Psychology Commons^™

Identifying Barriers To Mental Health Services Utilization For Black Youth In The United States: A Qualitative Study, Emily Stein, Matthew Hutnyan, Neely Myers

SMU Journal of Undergraduate Research

Mental health in Black communities and racial/ethnic disparities in mental health service utilization remain growing concerns. Evidence suggests that psychotic disorders may be more prevalent among Black individuals than white individuals and the Black community faces barriers to care that can negatively influence outcomes. To better understand these barriers, we interviewed mental healthcare providers (n = 11) and Black young adults with first-person experience of psychosis (n = 13) about the experiences of minority young adults with mental health treatment. We analyzed interview transcripts and, consistent with constructivist grounded theory methods, identified iterative patterns across individuals about barriers to care. …

The Mental Health Effects Of Vicarious Trauma, Moral Injury, And Positive Religious Coping With Canine Comfort Handlers, Terri Jeanne O'Brien-Cross

Doctoral Dissertations and Projects

The intention of this study was to examine whether positive religious coping buffered the mental health effects of vicarious trauma and moral injuries in canine comfort handlers. By examining whether positive religious coping would reduce symptoms of posttraumatic stress disorder (PTSD), a better understanding of the mental, emotional, and spiritual effects of volunteer handlers was discovered. Handlers work throughout their communities and deploy to crisis events such as mass shootings and natural disasters. By partnering with highly trained canines, they provide support and comfort to those in need. During these interactions, handlers are often exposed to traumatic situations and may …

Trauma, Hostile Attribution Bias, Substance Use, And Aggression Among Justice Involved Individuals With Severe Mental Illness, Emily Sarah Miller

Selected Full-Text Dissertations 2020-

Previous literature has supported the significant impacts of trauma on aggression as well as the exploration of various other complex, multidimensional factors that maintain the mechanisms of this relationship. This study aimed to further understand the relationship between trauma experiences and aggression, while also examining the possible strengthening impact of hostile attribution bias (HAB), substance use, and severe mental illness (SMI) on this cycle of violence among justice-involved individuals (JII). This study seeks to add to the limited literature of HAB within adult, forensic populations. A total of 82 participants were recruited from an alternative-to-incarceration program and completed a survey …

Cultural Betrayal Trauma Theory In A Sexual Orientation Minority Context, Zenaida Rivera

Wayne State University Dissertations

Sexual orientation and gender minority groups experience trauma at higher rates than their heterosexual peers (Brown & Pantalone, 2011). Additionally, studies of sexual minority individuals have shown that they experience more severe posttraumatic stress relative to heterosexual counterparts (Roberts et al., 2010). To date, efforts to explain these disparities have centered on: (1) trauma theories concerned with characteristics of the individual or their relation to the perpetrator or (2) the broader repercussions of discrimination, stigmatization, and oppression on sexual minorities. Several LGB scholars have argued that more careful and culturally competent research on the relationships between trauma exposure, LGB identity …

Dentists’ Accounts Of Interpersonal Interactions Three Decades After The Postmortem Identification Of The Branch Davidians, Melissa Izuagbe

Psychology Theses - Archive

Despite extensive research on the psychological effects of mass disasters on survivors, the positive outcomes for volunteers and forensic workers, along with coping strategies to alleviate job-related stress, remain understudied. Self-disclosure and social support play pivotal roles in mitigating stress and fostering positive outcomes. This study employed interpretative phenomenological analysis to describe dentists’ experiences of self-disclosure and social support through the 31 years since conducting the postmortem identifications following the Branch Davidian Tragedy. The study was preregistered on the Open Science Framework (OSF) to promote transparency in research. We interviewed a subset (N = 14) out of the 50 dentists …

Differentially Unwell: On Mimi Khúc's "Dear Elia", Seo-Young J. Chu

Publications and Research

[...] Inviting readers to reclaim the stigma of unwellness and collectively to "tend to our unwellness, together," Khúc approaches unwellness as a crucial resource for subverting the "wellness and unwellness" dichotomy entirely. After all, the opposite of "wellness" is not "unwellness"; the opposite of "wellness" does not exist. The opposition itself is an artificial framework, one that reductively harms more than it dialogically helps. We need to move away from these simplistic dualisms, Khúc suggests, and towards more generous, trauma-informed epistemologies. [...]

