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Trauma

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Articles 751 - 780 of 825

Full-Text Articles in Psychology

Examining The Relations Among Trauma, Distress, Resilience, And Physical Health, Kathryn Elizabeth Chaisson Dec 2013

Examining The Relations Among Trauma, Distress, Resilience, And Physical Health, Kathryn Elizabeth Chaisson

Graduate Theses and Dissertations

This study examined the role of traumatic distress as a mediator in the relation between trauma exposure and somatic malaise and healthcare utilization. Resilience was examined as a moderator between trauma exposure and somatic malaise and healthcare utilization, then between trauma exposure and traumatic distress. A total of 206 female participants recruited from an obstetrics and gynecology specialty practice completed measures of trauma exposure, traumatic distress, resilience, somatic malaise, and healthcare utilization. Multiple hierarchical regressions were performed to test the hypothesized relations. Results indicated that trauma exposure was a significant predictor of traumatic distress and resilience, and of somatic malaise …


Effects Of Trauma Induced Stress On Attention, Executive Functioning, Processing Speed, And Resilience In Urban Children, Antoinette Welsh Dec 2013

Effects Of Trauma Induced Stress On Attention, Executive Functioning, Processing Speed, And Resilience In Urban Children, Antoinette Welsh

Seton Hall University Dissertations and Theses (ETDs)

Brain development, and particularly structures involved in executive functioning, occurs at different rates in children, leading to differential performance in school. Due to neuroanatomical changes secondary to the stress response, children who have experienced stress as a result of poverty and traumatic events may be at increased risk for cognitive difficulties, including attention, executive functioning, and processing speed (Blair, Granger, & Razza, 2005; DeBellis, Hooper, & Sapia, 2005). Prevalence rates among urban children suggest that 70-100% have been exposed to trauma (Dempsey, Overstreet, & Moely, 2000; Macy, Baryry, & Noam, 2003). Some of these children develop posttraumatic stress disorder and …


Heart Rate Variability As A Moderator Of Trauma Writing Outcomes, Alison Eonta Sep 2013

Heart Rate Variability As A Moderator Of Trauma Writing Outcomes, Alison Eonta

Theses and Dissertations

Writing about personal traumatic experiences is associated with beneficial effects on physical and psychological symptoms compared with writing about emotionally neutral events. However, not everyone benefits from trauma writing to the same extent. The present study hypothesized that the effectiveness of trauma writing may be moderated by emotion regulation, as indexed by respiratory sinus arrhythmia (RSA). Research also shows that greater physiological reactivity is predictive of better trauma writing outcomes. Given the importance of physiological output in emotional processing, response training was developed and found to increase appropriate physiological reactivity. Because higher RSA is thought to indicate a more flexible …


The Relationship Between Posttraumatic Cognitions And Social Support In The Severity Of Ptsd Symptoms, Ellen Margaret Koucky Aug 2013

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 Peak At The Nadir: Psychological Turmoil As The Trigger For Awakening Experiences, Steve Taylor Jul 2013

The Peak At The Nadir: Psychological Turmoil As The Trigger For Awakening Experiences, Steve Taylor

International Journal of Transpersonal Studies

A study of 161 temporary awakening experiences showed that over 23% were triggered by, or associated with, intense turmoil and distress (Taylor, 2012b). Examples of some of these turmoil-induced awakening experiences are given, illustrating the wide variety of traumatic experiences involved. (The type of trauma was found to be less important than its intensity.) These temporary awakening experiences are contrasted with permanent suffering-induced transformational experiences (SITEs). A distinction is made between a primary shift, involving the establishment of a new self-system (which occurs in SITEs), and the secondary shift which may occur after temporary awakening experiences, when the individual’s self-system …


Suicide Attempts Among Emotionally And Behaviorally Disturbed Adolescents Removed From The Home, Faith M. Wanja Jul 2013

Suicide Attempts Among Emotionally And Behaviorally Disturbed Adolescents Removed From The Home, Faith M. Wanja

Master's Theses or Doctor of Nursing Practice

This study was conducted to examine the relationship between adolescent suicide behavior and the age of removal from home amongst children with emotional and behavioral disturbance. The study aims to determine whether a child�s removal from home can be counted as a viable basis for the development of suicide prevention programs and an expansion for evidence based practices. The study was conducted using archived de-identified data collected and provided by a private not-for-profit behavioral health treatment facility located in rural Kansas. The participants included male and female adolescents between the ages of thirteen to eighteen years old that were admitted …


