Clinical Psychology Commons^™

Military Sexual Trauma In Veterans: Consequences, Treatment, And Therapeutic Implications, Chelsey Siville

Dissertations

Amongst Veterans served within the Veterans Affairs healthcare system, approximately 1 in 50 men and 1 in 3 women have experienced military sexual trauma (MST). While every individual is different, a common characteristic or identity amongst those who have served is that of a warrior – someone perceived as strong and ready to defend both their country and fellow soldier. Experiencing military sexual trauma can create a painful and discrepant identity as well as impact almost all domains of functioning. Unfortunately, trauma is an all too common occurrence in the lives of many service members and the multifinality of trauma …

The Role Of Coping Behaviors And Intoxication In Trauma Symptomology Subsequent To Sexual Victimization, Danika Martine Charles

Theses and Dissertations

College women are at an elevated risk for sexual victimization compared to the general population. One possible reason for the increase risk of sexual victimization on college campuses is that college is inherent with greater freedom and less supervision. This unsupervised environment may encourage students to explore alcohol and other drug use and abuse and engage in risky sexual behavior, which are risk factors for sexual victimization. Sexual victimization is defined as unwanted behaviors and tactics that range from oral, anal, vaginal contact or penetration where the perpetrator uses force, intimidation, or coercion. Sexual victimization is often conceptualized in terms …

Neurobiological Mechanisms Of Cognitive Processing Therapy For Post-Traumatic Stress Disorder: A Brain Network Approach, Tessa Vuper

Dissertations

Psychotherapy research is increasingly targeting both psychological and neurobiological mechanisms of therapeutic change. This trend is evident in and applicable to post-traumatic stress disorder (PTSD) treatment research given the high nonresponse rate of individuals with PTSD who undergo cognitive-behavioral therapy (CBT). A review of the literature investigating neurobiological mechanisms of CBT in PTSD reveals inconsistent results that fail to fully support dual process or learning models of CBT effects in the brain. However, network-based models of psychopathology provide a new framework from which to understand both mental disorder symptoms and therapeutic mechanisms. The current study investigated a) whether brain networks …

Exploring The Experience Of Psychological Distress For Young Adults With Cancer: Implications For A New Diagnosis Of Medical Traumatic Stress, Audrey Ryan

Counseling and Psychology Dissertations

The purpose of this qualitative study was to investigate how a serious medical diagnosis, such as cancer, can act as an acute or prolonged trauma. This was explored through the lived experiences of psychological distress of young cancer survivors. Participants were 12 men and women who had been diagnosed with cancer within the past seven years when they were between the ages of 18 and 39. From these interviews several themes emerged that describe the phenomenon of what I have termed medical traumatic stress.

Trauma from a medical event does not currently meet criteria for PTSD in the DSM-5 …

The Role Of Perceived Heterosexism In Posttraumatic Stress Symptom Severity Among Trauma-Exposed Sexual Minority Individuals, Natalie M. Cereseto

Theses and Dissertations

This thesis employed structured posttraumatic stress disorder (PTSD) assessments, a micro-longitudinal 30-day daily diary assessment, and multilevel modeling to investigate the unique and interactive effects of traumatic stress and daily sexual minority-related discrimination on PTSD symptoms and negative affect in a diverse sample of 38 trauma-exposed SM individuals.

Ptsd Symptom Interaction Among Victims Of Interpersonal Violence: A Network Analysis, Robert Graziano

Dissertations

Along with numerous combinations of symptoms, posttraumatic stress disorder (PTSD) is linked to high dropout and non-response rates in treatment. Poor treatment response may be due to an inaccurate conceptualization of PTSD. One newer approach to the conceptualization of psychopathology is network theory. Network theory posits that symptoms both directly and indirectly reinforce each other, with connections between symptoms varying in strength. Previous studies of network theory and PTSD have found intrusive symptoms to be highly central, but have not included samples of individuals traumatized by interpersonal violence. Because trauma type has been shown to predict symptom presentations, this represents …

Examining The Factor Structures Of The A-Des And Ptci To Identify Unique Predictors Of Ptsd Symptom Clusters In Maltreated Youth, Amanda Howard

