Clinical Psychology Commons^™

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. …

Shadow Women: Wives Betrayed By Sex Buyers, Ingeborg Kraus

Dignity: A Journal of Analysis of Exploitation and Violence

Shadow women are women whose husbands betray them by using prostituted women. Until now, there has been almost no attention paid to the harm to the wives or partners of men who use prostituted women. In this interview, Dr. Ingeborg Kraus talks to the former wife of a sex buyer. She describes the impact of her husband’s betrayal on her and her family. This type of harm needs to be taken seriously and more research done on it.

The Moderating Role Of Developmental Assets On Relations Between Child Maltreatment, Trauma, And Dating Violence, Stephanie A. Hitti

Theses and Dissertations

Teenage dating violence (TDV) is prevalent and associated with an array of psychosocial and health problems. Thus, numerous studies have focused on the identification of risk and protective factors for TDV. Child maltreatment has been consistently identified as a risk factor for TDV victimization and perpetration. However, potential underlying mechanisms that may partially explain the relations between child maltreatment and TDV victimization and perpetration are not well understood. The present study explored indirect relations between child maltreatment and TDV victimization and perpetration via trauma symptoms, and examined whether internal and external developmental assets moderated relations between (a) child maltreatment and …

Sexually-Abused Adolescent Females Versus Nonsexually-Abused Adolescent Females Regarding Rorschach Inkblot Assessments, Angela D. Jones

Walden Dissertations and Doctoral Studies

This study explored differences between female adolescents who experienced sexual abuse as children and those who experienced other forms of trauma or abuse. There is no previous research assessing the differences between these two groups. Some female adolescent victims of sexual abuse are sexually revictimized, sex trafficked, and exhibit delinquent behaviors. If differences are determined, a more tailored and appropriate intervention could be introduced to reduce these youths' revictimization and minimize adult sexual risk. This study was quantitative in nature and assessed the clinical profiles of 27 female adolescents involved in the juvenile justice system for being sex trafficked or …

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 …

Empirical Relationships Among Trauma Exposure, Anxiety Sensitivity, And Post Traumatic Stress Disorder, Sandra Yankah, Michael Southam-Gerow, Samantha Dehart, Payton Beam

Graduate Research Posters

This review synthesized and critically reviewed empirical studies that assessed relationships among trauma exposure, anxiety sensitivity (AS), and Post Traumatic Stress Disorder (PTSD). Across the literature, the prominent theory conceptualized anxiety sensitivity as a causal risk factor within two competing models. One model posited that individuals with dispositionally high AS prior to experiencing a potentially traumatizing event (PTE) have a greater likelihood of developing PTSD after trauma exposure. The second model theorized that the introduction of a PTE raises an individual’s baseline level of AS, leading to the development and maintenance of PTSD symptoms. Emerging research highlighted the possibility of …

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 …

Impact Of Adverse Childhood Experiences On Direct Care Workers Working With Juveniles, Brittany Anne Shaughnessy

Walden Dissertations and Doctoral Studies

This study investigated the impact of adverse childhood experiences (ACEs) on the development of vicarious traumatization (VT) and burnout among direct care staff working in juvenile justice residential facilities. Measures used included the ACE module of the 2012 Behavioral Risk Factor Surveillance System historical to assess for ACEs, the Trauma and Attachment Belief Scale (TABS) to measure VT, and Maslach Burnout Inventory Human Services Survey (MBI-HSS) to measure burnout. Workplace organization was also included in data collection and analysis as a covariate as past research has indicated a relationship between workplace organization and burnout and VT. A covariate of workplace …

The Healing Power Of The Arts - Drama Therapy And The Use Of Theatre In The Treatment Of Trauma, Brooklyn Snyder

Student Scholar Symposium Abstracts and Posters

Theatre is an incredibly valuable therapeutic tool. In this thesis, I explore the ways in which trauma can reshape individuals lives, both cognitively and physically, impeding their sense of self, ability to trust, engagement, and many other seemingly ordinary aspects of day to day life that those of us unaffected by trauma take for granted. Additionally, I cover how employing theatrical tools, like improvisation and role play, can act as a beneficial treatment option for those who have suffered a traumatic past. Drama therapy allows individuals to reconnect with their bodies and their minds, gain new perspectives on their experiences, …

The Effect Of Adverse Childhood Experiences On Psychosocial Wellbeing, Gabrielle C. Yundt

Doctor of Psychology (PsyD)

