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Full-Text Articles in Psychology

The Correlation Of Adverse Childhood Experiences And Pornography Consumption In Adulthood, Branden Henry Jan 2023

The Correlation Of Adverse Childhood Experiences And Pornography Consumption In Adulthood, Branden Henry

Walden Dissertations and Doctoral Studies

Over the past 25 years, significant research has gone into understanding how adverse childhood experiences (ACEs) correlate with a variety of negative health and behavioral outcomes, while at the same time, pornography consumption has increased dramatically. However, limited research has been done to understand whether a relationship exists between ACEs and pornography consumption. Attachment theory, which was used as the theoretical framework for this study, includes the idea that childhood experiences play a major role in a person’s development of various behaviors throughout life, including coping mechanisms like pornography consumption. The purpose of this quantitative, cross-sectional, correlational study was to …


The Impact Of Trauma On Exposure And Response Prevention (Ex/Rp) Treatment Outcomes For Obsessive-Compulsive Disorder, Lindsey Salerno Jan 2023

The Impact Of Trauma On Exposure And Response Prevention (Ex/Rp) Treatment Outcomes For Obsessive-Compulsive Disorder, Lindsey Salerno

PCOM Psychology Dissertations

Despite the high prevalence of trauma in treatment-seeking individuals with obsessive-compulsive disorder (OCD), the role of trauma in OCD treatment is under-studied. This study examined the relationship between trauma and treatment outcomes using a gold standard intervention for OCD—exposure and response prevention (Ex/RP) therapy. This study also investigated whether inherent traits (intolerance of uncertainty, anxiety sensitivity, emotion regulation, and perfectionism) act as mechanisms of change that mediate the relationship between trauma and Ex/RP treatment outcomes. Using data collected as part of a larger research study, analyses were performed for 76 adult patients with a primary diagnosis of OCD who completed …


Drama Therapy As An Intervention For Autism Spectrum Disorder: The Potential Benefits For Youth And Adulthood, Ella S. De Castro Jan 2023

Drama Therapy As An Intervention For Autism Spectrum Disorder: The Potential Benefits For Youth And Adulthood, Ella S. De Castro

Scripps Senior Theses

There are many interventions commonly used for individuals with autism spectrum disorder (ASD). However, one that has not been researched as often is drama therapy. Though there are not many studies on drama therapy and ASD, the ones that do exist seem to indicate positive results. The goal of this proposed study is to assess whether drama therapy could be a good intervention for ASD and if it could potentially be a better option compared to applied behavioral analysis (ABA). The proposed study is broken into two smaller studies. The first study explores the potential benefits of drama therapy for …


A Qualitative Analysis Of Treatment Providers’ Understanding And Assessment Of Trauma And Autism, Leah Hanson Jan 2023

A Qualitative Analysis Of Treatment Providers’ Understanding And Assessment Of Trauma And Autism, Leah Hanson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Patients with autism spectrum disorder (ASD) are particularly vulnerable to traumatic experiences and further development of posttraumatic stress disorder (PTSD). Underlying traumatic stress is commonly missed and remained untreated in the autism population. In a previous pilot study, Hanson and Richards (2021) gathered providers’ understandings on trauma and autism The current study is a further, systemic content analysis on archival data from Hanson and Richard’s pilot study. Results from the current content analysis of the responses to Question 1 (How do you assess for trauma in your patients?) revealed that providers assess patients’ trauma primarily by interviewing caregiver and patients, …


Physical Intimate Partner Violence Of African American Women: Promising Practices And Pitfalls In Treatment, Melissa Erinn Duncan Jan 2023

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

Theses and Dissertations

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


Mental Health Experiences Of Black Males Beyond Juvenile Delinquency, Jasmine D. Spratling Jan 2023

Mental Health Experiences Of Black Males Beyond Juvenile Delinquency, Jasmine D. Spratling

