The objective of this study was to examine the relations between Posttraumatic Stress Disorder symptomatology and intelligence. Thirty American combat veterans of the Vietnam War, diagnosed with chronic PTSD, were given a psychodiagnostic structured interview. Participants were assessed for Intelligence Quotient as well as the veracity of their self report. The study found that there were significant differences in how participants experienced their PTSD symptoms that were correlated with intelligence. The higher IQ participants reported more frequent and intense guilt related symptoms as well as more intense intrusive recollections. The lower IQ participants experienced more frequent startle responses, more intense problems related to falling or remaining asleep and more frequent affective symptoms related to emotional numbing. Psychologists could use these differences in how PTSD is experienced in treatment planning. It may be useful for therapy to address sleep disturbances and affective numbing in lower IQ individuals. Therapy for higher IQ individuals may be more useful if it addresses feelings of guilt and intrusive recollections.

This project investigated the relations between recalled job-satisfaction, ability, and task demands in Vietnam era helicopter aviators. It attempted to detect and describe factors present in a dangerous combat environment which may influence some individuals to enjoy and take satisfaction at being exposed to, creating, and participating in the dangerous and life threatening violence involved in helicopter combat. Participants were 30 pilots and crew members retired from the 335th Assault Helicopter Company who were all actively involved in combat in Vietnam from 1968 to 1970. This study found that developing a love of war is correlated with anger during combat. The love of war is not correlated with PTSD processes nor is it correlated with specific personality dimensions. The love of war research is a new area. The questions were used to operationalize the love of war represent a significant limitation. This method of operationalizing the love of war concept does not make fine discriminations has questionable content validity. To facilitate accuracy in discriminating between participants when conducting future research in the area, researchers could benefit from constructing a measure with greater content validity.

This study explored NCAA athletic departments' mental health screening practices, including the mental health concerns assessed for by the mental health screening, personnel responsible for administering and reviewing screeners, and resources available for athletes identified as "at risk." Participants were athletic department staff who had knowledge of their school's mental health screening processes. Frequencies and chi-square analyses were used to assess trends across divisional levels (DI vs. DII/DIII). Analyses show that significantly more DI than DII/DDIII institutions have a formal mental health screening program. Institutions' coverage of mental health topics in their screening did not vary significantly by Divisional level, with one exception: a larger percentage of DI institutions assessed whether student athletes had worked with a mental health practitioner than DII/DIII schools. DII/III were significantly more likely to have athletic trainers both administer and review mental health screeners and DI institutions were significantly more likely to have a sport psychologist employed within their athletic department than. DI schools were significantly more likely to have had a student athlete attempt suicide and participate in inpatient treatment than DII/III schools. Implications of the findings, limitations, and future directions are discussed.

Transportation-related collisions are ubiquitous and often traumatic. Identifying post-collision psychological distress and the characteristics of the collision survivor that lead to distress are vital to the development of early and appropriate interventions. The goals of this study were: 1) to use a questionnaire as opposed to a typical diagnostic interview, 2) to confirm that psychological distress is present in currently hospitalized transportation-related collision survivors, 3) to confirm that different types of distress co-occur, 4) to determine if distress is more likely to occur in those who have had prior distress, and 5) to explore the relationship between symptoms of distress and perception of control by self, others, and God/Higher Power of past, present, and future collision-related events. Subjects were 100 English speaking adult inpatients, 16 years and older, who were less than 3 weeks post-injury, and receiving some rehabilitation. Participants completed a questionnaire which included the Center for Epidemiologic Studies Depression Scale (CES-D), Beck Anxiety Inventory (BAI), and Davidson Trauma Scale (DTS) as well as questions regarding demographics, details of the collision/injury, alcohol/drug use, pain, past and present stressors, social support, and perceptions of life change. Information about head injury and collision-concurrent alcohol and/or drug use was collected from the …

This study examined the impact that a stress inoculation training (SIT) program had on a small-sized city police department in the southwestern U.S. Specifically, the aim of this study was to investigate how a SIT program impacted police officer self-reported levels of organizational stress, operational stress, perceived life stress, and mood states. All 24 participants were recruited from a population of 132 sworn, active duty police officers and were pre-tested through administration of a questionnaire packet containing a host of measures related to demographics, organizational stressors, operational stressors, general life stressors, and mood states. Participants were then randomly assigned to one of the following treatment conditions: (1) delayed training; (2) SIT program; and (3) SIT plus booster program. On completion of the SIT program, members of each of the treatment conditions were re-assessed through the administration of the aforementioned questionnaire packet. Subsequent to conducting the booster sessions, participants from each treatment condition took part in a second, and final, follow-up assessment. Results suggested that organizational stress was decreased for participants in the SIT program, particularly at follow-up. Results also suggested that energy (i.e., vigor) was increased for participants in the SIT plus booster program at both post-test and follow-up. Furthermore, …

