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The purpose of this quantitative study was to further the understanding on how access to trauma-informed professional learning changed research-based practices in classroom and school-wide settings in K-12 schools. The guiding question for this quantitative study was: How has trauma-informed professional learning influenced changes in research-based practices in school-wide and classroom settings in K-12 schools? This research assessed the perceptions of elementary, middle, and high school teachers in one school district to investigate access to trauma-informed professional learning and potential changes in research-based practices in school-wide and classroom settings. Participants were teachers, in Northeast Tennessee, employed in urban schools implementing trauma-informed practices. Six research questions guided the study and quantitative data were analyzed using one-sample t-tests. Additionally, this researcher analyzed themes gleaned from the four-open ended questions at the end of the survey. The findings indicated that the means of all measures were significantly higher than the midpoint in elementary, middle, and high schools. The findings also indicated that trauma-informed professional learning supports the development of school-wide and classroom research-based practices and application of trauma-informed strategies in K-12 schools.

Suicide is one of the leading causes of death in young adults. Continuous prevention and intervention efforts throughout the world have been made to reduce suicide risk in this population. Two of the biggest known risk factors for suicide is childhood trauma, a traumatic event or events that occur during youth, and depression. Researching the impact childhood trauma and depression make in conjunction with other factors will help to increase knowledge of suicidal behavior. In this study, recent stress and gender will be factored with childhood trauma and depression severity to predict suicidal ideation and attempt. Recent stress is useful to see recent life events that may be negatively affecting one’s mood. Gender has shown differences that are displayed not just in the prevalence of suicidal ideation and attempt, but also in childhood trauma, depression, and stress. Young adults will make up the demographic of this study to better understand the relationship of multiple risk factors to suicidal ideation and attempts within this age group. Young adults experience stress in many ways, through transitioning to adulthood, studying, and working towards long-term career goals. The aim of this research will be to understand and address how childhood trauma, recent stress, gender, and depression severity impacts suicidal ideation and attempts. Two hypotheses will be tested in the study: (1) Childhood trauma, recent stress, gender, and depression severity predicts recent suicidal ideation. (2) Childhood trauma, recent stress, gender, and depression severity predicts suicide attempts.

The empirical investigation of adverse childhood events (ACEs) and their relationship with health and well-being outcomes in later life is increasing. Less is known about factors that may promote resilience for those who have survived such challenges, such as how resilience may be facilitated for those with ACEs residing in a marginalized region such as South Central Appalachia. Multidimensional spirituality, social support, stigma related to ACEs, and Appalachian acculturation may serve as both valid cultural factors and potential indicators of resilience. Cross-sectional, simultaneous multiple regression analysis was performed on data collected from 272 adult patients of a South Central Appalachian based medically assisted treatment (MAT) program utilizing PROCESS macro (Hayes, 2018). Participants were 53.8% male, 94.4% Caucasian, 44.9% aged 35-50 years old, and 63.6% employed. Endorsement of increased spirituality was helpful for those in MAT in South Central Appalachia who self-reported ACEs. However, as one endorsed an increasing number of ACEs, spirituality was no longer salient but instead was associated with worsened health outcomes and lessened hope. The three dimensions of spirituality (Ritualistic, Theistic, and Existential) moderated these relationships in similar but nuanced ways. Social support, on the other hand, improved mental health regardless of ACE score. Stigma and Appalachian acculturation were only related to other variables at the bivariate level but not within the hypothesized moderation model. Our study offers preliminary insight into culturally relevant resilience within South Central Appalachia, however additional investigation is needed to better understand the complex facets of health and well-being outcomes in this marginalized region.

Children and adolescents that reappear for investigation in the Child Protective Services (CPS) can be interpreted as an issue for the social services ambitions to provide service for potential families in need of assistance. This study was based on information gathered from social workers investigating the situation for 882 children during two months, in two municipalities in Sweden. The aim of the study was to investigate the relationship between adverse childhood experiences and being the subject of more than one previous investigation at the CPS. The study provides an estimate of the likelihood of  being the subject of more than one previous investigation. Results show that certain adversities concerning the child and in the family situation increased the odds of having been exposed to several investigations. Findings from the study also show that the risk of being investigated several times increases incrementally with accumulated adverse childhood experiences.

