Clinical Psychology Commons^™

Psychological Adaptation In Colorectal Cancer Survivors: Pilot Study Findings, Anuja L. Sarode, Emily M. Su, Amber Kerstetter-Fogle, Steve Paciorek, Erica L. Laipply

HCA Healthcare Journal of Medicine

Background

In this pilot study, we examined psychological impacts of colorectal cancer (CRC), focusing on cancer-related posttraumatic stress disorder (CR-PTSD) symptoms, posttraumatic growth (PTG), and their relationship with coping strategies in surgically treated CRC patients.

Methods

This prospective pre- and postoperative pilot study assessed CRC patients at 2 time points, pre- and postoperative. Psychological symptoms were evaluated using the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5) and the PTG Inventory Short Form (PTGI-SF). Coping strategies were assessed using the Brief Coping Orientation to Problems Experienced (COPE) instrument. Changes in CR-PTSD, PTG, and coping …

An Exploratory Analysis Of Neurocognitive Performance And Posttraumatic Stress Disorder (Ptsd) Among Latinx Asylum Seekers, Elsie A. Arias

Doctoral Dissertations

Asylum seekers are exposed to violence and traumatic events in their home countries at high rates, leading to mental health challenges such as posttraumatic stress disorder (PTSD). PTSD symptoms and comorbidities such as depression and alcohol misuse are associated with impacts to multiple domains of cognitive functioning among populations such as Veterans. However, the neurocognitive performance of Latinx asylum seekers who experience PTSD symptoms are under-documented in the current literature despite its meaningful impact on clinical care engagement and navigation of the legal process. This study utilized an exploratory, quantitative, cross-sectional design to examine whether higher levels of self-reported PTSD, …

Investigating Racial And Ethnic Differences In Help-Seeking Recommendations And Intentions For Posttraumatic Stress Symptoms And Symptom Clusters, Josselyn Yanisbeth Telule

Master's Theses

Racially and ethnically minoritized (REM) communities experience disproportionate exposure to adverse events, including discrimination, socioeconomic disparities, justice system involvement, and limited access to healthcare. These inequities increase the likelihood of experiencing potentially traumatic events (PTEs) and developing trauma-related mental health concerns such as posttraumatic stress symptoms (PTSS). Despite this elevated risk, REM populations consistently underutilize mental health services. Although several explanations have been proposed—including differences in symptom recognition, perceived need for care, cultural values, mental health literacy, and preferred sources of support—less research has examined racial and ethnic differences in help-seeking intentions (HSI) and help-seeking recommendations (HSR), particularly in response …

The Use Of Virtual Reality In Ptsd Research And Practice, Kenneth B. Abrams, Lindsay Okindo, Marta E. Bacon, Yiking Skylar Yu, Sofia Santamaria Germani, Malvika Malhotra, Nancy A. Cullen

Psychology Faculty Work

In the aftermath of traumatic events such as combat, sexual violence, or a natural disaster, individuals may develop posttraumatic stress disorder (PTSD). Technological advancements in virtual reality (VR) over the past few decades have opened new avenues for improving the assessment, treatment, and understanding of PTSD. VR allows users to be immersed in interactive, computer-generated environments that simulate real-world scenarios, such as a warzone or assault location, that would be difficult or unsafe to reproduce using traditional methods. The present paper offers an overview of how VR technology has been employed in both clinical and research settings related to PTSD. …

Examining Ketamine's Differential Impact On Posttraumatic Stress Disorder Symptoms Using The Ptsd Checklist For Dsm-5, Samantha G. Gomez

Electronic Theses & Dissertations (2024 - present)

Posttraumatic stress disorder (PTSD) can be a debilitating and chronic condition. Current gold standard treatments are effective but face high dropout rates. Ketamine therapy is a promising and alternative treatment for those struggling with PTSD symptoms. Prior research has indicated significant reductions in overall PTSD symptoms. However, research regarding symptom-specific changes following ketamine therapy is limited. The present study aimed to extend previous work by MacConnel and colleagues (2025) regarding significant decreases in total PTSD Checklist for DSM-5 (PCL-5) scores following ketamine treatment at an outpatient ketamine center, as well as examine potential symptom-specific changes. A final sample of 142 …