Walden Dissertations and Doctoral Studies

Incarceration rates around the United States continue to increase for Black male adolescents. These numbers are even more significant in Atlanta, where youth spend time in juvenile detention centers and return soon once released. Summary findings from existing research showed the lack of mental health services provided once a youth has been released from incarceration, but a lack of specifics around the services needed remains. The purpose of the current study was to explore the experiences of Black male adolescents who received little to no trauma informed care post-incarceration. A qualitative, phenomenological approach was used to conduct semistructured interviews with …


The Correlation Of Adverse Childhood Experiences And Pornography Consumption In Adulthood, Branden Henry Jan 2023

The Correlation Of Adverse Childhood Experiences And Pornography Consumption In Adulthood, Branden Henry

Walden Dissertations and Doctoral Studies

Over the past 25 years, significant research has gone into understanding how adverse childhood experiences (ACEs) correlate with a variety of negative health and behavioral outcomes, while at the same time, pornography consumption has increased dramatically. However, limited research has been done to understand whether a relationship exists between ACEs and pornography consumption. Attachment theory, which was used as the theoretical framework for this study, includes the idea that childhood experiences play a major role in a person’s development of various behaviors throughout life, including coping mechanisms like pornography consumption. The purpose of this quantitative, cross-sectional, correlational study was to …


Non-Nightmare Recurring Dreams And Trauma, Asmai Fathelbab Jan 2023

Non-Nightmare Recurring Dreams And Trauma, Asmai Fathelbab

Walden Dissertations and Doctoral Studies

This study examined the relationship between trauma and non-nightmare recurrent dreams (NNRD). Although there is extensive literature on the psychological consequences, diagnosis, and treatment of trauma, studies on the role of sleep processes have focused almost exclusively on nightmares. The potential relationship between NNRD and traumatic experiences has been overlooked by researchers. The purpose of this study was to assess if history of trauma and NNRD were correlated. More specifically, using Revonsuo’s threat simulation theory as a framework, the study evaluated if gender, quality of sleep, depression, anxiety, stress, and history trauma predicted NNRD. A cross-sectional correlational survey design was …


The Impact Of Perceived Social Support On Complex Posttraumatic Stress Disorder, Elizabeth Eng Jan 2023

The Impact Of Perceived Social Support On Complex Posttraumatic Stress Disorder, Elizabeth Eng

Dissertations and Theses

Individuals who have experienced repeated and interpersonal trauma often develop symptoms of Posttraumatic Stress Disorder (PTSD), along with additional features relating to disturbances in self-organization (DSO), which is now known as Complex Posttraumatic Stress Disorder (CPTSD). CPTSD has been seen to be associated with adverse outcomes such as somatic symptoms, attachment insecurity, and overall lower life satisfaction (Karatzias et al., 2018; Kuhar & Zager Kocjan 2022; Maercker et al, 2022). Due to these additional features relating to DSO, CPTSD has been identified as distinct from PTSD, and so it has been important to investigate these unique symptoms. One such symptom …


Effectiveness Of Writing Interventions For The Treatment Of Trauma: A Systematic Review, Melissa Maccarini Jan 2023

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

Theses and Dissertations

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


Autistic Authors' Narratives Of Trauma And Resilience: A Qualitative Analysis, Tessa Smith Jan 2023

Autistic Authors' Narratives Of Trauma And Resilience: A Qualitative Analysis, Tessa Smith

Antioch University Dissertations & Theses

This qualitative dissertation investigates current research gaps regarding autistic individuals’ experience of trauma and resilience in the face of adversity. Specifically, it conceptualizes trauma and resilience through a neurodiverse lens, through identifying themes in memoirs written by five autistic authors related to trauma, potentially traumatic events, resiliency, and posttraumatic growth. Through Interpretive Phenomenological Analysis, I identified individual, interpersonal, and societal factors impacting the memoirists experiences of trauma, through the identification of 11 superordinate themes. Prominent themes at the individual level included self-acceptance and emotion regulation promoting resilience. At the contextual level, sensory processing and uncertainty coincided with experiences of trauma. …


Does Anyone Else? The Lived Experience Of Writing About Depersonalization On Reddit, Kristina S. Fury Jan 2023