Homelessness: Relationships Between Program Completion At A Transformational Shelter And Mental Illness, Substance Abuse, And Trauma, Richard T. Mccutcheon May 2013

Homelessness: Relationships Between Program Completion At A Transformational Shelter And Mental Illness, Substance Abuse, And Trauma, Richard T. Mccutcheon

Theses & Dissertations

Each and every evening many people do not have a home to return to. Solving the epidemic problem of homelessness is an ongoing pursuit. Analyzing issues related to homelessness will help solve the problem of homelessness for some individuals and families. Data was gathered, prioritized and analyzed to determine correlations and relationships between completion of a transformational shelter’s program and mental illness, substance abuse, and trauma. Demographic variables were assessed as well. A person is more likely to complete the program if they have a substance abuse issue. Females are more likely than males to complete the program. Program completion …


Effect Of Religiosity And Combat Exposure On Combat Veteran Posttraumatic Growth, Kurt C. Webb, William Buhrow, Rodger K. Bufford, Mark R. Mcminn May 2013

Effect Of Religiosity And Combat Exposure On Combat Veteran Posttraumatic Growth, Kurt C. Webb, William Buhrow, Rodger K. Bufford, Mark R. Mcminn

Faculty Publications - Doctor of Psychology (PsyD) Program

Investigates two research questions:


An Empirically-Supported Model Of Posttraumatic Stress Disorder In Maltreated Youth, Adrianna Wechsler May 2013

An Empirically-Supported Model Of Posttraumatic Stress Disorder In Maltreated Youth, Adrianna Wechsler

UNLV Theses, Dissertations, Professional Papers, and Capstones

Posttraumatic stress disorder in maltreated youth is a young and burgeoning field. Lemos-Miller and Kearney (2006) were among the first to propose and test a theoretically and empirically-based model of PTSD in maltreated youth. The present study replicated and evaluated the Lemos-Miller and Kearney model within a larger and more diverse sample of maltreated adolescents. First, the Lemos-Miller and Kearney model was tested via structural equation modeling (SEM). Second, the model was evaluated across age, gender, and ethnicity. Third, trauma history, family environment (i.e., cohesion and conflict), dissociation, and trauma-related cognitions were evaluated as potential mediating variables within the model. …


Trauma And Post-Traumatic Stress Disorder In Therapeutic Day School Students: Prevalence In This Population And Effective Treatment Programs, Monica Roberts Apr 2013

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 …


An Exploration Of Social Supports And Cultural Traditions On The Development Of Posttraumatic Growth Among Adult Haitian Immigrants, Patricia L. Weldon Jan 2013

An Exploration Of Social Supports And Cultural Traditions On The Development Of Posttraumatic Growth Among Adult Haitian Immigrants, Patricia L. Weldon

Legacy Theses & Dissertations (2009 - 2024)

The research objective was to explore how post-traumatic growth is expressed in Haitian immigrants and what role social supports and cultural traditions may play in the development of post-traumatic growth. Post-traumatic growth is defined by positive changes in one or more of five domains including; personal strengths, relating to others, appreciation of life, spirituality and life philosophy (Calhoun & Tedeschi, 2006). Conceptual frameworks of constructivism (Rodwell, 1998), strength based approach (Saleebey, 2000)and eco systems theory (Bronfenbrenner, 1979) were employed to guide the study.


Empowering Communities From The Ground Up: Perspectives On A Lay Mental Health Project In Post-Earthquake Haiti, Gilberte Bastien Jan 2013

Empowering Communities From The Ground Up: Perspectives On A Lay Mental Health Project In Post-Earthquake Haiti, Gilberte Bastien

Electronic Theses and Dissertations

No abstract provided.


Trauma, Deviant Sexual Arousal, And Sexual Aggression In Adolescent Male Sexual Offenders, Kerry Elizabeth Nelligan Jan 2013

Trauma, Deviant Sexual Arousal, And Sexual Aggression In Adolescent Male Sexual Offenders, Kerry Elizabeth Nelligan

Antioch University Dissertations & Theses

Juvenile sexual abusers commit a significant proportion of the sexual offenses perpetrated in the United States each year. Researchers have identified several variables related to the etiology of sexual offending behavior in adolescent males. For example, there is evidence that both trauma and deviant sexual arousal have been independently linked to sexual aggression committed by adolescent sexual abusers. However, an etiological model that accounts for all of the variance with regard to sexual offending behavior or sexual recidivism in Juvenile Sex Offenders (JSOs) has not yet been developed. In the current study, a pre-existing data set of adjudicated JSOs who …