As a result of adversity, trauma, or maltreatment, a child’s primary defense is to engage in self-blame in order to maintain a belief in a safe world. Without intervention, these adaptive strategies may continue to shape the way survivors relate to themselves and make meaning out of negative events. This study hypothesized that participants with adversity in childhood have an increased likelihood of low self-compassion (indicating tendencies towards self-judgment, overidentification, and isolation). This study further hypothesized a positive correlation between posttraumatic growth, resilience and hardiness. Participants in this study were adults recruited from three online sites (social networking, online forum, …

Childhood Witnessing Of Domestic Violence And Its Impact On Character Development Across Time And Adulthood Relationships, Zena Ouzounian

Antioch University Dissertations & Theses

This phenomenological research study explored the experiences of five adult participants who reported witnessing domestic violence between their parents during childhood. Through the process of open-ended interviews, this work added further support to the existing understanding of the impact that childhood witnessing of parental violence can have on one’s adult behavior and relationships. Thus far, child witnesses to parental violence receive little attention, perhaps due to the lack of tangible evidence that they have been harmed. Existing studies in the field primarily make use of quantitative methods to examine negative outcomes of such experiences. This study identified similar themes among …

Association Between Lifetime Adverse Events, Emotion Dysregulation, Posttraumatic Stress Symptoms, Acculturation, And Chronic Pain: A Moderated Mediation Model, Miriam El-Haj

Theses and Dissertations

The association between traumatic experiences and chronic pain is well established. Lesser is known about how acculturation might affect this relation, specifically with Hispanics. In the present study, self-report measures on traumatic experiences, posttraumatic stress symptoms, emotion dysregulation, chronic pain, and acculturation were administered to 140 participants (71.4% females) aged 18–65 years old (M = 35.06, SD = 11.55), to determine whether acculturation moderates the relation between adverse lifetime experiences and chronic pain as mediated by posttraumatic stress symptoms and emotion dysregulation.

Those who were highly acculturated to the U.S. Anglo culture were higher on chronic pain than those who …

Involuntary Memories After Stressor Exposure: Contribution Of Hormonal Status And Rumination In Women., Samantha C. Patton

Electronic Theses and Dissertations

Women experience fewer traumatic stressors over their lifespan than men, but demonstrate a higher prevalence of major depression and stressor-related disorders as a result of trauma exposure (Breslau & Anthony, 2007; Kessler et al., 2005). Differences in prevalence of stressor-related disorders may partially be due to sex-linked vulnerabilities related to emotional memory. Emotion assists in modulation of memory through neurological processes. This modulation enhances memory for emotional stimuli and can lead to a greater frequency of involuntary recall after stressor exposure. This involuntary memory is also a hallmark symptom of Posttraumatic Stress Disorder (PTSD). Sex-linked vulnerabilities, specifically hormonal status and …

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.

Behavioral Hypervigilance In A Normative Population, Karly Weinreb

Theses and Dissertations

Hypervigilance is conceptualized as a symptom of trauma-related disorders, however it can also occur in a normative population. To distinguish normative hypervigilance from trauma-related hypervigilance, 372 participants (123 trauma-exposed and 249 non-trauma-exposed) completed a questionnaire assessing hypervigilance in contexts. Trauma-exposed participants reported greater levels of hypervigilance in 3 contexts.

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 …

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 …

Key Expressions Of Posttraumatic Distress In Cambodian Children: A Step Toward Culturally-Sensitive Trauma Assessment And Intervention, Caleb J. Figge

College of Science and Health Theses and Dissertations

More than half of all children in Cambodia experience direct abuse and over 70% other traumatic events, which significantly increase risk for a range of physical and mental health problems. Additionally, Cambodian children face longstanding sociopolitical, intergenerational, and cultural factors that compound the impact of direct victimization. As a result, rates of posttraumatic stress symptoms among Cambodian youth are high. However, care providers often rely on Western-based nosology that does not account for culturally specific expressions of trauma. Lack of knowledge surrounding the expressions of distress that best represent the experience of traumatized Cambodian children hinders diagnostic accuracy and treatment …

How Music Therapy Effects The Traumatized Brain: Neurorehabilitation For Posttraumatic Stress Disorder Through Music Therapy, Jordan Winter Payne

Honors Projects

This review discusses the neurological components of posttraumatic stress disorder (PTSD) and how both structures and processes in the brain are altered in individuals with the disorder, specifically the neural network that includes the prefrontal cortex, the hippocampus, and the amygdala. This impacts awareness and responsiveness to stimuli. After examining these aspects, invasive and non-invasive treatment approaches are examined, with a specific emphasis on the treatment approach of music therapy. Musical stimuli are processed in many areas of the brain, so it has therapeutic potential for modulating neurological changes. Music therapy applies music clinically to address a variety of goals …

