Psychology Commons^™

A Latent Profile Analysis Of Posttraumatic Stress And Depressive Symptoms In Adolescents, Shawn A. Wilson

Legacy Theses & Dissertations (2009 - 2024)

This study examines how posttraumatic stress (PTS) and depressive symptoms co-occur during early adolescence. Data for participants in the present study were drawn from the National Survey of Child and Adolescent Well-Being. A latent profile analysis (LPA) was conducted on the data from 818 adolescents aged 11 to 14 who self-identified as Black, Latino, or White. A three-class solution was selected as an optimal fit for the data based on fit indices and ease of interpretation. The LPA indicated that PTS and depressive symptoms tended to co-occur in a dimensional manner, with the classes differing only in terms of the …

Understanding Peritraumatic Dissociation: Evolution-Prepared Dissociation, Tonic Immobility, And Clinical Dissociation, Laura A. Halvorsen

Antioch University Dissertations & Theses

Current literature on the relationship between posttraumatic symptoms and dissociation that occurs during the time of a trauma, or peritraumatic dissociation, appears to be contradictory and inconclusive. Conflicting findings in the empirical literature that disagree on the nature of this association (whether peritraumatic dissociation is a risk factor for PTSD or a neutral or even protective evolutionarily-derived phenomenon) may originate from the lack of conceptual clarity regarding the construct of dissociation, and lack of differentiation between peritraumatic dissociation and dissociation that persists after a traumatic event. This dissertation details a theory for differentiating clusters of peritraumatic dissociation based on distinct …

The Dimensions Of Hardiness And Resiliency For Combat Ptsd, Warren Joseph Avery

Antioch University Dissertations & Theses

Research suggests that the personality factor hardiness may aid in resilience to combat PTSD. The need to understand resiliency factors like hardiness becomes more urgent as the depth of the epidemic of combat PTSD among veterans becomes more evident. Hardiness consists of three dimensions: (a) commitment, (b) control, and (c) challenge. This study was designed to explore the relationship between the dimensions of hardiness and combat PTSD in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) veterans. Participants were contacted through college veterans offices across the nation, and measures were anonymously completed online. Veterans who participated in the study …

Ways Of Being In Trauma-Based Society: Discovering The Politics And Moral Culture Of The Trauma Industry Through Hermeneutic Interpretation Of Evidence-Supported Ptsd Treatment Manuals, Sarah Peregrine Lord

Antioch University Dissertations & Theses

One hundred percent of evidence-supported psychotherapy treatments for trauma related disorders involve the therapist learning from and retaining fidelity to a treatment manual. Through a hermeneutic qualitative textual interpretation of three widely utilized evidence-supported trauma treatment manuals, I identified themes that suggested a particular constitution of the contemporary way of being—a traumatized self—and how this traumatized self comes to light through psychotherapeutic practice as described by the manuals. The manuals included: 1) a trauma focused cognitive-behavioral therapy for children; 2) an eye-movement desensitization and reprocessing therapy for adults; and, 3) an early intervention and debriefing therapy series for post-traumatic stress …

Long-Term Outcomes Of Prolonged Exposure And Naltrexone For Patients With Comorbid Posttraumatic Stress Disorder And Alcohol Dependence, Shelley Avny

Theses and Dissertations

A growing body of research is examining effective treatment(s) for individuals with comorbid posttraumatic stress disorder (PTSD) and alcohol dependence (AD). However, treatments for this comorbid population have been inadequately studied in the longer term. This study represents a long-term follow-up assessment of a randomized controlled trial that compared combined therapy (prolonged exposure + naltrexone) with monotherapies (prolonged exposure or naltrexone) for patients with PTSD and AD (see Foa, Yusko, McLean et al., 2013). Attempts were made to contact 120 participants 5-10 years after the original trial to assess the maintenance of treatment gains. Nineteen individuals were located and agreed …

Coping Styles Among Individuals With Severe Mental Illness And Comorbid Ptsd, Shannon Ashley Mcneill

Dissertations

There is little known about the mechanisms by which persons with SMI cope with their stress, and virtually no research is available on the influence of comorbid PTSD (SMI-PTSD) on coping within the SMI population. The current study examined coping strategies utilized by individuals with SMI versus those with SMI-PTSD, while also investigating the role of PTSD symptom severity, overall psychological distress, and substance use on coping strategy usage. Participants included adults (N = 90) recruited through a metropolitan community mental health center, all describing current symptoms of an SMI, 48 of whom met criteria for SMI-PTSD. Results of this …