UNLV Theses, Dissertations, Professional Papers, and Capstones

Research on childhood posttraumatic stress disorder (PTSD) has increased over the past decade. Youth who experience maltreatment are more likely to exhibit symptoms of PTSD. At present, the literature largely focuses on youth who have experienced general trauma or PTSD symptoms, while maltreated youth are understudied. To date, no studies have examined the psychometric properties of the Adolescent Dissociative Experiences Scale (A-DES) or the Posttraumatic Cognitions Inventory (PTCI) in a sample of maltreated youth. Predictors of childhood PTSD for maltreated youth remain unknown. The present study was the first research study to date to examine the factor structures of the …

Dissociation And Metacognition: A Mixed Methods Analysis, Richard E. Nalbandian

Doctor of Psychology (PsyD)

Dissociation commonly occurs as a defense against trauma and can be understood as a breakdown in metacognition. The present research investigated the relationship between trauma, dissociation, and metacognition in subjects with PTSD, a trauma-related disorder. Specifically, we investigated a potential inverse relationship between metacognition and dissociation in participants who have undergone psychoanalytic therapy. Participants were patients admitted to the Austen Riggs Center, who consented to be a part of the Follow Along Study (FAS), a longitudinal investigation spanning 15 years. Quantitative and qualitative analyses examined differences in themes of dissociation across initial and follow-up-clinical interviews. Quantitatively, all subscales for metacognition …

Confusing Conversations: Assessing Traumatic Stress In Young Children, Jennifer Lela Moniz

Antioch University Dissertations & Theses

Early detection and interventions are important for the prevention of negative long-term effects of Posttraumatic Stress Disorder (PTSD). Current evaluations of PTSD in young children rely heavily on caregiver reports, and there are few self-report measures for children under 8 years old (Mash & Barkley, 2007). This study examined the construct validity of the Post Traumatic Symptom Inventory for Children (PT-SIC), a self-report measure of PTSD symptomatology for young children, through a comparison of results with the Trauma Symptom Checklist for Young Children (TSCYC), an empirically supported caregiver measure of child PTSD symptomatology. Results of the Spearman correlation indicated that …

Post-Traumatic Stress Symptoms In Sexual And Non-Sexual Trauma: Comparisons On Symptom Severity, Disgust, And Contamination Concerns., Jaime Murtagh

Electronic Theses and Dissertations

A number of emotions have been identified as contributing to the experience of Post-traumatic Stress Disorder (PTSD) and Obsessive Compulsive Disorder (OCD), including fear and disgust. Given the high rates of comorbidity between PTSD and OCD, research has suggested that disgust may be a likely link between these disorders. The current study examined the relation between contamination disgust, trauma symptom severity, and contamination related-OCD (C-OCD) symptoms in a sample of sexual and non-sexual trauma survivors (N = 206). Specifically, it was proposed that sexual trauma survivors would endorse more severe PTSD symptoms, higher levels of disgust, and more C-OCD symptoms. …

Factors Affecting Commitment For Military Couples, Laura Villalobos Garza

Walden Dissertations and Doctoral Studies

The reintegration process for combat veterans is challenging not only for soldiers but also for their spouses and family members. The purpose of this quantitative study was to examine factors affecting relationship commitment in military couples in which a service member has shown signs of post-traumatic stress disorder (PTSD). Sternberg’s triangular theory of love provided the framework for the study. Independent variables were passion, intimacy, age, and social support, and the dependent variable was commitment. Survey data were collected from 116 participants using Sternberg’s Triangular Love Scale and the Multidimensional Perceived Social Support Scale. The results of multiple linear regression …

Writing And Well-Being: Comparing Varied Expressive Writing Tasks On Posttraumatic Stress Symptoms And Life Satisfaction, Zena Dadouch

Graduate Research Theses & Dissertations

Frontline treatments for posttraumatic stress disorder (PTSD) have been extensively researched, and there is significant support for their efficacy in decreasing PTSD symptomatology and improving life quality. However, the treatments seem to be burdensome, as a significant minority does not improve or drops out before the continuation of treatment. This pattern could be explained partially by the time commitment, cost of and access to treatment, and the resulting emotional overload. Therefore, it is useful to explore other avenues that could lead to improvements in symptomatology and well-being and that are more accessible and manageable. One possible direction is expressive writing …

