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- Creators: Arizona State University
- Creators: Allen, Kelly Anne
- Creators: Beck, Kelsey
- Member of: Theses and Dissertations
Description
ABSTRACT Since 1910, Mexico has been a supplier and path for the migrating people, including Central Americans, in search of better living conditions. In fact, the flow of currencies from immigrants to their native country constitutes a lure for the dependent economic systems that they leave behind. During several migratory waves, men, particularly young ones, constituted the great migratory exodus. Beginning in the 1970s, women and children joined the waves of immigrants, and since 1994, the number of migrant children and adolescents has risen substantially. This latest immigration phenomenon is symbolized in the collection of short stories El oro del desierto (2005) by Cristina Pacheco (2005) and the documentaries Two Americans (2012) by Daniel DeVivo and Valeria Fernández and Sin país / Without Country (2011) by Theo Rigby, among others, where migrant subjects experience trauma, disappearance, and death. In addition to a sociohistorical context, these phenomena are revealed by the theoretical approaches in the works "The Intrusive Past: The Flexibility of Memory and the Engraving of Trauma" (1995) by Bessel A. van der Kolk, Unclaimed Experience: Trauma, Narrative, and History (1996) by Cathy Caruth, and Nomadic Subjects: Embodiment and Sexual Difference in Contemporary Feminist Theory (2011) by Rosi Braidotti. The reference work Diagnostic and Statistical Manual of Mental Disorders: Dsm-5. (2013) by the American Psychiatric Association was also helpful. Cited examples of literary and cinematographic representations show the psychological effects on children and adolescents migrants whose nomadic condition is shared with all human beings. To interpret this particular condition, we offer the history of immigration waves from Mexico and Central America into the United States and a psychological approach to interpret child and adolescent immigration experiences as presented in the literary and cinematic texts. Related to the migrant subjects, the selected texts highlight nomadism, traumatic event (including PTSD), and death. In addition, an identity emerges related to the nomadic subjects and those characters that live on the periphery and are framed by the hegemonic power.
ContributorsMuñoz, Aurora (Author) / Hernández-G, Manuel Jesús (Thesis advisor) / Rosales, Jesus (Thesis advisor) / Tompkins, Cynthia (Committee member) / Arizona State University (Publisher)
Created2014
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
Military veterans have a significantly higher incidence of mild traumatic brain injury (mTBI), depression, and Post-traumatic stress disorder (PTSD) compared to civilians. Military veterans also represent a rapidly growing subgroup of college students, due in part to the robust and financially incentivizing educational benefits under the Post-9/11 GI Bill. The overlapping cognitively impacting symptoms of service-related conditions combined with the underreporting of mTBI and psychiatric-related conditions, make accurate assessment of cognitive performance in military veterans challenging. Recent research findings provide conflicting information on cognitive performance patterns in military veterans. The purpose of this study was to determine whether service-related conditions and self-assessments predict performance on complex working memory and executive function tasks for military veteran college students. Sixty-one military veteran college students attending classes at Arizona State University campuses completed clinical neuropsychological tasks and experimental working memory and executive function tasks. The results revealed that a history of mTBI significantly predicted poorer performance in the areas of verbal working memory and decision-making. Depression significantly predicted poorer performance in executive function related to serial updating. In contrast, the commonly used clinical neuropsychological tasks were not sensitive service-related conditions including mTBI, PTSD, and depression. The differing performance patterns observed between the clinical tasks and the more complex experimental tasks support that researchers and clinicians should use tests that sufficiently tax verbal working memory and executive function when evaluating the subtle, higher-order cognitive deficits associated with mTBI and depression.
ContributorsGallagher, Karen Louise (Author) / Azuma, Tamiko (Thesis advisor) / Liss, Julie (Committee member) / Lavoie, Michael (Committee member) / Arizona State University (Publisher)
Created2017
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
Traumatic events have deleterious effects biologically, emotionally, socially, and cognitively. Events may include violence, neglect, and abuse and are best understood through a lifecourse perspective. Preventable and treatable, traumatic exposure promotes the development of trauma symptoms including avoidance, hyperarousal, increased fear, intrusive experiences, and aggression/violence. Trauma symptomology is thought to be an underlying cause of child maltreatment and intergenerational cycles of abuse
eglect. Traumatic symptoms may interfere with the ability to work, function, and care for young children and may accompany a Post-Traumatic Stress Disorder (PTSD) diagnosis.
Although these experiences are known to be harmful, little research has focused on experiences of mothers involved in the child welfare system with young children (< 5 years). Subsequently, this study explored maternal experiences of trauma whilst calculating one of the first PTSD estimates. Types of trauma exposure, age of exposure, and event details were explored alongside history of substance use, domestic violence, and mental illness. Trauma symptom type, severity, and frequency were assessed. Utilizing adult attachment as a partial mediator, relationships between trauma exposure, trauma symptoms, and parenting were examined.
