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Post-Traumatic Stress Disorders: HELP
Articles from University of Akron
Based on 13 articles published since 2010

These are the 13 published articles about Stress Disorders, Post-Traumatic that originated from University of Akron during 2010-2020.
+ Citations + Abstracts
1 Article Comparing Prevalence and Correlates of Intimate Partner Sexual Victimization Relative to Other Victim-Offender Relationships in College Students. 2020

Johnson, Nicole L / Holmes, Samantha C / Johnson, Dawn M / Zlotnick, Caron. ·Department of Education and Human Services, Lehigh University, Bethlehem, PA nij316@lehigh.edu. · Psychology Department, The University of Akron, Akron, OH. · Butler Hospital and Warren Alpert Medical School at Brown University, Providence, RI. ·Violence Vict · Pubmed #32015068.

ABSTRACT: Research on sexual victimization (SV) in college women often focuses on perpetration by nonpartners thus, little is known about SV by intimate partners on college campuses. To address this gap in the literature, the current study compared prevalence and revictimization rates and negative correlates of SV based on victim-offender relationship. Findings suggest higher prevalence rates of SV perpetrated by a nonpartner compared to an intimate partner although similar and alarming rates of revictimization. Regarding negative correlates of SV, no differences were identified based on victim-offender relationship; however, victims of SV by both an intimate partner

2 Article Examining patterns of dose response for clients who do and do not complete cognitive processing therapy. 2019

Holmes, Samantha C / Johnson, Clara M / Suvak, Michael K / Sijercic, Iris / Monson, Candice M / Wiltsey Stirman, Shannon. ·Yale School of Medicine, Department of Psychiatry, United States; University of Akron, Department of Psychology, United States. · National Center for PTSD, Dissemination and Training Division, United States. · Suffolk University, Department of Psychology, United States. · Ryerson University, Department of Psychology, Canada. · National Center for PTSD, Dissemination and Training Division, United States; Stanford University, Department of Psychiatry and Behavioral Sciences, United States. Electronic address: sws1@stanford.edu. ·J Anxiety Disord · Pubmed #31585686.

ABSTRACT: Trauma-focused therapies, including Cognitive Processing Therapy (CPT; Resick et al., 2016), are effective at reducing clients' PTSD symptoms. A limitation to these treatments, however, is client completion of them. The current study examined temporal patterns of treatment non-completion and the relationships among non-completion, PTSD, and overall mental health functioning outcomes, among clients in a randomized controlled CPT implementation trial. Two models of symptom change were tested: 1) dose-effect model (i.e., clients uniformly improve with additional sessions at a negatively accelerating rate); and 2) the good-enough level model (i.e., clients remain in therapy until they have achieved sufficient improvement, thus clients who attend fewer sessions improve at quicker rates). Results indicated that 42% of clients did not complete treatment, with most discontinuing between sessions two and five. Data did not fit the dose-effect or good-enough level model. Rather, clients who improved at a greater rate in their PTSD symptoms and overall mental health functioning attended more sessions. The average client had the best outcomes when they completed all 12 sessions. Identifying clients who may be at risk for discontinuing treatment, and making a concerted effort toward retaining them, is imperative to reduce non-completion rates and ultimately improve client outcomes.

3 Article An appraisal of the American Psychological Association's Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder. 2019

Silver, Kristin E / Levant, Ronald F. ·Department of Psychology, The University of Akron. ·Psychotherapy (Chic) · Pubmed #31282711.

ABSTRACT: In 2017, the American Psychological Association published the Clinical Practice Guidelines for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults. Although the Guideline Development Panel aimed to produce guidelines based on the best available scientific evidence, concerns were raised that the guidelines would constrain the implementation of some effective psychotherapies and limit clinician autonomy, potentially leading to coverage for only manualized, time-limited, cognitive-behavioral treatments. The following article reviews the PTSD guidelines in light of the evidence-based practice in psychology policy adopted by the American Psychological Association in 2006. We highlight the strengths of the guidelines as currently written while recognizing areas in which the guidelines do not meet evidence-based practice in psychology recommendations. A clinical vignette of the treatment of a complex patient with PTSD and significant comorbidities is provided to illustrate the difficulty of clinical decision-making and how the guidelines may complicate the delivery of effective treatments. We conclude with recommendations on how to consider a broad range of research evidence, appropriately integrate clinician expertise, and better appreciate the role of patient values and preferences in PTSD treatment decision-making. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

4 Article Intergenerational transmission of child abuse: Predictors of child abuse potential among racially diverse women residing in domestic violence shelters. 2018

Anderson, RaeAnn E / Edwards, Larissa-Jayne / Silver, Kristin E / Johnson, Dawn M. ·Kent State University, Psychological Sciences, 144 Kent Hall, Kent, OH, 44242, United States; University of North Dakota, Psychology, 2000 Columbia Hall, Grand Forks, ND, 58202, United States. Electronic address: raeann.anderson@und.edu. · University of Akron, Department of Psychology, Akron, OH, 44325-4301, United States. ·Child Abuse Negl · Pubmed #30170920.