This Q methodology study focused on those intrinsic attributes that successful African American men who had adverse childhood experiences attributed to their success. Using the purposeful and snowball sampling recruitment process, forty-two successful African American men participated in this research project. Five distinct factors were identified and labeled as, Factor 1: The Godly Working Men, Factor 2: The Competitive Men, Factor 3: The Charismatic Men, Factor 4: The Expectation Driven Men, and Factor 5: The Proud African American Men. The main findings were that respectful African American boys who are taught to understand who they are spiritually, be proud of their racial history, have a sound sense of purpose, and a desire to work hard are tooled to become successful African American men. The findings in this study support the wealth of research regarding strength-based youth development approaches, such as the Positive Youth Development’s 40 Developmental Assets framework. The six top intrinsic attributes that the participants in this research project ranked as most contributing to their success were 1) faith and trust in God, 2) desire to learn and understand how to apply the word of God to their life, 3) being respectful of others, 4) having a sense of purpose and value for life, 5) pride in racial identity and history, and 6) the ability to work hard and do their best. However, the intrinsic attributes relating to spirituality and pride in racial identity and history are not explicitly identified within the internal assets of the Positive Youth Development’s 40 Developmental Assets framework. For this framework to be meaningful for African Americans, the pride in racial identity and history attribute should be added to the positive identity group and a new group should be included to account for the two spirituality attributes. This study provided evidence that African American men from adverse backgrounds have voices and want to share their experiences to help other young people overcome and be successful. It is highly recommended that additional study be conducted on the impacts that extrinsic and intrinsic attribute have to the success of African American men.

Introduction. La notion d'" embodiment " propose que chaque humain est à la fois un être social ainsi que biologique, intégrant le monde dans lequel il/elle vit. Nous faisons l'hypothèse que la position socioéconomique pendant l'enfance peut être biologiquement incorporée, conduisant à la production des inégalités sociales de santé entre les sous-groupes de population. La charge allostatique (CA) est un concept qui tente de capturer l'usure physiologique globale du corps liée à l'activation répétée des mécanismes physiologiques compensatoires en cas d'exposition à des stress chroniques. La CA pourrait permettre une meilleure compréhension des voies biologiques qui jouent un rôle potentiel dans la construction du gradient social de santé des adultes. Objectif. Pour explorer l'hypothèse d'incorporation biologique, nous avons examiné les voies de médiation entre les adversités psychosociales et la position socioéconomique précoces et la CA à 44 ans. Nous avons également confronté l'indice de CA à une mesure multidimensionnelle de santé latente à 50 ans. Méthodes. Les données sont issues de la cohorte Britannique de naissance de 1958 (n=18 000). La CA a été construite avec les données de l'enquête biomédicale conduite à 44 ans, comme une mesure physiologique synthétique, multi-système, à l'aide de 14 biomarqueurs représentant les systèmes neuroendocrinien, métabolique, immunitaire / inflammatoire et cardiorespiratoire. Résultats. L'ensemble de nos résultats suggèrent que la CA pourrait être un indice approprié pour capturer partiellement la dimension biologique des processus d'embodiment. Discussion. Comprendre comment l'environnement affecte notre santé en se " glissant sous la peau " et pénétrant dans les cellules, les organes et les systèmes physiologiques de notre corps est un principe clé dans la recherche en santé publique. Promouvoir le recueil de marqueurs biologiques dans des grandes études prospectives et représentatives est crucial pour continuer la recherche sur ce sujet. Les études de réplication pourraient faire partie des futures perspectives de recherche, pour comparer entre populations avec des contextes culturels différents pour observer si un index de CA peut être considéré comme "universel ". / Introduction. The notion of embodiment proposes that every human being is both a social and a biological organism that incorporates the world in which (s)he lives. It has been hypothesized that early life socioeconomic position (SEP) can be biologically embedded, potentially leading to the production of health inequalities across population groups. Allostatic load (AL) is a concept that intends to capture the overall physiological wear-and-tear of the body triggered by the repeated activation of compensatory physiological mechanisms as a response to chronic stress. AL could allow a better understanding of the potential biological pathways playing a role in the construction of the social gradient in adult health. Objective. To explore the biological embedding hypothesis, we examined the mediating pathways between early SEP and early adverse psychosocial experiences and higher AL at 44 years. We also confronted an AL index with a latent multidimensional and integrative measure of health status at 50y. Methods. Data are from the 1958 British birth cohort (n=18 000) follow-up to age 50. AL was operationalized using data from the biomedical survey collected at age 44 on 14 parameters representing the neuroendocrine, metabolic, immune-inflammatory and cardiovascular systems. Results. Overall, our results suggest that AL could be a suitable index to partially capture the biological dimensions of embodiment processes. Discussion. Understanding how human environments affect our health by 'getting under the skin' and penetrating the cells, organs and physiological systems of our bodies is a key tenet in public health research. Promoting the collection of biological markers in large representative and prospective studies is crucial to continue to investigate on this topic. Replication studies could be part of the future research perspectives, to compare with other cultural context and to observe if an AL index can be 'universal'.