International Trauma-Informed Practice Principles For Schools (Itipps): Expert Consensus Of Best-Practice Principles, Karen Martin, Madeleine Dobson, Kate Fitzgerald, Madeleine Ford, Stephan Lund, Helen Egeberg, Rebecca Walker, Helen Milroy, Keane Wheeler, Amanda Kasten-Lee, Lisa Bayly, Angela Gazey, Sarah Falconer, Monique Platell, Emily Berger

Research outputs 2022 to 2026

Recognition that schools should be responsive to children who are impacted by adversity and trauma is burgeoning internationally. However, consensus regarding the necessary components of a trauma-informed school is lacking. This research developed expert-informed and internationally relevant best-practice trauma-informed principles for schools. A four-phase methodology included (i) identification of school-relevant trauma-informed practice programs, (ii) inductive thematic analysis of the main concepts underlying programs, (iii) phrasing of draft Principles and (iv) Principle revision and finalisation via a two-round Delphi survey with international experts. Excellent agreement by experts on the importance of all Principles was achieved (round 1 ≥ 86.4%, 2 ≥ …

Antisocial Personality Disorder And Trauma In Females, Marissa Lange

Doctor of Psychology (PsyD)

Antisocial personality disorder (ASPD) is a diagnosis reserved for individuals who feature deceitfulness, impulsivity, aggressiveness, recklessness, and irresponsibility. Evidence suggests that experiencing trauma is an etiological factor in developing antisocial traits in males. The prevalence of ASPD in the U.S. is three to one, male to female. However, research indicates females are substantially underdiagnosed due to exclusionary diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.-Text Revised; DSM-5-TR; American Psychiatric Association, 2013). The Personality Assessment Inventory (PAI) is a personality measure that features a conceptualization of ASPD that differs from the DSM-5-TR and includes more personality-specific …

Characteristics Of Sex Trafficking Survivors Success In An Aftercare Program, Taylor Mcmillen

Doctor of Psychology (PsyD)

In recent years, there has been greater awareness of the impact of human sex trafficking within the United States. Dozens of initiatives and programs have formed to combat the trafficking pandemic, leading to new understandings of the complexity involved with fighting against sex trafficking and the care involved with rehabilitating and empowering survivors of this injustice. Several studies have focused specifically on which pieces of aftercare tend to support greater healing in survivors over time. This care incorporates multiple discipline areas, including mental health, life skills, and healthcare services. Even so, there is a gap in literature highlighting connections between …

The Effect Of Completing The Ace Questionnaire On Electrodermal Activity, Nicholas P. Cherry

Doctor of Psychology (PsyD)

The adverse childhood experience (ACE) questionnaire assesses the number of traumatic experiences during childhood and has been shown to predict negative health outcomes associated with more adverse events during childhood (Felitti et al., 1998; Mersky et al., 2013). While studies have examined the immediate impact of recent traumas on the individual’s physiology, few have examined the effect of administering questionnaires about past adverse events. This study utilized electrodermal activity to measure sympathetic nervous system activity while participants completed the ACE questionnaire compared to participants who completed a benign survey. Half of the ACE questionnaire participants were given a verbal prompt …

Waking The Nightmare: Understanding The Relationship Between Trauma And Sleep In Children, Jacklyn Ewald

Doctor of Psychology (PsyD)

This clinical dissertation expands upon previous research investigating the impact of trauma on children’s sleep quality. Prior research utilized subjective reports of trauma’s impact on sleep in children or objective measures which studied a specific traumatic event. This study used objective measures through cardiopulmonary coupling to study sleep in children with trauma exposure. Participants completed a questionnaire which included the Pediatric Adverse Childhood Experiences (ACEs) and Related Life Events Screener (PEARLS) or Adverse Childhood Experience (ACE) questionnaire, Pediatric quality of life scale, the Children’s Sleep Habits Questionnaire, and demographic information. Trauma was defined by endorsement of any items on the …

The Effectiveness Of Group Treatments For Veterans: A Meta-Analysis, Janine S. Hazel

Doctor of Psychology (PsyD)