ABSTRACT: Parental risk for perpetrating child abuse is frequently associated with intergenerational patterns of abuse: being abused increases the risk for future abuse. Yet, the mechanisms of intergenerational abuse are unclear, and the risk factors for perpetrating child abuse are interrelated. Research suggests that history of childhood abuse, psychiatric distress, and exposure to intimate partner violence (IPV) are all related risk factors for perpetrating child abuse. We investigated these three risk factors using the developmental psychopathology framework in a racially diverse sample of high-risk women: women residing in domestic violence shelters. 211 mothers residing in domestic violence shelters completed measures of their own childhood abuse (defined narrowly in a 10-item self-report survey), exposure to and severity of IPV victimization, and structured interviews to diagnose psychiatric disorders. We utilized a hierarchical regression model to predict child abuse potential, accounting for risk factors in blocks roughly representing theorized temporal relationships: childhood abuse followed by psychiatric diagnoses, and then recency of exposure to IPV. Consistent with hypotheses, the strongest predictor of current child abuse potential was the psychiatric diagnosis of PTSD. Mediation tests further explicated that the relationship between maternal history of childhood sexual abuse and current potential for perpetrating child abuse is mediated by IPV-related PTSD symptoms. Results suggest that IPV-related PTSD symptoms, rather than exposure to abuse (i.e., childhood abuse or IPV), is most strongly associated with child abuse potential in recent IPV survivors. Interventions which can ameliorate maternal psychopathology and provide resources are recommended for these vulnerable families.

5 Article The impact of comorbid diagnoses on the course of posttraumatic stress disorder symptoms in residents of battered women's shelters. 2018

Fedele, Katherine M / Johnson, Nicole L / Caldwell, Jennifer C / Shteynberg, Yuliya / Sanders, Sarah E / Holmes, Samantha C / Johnson, Dawn M. ·Department of Psychology, The University of Akron. · Department of Education, Lehigh University. · OhioGuidestone. · Department of Psychology, University of North Texas. ·Psychol Trauma · Pubmed #29154591.

ABSTRACT: OBJECTIVE: The current investigation sought to explore the impact of the comorbidities of substance use disorder (SUD), major depressive disorder (MDD), and borderline personality disorder (BPD) on the trajectory of intimate partner violence (IPV)-related posttraumatic stress disorder (PTSD) symptoms across a 6-month follow-up period in IPV survivors who seek shelter. Research has found significant comorbidity of SUD, MDD, and BPD with PTSD (see Green et al., 2006; Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995; Pagura et al., 2010); however, little to no research has explored these relationships in this unique population over time. METHOD: A sample of 147 residents of battered women's shelters completed study measures at baseline, 1 week, and 3 and 6 months following shelter stay. Participants completed measures assessing for demographics, abuse, and Diagnostic and Statistical Manual of Mental Disorders (4th edition, text revision) diagnoses. RESULTS: Results of latent growth modeling with the time-invariant covariates of SUD, MDD, and BPD yielded a significant effect of SUD (β = .002, p = .007) on the slope of IPV-related PTSD symptoms controlling for IPV victimization. Significant effects were not identified for BPD (β = .001, p > .05) or MDD (β = .002, p > .05). Results suggest IPV survivors with SUD demonstrated less improvement in PTSD symptoms over 6 months after they left shelter as compared to women without SUD. CONCLUSION: Findings emphasize the deleterious effects of SUD, above and beyond MDD and BPD, on IPV-related PTSD and highlight the need for assessment and treatment of SUD and PTSD simultaneously in residents of battered women's shelters. Clinical Impact Statement: Findings suggest the need to go beyond standard shelter services to more effectively address and treat co-occurring SUD-PTSD in IPV survivors. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

6 Article Comparison of Adding Treatment of PTSD During and After Shelter Stay to Standard Care in Residents of Battered Women's Shelters: Results of a Randomized Clinical Trial. 2016

Johnson, Dawn M / Johnson, Nicole L / Perez, Sara K / Palmieri, Patrick A / Zlotnick, Caron. ·Psychology Department, University of Akron, Akron, Ohio, USA. · Department of Education and Human Services, Lehigh University, Bethlehem, Pennsylvania, USA. · Psychology Service, Cleveland VA Medical Center, Cleveland, Ohio, USA. · Center for the Treatment and Study of Traumatic Stress, Department of Psychiatry, Summa Health System, Akron, Ohio, USA. · Department of Psychiatry, Butler Hospital, Providence, Rhode Island, USA. · Department of Psychiatry and Human Behavior, Warren Alpert Medical School at Brown University, Providence, Rhode Island, USA. · Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, Western Cape, South Africa. ·J Trauma Stress · Pubmed #27459503.