Does Anyone Else? The Lived Experience Of Writing About Depersonalization On Reddit, Kristina S. Fury

Antioch University Dissertations & Theses

As both The International Statistical Classification of Diseases and Related Health Problems 11th Revision (ICD-11) and The Diagnostic and Statistical Manual of Mental Disorders-5-Text Revision (DSM-5-TR) describe, depersonalization (DP) involves unpleasant episodes of detachment from one’s sense of self or of unreality in the environment. Symptoms include people feeling as though they are an outside observer of their thoughts, feelings, sensations, body, or actions. DP can take the form of emotional numbing, in which people may feel they are watching themselves from a distance or as though they are characters in a play. People can also feel physically numb, disconnected …


Experiences Of Elementary School Counselors Treating Anger Issues In Elementary School-Aged Foster Children, Dr. Clarissa Y. Alderman Jan 2023

Experiences Of Elementary School Counselors Treating Anger Issues In Elementary School-Aged Foster Children, Dr. Clarissa Y. Alderman

Walden Dissertations and Doctoral Studies

The purpose of this study was to examine in detail the experiences of school counselors with treating anger issues in school-age children from foster care homes. In particular, the study determined the counselors’ experiences using cognitive behavioral therapy (CBT) to treat anger and whether the interventions were effective. The aim was to shape policy regarding handling children in foster care and overall child social services. Using two methods, the study employed a generic qualitative research design to cover the topic. One method was the narrative literature review, and the other was collecting data using interviews with five counselors adept at …


Estrés Postraumático Y Covid-19 En América Latina: Un Llamado A La Acción/Posttraumatic Stress And Covid-19 In Latin American: A Call To Action, Alfonso Mercado, Andy Torres, Amanda Palomin, Frances Morales, Cecilia Colunga-Rodríguez, Mario Angel Gonzalez, Luis E. Sarabia-López, Gabriel Davalos-Picazo, Diemen Delgado-García, Daniel Duclos Jan 2023

Estrés Postraumático Y Covid-19 En América Latina: Un Llamado A La Acción/Posttraumatic Stress And Covid-19 In Latin American: A Call To Action, Alfonso Mercado, Andy Torres, Amanda Palomin, Frances Morales, Cecilia Colunga-Rodríguez, Mario Angel Gonzalez, Luis E. Sarabia-López, Gabriel Davalos-Picazo, Diemen Delgado-García, Daniel Duclos

Psychological Science Faculty Publications

The COVID-19 pandemic impacted the mental wellbeing of the entire globe. However, Latin American countries’ systemic and environmental challenges hindered the ability of many nations in the region to serve the mental health needs of its habitants. Compared to other mental health symptoms, Posttraumatic Stress Disorder Symptoms (PTSS) were particularly higher among this geographical region. Nonetheless, there is scarcity of research identifying the unique symptom profile of PTSS. Given that the typology of PTSS is multidimensional and appears to be contingent on the type of stressor, this study (as part of larger international study) aimed to identify differences in PTSS …


An Evaluation Of The Psychosocial Benefits For Children Experiencing Homelessness Arising From The Introduction Of An Integrated Community Care Project Across The City Of Cork, Traolach O' Callaghan Jan 2023

An Evaluation Of The Psychosocial Benefits For Children Experiencing Homelessness Arising From The Introduction Of An Integrated Community Care Project Across The City Of Cork, Traolach O' Callaghan

Theses

The purpose of the research is to evaluate an intervention within a new model of family support being delivered in Cork City, on addressing child and family homelessness. This new model is being delivered for the first time in Ireland during ‘Youth Club’ and strives to act as an intervention to assist children experiencing homelessness. The model was first developed by Tusla Springboard Child and Family service and Good Shepherd Services Cork in 2016 in response to the alarming rise in child and family homelessness in Cork city, and the resulting impact of same. The research investigates the model and …


The Lived Experiences Of 911 Telecommunicators: Life Outside Of The Call Center, Mary's Dariela Martinez Jan 2023