The Impact Of Trauma Experience, Adverse Early Circumstances And Unit Cohesion On Posttraumatic Growth In Active Duty Service Members, John Charleson

Clinical Psychology Dissertations

Active duty service members are regularly exposed to highly traumatic events. Commonly, individuals exposed to trauma experience positive changes as a result of the trauma they experienced. The likelihood of these changes occurring can be positively or negatively influenced by characteristics of the event itself, the biopsychosocial history of the service member, and the availability of internal and external coping resources. The present study aimed to evaluate how threat to life during a traumatic event influences posttraumatic growth using a sample of active duty service members (N = 818). Participant’s ranged in age from 19 to 54 (M …

Treatment Considerations For Adoption-Related Complex Trauma, Jessica Reyka

Dissertations

The western culture holds many assumptions related to adoption; however, it is clear based on the research provided that adoption and the circumstances leading up to being adopted often leave the child traumatized. Many adopted individuals and adoptive families seek mental health services in order to help address some of the symptoms that have manifested through traumatic events. However, the services they are receiving are reportedly lacking in basic knowledge related to adoption and have, at times, done more harm than good. As clinicians, it is important to acknowledge one's scope of clinical competence and to only treat individuals that …

Indigenization Of Genocide Healing: A Grounded Action Of Culturally And Contextually Relevant Educational And Psychosocial Strategies To Reduce Impacts Of Societal Toxic Stress In Rwanda Post-Genocide, Jean Pierre Ndagijimana

Master's Theses

Sixty percent of the current Rwandan population were born after the 1994 genocide against the Tutsi and those born since or who were young at the time of the genocide have remained among those affected most. Although Western trauma theorists and interventionists have played the role of experts in the genocide healing, the exclusion of the indigenous population’s experiences, knowledge, and wisdom has limited them from meeting local needs. The post-genocide situation raises various issues, genocide ideology, and increasing family homicides; however, locals do not want to seek counseling services, or run the risk of being labeled as mentally ill. …

Back To Belonging: Nature Connection And Expressive Arts Therapy In The Treatment Of Trauma And Marginalization, Jesse Newcomb

Expressive Therapies Capstone Theses

There is increasing research on the benefits of incorporating nature-based approaches into mental health. This can be done in myriad ways both in and out of the counseling office. This literature review focuses on the benefits of incorporating nature as co-therapist and kin rather than only material or metaphor, particularly in the treatment of people who have experienced trauma and or marginalization. According to Herman (1997), wounds made relationally must be healed relationally, and the literature reviewed in this paper suggests that connection with the “more-than-human” world (Abram, 1996), and coming back into a sense belonging in the larger web …

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 …

Pocket Ace: Neglect Of Child Sexual Abuse Survivors In The Aces Study Questionnaire, Robyn Dolson

Electronic Theses and Dissertations

In 1998, a seminal study on adverse childhood experiences (ACEs) and subsequent health risks catapulted ACEs and the study questionnaire into the zeitgeist. However, its childhood sexual abuse (CSA) item is problematic as it requires the perpetrator have been 5-years or older than the victim. To assess whether some survivors’ CSA is not identified by the current item, whether their exclusion prevents access to services requiring a four-threshold ACE score, and how their health outcomes compared to other CSA groups and controls, an international sample of 974 women completed an online survey assessing their current health and CSA history using …

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 …

Unveiling The Mask:Sexual Trauma's Impact On Academic Achievement, Behavior, And Self-Identity, Teshaunda Hannor-Walker, Sarah Kitchens, Lacey Ricks

National Youth Advocacy & Resilience Conference

Sexual trauma is an unfortunate but a common and often masked experience for many students in America. While sexual trauma in itself is not a mental health disorder, it can become a risk factor for many academic and mental health problems. Trauma-informed schools can play an important role in helping students deal with the aftercare of a traumatic experience.

Wounded Heroes And Heroic Vocations: Heroism And The Storied Lives Of Therapists, Peter Bray

Heroism Science

For many the world can be a dangerous place. Life is random. Survival is conditional, and individuals inevitably sustain physical and psychological wounds along the way. Challenged by change, human beings seek meaning in the making and remaking of personal myths that acknowledge both failure and the heroic achievement to endure and flourish. Revealing the heroic character of their creators, this impulse to make and share stories also elevates prosaic, day-to-day struggles into inspirational tales that can transcend context and speak into others’ lives. The sharing of stories permits others to purposefully consider their own struggles and can inspires them …

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 …