The Relationship Between Posttraumatic Cognitions And Social Support In The Severity Of Ptsd Symptoms, Ellen Margaret Koucky

Dissertations

Posttraumatic cognitions (PC), perceived social support (PSS), and received social support (RSS) contribute to the development of posttraumatic stress disorder (PTSD), but little is known about the way these variables may influence each other in this process. The current study tested the association between PSS and RSS and compared levels of these support types in PTSD-positive versus PTSD-negative subjects. An SEM model investigating the role of PC, PSS, and RSS in predicting PTSD symptom severity was also tested. Results indicate a significant difference in the strength of the association between support types based on diagnostic status and lower levels of …

The Sexual Assault Severity Scale: A Comprehensive Measure Of Assault Severity, Karyn Crystal Swinson

Dissertations

Many studies in the sexual assault literature have found a significant relationship between sexual assault severity and psychological distress, specifically PTSD and suicidality. However, in the current literature, there is an inconsistent and incomplete definition of the construct of assault severity. The present study aims to create a comprehensive self-report questionnaire, called the Sexual Assault Severity Scale (SASS) that includes assault characteristics, such as victim-offender relationship, substance use, and peritraumatic responses, and cognitive variables, such as posttraumatic schema disruptions and coping self-efficacy in the conceptualization of assault severity. Two models evaluating the relationship between assault severity and post assault distress …

Trauma And Post-Traumatic Stress Disorder In Therapeutic Day School Students: Prevalence In This Population And Effective Treatment Programs, Monica Roberts

Dissertations

This survey-based, comparative study investigated the percentage of students at a suburban Chicago therapeutic day school who meet criteria for clinically significant levels of PTSD as compared to students in a general education setting. The directional hypothesis was that students placed at therapeutic day schools have a higher prevalence of PTSD than a general population of students. The method used was a survey assessment called the Child PTSD Symptom Scale (CPSS) given to 16 students at a suburban Chicago therapeutic day school. These CPSS scores were analyzed and statistically compared to CPSS scores of an already published study with students …

Relationship Among Schizoid And Schizotypal Personality Traits And Social Support On Ptsd Symptom Severity, Wilfred Joseph Mccloskey

Master's Theses and Doctoral Dissertations

Posttraumatic stress disorder (PTSD) is a common disorder in the general population with a lifetime prevalence of 7.8% (females 10.4%; males 5.0%; Kessler et al, 1995). PTSD can become debilitating and can significantly affect an individual’s social and occupational functioning. Consequently, it is essential to better understand the factors associated with development and maintenance of PTSD. Research has documented the benefits of social support in the prevention and treatment of PTSD. However, it is unclear whether other variables moderate the effectiveness and desirability of social support. Currently, the empirical literature examining the role of potential moderators of social support (e.g. …

Effects Of Partner Attachment Quality On Ptsd Severity With Combat-Exposed Veterans, Robert Desmond Shura

Theses, Dissertations and Capstones

Posttraumatic stress disorder (PTSD) as a response to a traumatic stressor encompasses re-experiencing, avoidance, and hyperarousal. Although many individuals will experience a traumatic stressor in the course of a lifetime, only a fraction fully develop PTSD. The purpose of this dissertation was to inform the question as to why some develop PTSD as a response to combat exposure and others do not. This study used the PTSD Checklist – Military Version (PCL-M), Trauma Symptom Inventory - 2 (TSI-2) and the Attachment and Clinical Issues Questionnaire (ACIQ) to test if secure partner attachments predict PTSD severity, anger, and somatization. These models …

Imagery Rehearsal Therapy For Posttraumatic Nightmares: Symptom Severity And Control Appraisal Outcomes, Ashley Kay Rose

Theses, Dissertations and Capstones

This research included a small-scale randomized, controlled trial of IRT (Imagery Rehearsal Therapy) with a sample of military veterans receiving treatment for PTSD from the VAMC in Huntington, WV. Domains assessed included nightmare severity, posttraumatic cognition, general sleep quality, and PTSD symptom severity. The intended purposes were to evaluate the relative contribution of the imagery rehearsal and rescripting component of IRT intervention in isolation from the sleep hygiene component, to assess fluctuations in symptoms across time, and to assess any relative contribution of control appraisals in outcomes. Due to an unexpectedly small sample size, no definitive conclusions can be drawn …