Transitioning into civilian life after serving in the military can be a huge adjustment for many military members. The military lifestyle and culture are unique structures that become a large part of military members’ identity and belief systems. For decades, veterans have struggled with several mental health issues and other poor outcomes at higher rates than non-military individuals (i.e., depression, PTSD, suicidal ideation, homelessness, financial distress). Often, these poor outcomes can leave veterans feeling alone and misunderstood by their non-military community—impacting their ability to reintegrate into civilian life successfully. Social isolation and a lack of felt interconnectedness negatively affect veterans’ …

The Examination Of Suicidal Ideation And Ptsd Among First Responders, Amanda Catalan

Psychology Doctoral Specialization Projects

First responders are vital to our safety and protection, but this does not come without a price. First responders are often exposed to life threatening situations that put them at risk, and are exposed to those in critical condition, and unfortuantely, those who have died. This makes first responders more at risk to develop mental health conditions, particulalrly Posttraumatic Stress Disorder. (PTSD). First Responders were found to be more likely compared to civilians to develop PTSD. They were also more likely to experience suicidal ideation. First responders who met criteria for a PTSD diagnosis were also more likely to have …

Anxiety And Depression In Older Adults Post Deepwater Horizon Oil Spill, Mickaela R. Reed

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research has investigated challenges that are created when one experiences a disaster within populations such as older adults and other vulnerable groups of people. However, there is little to no consideration given to how age in combination with trauma history are related to well-being after a disaster. Using two theories, socioemotional selectivity theory (SST, Carstensen, 2006) and the strength and vulnerability integration model (SAVI, Charles, 2010). I compared older adults post disaster vulnerabilty to depression and anxiety to that of younger adults with trauma history as a moderator. The 2,508 participants in the current study were from the Survey of …

Loss Of Mooring And Acculturational Resilience: Understanding Resilience, Adversity, And Trauma Among Female Muslim Arab Refugees In The United States: A Qualitative Study, Norah Fahad Aldawsari

PCOM Psychology Dissertations

The phenomenon of resilience is found in the literature reviews of trauma and is considered an important element in overcoming adversity and traumas (Brown, 2015; Civan Kahve et al., 2021; Saul, 2022). Resilience is considered to be a cultural, contextual, and historical concept, and its conceptualization, illumination of influential factors, and identification of coping strategies can be considered unique from one culture to another (Saul, 2022). Many research studies highlight the importance of resilience when coping with adversity and trauma, as well as incorporating a strength-based therapeutic approach. This approach incorporates one’s social and communal interventions and elements and cultural …

An Examination Of Types Of Trauma, Resiliency Factors, And Strengths-Based Approaches To Treatment Among Undocumented Mexican Immigrants, Rosa Marín

Theses and Dissertations

Undocumented immigration into the United States can be coupled with significant contextual sociopolitical challenges, particularly for Mexican-origin populations which represent the largest immigrant group in the U.S. Research examining the day-to-day nuances unique to this hard-to-reach population is limited and even more so for strengths-based treatment interventions. This systematic review sought to investigate the following questions: (1) What types of trauma do undocumented Mexican immigrants experience after immigrating to the U.S.? (2) What are resiliency factors among undocumented Mexican immigrants in the U.S.? (3) What are strengths-based approaches to working with undocumented Mexican immigrants in the U.S.? This integrative review …

Trauma Across Culture: A Phenomenological Study Exploring The Historical Effect Of Colonialism, Genocide, And Resilience On Descendants Of Indigenous Peoples In The United States, Monique Lumas-Wright

Theses and Dissertations

Throughout history, massive killings have gravely affected the succession of cultures, and the impact of its traumatization is vast. The centuries-long enslavement of African Americans, the ethnocide of Native American/Alaskan Natives, and the genocide of European Jews represent some of the most horrific catastrophes of human history through the destruction of identity, culture, language, and religion. The destabilization of these distinct groups and the extreme violence experienced by historical injustices have resulted in cultural, mental, emotional, and physical obstructions with profound economic, psychological, and health impacts encompassing both the wounds inflicted by oppression and resilience. The literature review examined the …

Religious Trauma And Identity, Kylie N. Angiel

Honors Undergraduate Theses

Religious trauma is most often the result of prolonged emotional and mental trauma, rather than a one-time occurring physical experience, which can thereby lead to complex post-traumatic stress disorder (C-PTSD). This prolonged form of trauma can have negative impacts on one’s psychological well-being and possibly one’s sense of identity. The purpose of this study was to gain a deeper understanding of how religious trauma may be related to identity development. College students (N = 223) completed an anonymous online survey battery for course credit. Scores on a measure of religious and spiritual struggles was positively correlated with identity distress and …