The current study used a sample of service members and veterans to explore the association of combat exposure and perceptions of the family system using a moderated mediation model. Combat veterans over the age of 18 with a family of creation (N = 154) completed an online survey through which they were administered a background information questionnaire, the Combat Experiences subscale of the Deployment Risk and Resilience Inventory – 2, the Moral Injury Events Scale, the PTSD Checklist for DSM-5, the Patient Health Questionnaire, the Beck Anxiety Inventory, the McMaster Family Assessment Device, and the Dyadic Adjustment Scale – Revised. Results of six moderated mediation analyses revealed that exposure to potentially morally injurious events (pMIEs) moderated the relationship between (1) combat exposure and couple relationship satisfaction and (2) combat exposure and family functioning, both via PTSS, anxious symptoms, and depressive symptoms. To our knowledge, the empirical models presented in this paper are the first to model the role of pMIEs in SMV literature, and provide a foundation for other models to emerge moving forward. Implications and limitations are discussed.

Subjects, 432 convenience store cashiers, were divided into long-tenure and short-tenure groups. Chi-square analysis of application blank information for a weighting sample drawn from both groups revealed two items which significantly (p < .05) differentiated between the long tenure and short-tenure groups: number of previous jobs and full-time/part-time preference. Response weights were computed for these two items and used to calculate composite scores for the remaining holdout sample. A significant reduction in turnover would have occurred at the highest composite score level, if used as a hiring cut off. Results were tempered by several considerations, including a high percentage of false negatives and an insignificant linear relationship between composite scores and tenure.

Assessment of executive functioning in neurodevelopmental disorders (e.g., autism) is a crucial aspect of neuropsychological evaluations. The executive functions are accomplished by the supervisory attentional system (SAS) and include such processes as inhibition, switching, and planning. Autism spectrum disorder (ASD) tends to present similarly to other neurodevelopmental disorders (e.g., ADHD). For example, ASD and ADHD may share similar etiological underpinnings in the frontostriatal system of the frontal lobe. Research on executive functioning in ASD has been mixed, thus the precise nature of executive functioning deficits in ASD remains equivocal. In recent years, simulation technologies have emerged as an avenue to assess neurocognitive functioning in individuals with neurodevelopmental disorders impacting frontostriatal function. Simulation technology enables neuropsychologists to assess neurocognitive functioning within a testing environment that replicates environments in which the subject is likely to be in everyday life, as well as present controlled, real-world distractions, which may be better able to tap “hot” executive functions. A Virtual Classroom Continuous Performance Test (CPT) has been used successfully to assess attention in individuals with neurodevelopmental disorders impacting frontostriatal function. The current study aimed to investigate executive functioning in individuals with high functioning ASD using a new construct driven Stroop assessment embedded into the …

This study investigates the use of response guidance for errorless learning of a perceptual motor task in normal elderly. It provides normative data for a study with stroke patients using this technique for cognitive rehabilitation. While errorless learning has been shown to be more effective on most tasks than trial and error learning for people with memory impairments, its use with normal individuals has received limited attention. The questions of interest were whether errorless training of the perceptual motor task was more effective for improving and retaining accuracy; and whether both accuracy and response speed were more resistant to the effects of increased cognitive demands. A sample of 43 normal elderly in the United Kingdom, ranging in age from 60 to 77, completed an assessment of intelligence, memory, and attention. They then received training, over two sessions one week apart, to mark the midpoint of Judd Arrows presented on a computer screen using a cross cursor moved by an active force feedback joystick (AFF). During training the errorless group received AFF guidance to the correct midpoint, while the errorful group received none, and both received auditory and visual knowledge of results. There was no AFF during baseline or post test …

The present study was conducted to clarify and expand knowledge of cognitive functioning in chronic schizophrenia patients (N=21) as compared to a bipolar group (N=20) and a normal group (N=20).

