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Previous research indicates that difficulties in emotion regulation and greater dissociation from one's emotions are often observed among trauma survivors. Further, trauma survivors often show greater negative emotions such as anger, and diminished positive emotions such as happiness. Relatively less is known about the relationship between posttraumatic stress symptoms, dissociation,

Previous research indicates that difficulties in emotion regulation and greater dissociation from one's emotions are often observed among trauma survivors. Further, trauma survivors often show greater negative emotions such as anger, and diminished positive emotions such as happiness. Relatively less is known about the relationship between posttraumatic stress symptoms, dissociation, emotion regulation difficulties, and non-trauma related emotional experiences in daily life. This study examined whether greater reports of posttraumatic stress symptoms, difficulties in emotion regulation, and dissociative tendencies were associated with greater intensity of anger and lower intensity of happiness during a relived emotions task (i.e., recalling and describing autobiographical memories evoking specific emotions). Participants were 50 individuals who had experienced a traumatic event and reported a range of posttraumatic stress symptoms. Participants rated how they felt while recalling specific emotional memories, as well as how they remembered feeling at the time of the event. Results showed that dissociative tendencies was the best predictor of greater intensity of anger and, contrary to the hypothesis, dissociative tendencies was predictive of greater happiness intensity as well. These findings are consistent with previous research indicating a paradoxical effect of heightened anger reactivity among individuals with dissociative tendencies. In addition, researchers have argued that individuals with a history of traumatization do not report lower positive emotional experiences. The present findings may suggest the use of dissociation as a mechanism to avoid certain trauma related emotions (e.g, fear and anxiety), in turn creating heightened experiences of other emotions such as anger and happiness.
ContributorsTorres, Dhannia L (Author) / Robinson Kurpius, Sharon (Thesis advisor) / Roberts, Nicole A. (Committee member) / Homer, Judith (Committee member) / Arizona State University (Publisher)
Created2013
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Description
Previous studies have established a link between parenting style (e.g. authoritarian, authoritative, permissive) and depression in children and adolescents. Parenting factors are also implicated in the development of emotion regulation. There is a gap in the literature, however, concerning perceptions of parenting in relation to adult depression. The current study

Previous studies have established a link between parenting style (e.g. authoritarian, authoritative, permissive) and depression in children and adolescents. Parenting factors are also implicated in the development of emotion regulation. There is a gap in the literature, however, concerning perceptions of parenting in relation to adult depression. The current study examined the effect of parenting on reported adult depressive symptoms. Of interest was the role of emotion regulation strategies in this relationship. Participants were recruited through Amazon Mechanical Turk, and the sample consisted of 302 adults (125 males, 177 females) ranging in age from 18 to 65. Measures of how participants were parented by their mothers and fathers, emotion regulation strategies most frequently utilized, and current depressive symptoms were collected using an online survey. The emotion regulation strategy, positive reappraisal, was found to moderate the relation between maternal authoritative parenting and depression. Permissive parenting was also significantly predictive of depression, but catastrophizing fully mediated only the relation between maternal permissive parenting and depressive symptoms. Authoritarian parenting was unrelated to depression and emotion regulation in this study. The findings of this study indicate that the effects of how an individual was parented may persist into adulthood. Implications of these findings and future directions for further research are discussed.
ContributorsHuisstede, Lauren van (Author) / Miller, Paul A. (Thesis advisor) / Tinsley, Barbara (Committee member) / Roberts, Nicole A. (Committee member) / Arizona State University (Publisher)
Created2013
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Description
ABSTRACT Post-Traumatic Stress Disorder (PTSD), depression, and insomnia are prevalent among United States (US) military veterans. This study investigates whether Brain Boosters, a new cognitive enhancement group therapy, improves symptoms of PTSD, depression, and insomnia among veterans completing the groups. The study population includes 64 US military veterans treated in