Evaluating A Self-Guided Cognitive Behavioral Coping Skills Workbook For Sexual Violence-Exposed College Students Using A Nonconcurrent, Multiple Baseline Design, Marley F. Fradley

Graduate Theses and Dissertations

College students endorse high rates of sexual violence victimization and posttraumatic stress disorder (PTSD). Help-seeking behaviors in college students are low and may be impacted by limited financial resources, competing obligations, treatment-related stigma, and features of PTSD such as avoidance, fear, and shame. Novel opportunities for sexually victimized college students to engage with trauma-focused interventions are necessary to mitigate the biopsychosocial consequences of PTSD. In a nonconcurrent, multiple baseline trial of a self-guided cognitive behavioral workbook for PTSD, sexual violence-exposed college students (N = 6) completed a 3-, 4-, or 5-week baseline period and then utilized the study workbook for …

Evaluating The Use Of Repetitive Transcranial Magnetic Stimulation In A Patient With Treatment Resistant Depression, Autism Spectrum Disorder, And Post-Traumatic Stress Disorder: A Case Report, Luke Fritsch Ba, Mba, Msiv, Oluwafunke O. Ogunremi Bs, Msiv, Alexandra R. Job Bs, Msiv, James Hellekson Md

Aesculapius Journal (Health Sciences & Medicine)

Despite a wide array of therapeutic modalities, many patients with Major Depressive Disorder (MDD) experience no significant improvement in symptoms with traditional treatment. Given the prevalence of Treatment Resistant Depression (TRD), other alternative therapeutic modalities for MDD are being researched. Repetitive Transcranial Magnetic Stimulation (rTMS) is one modality that continues to show successful therapeutic outcomes for those with TRD. The aim of this study is to highlight a case of rTMS being used on a patient with TRD, autism spectrum disorder (ASD), post-traumatic stress disorder (PTSD), and substance use.

Methods:

Our patient is a 53-year-old female who first presented to …

A Qualitative Meta-Analysis Of The Experiences Of Clients In Psychotherapy For Posttraumatic Stress Disorder: An Empirically Based Process-Oriented Staged Model, Nicholas A. Pierorazio

Graduate Masters Theses

Posttraumatic stress disorder (PTSD) is prevalent and can be highly complex. Guidance for the treatment of PTSD has typically been based on quantitative meta-analyses of randomized controlled trial findings and has focused on the comparative efficacy of specific treatments, rather than how to deliver treatment. There is a need for clinical guidance that highlights moment-to-moment, in-session psychotherapy processes for psychotherapists working with clients with PTSD. In the current study, I conducted a qualitative meta-analysis, focusing on the qualitative literature investigating clients’ perspectives in order to develop an understanding of the preferences, values, and experiences of clients in individual psychotherapy for …

How Art Therapy And Emdr Help Asylum Seekers And Refugees Move Towards Healing Trauma: A Literature Review, Anna Mogilevsky

Expressive Therapies Capstone Theses

In the past ten years, there has been a significant rise in the number of asylum seekers and refugee populations worldwide (UNHCR, 2022). Displaced individuals are extremely vulnerable to mental illness because of the compounded trauma experienced in their countries of origin with the stress of immigration, asylum seeking, culture shock, and language barriers. PTSD is affecting 500 million individuals globally, and refugees are especially susceptible to having these symptoms (Farrell, 2020). Art therapy and EMDR are identified as the most promising modalities for treating such trauma.