Does Counselor Type Affect A Manualized Treatment?, Cynthia C. Kay

Walden Dissertations and Doctoral Studies

This quantitative study was to determine whether there are differences in client treatment outcomes based upon the type of counselor who conducted an empirically supported treatment called Seeking Safety for persons diagnosed with posttraumatic stress disorder and substance use disorder. Many studies show that counselors’ personal attributes impact treatment; however, this study added to the literature by focusing on a standardized treatment for the co-occurrence disorder of substance use and posttraumatic stress disorder. Archival data from an outpatient treatment facility was used. Clients were provided integrated services, which included psychological and substance use treatment. The participants/clients were men and women …

Does Ethnic Identity, In-Group Preference, And Acculturation Protect Latinas With A History Of Interpersonal Trauma From Developing Symptoms Of Ptsd?, Evelyn M. Ramirez

Dissertations, Theses, and Capstone Projects

Previous research suggests ethnic identity, a sense of belonging to a particular cultural group, may be protective against symptoms of post-traumatic stress disorder (PTSD). However, the role of ethnic identity, in-group preference (i.e., an individual’s preference for interactions with members of their own ethnic group) and acculturation (i.e., the level of comfort with the mainstream culture) have not been investigated as protective factors for Latinas with a history of interpersonal and sexual trauma. In this study, ethnic identity, in-group preference and acculturation were assessed via self-report on the Scale of Ethnic Experience in two samples of undergraduate Latina and non-Latina …

Weak Social Support As An Indicator For Worse Trauma Related Symptoms, Michael B. Sugarman

Theses and Dissertations

This study investigated the relationship between social support and trauma related symptoms in trauma exposed participants. Using the SCID and CAPS, weak family support factors were found to be associated with a greater number and severity of trauma related symptoms; suggesting that family support is important for trauma exposed people.

The Relationship Between Frequency Of Yoga And Meditation On Ptsd Symptoms In Individuals Who Have Experienced Intimate Partner Violence, Kimberly Polignani

Dissertations

Intimate partner violence (IPV) has become a growing phenomenon in the United States,

affecting nearly 13% of the population. The adverse mental health outcomes from people who experience IPV are prevalent and more than half have a diagnosis of posttraumatic stress disorder (PTSD). Therefore, therapeutic techniques for PTSD appear to be feasible for IPV survivors and their mental health issues. Complementary and alternative medicine has become a widely accepted approach for PTSD. Being two complementary and alternative medicine techniques, yoga and meditation are effective forms of therapy in many diagnoses, including PTSD. This study utilized a not-for-profit organization called the …

Self-Compassion And Suicide Risk In Veterans: Serial Effects Of Shame, Guilt, And Ptsd, Jessica Mckinney

Electronic Theses and Dissertations

Suicide is a significant public health concern and ranks as the 10^th leading cause of death in the U.S. Veterans are at a disproportionately higher risk for suicide, due to risk factors such as exposure to trauma and its negative cognitive-emotional sequalae, such as PTSD, shame, and guilt. However, not all veterans exposed to traumatic events, or who experience shame and guilt, die by suicide, perhaps as a result of the presence of individual-level protective factors such as self-compassion. Conceptualized as self-kindness, mindfulness and common humanity, self-compassion is beneficially associated with mental and physical health, including reduced suicide risk. …

Examining The Gender- And Sexuality-Related Cognitive “Stuck Points” Of Men And Women With Experiences Of Adult Sexual Assault: Implications For Cognitive Processing Therapy, Marin Beagley

Dissertations

Cognitive Processing Therapy (CPT) is considered a gold-standard psychotherapy protocol for the treatment of posttraumatic stress symptoms secondary to a variety of traumatic events. Despite its demonstrated efficacy, there is research to suggest CPT may not be as effective in reducing PTSD symptoms for men with an adult sexual assault trauma as it is for their female counterparts. The purpose of the present study was to determine whether CPT treatment outcome discrepancies may be attributable to gender differences in posttraumatic cognitions, or “stuck points.” As the act of sexual victimization is incongruent with socially prescribed masculine gender norms, it was …

The Impact Of Sexual Assault Disclosure Reactions On Interpersonal Factors And Mental Health, Lindsey Chesus