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Syftet med studien var att undersöka hur känsla av sammanhang (KASAM) påverkas i vuxenlivet hos individer som farit illa i barndomen. Tidigare forskning tydliggör vilken omfattande problematik det kan vara. Vidare undersöker studien betydelsen av vändpunkter och motståndskraft för posttraumatiskt växande. Den kvalitativa metoden består av sex semistrukturerade intervjuer. Den kvantitativa metoden innefattar en webbenkät där 101 respondenter deltog. Antonovskys KASAM tillsammans med Mays existentialism och Honneths erkännandeteori lägger grunden för studiens teoretiska ansats. Resultatet visar att en förlust av grundtillit och egenvärde i barndomen leder till en svag känsla av sammanhang. Urvalsgruppens KASAM-värden var avsevärt lägre än normalbefolkningens, dock med hög meningsfullhet. I vuxenlivet tycks det viktigt att ta igen barndomens förluster. Samtalsstöd med ett salutogent synsätt kan kompensera för denna förlust. Det tillsammans med meningsskapande processer kan leda till posttraumatiskt växande. / The aim of this study was to examine how sense of coherence (SOC) is affected in adulthood in people who have suffered from adverse childhood experiences. Previous research indicate on how comprehensive of a problem this is. We also wanted to examine the impact of turning points and resilience for posttraumatic growth. The qualitative method consists of six semi- structured interviews. The quantitative method is composed of a web survey in which 101 respondents participated. Antonovsky's SOC together with May's existentialism and Honneth's theory of recognition lays the foundation for the study's theoretical approach. The result shows that a loss of basic trust and intrinsic value in childhood leads to a low sense of coherence. Participants SOC values was significantly lower than the normal population, however they scored high on meaningfulness. In adulthood it seems important to reclaim these losses from childhood. Different types of counseling with a salutogenic approach can make up for that loss. This, together with meaning-making, can lead to posttraumatic growth.

Survivors of complex childhood trauma (CCT) tend to develop distinctive mental health challenges later on in adulthood, which may be exacerbated by the ongoing coronavirus pandemic. CCT survivors often struggle with self-regulation, making it difficult to tolerate the distress associated with “gold-standard” trauma-processing therapies for survivors of single-incident and adult-onset trauma. Yoga can enhance self-regulation, through physical movements, breathing techniques, meditative focus, and ethical guidelines of behaviour. This dissertation encompasses the creation of a new approach for teaching yoga to trauma survivors, called TIME yoga. This approach is based on a neuropsychological understanding of the bio-psycho-social alterations that CCT survivors undergo. Chapter 1 details the methods employed in this series of dissertation studies. A randomized controlled trial (RCT) was conducted with 26 adult survivors of CCT. Mental health, emotional functioning, resilience, and cognitive functioning were assessed via subjective and objective measures at two time points (i.e., pre- and post- participation in the online yoga program or waitlist). Chapter 2 is a retrospective and cross-sectional study describing survivors’ pre-intervention psychological and cognitive functioning during the pandemic, and evaluating the impact of trauma at particular developmental stages. Regression analyses revealed particular implications of adolescent and young-childhood trauma. Chapter 3 presents a manual of TIME yoga and feasibility data from the initial RCT, supporting both feasibility and safety of the program. Chapter 4 underscores yoga-related improvements in depressive symptoms, interoceptive awareness, and executive functioning. Using both repeated-measures ANOVAs and clinically meaningful indicators of change, this study illustrates how TIME yoga effectively improved survivors’ self-regulation during the global health crisis. Future directions for program development and evaluation are discussed. / Graduate / 2023-04-11