This literature review examines the various ways EMDR and art therapy have been …

The Teaam: The Development Of A Trauma Assessment Measure For Late Adolescents And Emerging Adults, Jessica Wimmer

Theses, Dissertations and Culminating Projects

Exposure to potentially traumatic events is common among adolescents and emerging adults. While outcomes to trauma exposure may vary, development of maladaptive symptoms and disorders, such as Post-Traumatic Stress Disorder, is of great concern to clinicians, researchers, and advocates for youth. However, recent research has identified that existing trauma measures and the Diagnostic Statistical Manual, Fifth Edition Text Revision criterion for event exposure for PTSD, Criterion A, fail to address specific types of events and experiences that may elicit post-traumatic stress responses. Subsequently, this dissertation aimed to review the existing literature regarding trauma and how it is measured in adolescents …

Gender Differences In Perceived Organizational Support Among Veterans With Posttraumatic Stress Disorder, Elizabeth Gomez

Dissertations

Posttraumatic stress disorder (PTSD) is a well-studied issue within the U.S. military, with data showing military personnel face a higher risk of trauma than the civilian population. Many veterans and service members suffer from PTSD related to their military experiences (Renshaw, 2011). As research has largely focused on protective factors such as social and familial support, little attention has been given to organizational support (Meredith et al., 2011). Perceived organizational support (POS) refers to how individuals perceive the support they receive from their employers, with the military as the primary employer for veterans. This study was designed to explore whether …

Trauma-Informed Bilingual Counselor Education: Factors To Guide Professional Mental Health Training With Spanish-Speaking Students, Fernando Estrada, Miguel A. Arana

Journal of Counselor Preparation and Supervision

Latine immigrants confront various forms of violence that increases their risk for traumatic stress and post-traumatic stress disorder. There is a need to advance the training of counselors who can work with Spanish-speaking clients exposed to trauma. The goal of this study was to articulate a literature-based conceptualization of trauma-informed bilingual counselor education. The results of a content analysis facilitated a synthesis of the relevant scholarship that highlighted four main facets: (i) integrative translanguage pedagogy, (ii) immigrant trauma exposure and reaction, (iii) culturally responsive socio-emotional interventions, and (iv) bilingual supervisory alliance. These factors can help guide professional graduate training. Implications …

Examining Risk Factors For Comorbidity Between Posttraumatic Stress Disorder And Obsessive-Compulsive Disorder In A Sample Of Trauma-Exposed Transgender Adults, Dylan Seeley

Theses and Dissertations

Comorbid PTSD-OCD post trauma exposure is understudied. Little research examines specific risk factors and marginalized populations. This study examined gender-based victimization, emotional avoidance, and executive functioning as risk factors. Findings suggest gender-based victimization is a unique gender minority stressor that may pose significant risk for transgender populations.

Personalized Therapy To Meet Individual Children’S Needs And Improve Access: Identifying A “Goldilocks” Group Therapy Length For Children With Post Traumatic Stress (Pts), Rosa L. Boniface

West Chester University Doctoral Projects

Objectives. The present study investigated the incidence and correlates of early treatment response among youth participating in a school-based intervention for PTSD symptoms. Methods. 44 elementary school children who participated in the Bounce Back Program (BB) from 2017 to 2019 were included. A Reliable Change Index (RCI) score was calculated for each child on the UCLA-R for PTSD. Youths with a significant RCI score by session 5 of the 10-session protocol were classified as early treatment responders. Pretreatment characteristics were examined in relation to early responder status. Results. PTS means in this sample decreased significantly after 5 …

Investigating The Impact Of A Brief Self-Compassion Intervention On Shame And Psychopathology For Women With Histories Of Childhood Emotional Abuse, Sarah Hill

Graduate Research Theses & Dissertations

Background: Childhood emotional abuse, while frequently co-occurring with other types of abuse, is often neglected within the trauma literature, but has been found to be an important independent predictor of adult psychopathology. Shame represents a potentially important and malleable factor that may contribute to the development and maintenance of poor psychological outcomes. As such, interventions focused on increasing self-compassion have been identified as promising methods to decrease experiences of shame, and ultimately symptoms of psychopathology. While literature on brief self-compassion interventions has rapidly increased in recent years, notable gaps remain. Specifically, there is limited research exploring the impact of brief …

Exploring The Effects Of Transcranial Direct Current Stimulation Of The Right Inferior Frontal Gyrus On Inhibitory Control In Posttraumatic Stress Disorder, Colton Rippey

Theses and Dissertations--Psychology

Background: The right inferior frontal gyrus (rIFG) is implicated in stop signal reaction time (SSRT) performance – a common measure of inhibitory control – and emotional expression and control. Individuals with posttraumatic stress disorder (PTSD) exhibit poorer stop SSRT performance, which is associated with rIFG hypoactivity. Neuromodulation of the rIFG with transcranial direct current stimulation (tDCS) can significantly improve inhibitory control and reduce fearful responding to threatening stimuli. Research has yet to test the effects of multifocal tDCS targeting the rIFG on inhibitory control or emotional reactivity in individuals with PTSD.