An Exploration Of The Lived Experiences And Psychological States Of Migrants And Refugees, Zainab Akef, Senel Poyrazli, Isabel Quintero

The Qualitative Report

UNHCR reports that about 82.4 million individuals were forcibly displaced as they attempted to avoid persecution, conflict, or human rights violations in their home countries. In addition to traumatic experiences, refugees encounter stressors such as low income, reduced social support, and language barriers. This qualitative study aimed to explore the impact of pre-migration trauma and political detainment on mental health outcomes and living conditions. A total of eight interviewees participated in video conferencing interviews. A non-probability convenience sampling using the snowballing technique was utilized to identify participants. Data were analyzed using an inductive approach for thematic analysis. The software Dedoose …

Veterans, Providers, Moral Injury, And The Integration Of Spirituality In Clinical Care, Claire Muldrew

Theses and Dissertations

Moral Injury (MI) is known to be prevalent among military populations, however, the integration of spirituality into the treatment of veterans with trauma/posttraumatic stress disorder (PTSD) is an understudied topic. This systematic review sought to explore how mental health clinicians and chaplains view the integration of spirituality in the course of clinical care with traumatized veterans who experience MI. Utilizing qualitative methodology, the existing knowledge base was studied to shed light on this topic and to also identify the similarities and differences between these types of providers. The meta-aggregation approach was applied to analysis of the available data and a …

Ain’T I A Survivor Too: Contextualizing Black Women’S Experience Of Sexual Trauma And Healing, Danielle Alyssa Samuel

Antioch University Dissertations & Theses

The double bind of Black womanhood has been long documented in Black feminist literature. This dissertation seeks to greatly contextualize how Black women experience make sense of, and heal from, sexual trauma given the nature of gendered racism in the United States (U.S). Utilizing a convergent parallel design grounded in Black Feminist Theory and hermeneutic phenomenology, the lived experiences of 98 Black women from across the U.S. were investigated. Regression analyses revealed that the frequency of gendered racial microaggressions and the associated appraisal were not significant predictors of participants’ PTSD symptoms. Additionally, PTSD symptoms were inversely predictive of current perceptions …

Self-Compassion Intervention For Shame In Trauma-Exposed Gender And Sexual Minorities, Kyla A. Leonard

Graduate Research Theses & Dissertations

Individuals who identify as gender or sexual minorities (e.g., lesbian, gay, bisexual, pansexual, asexual, queer, transgender, nonbinary, intersex, gender nonconforming, etc.) have a high prevalence of interpersonal trauma. These individuals also experience a higher likelihood of experiencing posttraumatic stress disorder (PTSD) symptoms after exposure to potentially traumatic events. It has also been shown that those who identify as gender or sexual minorities experience high rates of shame due to minority stress and psychological factors such as internalized heterosexism. Experiences of shame are a central component in the development and maintenance of PTSD symptoms, particularly within this population. Self-compassion is an …

Explicit And Implicit: Traumatized Cognitions And Identities, Brandon Michael Davis

Graduate Research Theses & Dissertations

Negative cognitions following exposure to traumatic events, such as viewing the self or the world negatively, are a crucial factor in the development and maintenance of posttraumatic stress disorder (PTSD). Furthermore, evidence points to traumatic exposure impacting identity and perception of the self. Effective measurement of these negative self-cognitions is important for understanding the consequences of traumatic events. Self-report measures are the most common approach to studying cognitions, but other methods such as cognitive tasks that require automatic responses may give further insight into negative posttraumatic cognitions. This study sought to investigate self-report and automatic evaluations of trauma cognitions in …

Symptoms Of Anxiety, Trauma, Depression, And Obsessive-Compulsive Disorders In A Subsequent Pregnancy Following A Previous Pregnancy Loss, Juliana Lynn Restivo Haney

Graduate Theses, Dissertations, and Problem Reports (ETD)

