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Prior research has pointed to an association between a history of traumatic events and premenstrual syndrome (PMS) in women. The objective of this study was to further investigate the relationship between trauma and PMS among female veterans, a population with high rates of sexual and physical abuse, as well as combat-related exposures. We conducted a case-control study of 502 women veterans under the age of 52 who were associated with the Iowa City Veterans Affairs Medical Center. Trauma history, gynecological health, mental health (including posttraumatic stress disorder), and other variables were obtained through telephone interview. Cases were women who had moderate to severe PMS as defined by validated criteria and controls were women without PMS. The prevalence of PMS was 14.3%. Thirty-three percent of subjects reported a completed sexual assault, 29% a combat-related trauma, and 86% a non-combat related trauma. Factors significantly associated with PMS (p<0.05) in the univariate analysis were: attempted, completed, and number of rapes during a woman's lifetime; rape before age 18; rape during military service; childhood sexual abuse; and number of non-combat related traumas. Childhood physical abuse and combat-related trauma were not associated with PMS in univariate analyses. In our final multivariate model, lifetime completed sexual assault was associated with PMS (odds ratio =2.42, 95% confidence interval = 1.33-4.40). Findings from this study among female veterans indicate that a history of trauma, particularly sexual trauma, is associated with moderate to severe PMS. Further study is warranted to confirm temporal relationships and causal mechanisms.

Posttrauamtic stress disorder can be devastating to those affected by it. Many times it can limit the affected person in his/her daily routins. Equine asssited therapy is an up rising treatment but still there are not enough evidence based research or studies that can confirm its efficacy. There are a lot of different programs with Equine therapy for people with PTSD in the US but it is also used as treatment for other forms of mental illness. The purpose of this litterature study was to obtain knowledge about how efficient Equine therapy as a treatment is for people with PTSD and PTSD related symptoms as a treatment and anxiety. The method to this study is a litterature study that I based on 9 articles. The result showed that Equine therapy may be efficient for peopple with PTSD although some studies were not able to connect scientifically the evidence that the equine therapy in itself was the reason for deacrasing symptoms in PTSD. The conclusion is that after looking in to the studys is that we need more research in the area.

Thesis (Ph.D. (Psychology)) --University of Limpopo, 2016 / Literature has shown that war has negative psychological consequences and long-term effects on war veterans that can be passed on from generation to generation. Little is known about Zimbabwe war veterans` conceptualisation of trauma. The study was aimed at developing a culturally appropriate psychological model for Zimbabwean war veterans. The research objectives were; 1)To explore the Zimbabwean war veterans’ conceptualisation of complex trauma. 2)To establish how Zimbabwean war veterans cope with complex trauma in their lives. 3) To develop a culturally relevant psychological trauma model for war veterans in Zimbabwe. The study was qualitative and the phenomelogical research approach was adopted. The research was informed by the Afrocentric paradigm. Criterion sampling was used to select twenty-six participants. Sixteen individual interviews and two focus group discussions were conducted. Data were analysed using thematic content analysis. The research revealed five major themes covering the experiences of complex trauma among war veterans in Zimbabwe. These themes are social, economic, spiritual, political and personal trauma. Research findings also identified cultural notions of trauma. The participants` had their own way of conceptualising trauma in their local language. The following broad themes that described the participants` coping strategies were identified; appraisal coping, social coping, problem focused coping, emotion focused coping and spiritual coping. Their coping strategies were informed by their culture, experiences and social context. From these themes a cultural model of trauma was developed. The model is unique as it acknowledges the importance of the cultural context in the conceptualisation of trauma and the need to be knowledgeable about local constructs, meanings and languages that inform world views. The model validates propositions by the Afrocentric paradigm that trauma in African contexts is multifaceted. The study recommends the need to be culturally sensitive to understand an individual`s behaviour, explanations of distress, symptom presentation and coping strategies. The study recommends a holistic and contextual approach when intervening among war veterans in Zimbabwe.

The importance of individual differences in psychological responses to loss and potential trauma is well-established, yet previous approaches have been limited in capturing and explaining the full scope of variation. The present studies expanded on this line of research to elucidate key aspects of the risk and protective processes that influence psychological adaptation to loss and trauma. The first set of studies examined the influence of emotion regulation choice sensitivity on the relationship between potentially traumatic events (PTEs) and posttraumatic stress disorder (PTSD) in veterans and nonveterans. In the veteran sample, choice sensitivity was found to be a moderator that reduced the impact of PTE exposure on PTSD symptoms. Choice sensitivity similarly functioned as a moderator in the nonveteran sample, however the effects were contingent on both the type of PTE exposure and the outcomes associated with implementation of the selected regulation strategies. The second set of studies investigated risk and protective factors in the face of spousal loss. Random-intercept cross-lagged panel modeling was employed to examine and clarify the nature of the relationships between key factors and depression across an 8-year period. Factors included optimism, sense of control, religiosity, and social support while the primary bereavement outcome was depression symptoms. Distinct patterns of risk and protective processes were identified in relation to all factors that involved clearly differentiable stable, between-subjects effects and time-varying, within-subjects effects. The third set of studies addressed whether resilience would extend across multiple domains of positive adjustment in the context of spinal cord injury, bereavement, and heart attack. Relationships between symptom-based trajectories of resilience and positive adjustment in psychological, social, and health-related domains were examined. Individuals who exhibited trajectories of resilience in relation to depression symptoms simultaneously experienced better positive adjustment, functioning, and health in areas that included quality of life, perceived manageability, anxiety, self-esteem, social integration, cognition, and body mass index.