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

Theses and Dissertations

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


From A Boy To A Leader, Alejandro Zayas Jan 2023

From A Boy To A Leader, Alejandro Zayas

Antioch University Dissertations & Theses

The following autoethnographic dissertation examines my personal experiences of trauma, abuse, and violence. Drawing on journals, memories, and artifacts from my life, I use self-reflection to illustrate the impacts of trauma on my childhood and adulthood. My traumatic experiences of sexual abuse, childhood violence, and emotional abuse are situated within broader sociocultural contexts of masculinity, Hispanic culture, and social norms. This study illuminates possibilities for healing and transformation for myself and others with shared traumatic backgrounds. It calls for trauma-informed education, masculinity, and resiliency. Evocatively sharing my traumatic life events provides an accessible window into often silenced experiences, bearing witness …


Spiritually Oriented Trauma Healing In Nigeria: A Program Evaluation To Assess Trauma-Symptom Reduction And Spiritual Growth, Emily Hervey Jan 2023

Spiritually Oriented Trauma Healing In Nigeria: A Program Evaluation To Assess Trauma-Symptom Reduction And Spiritual Growth, Emily Hervey

Faculty Publications - Doctor of Psychology (PsyD) Program

There is a significant gap in the need for and provision of treatment of post-traumatic stress disorder (PTSD), especially in low- to middle-income countries such as Nigeria. This study sought to evaluate the effectiveness of a faith-based program in the reduction of PTSD symptoms and the improvement of relationship with God. Participants were all Nigerians living in the middle and northern parts of Nigeria, selected by a local church and a local Christian non-profit organization. Three 5-day workshops were completed in two locations with a total of 41 participants. The Posttraumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of …


Editorial: Perspectives On Ptsd And Its Treatment, Jacklynn M. Fitzgerald, Ashley A. Huggins Jan 2023

Editorial: Perspectives On Ptsd And Its Treatment, Jacklynn M. Fitzgerald, Ashley A. Huggins

Psychology Faculty Research and Publications

No abstract provided.


An Event-Without-Witness: A Nietzschean Theory Of The Digital Will To Power As The Will To Temporalize, Talha Issevenler Dec 2022

An Event-Without-Witness: A Nietzschean Theory Of The Digital Will To Power As The Will To Temporalize, Talha Issevenler

Publications and Research

This article offers a Nietzschean theory of digital will to power to conceptualize the temporality of social media feeds run by algorithms. Stylistic and methodological temporalities of Nietzsche are discussed as well as their influence in subsequent social theory of political technologies. The paradox of heavy investment in both subjective expression and nonhuman temporalization in social media milieus is addressed with the concept of an event-without-witness drawn from Nietzsche’s account of himself as the solitary thinker of catastrophe of nihilism and psychoanalytical and deconstructive literatures on the catastrophes of the 20th century. Nietzsche’s fundamental resistance to and fascination with the …


The Integration Of Neuroscience And Counseling Using Neuroeducation In Trauma Treatment: A Quantitative Study, Daniel Ross Wood Dec 2022

The Integration Of Neuroscience And Counseling Using Neuroeducation In Trauma Treatment: A Quantitative Study, Daniel Ross Wood

Doctoral Dissertations and Projects

Researchers in numerous professional fields, including psychology, have applied neuroscience integration in their studies. Yet research has also demonstrated a hesitancy among counselors to utilize neuro-informed principles in case conceptualization and treatment. No researchers in the studies found among the mental health counseling fields considered this issue. If left unaddressed, counselors and clinicians may avoid the use of an effective and complimentary integrative approach or unintentionally misapply neuro-informed principles and violate ethical standards in practice. This quantitative research used a survey and case study design to consider mental health professional characteristic variables of self-competency, theoretical attitude, and strength of religious …


Trauma And Crisis Counselor Preparation: The Relationship Of An Online Trauma And Crisis Course And Counseling Self-Efficacy, Julia Leigh Lancaster Dec 2022

Trauma And Crisis Counselor Preparation: The Relationship Of An Online Trauma And Crisis Course And Counseling Self-Efficacy, Julia Leigh Lancaster