Supported by a university-community collaboration within the Safe Babies Court Teams Program in Maricopa County, Arizona, this study is exploratory and cross-sectional. A convenience sample of child welfare involved mothers (N = 141) with young children were recruited who were new clinical intakes with open court dependencies. Data on child/adult traumatic events, trauma symptoms, adult attachment, and parenting were collected. Results indicated high rates of complex/chronic trauma, specifically domestic violence and physical/sexual abuse. Mothers experienced higher than average childhood adversity/emotional abuse with significant overlap between trauma exposure and reduced mental health. PTSD rates ranged from 35-39%. Adult attachment did not to mediate trauma on parenting behaviors however strong and significant direct effects were found. Insecure-disorganized and insecure-resistant were the most dominant attachment styles.
Overall, these findings indicate the complex lifecourse nature of trauma exposure and the need to pay special attention to mental health and domestic violence histories in child welfare involved mothers of young children. Implications for social work practice, policy, and research are presented and provide impetus for continued future work.
eglect. Traumatic symptoms may interfere with the ability to work, function, and care for young children and may accompany a Post-Traumatic Stress Disorder (PTSD) diagnosis.
Although these experiences are known to be harmful, little research has focused on experiences of mothers involved in the child welfare system with young children (< 5 years). Subsequently, this study explored maternal experiences of trauma whilst calculating one of the first PTSD estimates. Types of trauma exposure, age of exposure, and event details were explored alongside history of substance use, domestic violence, and mental illness. Trauma symptom type, severity, and frequency were assessed. Utilizing adult attachment as a partial mediator, relationships between trauma exposure, trauma symptoms, and parenting were examined.
Supported by a university-community collaboration within the Safe Babies Court Teams Program in Maricopa County, Arizona, this study is exploratory and cross-sectional. A convenience sample of child welfare involved mothers (N = 141) with young children were recruited who were new clinical intakes with open court dependencies. Data on child/adult traumatic events, trauma symptoms, adult attachment, and parenting were collected. Results indicated high rates of complex/chronic trauma, specifically domestic violence and physical/sexual abuse. Mothers experienced higher than average childhood adversity/emotional abuse with significant overlap between trauma exposure and reduced mental health. PTSD rates ranged from 35-39%. Adult attachment did not to mediate trauma on parenting behaviors however strong and significant direct effects were found. Insecure-disorganized and insecure-resistant were the most dominant attachment styles.
Overall, these findings indicate the complex lifecourse nature of trauma exposure and the need to pay special attention to mental health and domestic violence histories in child welfare involved mothers of young children. Implications for social work practice, policy, and research are presented and provide impetus for continued future work.
ContributorsKawam, Elisa (Author) / Krysik, Judy (Thesis advisor) / Shafer, Michael (Committee member) / Roe-Sepowitz, Dominique (Committee member) / Arizona State University (Publisher)
Created2015
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
The present study utilized longitudinal data from a high-risk community sample (n= 377; 166 trauma-exposed; 54% males; 52% children of alcoholics; 73% non-Hispanic/Latino Caucasian; 22% Hispanic/Latino; 5% other ethnicity) to test a series of hypotheses that may help explain the risk pathways that link traumatic stress, posttraumatic stress disorder (PTSD) symptomatology, and problematic alcohol and drug use. Specifically, this study examined whether pre-trauma substance use problems increase risk for trauma exposure (the high-risk hypothesis) or PTSD symptoms (the susceptibility hypothesis), whether PTSD symptoms increase risk for later alcohol/drug problems (the self-medication hypothesis), and whether the association between PTSD symptoms and alcohol/drug problems is due to shared risk factors (the shared vulnerability hypothesis). This study also examined the roles of gender and ethnicity in these pathways. A series of logistic and negative binomial regressions were performed in a path analysis framework. A composite pre-trauma family adversity variable was formed from measures of family conflict, family life stress, parental alcoholism, and other parent psychopathology. Results provided the strongest support for the self-medication hypothesis, such that PTSD symptoms predicted higher levels of later alcohol and drug problems among non-Hispanic/Latino Caucasian participants, over and above the influences of pre-trauma family adversity, pre-trauma substance use problems, trauma exposure, and demographic variables. Results partially supported the high-risk hypothesis, such that adolescent substance use problems had a marginally significant unique effect on risk for assaultive violence exposure but not on overall risk for trauma exposure. There was no support for the susceptibility hypothesis, as pre-trauma adolescent substance use problems did not significantly influence risk for PTSD diagnosis/symptoms over and above the influence of pre-trauma family adversity. Finally, there was little support for the shared vulnerability hypothesis. Neither trauma exposure nor preexisting family adversity accounted for the link between PTSD symptoms and later substance use problems. These results add to a growing body of literature in support of the self-medication hypothesis. Findings extend previous research by showing that PTSD symptoms may influence the development of alcohol and drug problems over and above the influence of trauma exposure itself, preexisting family risk factors, and baseline levels of substance use.
