Pub Date : 2008-08-12DOI: 10.1080/19322880802231791
Maureen A. Allwood, J. Dyl, J. Hunt, A. Spirito
ABSTRACT Trauma exposure and posttraumatic stress disorder (PTSD) symptoms in youth have been associated with both internalizing and externalizing disorders. This study examined the prevalence of PTSD and comorbid disorders in a sample of 377 psychiatrically hospitalized adolescents. Adolescents diagnosed with PTSD had higher rates of comorbid major depressive disorder and conduct disorder as compared to adolescents without PTSD. In addition, adolescents with PTSD reported more suicidal ideations and utilized more hospital services than their non-PTSD counterparts. Findings indicate that psychiatrically hospitalized adolescents with PTSD are in need of more intensive and extended treatment services than their peers without PTSD.
{"title":"Comorbidity and Service Utilization Among Psychiatrically Hospitalized Adolescents with Posttraumatic Stress Disorder","authors":"Maureen A. Allwood, J. Dyl, J. Hunt, A. Spirito","doi":"10.1080/19322880802231791","DOIUrl":"https://doi.org/10.1080/19322880802231791","url":null,"abstract":"ABSTRACT Trauma exposure and posttraumatic stress disorder (PTSD) symptoms in youth have been associated with both internalizing and externalizing disorders. This study examined the prevalence of PTSD and comorbid disorders in a sample of 377 psychiatrically hospitalized adolescents. Adolescents diagnosed with PTSD had higher rates of comorbid major depressive disorder and conduct disorder as compared to adolescents without PTSD. In addition, adolescents with PTSD reported more suicidal ideations and utilized more hospital services than their non-PTSD counterparts. Findings indicate that psychiatrically hospitalized adolescents with PTSD are in need of more intensive and extended treatment services than their peers without PTSD.","PeriodicalId":360233,"journal":{"name":"Journal of Psychological Trauma","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123164359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-07-21DOI: 10.1080/19322880802125969
J. Berz, C. Taft, Laura E. Watkins, C. Monson
ABSTRACT The goal of this brief article is to examine the relationships between the posttraumatic stress disorder (PTSD) symptom clusters and parenting satisfaction in a sample of 60 female veterans of the Vietnam war who had biological children. Significant negative relationships were found between the avoidance/numbing and hyperarousal clusters of PTSD symptoms and parenting satisfaction. The association between hyperarousal and parenting satisfaction remained significant when each of the PTSD symptom clusters were examined together as predictors, and controlling for partner violence. Results suggest that higher levels of certain PTSD symptoms may adversely affect women's satisfaction in the parenting role.
{"title":"Associations Between PTSD Symptoms and Parenting Satisfaction in a Female Veteran Sample","authors":"J. Berz, C. Taft, Laura E. Watkins, C. Monson","doi":"10.1080/19322880802125969","DOIUrl":"https://doi.org/10.1080/19322880802125969","url":null,"abstract":"ABSTRACT The goal of this brief article is to examine the relationships between the posttraumatic stress disorder (PTSD) symptom clusters and parenting satisfaction in a sample of 60 female veterans of the Vietnam war who had biological children. Significant negative relationships were found between the avoidance/numbing and hyperarousal clusters of PTSD symptoms and parenting satisfaction. The association between hyperarousal and parenting satisfaction remained significant when each of the PTSD symptom clusters were examined together as predictors, and controlling for partner violence. Results suggest that higher levels of certain PTSD symptoms may adversely affect women's satisfaction in the parenting role.","PeriodicalId":360233,"journal":{"name":"Journal of Psychological Trauma","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133617721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-07-21DOI: 10.1080/19322880802125902
D. Houlihan, B. J. Ries, Melissa A. Polusny, Christine N. Hanson
ABSTRACT Data were collected on students in Grades 3 to 12 regarding their reactions to a major F4 tornado, which caused damage to their town in southern Minnesota. The purpose of this study was to examine some of the factors (i.e., level of exposure to the disaster, posttraumatic stress disorder symptoms, and home relocation) that may help predict behavioral problems and life satisfaction after a major tornado. The disruption of relocating to a new home after the tornado was associated with higher levels of internalizing behavior problems for children in Grades 3 to 6 and higher levels of externalizing behavior problems for adolescents in Grades 7 to 12. Increased exposure to the tornado was significantly associated with high levels of life satisfaction. Implications of these findings and directions for future research are discussed.