ABSTRACT: This study explored the acceptability, feasibility, and initial efficacy of an expanded version of a PTSD treatment developed for residents of battered women's shelters, Helping to Overcome PTSD through Empowerment (HOPE) in women who received standard shelter services (SSSs). A Phase I randomized clinical trial comparing HOPE + SSSs (n = 30) to SSSs (n = 30) was conducted. Primary outcome measures included the Clinician-Administered PTSD Scale (Blake et al., 1995) and the Revised Conflict Tactic Scales (Straus, Hamby, Boney-McCoy, & Sugarman, ). Participants were followed at 1-week, and 3- and 6-months posttreatment. Only 2 women dropped out of HOPE + SSS treatment. Latent growth curve analyses found significant treatment effects for PTSD from intimate partner violence (IPV) (β = -.007, p = .021), but not for future IPV (β = .002, p = .709) across follow-up points. Significant effects were also found for secondary outcomes of depression severity (β = -.006, p = .052), empowerment (β = .155, p = .022), and resource gain (β = .158, p = .036). Additionally, more women in HOPE + SSSs were employed at 3- and 6-month follow-up compared to those in SSSs only. Results showed the acceptability and feasibility of adding IPV-related treatment to standard services. They also suggested that HOPE may be a promising treatment for residents of battered women's shelters. Further research with a larger sample, utilizing more diverse shelter settings and a more rigorous control condition, is needed to confirm these findings.

7 Article Is John Henryism a resilience factor in women experiencing intimate partner violence? 2015

Kramer, Nicole M / Johnson, Nicole L / Johnson, Dawn M. ·a Department of Psychology , The University of Akron , 290 East Buchtel Ave., 44325-4301 , Akron , OH , USA. ·Anxiety Stress Coping · Pubmed #25559782.

ABSTRACT: BACKGROUND: Research suggests that posttraumatic stress disorder (PTSD) and depression are two common mental health problems in intimate partner violence (IPV) survivors. Research has found that while Black women consistently report higher rates of victimization than White women, they also report less severe PTSD and depressive symptoms, suggesting that Black IPV survivors might be more resilient to PTSD and depression than are White survivors. DESIGN: We implemented a correlational study with 81 Black and 100 White female survivors of IPV to determine if John Henryism (JH; i.e., a predisposed active coping mechanism) contributes to the resilience observed in Black IPV survivors. METHODS: Participants completed the John Henryism Active Coping Scale, Center for Epidemiological Studies Depression Scale, Davidson Trauma Scale, and the Abusive Behavior Inventory. RESULTS: Results demonstrated that White woman endorsed more severe depressive symptoms as compared to Black women. Severity of PTSD symptoms and JH was not significantly different between races. JH did not moderate the relationship between race and depression; however, for PTSD, JH was found to be protective of PTSD in White women, while demonstrating little impact on Black women. CONCLUSIONS: The implications of these findings are discussed in terms of the minority stress model.

8 Article Correlates of Readiness to Change in Victims of Intimate Partner Violence. 2013

Johnson, Nicole L / Johnson, Dawn M. ·Department of Psychology, University of Akron. ·J Aggress Maltreat Trauma · Pubmed #23565046.

ABSTRACT: Intimate partner violence (IPV) is a social problem associated with significant morbidity; however, victims don't always utilize treatment and resources. One's readiness to change may be one variable impacting their pursuit of treatment and other resources. The current study investigated correlates of readiness to change, and readiness to change's impact on treatment utilization. Data was collected from 223 women residing in battered women's shelters. Correlational analyses find that generally victims with more psychopathology and distress, as well as more social support, were more ready to change. PTSD symptoms, overall distress, and social support were the strongest predictors of readiness to change. Finally, victims higher in readiness to change were more likely to seek mental health treatment and other IPV-related services.

9 Article Trauma and its aftermath for commercially sexually exploited women as told by front-line service providers. 2013

Hom, Kristin A / Woods, Stephanie J. ·Consortium of Eastern Ohio Master of Public Health and The University of Akron, OH 44325, USA. ·Issues Ment Health Nurs · Pubmed #23369118.

ABSTRACT: Commercial sexual exploitation of women and girls through forced prostitution and sex-trafficking is a human rights and public health issue, with survivors facing complex mental health problems from trauma and violence. An international and domestic problem, the average age of recruitment into sex-trafficking is between 11 and 14 years old. Given its secrecy and brutality, such exploitation remains difficult to study, which results in a lack of knowledge related to trauma and how best to develop specific services that effectively engage and meet the unique needs of survivors. This qualitative research, using thematic analysis, explored the stories of trauma and its aftermath for commercially sexually exploited women as told by front-line service providers. Three themes emerged regarding the experience of sex-trafficking and its outcomes-Pimp Enculturation, Aftermath, and Healing the Wound-along with seven subthemes. These have important implications for all service and healthcare providers.