Methods: The current study aims to examine the impact …

I Second That Emotion: Examining The Association Between Emotion Regulation Skills And Post-Traumatic Stress Disorder Symptoms After A Traumatic Event In A Sample Of Black College Students, Cheyenne Ashley

Graduate Masters Theses

Post-Traumatic Stress Disorder (PTSD) has been termed an “emotion disorder” due to its association with obstructing trauma survivors’ ability to regulate their emotions (Frewen & Lanius, 2006, as cited in Tull et al., 2020, p. 295). Previous research consistently shows individuals with PTSD experience significant difficulties in emotion regulation (ER) skills (e.g., Ehring & Quack, 2010). Despite the unique systemic challenges inherent in the experience of Black Folk which can exacerbate PTSD symptom severity (Carter, 2020; Bird et al., 2021), research focusing on Black trauma survivors remains limited.

This study utilized 3 self-report measures: the Difficulties in Emotion Regulation Scale …

Trauma-Related Cognitions And Discrimination As Predictors Of Maladaptive Coping Among Marginalized Maltreated Youth, Shadie Burke

UNLV Theses, Dissertations, Professional Papers, and Capstones

Maltreated youth are at an increased risk for engaging in direct or indirect self-injurious behavior to cope with the aftereffects of a traumatic event. These behaviors are often associated with negative health outcomes, substance use and premature death. Existing research proposes a link between child maltreatment and indirect self-harm but the mechanism into why this occurs is unclear. The present study examined two key research questions: (1) which specific trauma-related cognitions, sexual identity and cultural factors predict direct self-injurious behavior (previous suicide attempt(s) and NSSI) among marginalized maltreated youth?; and (2) which specific trauma-related cognitions, sexual identity and cultural factors …

Moderating Effect Of Secondary Victimization On The Relationship Between Resilience And Sexual Assault Coping Self-Efficacy, Jamie Layton

Clinical Psychology Dissertations

Sexual assault is a prevalent public health concern that effects thousands of people every year. How each of these individuals responds is different. There are multiple factors that can impact someone’s response to sexual assault, one of which is resilience, and another is secondary victimization. Legal advocacy programs can be used to help reduce secondary victimization and increase sexual assault coping self-efficacy, while controlling for age and race. This dissertation examines the way that secondary victimization moderates the relationship between resilience and sexual assault coping self-efficacy. Participants were at least 18 years old, a cisgender woman, English speaking, and a …

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 …

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 …

Canine-Assisted Cognitive Processing Therapy: Promoting Healing For Veterans Diagnosed With Ptsd Through Canine "Battle Buddies", Shelby L. Meadows

Psychology Doctoral Specialization Projects

Trauma related symptoms and posttraumatic stress disorder (PTSD) have long been recognized for their connection to military and veteran populations and has become a significant barrier to the provision of mental healthcare. This original contribution to practice explores the significance of Canine Assisted Therapy as a novel approach to treating trauma in veteran and military populations. An extensive literature review examines the current research and discussion on trauma-informed care. It begins with a discussion on evidence-based practices for the treatment of PTSD, including Cognitive Processing Therapy, Prolonged Exposure, and Eye Movement Desensitization and Reprocessing. This is followed by a comprehensive …

Ptsd, Chaos, And Subjective Executive Dysfunction, And Its Impact On Qol, Emmy Y. Velazquez Santiago