Physiological And Psychological Responses To 911 Emergency Tapes, Jackie Hammelman

Theses and Dissertations

The news has become a central part of daily culture in the United States and provides up to date information regarding a vast array of topics from weather to war. A specific aspect of the news, emergency 911 tapes, and their influence on viewers' physiological and psychological health was investigated. Research regarding the relationship between physiological arousal and exposure to brief traumatic stimuli, as well as research addressing the development of pathological psychiatric symptoms are discussed in the literature review. This study examined the relationship between exposure to 911 emergency tapes, physiological arousal, and symptoms of psychopathology while considering the …

Understanding The Relationship Between Sexual Trauma And Screenings, Emily N. Karakis

ETD Archive

The most common cause of cervical cancer in women is the Human Papillomavirus (HPV) (Cokkinides, Bandi, Siegel, Warn, & Thun, 2007). Survivors of sexual assault are at a high risk for contracting HPV and other sexually transmitted infections (Lee, Westrup, Ruzek, Keller, & Weitlauf, 2007), therefore placing them at higher risk of developing cervical cancer. Unfortunately, these women are less likely than non-survivors to have cervical cancer screenings (Bazargan, Bazargan, Farooq, & Baker, 2004). Previous research has suggested that post-traumatic stress disorder (PTSD) and locus of control (LOC) may have some influence on screening participation in sexual assault survivors. This …

The Role Of World View Changes In The Longitudinal Associations Between Depression And Ptsd Symptoms And Later Sexual Problems, Erin Paige Mason

Wayne State University Theses

Childhood sexual abuse (CSA) is a risk factor for the development of depression and posttraumatic stress disorder (PTSD) symptoms, as well as sexual problems. Additionally, previous research supports a relationship between symptoms of depression and PTSD and sexual problems in both sexually abused and non-abused samples. There has been little attempt, however, to explain the mechanisms responsible for this relationship. The current study proposed that abuse-related changes in world views might be one such mechanism and examined whether world view changes mediate longitudinal associations between depression and PTSD symptoms and sexual problems (sexual concerns, dysfunctional sexual behavior, and risky sexual …

The Post-Combat Couple Adjustment Questionnaire: A Preliminary Validation, Valerie Maine

Antioch University Dissertations & Theses

This dissertation presents the results of a psychometric study regarding the preliminary validation of The Post-Combat Couple Adjustment Questionnaire (PCCAQ). This measure was designed to assess post-combat and post-deployment adjustment for male veterans and their female partners. The measure was created using existing literature on veterans, posttraumatic stress disorder (PTSD), and couples. The PCCAQ consists of four domains of couple functioning, including: (a) redefining roles, expectations, and division of household responsibilities; (b) managing strong emotions; (c) abandoning emotional constriction and creating intimacy in relationships; and (d) creating a sense of shared meaning surrounding the deployment experience. The PCCAQ was compared …

Personal And Contextual Resilience Factors And Their Relations To Psychological Adjustment Outcomes Across The Lifespan: A Meta - Analysis, Kristen Lamp

Dissertations

Research concerning resilience following trauma and adversity indicates that resilient adaptation occurs more often than originally hypothesized. Correlational studies have identified resilience factors including social support, self-efficacy, self-esteem, spirituality, and optimism. However, these studies have evidenced mixed findings regarding the relationships between resilience factors and adjustment outcomes including adjustment to trauma, psychological adjustment, and posttraumatic growth. In the present study, definitions and concepts in resilience research were clarified, and findings from the past five decades of lifespan resilience research were reviewed. A meta-analysis designed to summarize the existing research and uncover the true nature of the relationships among resilience factors …

Neuropsychological, Psychological, And Injury Variables Associated With Post-Traumatic Stress Disorder In Individuals Who Suffered An Electrical Injury, Jana Wingo

Dissertations

Electrical injury (EI) represents a major form of trauma that can greatly impact the individual cognitively, physically, and emotionally. EI can lead to a variety of cognitive impairments affecting attention, processing speed, motor skills, and memory. Furthermore, EI can lead to a variety of physical impairments from burns to cardiac injury. In addition to other psychiatric disorders, individuals who suffer an EI can eventually develop Post-Traumatic Stress Disorder (PTSD).