Electronic Theses, Projects, and Dissertations

Sexual victimization is experienced by about 20% of women and two percent of men (Black et al., 2011). Disclosure of these incidences is high, with about 90% of survivors speaking out at least once about their assault (Ullman & Peter-Hagene, 2014). Though disclosure rates appear high, common reactions given by formal (e.g. law enforcement) and informal (e.g. a friend) sources are negative and counterintuitive to survivor growth (Ullman & Brecklin, 2002). Often studied with military veterans and suicide, perceived burdensomeness and thwarted belonging are tied to social disconnect and perceived rejection from interpersonal support systems, and often follow stressful life …

The Role Of Sexual Self-Schema And Psychological Distress In The Relationship Between Sexual Victimization And Sexual Functioning And Satisfaction, Alexandra Medina

Electronic Theses, Projects, and Dissertations

Sexual assault (SA) has been associated with various negative psychological consequences for survivors. Recent studies have shown an association between the history of sexual assault and sexual dysfunction among female survivors of sexual victimization. Specifically, sexual assault survivors experience difficulties with aspects of sexual functioning, sexual satisfaction, and sexual self-schemas (Rellini & Meston, 2011). The purpose of the present study was to examine the relationship between sexual victimization severity and sexual functioning and sexual satisfaction. In addition, we tested a sequential mediational model in which sexual self-schema followed by depressive and PTSD symptoms would mediate the relationship between sexual victimization …

The Effect Of Substance Use On The Relationship Between Ptsd Symptom Clusters And Suicide In Adolescents, Lindsay S. Moore

Clinical Psychology Dissertations

Adolescent Posttraumatic Stress Disorder (PTSD) is a multifaceted, debilitating disorder that if left untreated has been shown to lead to problematic internalizing and externalizing behaviors including suicidal ideation and substance use. Little is known about the course of PTSD in adolescents and less is known about the individual effects of PTSD symptom clusters. Furthermore, there is a dearth in the literature studying the predictive effects of PTSD, substance use and suicidality in adolescent samples. Participants were a clinical sample of adolescents referred from inpatient and outpatient clinics in the Pacific Northwest as part of a larger study. Ages of participants …

The Role Of Meaning Making In Expressive Writing And Adults With Post Traumatic Stress Disorder: A Literature Review., Leah Kennedy Rose

Expressive Therapies Capstone Theses

This literature review examines the positive impact that expressive writing can have on adults who have experienced a traumatic event and are suffering from posttraumatic stress disorder (PTSD). Expressive writing can take a number of different forms and falls under the category of expressive arts therapy. When used in addition to traditional psychotherapy and, if necessary, psychotropic medications, expressive writing can be an effective treatment method for adults with PTSD. Despite an initial increase in negative affect arousal, engaging in an expressive writing intervention can result in numerous improvements in physical, mental, and emotional well-being. By facilitating the meaning-making process, …

Beyond Words: Expressive Arts Therapy In Individual And Group Process In Recovery From Trauma, Agnes Carbrey

Educational Specialist, 2009-2019

This paper describes expressive arts therapies that are interventions for the treatment of trauma. A literature review of this broad topic is narrowed to define art therapy used in conjunction with talk therapy, and provides brief examples from dance movement therapy, visual arts therapy, poetry-journaling-storytelling therapy, and sound-music therapy. Recent innovations in the field include the use of body-oriented interventions and group processes. When thinking about trauma, the body is a positive and negative reservoir of memory, and trauma may be trapped in the body. The author reviews the overlap between contemporary art, contemporary dance movement analysis, and forms of …

Understanding Comorbid Depression In The Context Of Ptsd Through Underlying Dimensions, Melissa Turkel

Dissertations

Depression co-occurs with Posttraumatic Stress Disorder at a high rate, resulting in numerous complications for pathology and treatment. More research is needed regarding variables that may explain this common comorbidity. One possible variable is that of underlying dimensions, latent factors that give rise to these manifestations of psychopathology. This study explored potential underlying mechanisms of comorbid PTSD and depression, including negative affect, rumination, emotion dysregulation, neuroticism, and behavioral inhibition. While previous studies have investigated these dimensions individually, there is a dearth of research that simultaneously investigates multiple dimensions or determines the relative contributions of underlying dimensions to psychopathology. Thus, the …