ContributorsHaller, Moira (Author) / Chassin, Laurie (Thesis advisor) / Davis, Mary (Committee member) / Pina, Armando (Committee member) / Tein, Jenn-Yun (Committee member) / Arizona State University (Publisher)
Created2014
Description
Contemporary theories of trauma identify the creation of a coherent trauma narrative and therapeutic exposure to trauma memories as potential recovery mechanisms. These factors are often inherent to the disclosure process, resulting in a parallel theoretical framework for experimental research that conceptualizes disclosure as a therapeutic intervention. The present investigation examined the moderational impact of disclosure following trauma on the link between trauma severity and symptoms of Posttraumatic Stress Disorder (PTSD). Disclosure status (discloser or nondiscloser), highest extent of disclosure, and length of delay to first disclosure were tested in a series of moderated regression models among a sample of female physical and sexual assault victims (N = 1087). Findings indicate that engaging in more detailed disclosure is associated with a modest beneficial impact on PTSD, but that the majority of nondisclosers have lower symptom levels than disclosers. There is also evidence for a small subset of nondisclosers that remain at heightened distress. A unique effect was found for disclosure delay, such that for physical assault, delaying disclosure is associated with a progressively weakening negative relation between time since the trauma and PTSD. At extreme delays, the association may become positive. Findings have implications for theories of trauma recovery and therapeutic interventions, including concerns about early interventions that emphasize disclosure. Future research may benefit from focusing on nondisclosing trauma victims to gain greater insight into recovery processes.
ContributorsFields, Briana (Author) / Barrera, Manuel (Thesis advisor) / Holtfreter, Kristy (Committee member) / Knight, George (Committee member) / Chassin, Laurie (Committee member) / Arizona State University (Publisher)
Created2010
Description
Transgender and nonbinary (TNB) people experience elevated rates of post-traumatic stress disorder (PTSD) due to transphobic violence, discrimination, microaggressions, and minority stress. Oppression against TNB people could also contribute to complex post-traumatic stress disorder (c-PTSD) symptoms, which arises due to exposure to prolonged and repeated trauma from a state of subordination. Nonbinary people in particular experience unique chronic minority stressors (e.g., misgendering, interpersonal invalidation) because of the assumption that gender is inherently binary. These chronic minority stressors threaten nonbinary people’s psychological and interpersonal senses of safety. This study aims to examine how misgendering and invalidation can predict PTSD and c-PTSD symptoms among nonbinary people and whether this association is moderated by pride and community connectedness. Cross-sectional data from 611 nonbinary people were analyzed using hierarchical linear regressions. Misgendering and invalidation were found to be significant predictors of PTSD and c-PTSD symptoms. However, pride and community connectedness were not significant moderators of these associations. Findings from this study contribute to the conceptualizations of traumatic stress among nonbinary people and provide considerations for more affirming trauma-informed care. Future research should explore how additional resilience factors may promote resilience and healing for nonbinary people coping with trauma.
ContributorsColson, Alex (Author) / Matsuno, Em (Thesis advisor) / Randall, Ashley (Committee member) / Barr, Sebastian (Committee member) / Arizona State University (Publisher)
Created2023
Description
The emotional enhancement of memory (EEM) has consistently suggested that memory performance is enhanced for positively and negatively valenced stimuli. Heightened arousal and activation of the noradrenergic system facilitates encoding and the formation of memory traces. However, this EEM can become maladaptive when coupled with the heightened noradrenergic activity associated with posttraumatic stress disorder (PTSD). This heightened noradrenergic response can result in chronic intrusive memories of past traumatic events. This study aims to explore overall recall, retrieval dynamics, output editing, and intrusions as a function of emotional content and prior history with traumatic experiences. Undergraduate students (N=249) from Arizona State University completed a battery surveys measuring PTSD symptomatology and other related constructs including anxiety, depression, and trauma. Participants then completed a memory task, an externalized free recall task for multiple study-blocks utilizing word list stimuli. During recall, participants were instructed to report every word that came to mind regardless of whether it was present or not in the most recent study-block, then make a judgment about recent-list membership. Main effects of valence were found for recall accuracy, intrusion generation, and successful editing. This suggests that the emotional enhancement of memory does in fact play a role in intrusion generation and the ability to edit out false recollections. Only depression levels resulted in a significant interaction effect with valence, specifically when measuring intrusion generation. This suggests that trauma level does not play a significant role in emotional intrusion memory.
ContributorsDziendziel, Hailey K (Author) / Brewer, Gene A (Thesis advisor) / Azuma, Tamiko (Committee member) / Lewis, Candace (Committee member) / Arizona State University (Publisher)
Created2023