Counseling & Human Services Theses & Dissertations

The field of trauma and crisis is growing and ubiquitous to all counseling specialties. Updates in 2009 and 2016 to the Council for Accreditation of Counseling and Related Educational Programs (CACREP) counselor preparation standards added mandated teachings on crisis, trauma, and disaster counseling in counselor preparation programs’ (CPPs) curricula. Since then, some CPPs have created stand-alone crisis courses, while the majority have infused various related content and trainings into already established counseling courses. Research does, in fact, support an increased crisis, trauma, and disaster readiness with more hours dedicated to the study and practice of domain specific content, and confirms …


Disharmony Of The Soul: A Philosophical Analysis Of Psychological Trauma And Flourishing, Adam Blehm Dec 2022

Disharmony Of The Soul: A Philosophical Analysis Of Psychological Trauma And Flourishing, Adam Blehm

Graduate Theses and Dissertations

In this dissertation I argue that psychological trauma hinders human flourishing by disrupting psychic harmony and hindering virtuous relationships. Given the negative symptomology of posttraumatic stress related disorders (i.e., PTSD) this conclusion may seem a bit obvious to some. However, making the case for trauma as a hindrance to human flourishing is more complicated than it may first appear.

First, in the extant literature, trauma as a concept tends to be unclear. In much of the empirical and philosophical literature, trauma can include a certain kind of event, experience, effect, or a combination of all three. Furthermore, because of practical …


Perception Of Police And The Mediation Of Memory Distortion Via Trauma: Body Worn Camera Footage Of An Emotional Police-Citizen Encounter, Arlyn Abreu Dec 2022

Perception Of Police And The Mediation Of Memory Distortion Via Trauma: Body Worn Camera Footage Of An Emotional Police-Citizen Encounter, Arlyn Abreu

Student Theses

This present study calls to question the objectivity of police body-worn camera (BWC) footage. Proponents assume that BWCs will be a panacea in a climate of heightened tensions between officers and communities. In spite of this, our findings challenge the rhetoric, and the purpose BWC is intended to serve. We explored its implications on memory distortion by posing two questions (a) can people come to remember BWC footage as more traumatic than they initially experienced (b) to what degree can external information and internal influences impact peoples' judgment about a traumatic event. We addressed both questions in this two-part study, …


K-5 Elementary Alternative Program: A Case Study, William E. Scheuer Iv Dec 2022

K-5 Elementary Alternative Program: A Case Study, William E. Scheuer Iv

Electronic Theses and Dissertations

The purpose of this case study was to examine how the K-5 elementary alternative program All Students Can Thrive (ASCT) used student-centered learning practices to influence the whole child. There is a lack of research on K-5 elementary alternative programs, such as ASCT, and specifically those that integrate student-centered learning practices to influence the whole child. Literature does not contain universally accepted interventions that are effective in the elementary alternative setting to help students return to the mainstream classroom setting better prepared to display appropriate behaviors when a student is removed from a mainstream classroom setting due to disruptive behaviors. …


Exploring Post-Traumatic Growth From Citizen Narratives Of Refugees From The 1947 Partition Of British India, Keshav J. Dhir, Kathryn J. Azevedo Oct 2022

Exploring Post-Traumatic Growth From Citizen Narratives Of Refugees From The 1947 Partition Of British India, Keshav J. Dhir, Kathryn J. Azevedo

Psychology from the Margins

Background: There is paucity of ethnographic survivor analysis of the 1947 Partition of British India. Methods: This qualitative study leverages post-traumatic growth (PTG) theory to explore the impact of mass migration trauma in childhood. Ten refugee narratives were collected by citizen historians. Interviews were translated, transcribed, and analyzed. Results: Elements of post-traumatic growth were revealed in all 5 domains for nine out of ten survivors. Discussion: Survivors’ appreciation of life often manifested in passion for a discipline or hobby. The importance of meaningful interpersonal relationships was observed and extended to acquaintances from other religious groups. Increased personal strength was revealed …