Is Eye Movement Desensitization And Reprocessing Worth It? A Pragmatic Analysis For Clinicians, Brandon P. Cvengros

Psychology Capstone Projects

Eye movement desensitization and reprocessing is a treatment developed for post-traumatic stress disorder (PTSD) that combines the cognitive processing of trauma with bilateral eye movements (EMs). Research has demonstrated that EMDR can be an efficacious treatment for PTSD. Other common treatments for PTSD include cognitive behavioral therapy (CBT) and exposure therapy (ET). Research has demonstrated that both CBT and ET are efficacious in the treatment of PTSD. EMDR is a controversial treatment, with critics stating that it is very similar to ET and that the novel component, EMs, are irrelevant to treatment outcomes. EMDR has additional time and financial costs, …

When A Stone Is Not A Stone: Memories Of Clerical Abuse, Charles V. Sords

Dignity: A Journal of Analysis of Exploitation and Violence

From the fourth to the sixth grades, Charles V. Sords suffered traumatic sexual abuse by Catholic clergy. He suppressed these memories, yet the pain of what happened impacted every aspect of his life. As an adult, several strong, sensory experiences brought the truth of his childhood into focus. He confronted the Church—and the system that protected clerical criminals. This memoir is an account of childhood sexual abuse, the particularly shameful nature of being raped by priests, and how the Catholic Church’s method of handling this and similarly horrifying revelations has re-traumatized survivors.

Stress Inoculation Training Outcomes Among Veterans With Ptsd And Tbi, Sarah E. Jackson, Matthew Baity, Jeannette Giorgio, Diane Swick

Faculty, Staff and Student Publications

Objective: Stress inoculation training (SIT) is a cognitive-behavioral treatment that has demonstrated potential as a nontrauma based intervention for veterans with posttraumatic stress disorder (PTSD). The purpose of this study was to explore the efficacy of a novel 3-phase group formulation of SIT applied to a naturalistic population of veterans with PTSD and traumatic brain injury (TBI). The goals were to reduce symptoms of PTSD and depression, improve perceived functioning, and increase treatment initiation among veterans who were reticent to initiate established evidence-based and trauma-focused therapies. Method: A program development and evaluation archival analysis of 65 veterans engaged in SIT …

The Role Of Dissociation And Hyperarousal In Adult Sexual Revictimization, Madeline S. Herman

ETD Archive

The purpose of the present study was to examine how child sexual abuse (CSA), hyperarousal symptoms, and dissociation symptoms are associated with sexual revictimization in adulthood. The study hypothesized that (A) a history of CSA will be associated with greater instances of adult sexual victimization, (B) higher rates of hyperarousal will be associated with lower rates of adult sexual revictimization in survivors of CSA, (C) higher rates of dissociation will be associated with higher rates of adult sexual revictimization in survivors of CSA, and (D) in looking at both hyperarousal and dissociation, hyperarousal symptoms will buffer the relationship between CSA …

Psychological Effects Of Training In Martial Arts After Interpersonal Trauma, Alexandro Garcia Vargas

Walden Dissertations and Doctoral Studies

Individuals who experience a traumatic event may have an adverse emotional reaction that negatively impacts their quality of life. The purpose of this qualitative phenomenological study was to explore the influence of training in the martial arts as an intervention in the treatment of interpersonal trauma. The biopsychosocial model provided the framework for the study. The research questions addressed the effects of training in the martial arts and the biological, psychological, and social functioning of individuals who had sustained a form of interpersonal trauma. Data were collected from semistructured interviews with 9 participants. Data were analyzed using Moustakas's modified van …

Veterans’ Help-Seeking And Spousal Support For Ptsd: A Preliminary Study, Kimberly S. Sollows

Antioch University Dissertations & Theses

Continued engagement in military conflicts and known underutilization of mental health services by veterans necessitates understanding of factors influencing veterans’ attitudes about mental health treatment and decisions to seek services. The present study examined relationships between posttraumatic stress disorder (PTSD) symptom severity, perceived support from spouse, and attitudes toward mental health help-seeking among married U.S. veterans. Participants (N =39) were recruited using social media outreach, an online gaming platform, and through print fliers. First, it was hypothesized that perceived spousal support would be significantly positively correlated with attitudes toward treatment seeking, which was supported to a moderate degree (r=.345, p=.031). …