ABSTRACT Post-Traumatic Stress Disorder (PTSD), depression, and insomnia are prevalent among United States (US) military veterans. This study investigates whether Brain Boosters, a new cognitive enhancement group therapy, improves symptoms of PTSD, depression, and insomnia among veterans completing the groups. The study population includes 64 US military veterans treated in the setting of the Veterans Affairs (VA) Health Care System in Phoenix, AZ. Group members were US military veterans, age 22 to 87 (mean age=53.47), who had served in or after World War II (WWII), who sought mental health care at the Phoenix VA from 2007 through 2011. Participants were treated with Brain Boosters therapy. They completed measures of mental-health related symptoms before and after this therapy. Participants were assessed pre and post group with the PTSD Checklist for military personnel (PCL-M), the Patient Health Questionnaire (PHQ-9; a measure of depression symptoms), and the Insomnia Severity Index (ISI). Statistical analyses were done with paired samples t-tests and McNemar's tests, using SPSS. The hypotheses were that symptoms of PTSD, depression, and insomnia would show statistically significant improvement with Brain Boosters therapy. Results supported the hypotheses that symptoms of PTSD and depression would improve significantly. Insomnia did not show significant improvement. The results showed the mean PCL-M score was 54.84 before Brain Boosters therapy and 51.35 after (p= 0.008). The mean PHQ-9 score was 15.21 before Brain Boosters therapy and 13.05 after (p= 0.002). The mean ISI score was 15.98 before Brain Boosters Therapy and 14.46 after (p= 0.056). Although this is a nonrandom, uncontrolled trial, findings nevertheless suggest that Brain Boosters may be an effective therapy to reduce PTSD symptom severity and depression symptom severity. This may be especially important for veterans seeking alternatives to pharmacological intervention or traditional therapeutic interventions.
ContributorsWalter, Christina M (Author) / Roberts, Nicole A. (Thesis advisor) / Burleson, Mary H. (Committee member) / Miller, Paul (Committee member) / Arizona State University (Publisher)
Created2012
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Description
Humans are social beings, which means interpersonal relationships are important contributors to our psychological health. Our health and behavior is manifested through a dynamic cycle of interacting factors: environmental, personal, and behavioral. Contributing to this interaction, interpersonal relationships provide benefits such as increased social support and decreased loneliness. The care

Humans are social beings, which means interpersonal relationships are important contributors to our psychological health. Our health and behavior is manifested through a dynamic cycle of interacting factors: environmental, personal, and behavioral. Contributing to this interaction, interpersonal relationships provide benefits such as increased social support and decreased loneliness. The care and attention of relationship partners are communicated in multiple ways, one of which is interpersonal touch. Although touch can communicate positive feelings and support, it can also be used negatively in certain contexts. Unwanted or forced touch occurs when an individual experiences sexual or physical trauma. Experiencing this type of trauma often results in negative psychological consequences. Exactly how sexual or physical trauma—both of which involve unwanted touch—might influence an individual’s attitudes towards touch is important to explore. If an individual feels negatively about interpersonal touch due to previous experience of trauma, this might negatively influence the amount of current touch with a partner, and also the survivor’s psychological well-being.

In the current study, I proposed that previous occurrence of sexual or physical trauma would predict both decreased frequency of touch in a current intimate relationship and poorer individual well-being, and that these relations would be explained by negative touch attitudes. Results supported these hypotheses, suggesting that lingering negative touch attitudes following trauma could be an underlying mechanism affecting social and individual functioning. As seen in our model, these attitudes fully mediated the effects between previous sexual or physical trauma and individual well-being, as well as frequency of touch. This understanding can help provide further insight into the repercussions of trauma and the underlying mechanisms attributing to continued negative effects.
ContributorsHurd, Julie Ann (Author) / Burleson, Mary H (Thesis advisor) / Roberts, Nicole A. (Committee member) / Miller, Paul A. (Committee member) / Arizona State University (Publisher)
Created2018
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Description
This study investigated the relation between Sensory Processing Sensitivity (SPS) temperament and depression, and whether such a relation might be further influenced by the indirect effects of parenting environment and empathic personal distress. A moderated mediation model was proposed to explain the underlying relations among SPS, depression, parenting environment and