Pregnancy loss is a common and intense personal event that has been found to be a risk factor for increased symptoms of mood, trauma, obsessive-compulsive and anxiety disorders in subsequent pregnancies. Using a self-report online survey, the current study hypothesizes that levels of anxiety, trauma, and obsessive-compulsive symptoms will be higher in pregnant individuals who had a pregnancy loss in their most recent previous pregnancy (n= 61) when compared to pregnant individuals whose most recent previous pregnancy resulted in a live birth (n= 62). Participants responded to an online questionnaire asking about reproductive and mental health history, symptoms of perinatal …

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 …

Refining The Scope Of Genetic Influences On Alcohol Misuse Through Environmental Stratification And Gene-Environment Interaction, Jeanne E. Savage, Christiaan A. De Leeuw, Josefin Werme, Spit For Science Working Group, Danielle M. Dick, Danielle Posthuma, Sophie Van Der Sluis

Psychology Faculty Publications

Background

Gene-environment interaction (G X E) is likely an important influence shaping individual differences in alcohol misuse (AM), yet it has not been extensively studied in molecular genetic research. In this study, we use a series of genome-wide gene-environment interaction (GWEIS) and in silico annotation methods with the aim of improving gene identification and biological understanding of AM.

Methods

We carried out GWEIS for four AM phenotypes in the large UK Biobank sample (N = 360,314), with trauma exposure and socioeconomic status (SES) as moderators of the genetic effects. Exploratory analyses compared stratified genome-wide association (GWAS) and GWEIS modeling approaches. …

Mental Health Practitioners’ Trauma Knowledge And Self-Efficacy Post-Emdr Training, Christy R. Collins, Shelby L. Dean, Jose Carbajal

Journal of Human Services: Training, Research, and Practice

This research study examines mental health practitioners’ level of trauma knowledge and trauma treatment self-efficacy pre- and post-EMDR therapy training in Texas. The purpose is to determine if practitioners' self-perception of efficacy in treating trauma and trauma knowledge will improve after completing EMDR training. The practitioner sample (N = 113) is from an EMDR trainer who conducted six EMDR trainings in Texas. Descriptive, correlational, and paired t-test statistical procedures were implemented to analyze the data for the study. The results show that practitioners’ self-perception of competence and knowledge could be attributed to their years of clinical experience treating clients with …

Never Again: Lessons Of Genocide In Survivor Testimonies From The Holocaust, Nanjing Massacre And Rwandan Genocide, Johanna Ray Vollhardt, Trina Konushevci, Amer Macedonci, Hyomin Lee

Psychology

In the aftermath of traumatic events, individuals and groups seek to make sense of these experiences. ‘Never again’ is often considered the primary lesson of genocide. Yet, people may understand this lesson in different ways, and other lessons may also be relevant. The present paper reports a qualitative content analysis of publicly available testimonies from survivors of the Holocaust, the Rwandan Genocide and the Nanjing Massacre (N = 200), examining the lessons of genocide that these survivors shared publicly. We identified six broad categories of lessons that were represented across contexts and extended the lessons commonly considered: Lessons on the …

Neurodevelopmental Trajectories As An Explanatory Mechanism For Adverse Mental Health Outcomes Following Child Maltreatment, Casey Burton Corso

Theses and Dissertations

Affecting one in every seven children in the United States, child maltreatment (CM) is a major public health issue associated with a myriad of adverse outcomes (e.g., alcohol and drug abuse, mental illness, interpersonal violence, sexual risk taking, etc.). While any subtype of CM (e.g., physical abuse, sexual abuse, emotional abuse, and neglect) increases the likelihood of subsequent psychopathology, heterogeneity in psychiatric sequelae of CM is associated with different CM subtypes. Elucidating the underlying mechanisms of this heterogeneity is vital for improving intervention and treatment of CM, and research aimed at accomplishing this is a critical need. One possible explanatory …

Wounding Words: A Phenomenological Study Of How Individuals Experience Receiving Spiritual Bypass, Peridot Reed-Gilbert

Doctoral Dissertations and Projects

Currently spiritual bypass refers to a person's attempt to evade or sidestep significant events in his or her life by focusing solely on the spiritual dimension “bypassing” important psychological tasks necessary for healing (Cashwell & Young, 2004; Clarke et al., 2013). Several studies have been conducted proving that spiritual bypass is a phenomenon that individuals implement on themselves. However, the purpose of this study was to address the gap in the existing research literature by examining the lived experiences of those who have experienced receiving spiritual bypass from another person. Through semi-structured interviews, fourteen participants who self-identified as having experienced …