Matching Items (7)
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- All Subjects: Touch
- All Subjects: PTSD
- Creators: Roberts, Nicole A.
- Creators: Allen, Kelly Anne
- Member of: Theses and Dissertations
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 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
Description
The present study examined daily survey data collected from married couples over the course roughly 14 days. I investigated the relationships of the morning quality ratings of three distinct spousal interactions conversation (physical affection, and sexual activity) reported in mornings on later-day positive and negative affect, as well as next-day intensity of negative somatic symptoms (e.g. headaches, dizziness, aches and pains). Hierarchical linear modeling was used to estimate path models for both husbands and wives. Direct and indirect effects were observed. Results showed that quality of conversation and physical affection increased later-day positive mood for both husbands and wives; however, positive quality activity increased later-day positive affect for wives only. Quality of sexual activity decreased later-day negative affect for wives only. Less later-day negative affect decreased next-day intensity of symptoms for both husbands and wives. Lastly, quality of sexual activity decreased later-day negative affect, which decreased next-day somatic symptoms for wives. This was the only significant indirect effect. Implications are that high marital quality is important for maintaining psychological health for both spouses, and physical health, particularly for wives.
ContributorsVincelette, Tara (Author) / Burleson, Mary H (Thesis advisor) / Roberts, Nicole A. (Committee member) / Schweitzer, Nicholas J (Committee member) / Arizona State University (Publisher)
Created2012
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 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.
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
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; 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
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
Previous research indicates that survivors of Intimate Partner Violence (IPV) are at a greater risk of developing Posttraumatic Stress Disorder (PTSD) symptomatology. IPV survivors often use maladaptive coping strategies in response to IPV that place them at a higher risk for PTSD. Cultural gender roles/beliefs have been known to influence coping methods. Marianismo, a Latino/a gender role belief, has not been investigated in relation to IPV, coping strategies, and PTSD among Latinas. This study examined whether physical, psychological, or sexual abuse by a romantic partner, coping strategies, and Marianismo were associated with PTSD symptomatology among 157 college-aged Latinas. The participants completed an on-line survey that assessed IPV frequency, disengaged and engaged coping, Marianismo, and PTSD symptomatology. Hierarchical multiple regressions revealed that, regardless of IPV type, more IPV and disengaged coping strategies were the best predictors of PTSD symptomatology. Marianismo did not significantly moderate the relation between coping and PTSD. However, the strong zero-order correlation between disengaged coping and Marianismo indicated they were highly correlated variables. The study findings are consistent with previous research that suggested that coping strategies are culturally dependent on beliefs and gender role expectations. Latinas may use more disengaged coping strategies because these methods may be deemed more culturally appropriate and reflect Marianismo beliefs. Psychologists working with Latina IPV survivors need to develop culturally sensitive approaches to psychoeducation on IPV and coping strategies that empower these women within their cultural belief systems and reduce their PTSD symptomatology.
ContributorsTorres, Dhannia L (Author) / Kurpius, Sharon (Thesis advisor) / Roberts, Nicole A. (Committee member) / Homer, Judith (Committee member) / Arizona State University (Publisher)
Created2017
Description
Background: When studying how humans regulate their affect, it is important to recognize that affect regulation does not occur in a vacuum. As humans are an inherently social species, affect plays a crucial evolutionary role in social behavior, and social behavior likewise assumes an important role in affect and affect regulation. Emotion researchers are increasingly interested the specific ways people help to regulate and dysregulate one another’s affect, though experimental examinations of the extant models and theory are relatively few. This thesis presents a broad theoretical framework for social affect regulation between close others, considering the role of attachment theory and its developmental foundations for social affect regulation in adulthood. Affectionate and responsive touch is considered a major mechanism of regulatory benefit between people, both developmentally and in adulthood, and is the focus of the present investigation. Method: A total sample of 231 heterosexual married couples were recruited from the community. Participants were assigned to engage in affectionate touch or sit quietly, and/or engage in positive conversation prior to a stress task. Physiological data was collected continuously across the experiment. Hypotheses: Phasic respiratory sinus arrhythmia (RSA) was used to index the degree of regulatory engagement during the stressor for those who did and did not touch. It was hypothesized that touch would reduce stress appraisal and thus the need for regulatory engagement. This effect was predicted to be greater for those more anxiously attached while increasing the need for regulatory engagement in those more avoidantly attached. Secondarily, partner effects of attachment on sympathetic activation via pre-ejection period (PEP) change were tested. It was predicted that both attachment dimensions would predict a decrease in partner PEP change in the touch condition, with avoidant attachment having the strongest effect. Results: Hierarchical linear modeling techniques were used to account for nonindependence in dyadic observations. The first set of hypotheses were not supported, while the second set were partially supported. Wives’ avoidance significantly predicted husbands’ PEP change, but in the positive direction. This effect also significantly increased in the touch condition. Theoretical considerations and limitations are discussed.
ContributorsParkhurst, David Kevin (Author) / Burleson, Mary H (Thesis advisor) / Roberts, Nicole A. (Committee member) / Mickelson, Kristin D (Committee member) / Arizona State University (Publisher)
Created2017