This study investigated the relation between Sensory Processing Sensitivity (SPS) temperament and depression, and whether such a relation might be further influenced by the indirect effects of parenting environment and empathic personal distress. A moderated mediation model was proposed to explain the underlying relations among SPS, depression, parenting environment and empathic personal distress. That is, greater levels of SPS temperament might predict higher levels of empathic personal distress, which then leads to increasing likelihood of experiencing depression. Moreover, it was predicted that this mediation relation might be significantly stronger under a less positive parenting context. The present study recruited 661 participants from a U.S. university and implemented questionnaires in an online survey. There was a significant main effect of SPS temperament in predicting empathic personal distress and depression, such that the more sensitive individuals reported higher empathic personal distress and depression. There also was a significant main effect of parenting environment on depression, where more positive parenting was associated with less depression. Empathic personal distress was found to partially mediate the relation between SPS and depression. That is, the association between SPS and depression could be partially explained by empathic personal distress. However, parenting environment did not moderate the main effect of SPS temperament on depression, the main effect of SPS on empathic personal distress, or the mediation model.
ContributorsYang, Wenxi (Author) / Miller, Paul A. (Thesis advisor) / Hall, Deborah L. (Committee member) / Roberts, Nicole A. (Committee member) / Arizona State University (Publisher)
Created2019
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Description
This study investigated the potential influences of a marital interaction involving affectionate touch and/or positive relationship-focused conversation on physiological reactivity to a subsequent laboratory stress task, and whether depressive symptoms moderated these relations. It was hypothesized that 1) the stress task would cause cardiac sympathetic activation and cardiac parasympathetic withdrawal;

This study investigated the potential influences of a marital interaction involving affectionate touch and/or positive relationship-focused conversation on physiological reactivity to a subsequent laboratory stress task, and whether depressive symptoms moderated these relations. It was hypothesized that 1) the stress task would cause cardiac sympathetic activation and cardiac parasympathetic withdrawal; and that physical affection and/or positive conversation would 2) reduce sympathetic activation as indicated by cardiac interbeat interval (IBI), cardiac pre-ejection period (PEP), and finger pulse transit time (FPTT) and 3) reduce parasympathetic withdrawal (as indicated by respiratory sinus arrhythmia; RSA) in response to stress. Further, we expected that, compared to those lower in reported depressive symptoms, those higher in depressive symptoms 4) would show blunted cardiovascular activation in response to stress across experimental conditions; and after engaging in a positive marital exchange, 5) would demonstrate a smaller interaction-related reduction in stress-related sympathetic activation; but 6) show no difference in interaction-related reduction of stress-related parasympathetic withdrawal. Participants were 183 married couples who were at least moderately happy in their marriages and in generally good health. Participants completed a measure of depression (among other questionnaires) in an online survey, then attended a 3-hour laboratory session. After measuring baseline physiology with spouses in separate rooms, couples were then randomly assigned to either touch (while sitting quietly, then hug), talk (positive conversation, but no touch), both (touch while talking, then hug), or neither (sit quietly without touching or talking). Next, participants separately performed a stress-inducing speech task about their spouses’ strengths and weaknesses. Physiological indicators were recorded throughout the stress task. While positive conversation reduced husbands’ stress-related parasympathetic withdrawal, it predicted greater stress-related activation in wives’ PEP response. Stress reactivity (as indicated by FPTT) was reduced in husbands with lower depressive symptoms when the marital exchange included only touch or only talk, whereas for husbands with more depressive symptoms, there were no effects of the marital interaction. For wives, depressive symptoms predicted blunted cardiovascular activation regardless of positive interaction condition, as illustrated by smaller stress-related reduction in FPTT responses. Furthermore, higher self-reported depressive symptoms predicted larger interaction-related decreases in stress-related IBI responses in wives who experienced spousal touch. This study builds on previous work and is the first to explore how depressive symptoms may influence the relations between affectionate touch and stress reactivity.
ContributorsDuncan, Cayla Jessica (Author) / Burleson, Mary H (Thesis advisor) / Roberts, Nicole A. (Committee member) / Mickelson, Kristin (Committee member) / Arizona State University (Publisher)
Created2018
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Description
Touch appears to be an important component for understanding psychological and emotional well-being, as well as the formation and maintenance of interpersonal relationships later in life. While research about touch in relation to these topics is gaining momentum, there is still little evidence on the specific effects and processes that