PCOM Psychology Dissertations

Research with veterans suggests executive dysfunction associated with PTSD often results in problems with quality of life. Objective impairments in executive functions do not significantly correlate with subjective reports; despite this discrepancy, the perception of dysfunction impacts quality of life. Research indicates that perception of chaos/unpredictability can undermine the ability to perform executive functions. This study explored how the perception of chaos impacts the relationship between PTSD and subjective executive dysfunction and quality of life among veterans. A Pearson product-moment correlation was used to determine whether a relationship exists between PTSD symptomatology and subjective executive dysfunction and between subjective executive …

Individual And Organizational Challenges To Implementing Prolonged Exposure Therapy In The Military Health System: A Systematic Review Of Client And Provider Perspectives, Paris R. Cloutier

Honors Undergraduate Theses

Military veterans and active-duty service members face high rates of posttraumatic stress disorder (PTSD), a chronic and debilitating condition that is comorbid with other negative psychological and social outcomes. PTSD symptomology in military careers is attributed to unique organizational factors and risks both during and post-deployment. Delivering modern, effective PTSD treatments derived from evidence-based research to the military population is a multi-faceted effort. Among these interventions, prolonged exposure therapy (PE) is a safe and effective trauma-focused treatment for veterans. To yield higher rates of PE success, common challenges faced by both military clients and their clinicians that may be impairing …

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 …

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 …

The Experience And Regulation Of Posttraumatic Shame Among Women With Interpersonal Trauma Histories, Jordyn M. Tipsword

Theses and Dissertations--Psychology

Posttraumatic shame – an emotion stemming from harsh attitudes about the self after trauma – is central to PTSD for many women following physical or sexual assault or abuse (interpersonal trauma [IPT]). However, knowledge of the frequency, intensity, and stability of shame in the daily lives of women post-IPT is lacking. Additionally, while some work has explored shame-specific emotion regulation (ER), or processes aimed at changing emotional responses, it remains unclear which ER strategies are effective in reducing shame, and the role of PTSD severity in shame regulation also remains unexplored. This project explored daily experiences and regulation of posttraumatic …

Survivor Experiences Of Male Childhood Sexual Abuse: A Literature Review, Elizabeth Burch B.S., Joseph T. Kenneally Psy.D., Stephanie Zepeda Phd

Psychology from the Margins

The World Health Organization (WHO) recognizes childhood sexual abuse (CSA) as a global health issue. CSA is a human violation that affects both female and male children and has a stronger detrimental impact on mental health than other traumatic childhood experiences. Despite a growing awareness of male survivors of CSA, male survivors are a marginalized group as most CSA research focuses on females. In addition, masculine norms can keep male adults from disclosing further, which can delay support and increase mental health issues. This meta- analysis reviews the current literature on this group of marginalized people and concludes with a …

Trauma Mediating The Severity Of Depressive Symptoms In Veterans With Ptsd, Meghan Curtin

Dissertations

Trauma serves as a risk factor for developing both posttraumatic stress disorder (PTSD) and depression. The purpose of this study was to examine trauma type as a mediator in the relationship between gender and severity of depressive symptoms among veterans with PTSD. The literature shows trauma type plays a role in developing PTSD and depressive symptoms. The first hypothesis was that female veterans who met the diagnostic criteria for PTSD would report higher levels of depressive symptoms than their male counterparts. The second hypothesis was that this gender difference would be partly mediated by levels of interpersonal trauma experience. Self-report …

Investigating The Differences Between Neuropsychological And Physiological Markers In A Ptsd-Only Group Among Vietnam Veterans, Ashtan Madsen

Dissertations

Individuals diagnosed with posttraumatic stress disorder (PTSD) have demonstrated extinction-resistant symptoms and long-lasting impacts on the brain’s functional activity (Krystal et al., 2017; Stark et al., 2015). PTSD illustrates a strong relationship with cognitive functioning, and research has found lower parietal and hippocampal volume and deterioration in brain function and structure, resulting in executive dysfunction, attentional deficits, mood dysregulation, and memory difficulties (Krystal et al., 2017; Stark et al., 2015; Weiner et al. 2017). Sleep has been investigated to better understand its contribution to AD pathologies as well as its impact on PTSD treatment and prognosis. Although sleep’s functions are …