Alcohol Use And Trauma Exposure Among Male And Female Veterans Before, During, And After Military Service, Michelle L. Kelley, Jennifer Runnals, Matthew R. Pearson, Marinell Miller, John A. Fairbank, Va Mid-Atlantic Mirecc Women Veterans Workgroup Jan 2013

Alcohol Use And Trauma Exposure Among Male And Female Veterans Before, During, And After Military Service, Michelle L. Kelley, Jennifer Runnals, Matthew R. Pearson, Marinell Miller, John A. Fairbank, Va Mid-Atlantic Mirecc Women Veterans Workgroup

Psychology Faculty Publications

Background: The present study examined lifespan and combat-related trauma exposure as predictors of alcohol use among male and female veterans. Posttraumatic stress and depressive symptoms were examined as mediators of the effects of trauma exposure on alcohol use.

Methods: Data were examined from 1825 (1450 male, 375 female) veterans and active duty service members who took part in a multi-site research study conducted through the Department of Veterans Affairs Mid-Atlantic Mental Illness Research, Education and Clinical Center (VISN 6 MIRECC).

Results: For both men and women, depressive symptoms significantly mediated the effects of non-combat trauma exposure experienced before, during and …


Personal And Contextual Resilience Factors And Their Relations To Psychological Adjustment Outcomes Across The Lifespan: A Meta - Analysis, Kristen Lamp Jan 2013

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 …


A Collective Case Study Of The Diagnosis Of Dissociative Disorders In Children, Jacqueline J. Reycraft Jan 2013

A Collective Case Study Of The Diagnosis Of Dissociative Disorders In Children, Jacqueline J. Reycraft

USF Tampa Graduate Theses and Dissertations

There is a paucity of research on the diagnosis of dissociative disorders in children. Most children are misdiagnosed with more common mental disorders with similar symptoms. Earlier recognition of dissociative disorders can save years of pain, suffering, and cost. This qualitative collective case study examined the process of diagnosing dissociation in two children under the ages of 12 at the beginning of treatment. A concurrent focus on the training and development of the therapist/researcher is included. Archival data including progress notes, psychotherapy notes, assessments, correspondence, legal documents, school records, and medical records were analyzed using within-case and cross-case analyses to …


Csa Survivors: What Heals And What Hurts In A Couple Relationship, Laura S. Smedley Dec 2012

Csa Survivors: What Heals And What Hurts In A Couple Relationship, Laura S. Smedley

UNLV Theses, Dissertations, Professional Papers, and Capstones

Childhood sexual abuse (CSA) is a significant trauma that affects a person's self-concept and the ability to form healthy intimate relationships later in adulthood. Approximately 20% of adults who experience childhood sexual abuse go on to evidence serious psychopathology in adulthood (Harway & Faulk, 2005). Besides individual disturbances, CSA survivors struggle with many relational difficulties. These difficulties are usually most pronounced among their intimate partners (Reid, et al., 1995). According to attachment theory, attachment injuries are best healed in the context of a healthy, intimate relationship (Kochka & Carolan, 2002) (MacIntosh & Johnson, 2008). Conversely, the couple relationship may be …


An Examination Of Exposure To Traumatic Events And Symptoms And Strengths For Children Served In A Behavioral Health System Of Care, Melissa L. Whitson, Christian M. Connell, Stanley N. Bernard, Joy S. Kaufman Sep 2012

An Examination Of Exposure To Traumatic Events And Symptoms And Strengths For Children Served In A Behavioral Health System Of Care, Melissa L. Whitson, Christian M. Connell, Stanley N. Bernard, Joy S. Kaufman

Psychology Faculty Publications

The present study examined how exposure to traumatic events impacts children with severe emotional disturbance who are being served in a school-based system of care. Multilevel growth curve models were used to examine the relationships between a child’s history of traumatic events (physical abuse, sexual abuse, or domestic violence) and behavioral and emotional strengths, internalizing problem behaviors, or externalizing problem behaviors over 18 months. Results indicate that children receiving services (N = 134) exhibited increased emotional and behavioral strengths and decreased internalizing and externalizing problem behaviors from enrollment to 18 months follow-up. Children with a history of traumatic events improved …


Group Treatment For Adult Survivors Of Childhood Sexual Abuse: The Relationship Between Social Bonds And Symptom Severity, Robin E. Lange Aug 2012