付記する学位プログラム名: グローバル生存学大学院連携プログラム / 京都大学 / 0048 / 新制・課程博士 / 博士(社会健康医学) / 甲第22151号 / 社医博第99号 / 新制||社医||10(附属図書館) / 京都大学大学院医学研究科社会健康医学系専攻 / (主査)教授 古川 壽亮, 教授 森田 智視, 教授 村井 俊哉 / 学位規則第4条第1項該当 / Doctor of Public Health / Kyoto University / DFAM

This paper presents results from cost-analysis research for treating Post-Traumatic Stress Disorder in adults. Data for this research was provided by Cigna, a nation-wide healthcare manager in the United States of America. The sample size was 12,845 adults who were diagnosed with PTSD and received outpatient individual and family psychotherapy from one of the following mental health care providers: Marriage and Family Therapists (MFTs), Master’s Nurses (RNs), Medical Doctors (MDs), Professional Counselors (LPCs), Psychologists (PSYs), and Social Workers (MSWs). Results were compared across treatment modality, across practitioner license type and between practitioner educational levels. The results demonstrated that family therapy was most cost effective and used the fewest sessions, while mixed therapy was least cost effective. Among practitioner licensure types MDs were found to be the most cost effective, while the group of RNs, MSWs and MFTs were least cost effective compared to one another. Also, no significant differences in cost effective treatment outcomes were found between Masters Level and Doctoral Level practitioners.

Crime scene examiners (CSEs) spend long hours at traumatic crime scenes, and interact closely with various elements of crime scenes. The topic has only recently attracted international research interest, and in the South African context the offering is meagre. The study set out to determine the profile of Southern Gauteng CSEs; to establish the scope of their tasks and responsibilities; to ascertain their trauma levels in relation to traumatic crime scenes and autopsies; to identify the specific coping strategies they use; to determine their context-specific experiences of job-related stress and trauma; and to ascertain the measure to which they experience contentedness within their workplace and their views on both briefing and debriefing. In pursuit of the objectives of the study, the research paradigm was rooted in positivism. Consequently, a quantitative approach was adopted and a cross-sectional design was employed. Through convenience sampling, 103 respondents were recruited from all eight Local Criminal Record Centres (LCRCs) in Southern Gauteng. The data gathering instrument was a paper-based, self-administered structured questionnaire, which included two standardised measuring instruments for trauma levels and coping strategies respectively. The Kolmogorov-Smirnov and Shapiro-Wilk tests indicated that non-parametric statistical procedures were required. Using the Mann Whitney U test, bivariate analysis allowed for testing the relationships between variables. The findings demonstrate that male CSEs outnumber female CSEs by approximately 3:1. CSEs attend violent crime scenes with striking regularity, but autopsies less frequently. Significant proportions of CSEs are routinely required to both take photographs of crime scenes and compile photo albums. A sizeable number of CSEs present with concerning levels of Post-traumatic Stress Disorder (PTSD) symptomology. The coping strategy adopted by majority of respondents is acceptance. Although attended less frequently, crime scenes involving deceased children are experienced as very distressing. A large proportion of CSEs are hesitant to access debriefing services, for numerous reasons, despite feeling the need to talk to someone about their work. The trauma experienced by CSEs is unique compared with other policing units. Therefore, it is recommended that trauma interventions should be responsive to their needs. Lastly, the CSEs who have been diagnosed with mental health conditions seem to be at significant risk, and thus they should receive special attention in future interventions. Keywords: crime scene examiner, Local Criminal Record Centres, trauma, traumatic event, crime scene, traumatic crime scene, emotional stress, coping strategy, autopsy, Post-traumatic Stress Disorder, Southern Gauteng. / Dissertation (MA (Criminology))--University of Pretoria, 2020. / Social Work and Criminology / MA (Criminology) / Restricted

Background: Most of the neurocognitive research in Posttraumatic Stress Disorder (PTSD) thus far focused on impairment in learning and memory, neglecting the impact of PTSD on executive functioning processes. Therefore, this study specifically aims to investigate the impact of PTSD on frontal lobe executive functioning. Given the high prevalence rate for traumatic event exposure in South Africa, this study provides important findings on the role intact executive functioning plays in all areas of daily functioning, including the maintenance of good mental and physical health. Methods: Executive functions were assessed using an Executive Functioning Battery consisting of the three subtests of the Delis Kaplan Executive Functioning System (e.g., Trail Making Test, Colour-Word Interference Test, and Tower Test), as well as the Executive Functioning Index. The study sample consisted of 88 adult South African citizens who were divided into two groups (PTSD+; n = 44; PTSD–; n = 44) with different levels of trauma exposure. Results: PTSD was linked with impairment in executive functioning domains such as attention, cognitive flexibility, inhibition, working memory, and planning. Important gender differences were also reported in terms of empathy and organisation. In addition, education also appeared to affect frontal lobe executive functioning differently. Conclusions: The data suggest that overall, PTSD impaired executive functioning processes. It is therefore critical that assessment of executive functioning form part of a comprehensive treatment plan for individuals diagnosed with PTSD. / Mini Dissertation (MA)--University of Pretoria, 2019. / Psychology / MA / Unrestricted

Magister Artium (Psychology) - MA(Psych) / Western Cape has the highest prevalence rates of Substance Use Disorder (SUD) with prevalence rates of 18.5%, versus the national average of 13.3%. Existing studies have emphasised that SUD is associated with exposure to trauma and Post-traumatic Stress Disorder (PTSD). In addition, demographic factors such as gender, race and socio-economic status have been correlated with SUD. However, limited research exists on the correlates of SUD among inpatients at substance abuse rehabilitation facilities in the Western Cape Province. The study aimed to address this gap in the literature by investigating the correlates of SUD among inpatients at SUD rehabilitation treatment facilities.