This study examined a clinical sample of 143 individuals (86.0% male, 85.3% Caucasian, 44.1% diagnosed with PTSD) who have experienced an EI to determine the factors associated with the development of …

Development Of The Posttraumatic Stress Symptoms -- Childhood Obesity Model, Kristi Wilsman

Masters Theses & Specialist Projects

This project developed a model to account for an obesity outcome in children who have posttraumatic stress disorder (PTSD) and whose parents have posttraumatic stress symptoms (PTSS) or PTSD. A literature review provided the basis for the model and covered the areas of childhood obesity, parental PTSS, childhood PTSD, adverse childhood experiences, relational PTSD, ineffective parent support, and the stress response. A model to explain the outcome of obesity in children with PTSD as mediated by parental support provided after a traumatic event was developed: The Parental PTSSChildhood Obesity Model. The literature review supports a relational perspective for viewing child …

A Systematic Review Of Psychological Treatments For Combat-Related Ptsd, Benson G. Munyan Iii

Undergraduate Honors Capstone Projects

With ongoing military operations spanning the globe, a new population of combat veterans is emerging. Posttraumatic stress disorder is an enormous issue for veterans, and knowing the status of psychosocial treatments for it seems necessary. The current study seeks to provide a more comprehensive description of the current status of outcome research for combat-related posttraumatic stress disorder, including treatments being utilized, attrition rates, percent responders/nonresponder, and population conflict (i.e., OIF, OEF, Vietnam). The literature was systematically reviewed and 10 randomized controlled trials were identified that focused solely on veteran populations with posttraumatic stress disorder. Treatments utilized in these studies included …

Posttraumatic Stress And Myocardial Infarction Risk Perceptions In Hospitalized Acute Coronary Syndrome Patients, Donald Edmondson, Jonathan A. Shaffer, Ellen-Ge Denton, Daichi Shimbo, Lynn Clemow

Publications and Research

Posttraumatic stress disorder (PTSD) is related to acute coronary syndrome (ACS; i.e., myocardial infarction or unstable angina) recurrence and poor post-ACS adherence to medical advice. Since risk perceptions are a primary motivator of adherence behaviors, we assessed the relationship of probable PTSD to ACS risk perceptions in hospitalized ACS patients (n = 420). Participants completed a brief PTSD screen 3-7 days post-ACS, and rated their 1-year ACS recurrence risk relative to other men or women their age. Most participants exhibited optimistic bias (mean recurrence risk estimate between "average" and "below average"). Further, participants who screened positive for current PTSD (n …

Decision-Making Following Sexual Assault: Reporting Decisions And Exposure To The Criminal Justice System, Ryan Michael Walsh

Dissertations

Violent crimes represent significant costs to society and survivors; costs which include mental health conditions which may emerge afterward. Victims of sexual assault are at particularly heightened risk for developing posttraumatic stress disorder (PTSD) (Breslau, Davis, Andreski, & Peterson, 1991). Although Crime Victims’ Compensation (CVC) is available to assist with healthcare costs for some individuals who report the event to police (NACVCB, 2009), many crimes are not reported. Theories of crime-reporting behavior suggest that victims decide whether to report crimes to police through the use of a “cost-benefit analysis” (Gottfredson & Gottfredson, 1988, p. 25). Little research, however, has been …

Poppies And Ptsd: Opioid Influence On A Preclincal Model Of Posttraumatic Stress Disorder., Sarah Vunck

Theses and Dissertations

Posttraumatic Stress Disorder (PTSD) is an anxiety disorder that affects over 7.7 million adults and carries an estimated societal cost of $3.1 billion every year. People develop PTSD after exposure to a traumatic event. Alone or combined, approved pharmacotherapies or psychotherapy are somewhat effective, but symptoms for many remain refractory. Emerging evidence suggests that opiate systems may modulate the development and expression of PTSD, and their role can be investigated preclinically. Pavlovian fear conditioning is a preclinical model which elicits behaviors mirroring those that occur in humans during and after exposure to trauma. This presents an experimental tool that can …

Treatment Of Dual Diagnosis Post Traumatic Stress Disorder And Substance Use Disorders: A Meta-Analysis, Joshua Dolan

Dissertations (1934 -)

The dual diagnosis of post-traumatic stress disorder and substance use disorders affects a large number of people. Various treatments have been used for addressing these co-occurring disorders and have now been empirically tested. These treatments can be divided into two categories: sequential and integrated. The goal of this study was to meta-analytically examine the effectiveness of these treatments and compare these two categories of treatment. Secondary objectives included the exploration of potential moderator variables and the symptom interplay between the two disorders after treatment. The results of the study suggested that treatment for the dual diagnosis of posttraumatic stress disorder …

