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- All Subjects: Veterans
- Creators: Allen, Kelly Anne
- Creators: Borenstein-Mauss, Kimberly Caroline
Description
An increasing number of military veterans are enrolling in college, primarily due to the Post-9/11 GI Bill, which provides educational benefits to veterans who served on active duty since September 11, 2001. With rigorous training, active combat situations, and exposure to unexpected situations, the veteran population is at a higher risk for traumatic brain injury (TBI), Post Traumatic Stress Disorder (PTSD), and depression. All of these conditions are associated with cognitive consequences, including attention deficits, working memory problems, and episodic memory impairments. Some conditions, particularly mild TBI, are not diagnosed or treated until long after the injury when the person realizes they have cognitive difficulties. Even mild cognitive problems can hinder learning in an academic setting, but there is little data on the frequency and severity of cognitive deficits in veteran college students. The current study examines self-reported cognitive symptoms in veteran students compared to civilian students and how those symptoms relate to service-related conditions. A better understanding of the pattern of self-reported symptoms will help researchers and clinicians determine the veterans who are at higher risk for cognitive and academic difficulties.
ContributorsAllen, Kelly Anne (Author) / Azuma, Tamiko (Thesis director) / Gallagher, Karen (Committee member) / Department of Speech and Hearing Science (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
Given the post 9/11 influx of veteran students in higher education and the importance of early career decision-making for establishment of a post-graduation careers, understanding factors that help and hinder the college success and career decision-making of student veterans is needed. The purpose of this study was to explore the experiences of veterans in higher education in relation to career decision-making difficulties. Thus, the influence of variables related to campus environment (mentoring and cultural congruity), experiences of post-traumatic stress symptoms (PTSS) and college stress, and resilience as evidenced by sense of coherence (SOC) was investigated.
A sample of 239 United States Armed Forces veterans (171 male, 67 female, 1 nonbinary) enrolled in institutions of higher education across the United States was recruited through an online program. In addition to a demographic sheet, participants completed self-report measures assessing cultural congruity, sense of coherence, post-traumatic stress symptoms, mentoring, college stress, and career decision-making difficulties.
Hierarchical multiple regressions revealed that of the two constructs comprising campus environment, only cultural congruity was a significant and negative predictor of college stress. Mentoring was not a significant predictor. Post-traumatic stress symptoms predicted college stress above and beyond the variance predicted by college environment. The greater student veterans’ post-traumatic stress symptoms, the more college stress they reported experiencing. A moderated hierarchical regression revealed that college environment did not moderate the relation between post-traumatic stress symptoms and college stress. College stress was found to be a positive predictor of career decision-making difficulties. Sense of coherence did not moderate the relation between college stress and career decision-making difficulties.
Findings are discussed in the context of Schlossberg’s transition model, which posits that individuals will navigate the transition process based on their perceptions of the transition and their personal assets and liabilities, factors that influence coping ability. Limitations and clinical implications for working with student veterans are presented. The importance of early intervention to enhance cultural congruity and address post-traumatic stress symptoms and career decision-making difficulties among student veterans is discussed.
A sample of 239 United States Armed Forces veterans (171 male, 67 female, 1 nonbinary) enrolled in institutions of higher education across the United States was recruited through an online program. In addition to a demographic sheet, participants completed self-report measures assessing cultural congruity, sense of coherence, post-traumatic stress symptoms, mentoring, college stress, and career decision-making difficulties.
Hierarchical multiple regressions revealed that of the two constructs comprising campus environment, only cultural congruity was a significant and negative predictor of college stress. Mentoring was not a significant predictor. Post-traumatic stress symptoms predicted college stress above and beyond the variance predicted by college environment. The greater student veterans’ post-traumatic stress symptoms, the more college stress they reported experiencing. A moderated hierarchical regression revealed that college environment did not moderate the relation between post-traumatic stress symptoms and college stress. College stress was found to be a positive predictor of career decision-making difficulties. Sense of coherence did not moderate the relation between college stress and career decision-making difficulties.
Findings are discussed in the context of Schlossberg’s transition model, which posits that individuals will navigate the transition process based on their perceptions of the transition and their personal assets and liabilities, factors that influence coping ability. Limitations and clinical implications for working with student veterans are presented. The importance of early intervention to enhance cultural congruity and address post-traumatic stress symptoms and career decision-making difficulties among student veterans is discussed.
ContributorsBorenstein-Mauss, Kimberly Caroline (Author) / Robinson Kurpius, Sharon E (Thesis advisor) / Kinnier, Richard T (Committee member) / Dawes, Mary E (Committee member) / Arizona State University (Publisher)
Created2020
Description
Chronic pain is devastating and highly prevalent among Veterans in the United States (Johnson, Levesque, Broderick, Bailey & Kerns, 2017). While there are various treatment options for chronic pain, opioids remain high in popularity. Although opioids are fast-acting and effective, potential consequences range from unpleasant side effects to dependence and fatal overdose (Baldini, Korff & Lin, 2012; Park et al., 2015; Kaur, 2007). The effects of opioid treatment can be further complicated by a history of alcohol abuse. Past alcohol abuse is a risk factor for opioid misuse (McCabe et al., 2008). One alternative to opioid medication is Cognitive Behavioral Therapy for Chronic Pain (CBT-CP). CBT-CP has shown small to moderate effects on chronic pain after the end of treatment (Naylor, Keefe, Brigidi, Naud & Helzer, 2008). The current study examined the effect of CBT-CP on opioid prescriptions, as well as the role of past alcohol abuse in CBT-CP efficacy, through an archival data analysis of Veterans Affairs patient charts. In order to determine the effect of CBT-CP on opioid prescriptions, an opioid change score was calculated from treatment start date to twelve months post-treatment. An analysis of 106 patient charts demonstrated no statistically significant difference in opioid prescriptions between Veterans who were referred and attended treatment (n = 24) and those who were referred but did not attend (n = 82). Veterans from both groups showed a reduction in prescribed opioids during a 12-month period. Furthermore, there was no statistically significant difference between Veterans with versus without a history of alcohol abuse in terms of the change in opioid prescriptions over a 12-month period (both groups showed reductions). This research suggests that opioid prescriptions may decrease over time among Veterans referred for CBT-CP, even among those who do not participate in the groups. More work is needed to understand the relationship between opioid prescriptions and actual opioid use over time among Veterans who do and do not choose to participate in CBT-CP. Continuing to address poly-substance use in chronic pain patients also is critical to ensure that Veterans suffering from chronic pain receive appropriate intervention.
ContributorsMiller, Stephanie C (Author) / Roberts, Nicole (Thesis director) / Gress-Smith, Jenna (Thesis director) / Burgess, Lisa (Committee member) / School of Social Transformation (Contributor) / Department of Psychology (Contributor) / Edson College of Nursing and Health Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05