Group Treatment For Adult Survivors Of Childhood Sexual Abuse: The Relationship Between Social Bonds And Symptom Severity, Robin E. Lange

Electronic Theses and Dissertations

This study examined the session-to-session change in symptom severity and social bonding ability in the participants of groups for survivors of sexual trauma. The concept of social bonding ability was addressed by examining the participants’ beliefs about the availability of social support, their beliefs about themselves, and their beliefs about their relationships with their group leaders. Group leader ratings of the level of process focus of their group were also measured. Twenty women between the ages of 19 and 55 receiving group treatment at three community agencies in Colorado were included in the study. Groups included in the study were …


What Psychotherapists Have To Teach Us About Childhood Developmental Trauma: The Roles Of Attachment Orientation And Coping Strategy, Rebecca Klott Aug 2012

What Psychotherapists Have To Teach Us About Childhood Developmental Trauma: The Roles Of Attachment Orientation And Coping Strategy, Rebecca Klott

Dissertations

Psychotherapists have been found to have higher rates of childhood developmental trauma when compared to non-clinicians, yet they do not report more distress. The current study added to the literature regarding the experiences of psychotherapists and explored a theoretical model integrating attachment and coping as mediators for the relationship between childhood developmental trauma and psychological distress among psychotherapists.

A total of 130 masters' level psychologists participated in this study. These participants were asked to complete the following measures: The Child Abuse and Trauma Scale (Sanders& Becker-Lausen, 1995), the Ways of Coping-Revised (Folkman & Lazarus, 1985; Folkman, Lazarus, Denkel-Schetter, DeLongis, & …


A Study Of Social Injustice And Forgiveness In The Case Of North Korean Refugees, Jin Uk Park Aug 2012

A Study Of Social Injustice And Forgiveness In The Case Of North Korean Refugees, Jin Uk Park

Doctoral Dissertations and Projects

The current study evaluated the psychometric utility of Decisional Forgiveness Scale and Emotional Forgiveness Scale for the North Korean refugee population and explored the relationship among social adaptation, religious commitment, unforgiveness, forgiveness style and mental health variables (trauma symptoms and depression) among North Korean refugees. Confirmatory Factor Analyses were conducted to investigate the North Korean version of DFS and EFS with collected data from 269 North Korean refugees. The forgiveness instruments, when modified with appropriate item deletions, could be considered as useful for North Korean refugees. In the Multiple Regression Analysis, four of five predictors (social adaptation, hurt characteristics, forgiveness …


Efficacy Of Self-Care And Traditional Mental Health Counseling In Treating Vicarious Traumatization Among Counselors Of Hurricane Katrina Survivors, Mary Alice Many May 2012

Efficacy Of Self-Care And Traditional Mental Health Counseling In Treating Vicarious Traumatization Among Counselors Of Hurricane Katrina Survivors, Mary Alice Many

LSU New Orleans Theses and Dissertations

The population consisted of 9,000 Gulf Coast Licensed Professional Counselors. Surveys were returned by 609 participants. In the researcher-developed demographic survey, 586 individuals responded to the questions regarding age, gender, ethnicity, and years of counseling experience; 585 individuals responded to questions about exposure to prior trauma, and personal Katrina-related losses; 578 individuals responded to the question about the percentage of their work week that was spent counseling victims, and 579 individuals responded to questions regarding the type of mental health care strategy they participated in. There were 439 usable surveys for the PTSD Checklist-Civilian Version (PCL-C) (Weathers, Litz, Huska, & …


Brains, Beads And Boulders: Trauma-Informed Sensory Interventions For Adolescents, Gini Christine Trotter May 2012

Brains, Beads And Boulders: Trauma-Informed Sensory Interventions For Adolescents, Gini Christine Trotter

Educational Specialist, 2009-2019

For beginning counselors there was minimal training in academic programs to address client experiences with trauma and the value of sensory interventions in treatment. The purpose of this literature review and compilation of adventure-based and creative arts interventions was to provide an understanding of trauma for adolescents from a neurobiological perspective, to provide assessment tools, a selection of sensory-based interventions for use within counseling sessions, and resources relevant to the beginning counselor. Steele and Kuban (2011) describe the experience of trauma as feeling completely unsafe and powerless. Interventions, then, should focus on repairing a sense of safety and power. To …


A Multimodal Approach For The Assessment Of Alexithymia: An Evaluation Of Physiological, Behavioral, And Self-Reported Reactivity To A Traumatic Event-Relevant Video, Sarah Jo Bujarski May 2012