Ptsd And High-Risk Behaviors In Trauma Survivors, Richard Jason Lawrence

ETD Archive

Many previous studies have shown that trauma survivors, with and without Posttraumatic Stress Disorder (PTSD), engage in more high-risk behaviors (e.g., Smith, Davis, & Fricker-Elhai, 2004). It is unclear whether the trauma exposure itself, or PTSD, is actually associated with the high-risk behaviors. The current study will be one of the first to examine differences in risk-taking between trauma survivors with and without PTSD, and will utilize the Balloon Analogue Risk Task (BART) to test risk-taking propensity in trauma survivors. We expect that trauma survivors with PTSD will engage in more high-risk behaviors, report greater perceived benefits, and demonstrate greater …

Differences In Risk-Taking In A Trauma Exposed Population, Ruth Anna Viehoff

ETD Archive

Previous studies have shown that depression and posttraumatic stress disorder (PTSD) are associated with a variety of risk-taking behaviors. However fewer studies have examined how comorbidity between the two disorders can differentially affect risk-taking. This study examined the relationship between depression, PTSD, past risk-taking, and perceived benefits of risk to further determine how comorbidity affects risk behaviors. It was expected that individuals who displayed symptoms of depression and PTSD would report more past risk-taking and associate greater benefits with taking risks. Depression symptoms were found to significantly predict past drug use. This suggests that comorbid individuals who report more depressive …

Intimate Partner Violence As A Risk Factor For Ptsd In Female Survivors Of Domestic Violence: A Meta-Analysis, Selena Tramayne

Dissertations

The purpose of this dissertation was to conduct two meta-analyses investigating the relationship between intimate partner violence (IPV) and Posttraumatic Stress Disorder (PTSD) symptomatology in female survivors of domestic violence. The first meta-analysis investigated the relationship between physical violence and PTSD symptomatology while the second meta-analysis investigated the relationship between psychological abuse and PTSD symptomatology. A moderator variable, recruitment setting, was investigated to see whether recruitment setting changed the relationship between physical violence and PTSD symptomatology and/or the relationship between psychological abuse and PTSD symptomatology. For both meta-analyses, a medium to large effect size was found. Recruitment setting was not …

Facial Expression Discrimination In Adults Experiencing Posttraumatic Stress Symptoms, Brian N. Lee

Masters Theses & Specialist Projects

The present study examined the impact of posttraumatic stress symptoms (PTSS) on adults’ ability to discriminate between various facial expressions of emotions. Additionally, the study examined whether individuals reporting PTSS exhibited an attentional bias toward threat-related facial expressions of emotions. The research design was a 2 (expression intensity) x 3 (emotional pairing) x 2 (PTSS group) mixed-model factorial design. Participants for the study were 89 undergraduates recruited from psychology courses at Western Kentucky University. Participants completed the Traumatic Stress Schedule to assess for prior exposure to traumatic events. A median split was used to divide the sample into two groups …

Efficacy Of A Cognitive-Behavioral Treatment For Insomnia Among Afghanistan And Iraq (Oef/Oif) Veterans With Ptsd, Margolies Skye Ochsner

Theses and Dissertations

Sleep disturbances are a core and salient feature of PTSD and can maintain or exacerbate associated symptoms. Recent research demonstrates that cognitive-behavioral sleep-focused interventions improve sleep disturbances as well as PTSD symptoms. The present study is a randomized controlled trial comparing Cognitive Behavioral Therapy for Insomnia (CBT-I) to a waitlist control group. Conducted at a Veterans Affairs Medical Center, the study: 1) compared subjective outcome measures of sleep amongst veterans assigned to either a treatment group (CBT-I) or a waitlist control group; (2) examined the influence of the intervention on measures of PTSD, general mood and daytime functioning, comparing veterans …

Long Term Effects Of Chronic Variable Stress Administered During Different Developmental Stages In Mice, Henry Boeh

Dissertations (1934 -)

A number of studies have suggested that the occurrence of past trauma can increase an individual's chance of developing PTSD from a new traumatic experience later in life. Trauma that occurs during childhood appears to have a particularly strong effect on this risk increase. Furthermore, conditioned fear responses have been shown to incubate over extended periods of time in animal models. To further investigate the role these phenomena play in the development of PTSD, this study exposed juvenile and adult mice to 7 days of chronic variable stress (CVS). One month later, a Pavlovian delay fear conditioning procedure was used …