{"title":"Predictors of Behavior and Level of Life Satisfaction of Children and Adolescents After a Major Tornado","authors":"D. Houlihan, B. J. Ries, Melissa A. Polusny, Christine N. Hanson","doi":"10.1080/19322880802125902","DOIUrl":"https://doi.org/10.1080/19322880802125902","url":null,"abstract":"ABSTRACT Data were collected on students in Grades 3 to 12 regarding their reactions to a major F4 tornado, which caused damage to their town in southern Minnesota. The purpose of this study was to examine some of the factors (i.e., level of exposure to the disaster, posttraumatic stress disorder symptoms, and home relocation) that may help predict behavioral problems and life satisfaction after a major tornado. The disruption of relocating to a new home after the tornado was associated with higher levels of internalizing behavior problems for children in Grades 3 to 6 and higher levels of externalizing behavior problems for adolescents in Grades 7 to 12. Increased exposure to the tornado was significantly associated with high levels of life satisfaction. Implications of these findings and directions for future research are discussed.","PeriodicalId":360233,"journal":{"name":"Journal of Psychological Trauma","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121758885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-07-21DOI: 10.1080/19322880802126017
M. Kenny
{"title":"Treating Trauma and Traumatic Grief in Children and Adolescents","authors":"M. Kenny","doi":"10.1080/19322880802126017","DOIUrl":"https://doi.org/10.1080/19322880802126017","url":null,"abstract":"","PeriodicalId":360233,"journal":{"name":"Journal of Psychological Trauma","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127888381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-07-21DOI: 10.1080/19322880802125878
Katie M. Edwards, Jennifer Merrill, Angeli D. Desai, J. McNamara
ABSTRACT The purpose of this article is to explore the ethical dilemmas inherent in the treatment of women currently in abusive relationships. Utilizing ethical decision-making models, the conflicting principles of beneficence and autonomy are discussed with regards to whether a therapist should encourage a client to leave an abusive relationship. Given that most ethical decision-making models stress the importance of contextual factors that are relevant to a given ethical situation, this article discusses the importance of evaluating, considering, and weighing certain factors, such as abuse severity and competency/rationality, in cases involving intimate partner violence,. Following this discussion, recommendations and implications for research and policy are delineated.
{"title":"Ethical Dilemmas in the Treatment of Battered Women in Individual Psychotherapy: Analysis of the Beneficence Versus Autonomy Polemic","authors":"Katie M. Edwards, Jennifer Merrill, Angeli D. Desai, J. McNamara","doi":"10.1080/19322880802125878","DOIUrl":"https://doi.org/10.1080/19322880802125878","url":null,"abstract":"ABSTRACT The purpose of this article is to explore the ethical dilemmas inherent in the treatment of women currently in abusive relationships. Utilizing ethical decision-making models, the conflicting principles of beneficence and autonomy are discussed with regards to whether a therapist should encourage a client to leave an abusive relationship. Given that most ethical decision-making models stress the importance of contextual factors that are relevant to a given ethical situation, this article discusses the importance of evaluating, considering, and weighing certain factors, such as abuse severity and competency/rationality, in cases involving intimate partner violence,. Following this discussion, recommendations and implications for research and policy are delineated.","PeriodicalId":360233,"journal":{"name":"Journal of Psychological Trauma","volume":"137 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115591387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-07-21DOI: 10.1080/19322880802126025
Charles R. Figley
{"title":"Clinician's Guide to PTSD: A Cognitive-Behavioral Approach","authors":"Charles R. Figley","doi":"10.1080/19322880802126025","DOIUrl":"https://doi.org/10.1080/19322880802126025","url":null,"abstract":"","PeriodicalId":360233,"journal":{"name":"Journal of Psychological Trauma","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122251773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-07-21DOI: 10.1080/19322880802125993
D. McDuff, M. Cohen, L. Blais, W. Stevenson, E. McWilliams
ABSTRACT This study describes the creation, operation, patient characteristics, and outcomes of a new hospital-wide, trauma-recovery service in a Maryland state psychiatric hospital. We identified psychiatric admissions who had trauma, causing current distress. Our assessments included a structured clinical interview, the Trauma Symptom Checklist-40, and the Trauma Symptom Inventory. Outcomes included service utilization, average group attendance, and patient satisfaction. During the 1st year of operation (February 2004–February 2005), 490 of 752 admissions (65.1%) were screened for trauma. Of those, 256 (52%) were identified and referred for treatment, and 161 received specialized treatment. Compared to other admissions, trauma survivors were more likely to be Caucasian and have mood or substance use diagnoses. A trauma diagnosis was present in the record of only 2.34% of survivors. We conclude that psychiatric inpatients may have high rates of trauma and current distress, and they may benefit from integrated treatment that is associated with good outcomes.