A Multimodal Approach For The Assessment Of Alexithymia: An Evaluation Of Physiological, Behavioral, And Self-Reported Reactivity To A Traumatic Event-Relevant Video, Sarah Jo Bujarski

Graduate Theses and Dissertations

Evidence suggests alexithymia is often relatively elevated among people suffering from posttraumatic stress symptoms (PTSS). Despite a growing body of research supporting this relation between alexithymia and PTSS, it is unclear whether alexithymia is a unique predictor of emotional reactivity relative to posttraumatic stress symptoms. Furthermore, existing literature is largely limited to retrospective, self-reported symptoms. Therefore, the current study employed a multimodal assessment strategy for measuring emotional reactivity in the context of posttraumatic stress. More specifically, self-report, behavioral, and physiological measures were used to measure emotional responding to a traumatic event-related stimulus among motor vehicle accident victims. It was hypothesized …


Decision-Making Following Sexual Assault: Reporting Decisions And Exposure To The Criminal Justice System, Ryan Michael Walsh Apr 2012

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 …


Diagnosing The Demonic, David W. Appleby Apr 2012

Diagnosing The Demonic, David W. Appleby

Faculty Publications and Presentations

One of the most difficult tasks for a therapist is to determine whether a client’s difficulty is psychologically based or spiritually based. Scripture shows us that virtually any physical, psychological, or social symptoms might be attributed to demonic spirits. The enemy attacks on all possible fronts, which complicates the whole process of diagnosis. The most accurate diagnoses come not from looking only at symptoms, but at predictive life experiences. If the individual has opened certain doors there is an increased probability that demonic involvement is present. These include (1) generational curses, oaths, and soul ties, (2) occult involvement, (3) trauma …


Responses To Domestic Violence Public Service Ads: Memory, Attitudes, Affect, And Individual Differences, Courtney Elizabeth Welton-Mitchell Jan 2012

Responses To Domestic Violence Public Service Ads: Memory, Attitudes, Affect, And Individual Differences, Courtney Elizabeth Welton-Mitchell

Electronic Theses and Dissertations

Public service ads (PSAs) are an increasingly visible part of efforts to decrease the occurrence and consequences of domestic violence. Like other advertising, domestic violence PSAs are designed to grab attention, influence attitudes, and enhance memory for ad content. Over the years, images in domestic violence PSAs have changed substantially; agencies have started using pictures that generate emotions - either vivid negative images (bruised faces or body parts), or positive images (smiling faces) that contrast with the negative text. It is not clear, however, how different types of ad images influence memory for the message and attitudes about domestic violence, …


Trauma In Transportation: Factors Contributing To Positive And Negative Outcomes Of Involvement In Trauma For Railroad Workers, Jill Veronica Pinarowicz Jan 2012

Trauma In Transportation: Factors Contributing To Positive And Negative Outcomes Of Involvement In Trauma For Railroad Workers, Jill Veronica Pinarowicz

Electronic Theses and Dissertations

This study explored several predictors of Post Traumatic Stress Disorder (PTSD) and Post Traumatic Growth (PTG) in a sample of 136 train employees. The first objective was to examine the influence of number of work related traumas, number of life traumas, age, personality characteristic extroversion, personality characteristic openness, social support, positive cognitive coping, and negative cognitive coping in the prediction of PTSD. The second objective was to assess the influence of number of work related traumas, number of life traumas, age, personality characteristic extroversion, personality characteristic openness, social support, positive cognitive coping, and negative cognitive coping prediction of PTG.

Freight …


Trauma And Transformative Passage, Reed A. Morrison Private Practice Jan 2012

Trauma And Transformative Passage, Reed A. Morrison Private Practice

International Journal of Transpersonal Studies

The strategic introduction of stressors to intentionally produce targeted psychological states

has a long history among indigenous peoples. Rites of passage ceremonies commonly involve

subjecting individuals to controlled violence to attain desired transformative outcomes. In

this context, violence is held to be sacred and generative, ritually introducing distress in

the service of loosening orientation and preparing the individual for spiritual advancement

and the acquisition of a new identity. Traditional ritual initiation ceremonies are typically

tripartite and characterized by stages of Separation, Ordeal, and Return. This article suggests

that accounts of the experiences of initiates in Separation and Ordeal stages bear …


Ptsd And High-Risk Behaviors In Trauma Survivors, Richard Jason Lawrence Jan 2012

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 …