Touch appears to be an important component for understanding psychological and emotional well-being, as well as the formation and maintenance of interpersonal relationships later in life. While research about touch in relation to these topics is gaining momentum, there is still little evidence on the specific effects and processes that take place when touch is negative or harmful. The current study examined how women who have experienced physical or sexual abuse perceive touch in the context of interpersonal relations and in turn, how these experiences, perceptions and attitudes are related to depressive symptoms. Taking into consideration the significance of interpersonal touch, I speculated that 1) attitudes towards touch would be more negative among women who reported physical or sexual abuse than among women who did not; 2) among women who reported past abuse, increased abuse severity would predict increased current depressive symptoms; and 3) among women who reported past abuse, current attitudes towards touch would mediate the relationship between abuse severity and depressive symptoms. As predicted, results indicated that women who reported physical or sexual abuse had less positive attitudes towards touch than women who did not report any abuse. Echoing prior research, reports of childhood and adult abuse predicted increased depressive symptoms. Finally, for women who reported childhood abuse, Discomfort with Social Touch was a significant partial mediator of depressive symptoms, whereas for women who reported adult abuse, both Desire for More Partner Touch and Discomfort with Social Touch were significant partial mediators of depressive symptoms. Results suggested that negative attitudes towards general social touch, in particular, may play a strong role in mediating depressive symptoms among women who reported abuse.
ContributorsSchellenger, Kendall Elizabeth (Author) / Burleson, Mary H. (Thesis advisor) / Roberts, Nicole A. (Committee member) / Hall, Deborah L. (Committee member) / Arizona State University (Publisher)
Created2015
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Description

Homeless individuals encounter barriers such as lack of health insurance, increased cost of care and unavailability of resources. They have increased risk of comorbid physical disease and poor mental health. Depression is a prevalent mental health disorder in the US linked to increased risk of mortality. Literature suggests depression screening

Homeless individuals encounter barriers such as lack of health insurance, increased cost of care and unavailability of resources. They have increased risk of comorbid physical disease and poor mental health. Depression is a prevalent mental health disorder in the US linked to increased risk of mortality. Literature suggests depression screening can identify high-risk individuals with using the patient health questionnaire (PHQ-9).

The objective of this project is to determine if screening identifies depression in the homeless and how it impacts healthcare access. Setting is a local organization in Phoenix offering shelter to homeless individuals. An evidence-based project was implemented over two months in 2019 using convenience sampling. Intervention included depression screening using the PHQ-9, referring to primary care and tracking appointment times. IRB approval obtained from Arizona State University, privacy discussed, and consent obtained prior to data collection. Participants were assigned a random number to protect privacy.

A chart audit tool was used to obtain sociodemographics and insurance status. Descriptive statistics used and analyzed using Intellectus. Sample size was (n = 18), age (M = 35) most were White-non-Hispanic, 44% had a high school diploma and 78% were insured. Mean score was 7.72, three were previously diagnosed and not referred. Three were referred with a turnaround appointment time of one, two and seven days respectively. No significant correlation found between age and depression severity. A significant correlation found between previous diagnosis and depression severity. Attention to PHQ-9 varied among providers and not always addressed. Future projects should focus on improving collaboration between this facility and providers, increasing screening and ensuring adequate follow up and treatment.

ContributorsParamo, Cinthia Arredondo (Author) / Thrall, Charlotte (Thesis advisor)
Created2020-05-04