{"title":"Trauma Recovery Services for Psychiatric Inpatients","authors":"D. McDuff, M. Cohen, L. Blais, W. Stevenson, E. McWilliams","doi":"10.1080/19322880802125993","DOIUrl":"https://doi.org/10.1080/19322880802125993","url":null,"abstract":"ABSTRACT This study describes the creation, operation, patient characteristics, and outcomes of a new hospital-wide, trauma-recovery service in a Maryland state psychiatric hospital. We identified psychiatric admissions who had trauma, causing current distress. Our assessments included a structured clinical interview, the Trauma Symptom Checklist-40, and the Trauma Symptom Inventory. Outcomes included service utilization, average group attendance, and patient satisfaction. During the 1st year of operation (February 2004–February 2005), 490 of 752 admissions (65.1%) were screened for trauma. Of those, 256 (52%) were identified and referred for treatment, and 161 received specialized treatment. Compared to other admissions, trauma survivors were more likely to be Caucasian and have mood or substance use diagnoses. A trauma diagnosis was present in the record of only 2.34% of survivors. We conclude that psychiatric inpatients may have high rates of trauma and current distress, and they may benefit from integrated treatment that is associated with good outcomes.","PeriodicalId":360233,"journal":{"name":"Journal of Psychological Trauma","volume":"145 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122345515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-07-21DOI: 10.1080/19322880802126041
Hanna Pennington, E. Newman
{"title":"Interventions Following Mass Violence and Disasters","authors":"Hanna Pennington, E. Newman","doi":"10.1080/19322880802126041","DOIUrl":"https://doi.org/10.1080/19322880802126041","url":null,"abstract":"","PeriodicalId":360233,"journal":{"name":"Journal of Psychological Trauma","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134399406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-06-12DOI: 10.1080/19322880802096574
M. Tramontin, J. Peters
{"title":"Disaster Mental Health Services: A Primer for Practitioners (Series in Psychological Stress)","authors":"M. Tramontin, J. Peters","doi":"10.1080/19322880802096574","DOIUrl":"https://doi.org/10.1080/19322880802096574","url":null,"abstract":"","PeriodicalId":360233,"journal":{"name":"Journal of Psychological Trauma","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127515567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-06-12DOI: 10.1080/19322880802096442
Freyd Tang, S. Tang, J. Freyd, Meggy Wang
ABSTRACT Child sexual abuse (CSA) is usually concealed by shame and secrecy, and it is often not disclosed for long periods or is not disclosed at all. Lack of disclosure has profound implications for prevention, treatment, and science. Gender is often assumed to be a factor in disclosure rates. Although empirical investigations of the role of gender in the disclosure of CSA have increased in psychological research in the past decade findings are often contradictory, and support for common beliefs such as males being more reluctant to disclose than females may not be as strong as assumed. Therefore, in this article we ask the question, “What do we know about gender in the disclosure of child sexual abuse?” We evaluate the degree of validity of reported rates of CSA by examining the methods used to gather epidemiological evidence for CSA. We also provide a critique of two methods commonly used in the study of CSA: prospective and retrospective studies. We conclude by identifying areas to address in future studies concerning gender and CSA.
{"title":"What Do We Know About Gender in the Disclosure of Child Sexual Abuse?","authors":"Freyd Tang, S. Tang, J. Freyd, Meggy Wang","doi":"10.1080/19322880802096442","DOIUrl":"https://doi.org/10.1080/19322880802096442","url":null,"abstract":"ABSTRACT Child sexual abuse (CSA) is usually concealed by shame and secrecy, and it is often not disclosed for long periods or is not disclosed at all. Lack of disclosure has profound implications for prevention, treatment, and science. Gender is often assumed to be a factor in disclosure rates. Although empirical investigations of the role of gender in the disclosure of CSA have increased in psychological research in the past decade findings are often contradictory, and support for common beliefs such as males being more reluctant to disclose than females may not be as strong as assumed. Therefore, in this article we ask the question, “What do we know about gender in the disclosure of child sexual abuse?” We evaluate the degree of validity of reported rates of CSA by examining the methods used to gather epidemiological evidence for CSA. We also provide a critique of two methods commonly used in the study of CSA: prospective and retrospective studies. We conclude by identifying areas to address in future studies concerning gender and CSA.","PeriodicalId":360233,"journal":{"name":"Journal of Psychological Trauma","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124664354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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