Trauma In The American Asylum Process: Experiences Of Immigrant Families Under The Migrant Protection Protocols, Alfonso Mercado, Amanda Venta, Frances Morales, Amanda Palomin, Luz M. Garcini, Michelle Silva, Melanie M. Domenech Rodriguez Oct 2022

Trauma In The American Asylum Process: Experiences Of Immigrant Families Under The Migrant Protection Protocols, Alfonso Mercado, Amanda Venta, Frances Morales, Amanda Palomin, Luz M. Garcini, Michelle Silva, Melanie M. Domenech Rodriguez

Psychological Science Faculty Publications

Objective:

Latinx asylum-seeking families report posttraumatic distress that is 161–204% higher than in non-immigrants, with adverse consequences for health and well-being. Recent U.S. policies have further embedded trauma in the asylum-seeking process by forcing families to remain in Mexico, enduring dire living conditions in tent encampments near the border while awaiting processing. These families are now entering the United States in large numbers. This article sheds light on their recent experiences and mental health needs, using a mixed methods-grounded theory design, presenting quantitative and qualitative data to describe the experiences of six asylum-seeking families who waited for 1–2 years in …


Impact Of Childhood Trauma On Skin Conductance Response To Fear, Safety, And Reward, Tristan Alana Gregg Oct 2022

Impact Of Childhood Trauma On Skin Conductance Response To Fear, Safety, And Reward, Tristan Alana Gregg

Master's Theses (2009 -)

Trauma is associated with neurological and physiological differences that can persist years after trauma exposure. Physiologically, trauma has been associated with altered responses to cues in the environment, most commonly threatening stimuli. For instance, in participants who experience trauma during adulthood, such individuals exhibit heightened physiological arousal. Conversely, other studies have found that childhood trauma may be associated with blunted physiological arousal. Most of this research has involved threatening cues, but previous research suggests that trauma is also associated with aberrant physiological arousal responses to positive or rewarding cues. Skin conductance responses (SCRs) are a commonly utilized measure of physiological …


Risk Factors Of Cyberbullying Victimization: The Impact Of Developmental Trauma, Yuliya Mykytyn Oct 2022

Risk Factors Of Cyberbullying Victimization: The Impact Of Developmental Trauma, Yuliya Mykytyn

Dissertations

Trauma has been considered as one of the significant causes of psychological distress, especially if the traumatic event occurred in the childhood. At the same time, due to wide popularity of social media as a source of communication, cyberbullying emerged as a new way to harass someone, with specific focus on adults and young adults. The area of focus of this research project is to investigate whether experienced trauma, specifically developmental trauma might serve as a risk factor for cyberbullying victimization. Additional focus was on the differences in traumatic experiences and their impact for people with diverse cultural and ethnic …


Can Developmental Trauma Disorder Be Distinguished From Posttraumatic Stress Disorder? A Confirmatory Factor Analytic Test Of Four Structural Models, Julian D. Ford, Mark Shevlin, Thanos Karatzias, Ruby Charak, Joseph Spinazzola Sep 2022

Can Developmental Trauma Disorder Be Distinguished From Posttraumatic Stress Disorder? A Confirmatory Factor Analytic Test Of Four Structural Models, Julian D. Ford, Mark Shevlin, Thanos Karatzias, Ruby Charak, Joseph Spinazzola

Psychological Science Faculty Publications

Developmental Trauma Disorder (DTD) is a proposed child psychopathology diagnosis with emotion/somatic, attention/behavioral, and self/relational dysregulation symptoms extending beyond posttraumatic stress disorder (PTSD). Confirmatory factor analyses (CFAs) tested four structural models with structured interview data for trauma history, PTSD, and DTD with 507 children receiving mental health or pediatric care ( N = 162, 32% diagnosed with DTD; N = 176; 35% with PTSD; N = 169, 33% with neither). A unidimensional model with a single latent variable had unacceptable fit (RMSEA = 0.094; CFI = 0.844). Compared to a model with PTSD and DTD as correlated first-order latent variables, …