostrowski et al., 2011). There are several factors that may contribute to the development of PTSD including caregivers’ posttraumatic stress symptoms after the injury event. Research has not explained the association between caregivers’ PTSD and children’s risk for PTSD symptoms, but it is possible that caregivers with PTSD may be modeling anxious behaviors to their …

Cross Validation Of The Caregiving Helplessness Questionnaire: Associations With Maternal History Of Maltreatment And Intimate Partner Violence, Maegan Calvert

Graduate Theses and Dissertations

Disorganized caregiving has been associated with both maternal childhood history and current experiences of trauma. However, the methods by which disorganized caregiving has been studied have been time intensive and costly. The current study aimed to extend previous research with the Caregiving Helplessness Questionnaire (CHQ; George & Solomon, 2011), which is a self-report measure designed to assess aspects of disorganized caregiving such as caregiving helplessness, role reversal, and frightened/frightening caregiving experiences. Participants (N = 156) were a community sample of mothers of children ages 5 to 10 who were primarily white and who reported a range of traumatic experiences. It …

The Associations Among Expressed Emotion, Relationship Satisfaction, Ptsd Symptoms, Alcohol Use, And Depression: A Longitudinal Investigation With A Military Sample, Laci Lee Zawilinski

Dissertations

PTSD in military personnel is highly prevalent and accompanied by elevated rates of additional issues such as depression, problematic alcohol use, and interpersonal relationship problems. Family members and spouses of military personnel have also been shown to be negatively impacted by PTSD symptoms. Previous research has indicated that family members and spouses’ expressed emotion regarding the PTSD patients’ symptoms negatively impacts treatment outcome in civilian populations. However, studies have yet to investigate the effect of expressed emotion on the course of PTSD symptoms and associated problems in military personnel. Therefore, the purpose of the present investigation was to examine the …