10 Article Remission of PTSD after victims of intimate partner violence leave a shelter. 2012

Johnson, Dawn M / Zlotnick, Caron. ·Department of Psychology, University of Akron, Akron, OH 44325-4301, USA. johnsod@uakron.edu ·J Trauma Stress · Pubmed #22522736.

ABSTRACT: Intimate partner violence (IPV) is a significant public health problem associated with high rates of posttraumatic stress disorder (PTSD). Few longitudinal studies have investigated IPV-related PTSD and we know of only 1 longitudinal study to date that has explored IPV-related PTSD in residents of battered women's shelters. The current report describes a prospective study of IPV-related PTSD in an initial sample of 147 residents of battered women's shelters. Baseline correlates of remission of IPV-related PTSD (i.e., PTSD and IPV severity, loss of personal and social resources, cessation of abuse, reunion with abuser, and length of shelter stay) over a 6-month follow-up period were investigated. Although findings are consistent with prior research suggesting a natural recovery of PTSD in IPV-victims, they also show that a significant number (46.8%) of women exhibit chronic PTSD. Participants whose PTSD remitted over follow-up had at baseline less severe IPV-related PTSD (partial η(2) = .104) and fewer loss of personal and social resources (partial η(2) = .095), and were less likely to reunite with their abuser after leaving the shelter than participants with chronic PTSD (3.3% and 22.4%, respectively). Clinical implications and limitations of findings are discussed.

11 Article A comparative study of therapy duration for survivors of childhood sexual abuse. 2012

Kreidler, Maryhelen / Einsporn, Richard. ·The University of Akron, Akron, OH, USA. mkreidler@uakron.edu ·J Psychosoc Nurs Ment Health Serv · Pubmed #22421008.

ABSTRACT: The goal of this study was to determine whether duration of group therapy affected outcomes for women with a history of childhood sexual abuse (CSA). The sample included women from 6-month therapy groups (n = 42) and the comparison group who completed 12 months of therapy (n = 114). When outcomes attained by the 6-month group were compared with those of the 12-month group, those in the 6-month group showed significantly greater gains in self-esteem, symptom change, and posttraumatic stress disorder symptoms. In addition, although participants in the 6-month group improved more in depression scores than those in the 12-month group, the difference was not statistically significant. The results of this study indicate that intensive 6-month group therapy for female survivors of CSA may be even more beneficial than less intensive 12-month groups.

12 Article The use of psychosocial assessment following the Haiti earthquake in the development of the three-year emotional psycho-medical mental health and psychosocial support (EP-MMHPS) plan. 2010

Jordan, Karin. ·The University of Akron, USA. drkbjordan@gmail.com ·Int J Emerg Ment Health · Pubmed #21870382.

ABSTRACT: This article provides information about the 2010 Haiti earthquake. An assessment model used by a crisis counselor responding to the earthquake is presented, focusing on the importance of gathering pre-deployment assessment and in-country assessment. Examples of the information gathered through the in-country assessment model from children, adolescents, and adults are presented. A brief overview of Haiti's three-year Emergency Psycho-Medical Mental Health and Psychosocial Support (EP-MMHPS) is provided. Finally, how the psychosocial manual developed after assessing 200 Haitian survivors through in-country assessment, and information gathered through pre-deployment assessment became part of the EP-MMHPS is offered.

13 Article Subjective sleep quality in women experiencing intimate partner violence: contributions of situational, psychological, and physiological factors. 2010

Woods, Stephanie J / Kozachik, Sharon L / Hall, Rosalie J. ·The University of Akron College of Nursing, Akron, OH 44325-3701, USA. sw5@uakron.edu ·J Trauma Stress · Pubmed #20143342.

ABSTRACT: This study, guided by an adaptation of the theory of unpleasant symptoms, examined the complex relationships of childhood maltreatment, intimate partner violence (IPV), posttraumatic stress disorder (PTSD), depression, and physical health symptoms with global sleep quality and disruptive nighttime behaviors. Data were analyzed using covariance structure analysis. A convenience sample of 157 women currently experiencing IPV was recruited from crisis shelters and community agencies. Findings provide empirical support that women concurrently experiencing PTSD, depression, and stress-related physical health symptoms demonstrated poor global sleep quality and frequent disruptive nighttime behaviors. Posttraumatic stress disorder and stress health symptoms functioned as mediators of childhood maltreatment and IPV effects on both global sleep quality and disruptive nighttime behaviors, but depression did not.