Cognitive impairment is common in multiple sclerosis (MS), with as many as 70% of patients with MS affected. Individuals with MS who experience cognitive deficits are less likely to be employed, and may have more difficulty performing independent activities of daily living. Most commonly, deficits are observed in processing speed, complex attention, and memory. Because lesion location varies widely among individuals, no clear pattern of cognitive dysfunction in MS has emerged. However, a number of risk and protective factors may influence the likelihood of individuals to develop and/or express dysfunction, though the contribution of each to specific domains of cognition has not been fully explored. Recently, support for the cognitive reserve hypothesis (i.e., enriching life experiences protect against cognitive decline despite disease burden) has emerged in the MS literature. The current study investigated the contributions of cognitive reserve to learning and memory functioning in MS and the interaction of cognitive reserve variables and risk factors known to impact cognitive functioning in individuals with MS. Finding revealed cognitive reserve protects against decline in the domains of processing speed and complex attention. Furthermore, indirect protective effects of cognitive reserve through these domains were observed for verbal learning and memory. Finally, in line …

The purpose of this study was to examine the role of attachment processes and coping strategies in the development of psychiatric symptoms among military veterans and active duty personnel. Data were obtained from 268 male and female military veterans and active duty personnel. A path analysis was conducted to estimate the relationships between attachment processes, coping strategies, and psychiatric symptoms. Findings demonstrated that greater levels of attachment anxiety were related to increased levels of avoidant coping and psychiatric symptoms, while higher levels of attachment avoidance were related to avoidant coping and PTSD symptoms, as well as decreased levels of problem-focused coping. Alcohol use was associated with psychiatric symptoms. Avoidant coping, but not problem-focused coping, was associated with psychiatric symptoms and partially mediated the relationship between anxious attachment and psychiatric symptoms. Avoidant coping also fully or partially mediated the relationships of avoidant attachment to depression and PTSD symptoms. The findings of this study increase our knowledge of mechanisms that contribute to psychiatric symptoms among military populations, which in turn can guide treatment planning and interventions.

Since 2009, the suicide completion rate for military service members and veterans (SMVs) has exceeded rates in civilian populations, with risk highest among young, male veterans. Suicide risk factors include psychiatric illness, low social support, and repeated or prolonged exposure to traumatic events. Recent research further suggests that the experience of unresolved morally injurious events (MIEs) may create lasting feelings of guilt and shame that contribute to psychiatric illness. Additionally, adult attachment plays an important role in coping responses and relational strategies and may influence the degree to which SMVs experience helplessness and isolation that foster suicidal ideation. Protective factors such as social connectedness are important mitigating factors, substantially reducing the risk of suicidality. In the present sample of 206 combat SMVs, higher suicidal ideation was directly correlated with more MIEs, higher attachment avoidance and anxiety, and lower social support. Although neither social support nor attachment anxiety moderated the link between MIEs and suicidal ideation, a significant interaction between attachment avoidance and MIEs emerged, suggesting that higher attachment avoidance increases the risk for suicidal ideation among SMVs reporting more experiences of moral injury. Additionally, findings suggest that higher levels of social support buffer the detrimental effects of attachment anxiety, but …

The work group editing trauma disorders for the upcoming edition of the International Classification of Diseases (ICD-11) made several changes. Specifically, they significantly simplified the guidelines for post-traumatic stress disorder (PTSD) and added a new trauma disorder called complex PTSD (CPTSD). The new domains for PTSD and the addition of CPTSD require new instruments to assess these novel constructs. We developed a measure of PTSD and CPTSD (Complex Trauma Inventory; CTI) according to the proposed ICD-11 domains, creating several items to assess each domain. We examined the factor structure of the CTI (using both exploratory and confirmatory factor analyses) in two separate samples of diverse college students (n1 = 501; n2 = 500), reducing the original 53 trauma items in the item pool to 21 items. Confirmatory factor analyses supported two highly-correlated second-order factors (PTSD and complex factors), with PTSD (i.e., re-experiencing, avoidance, hyper-arousal) and complex factors (i.e., affect dysregulation, alterations in self-perception and alterations in relationships with others) each loading on three of the six ICD-11-consistent first-order factors (RMSEA = .08, CFI = .92, GFI = .87, SRMR = .06). Internal consistency for PTSD (α = .92) and complex factors (α = .93) are excellent.

The purpose of the study was to examine whether athletic participation as a child and/or adolescent acts as a protective factor for youth who endure childhood maltreatment. After screening for childhood maltreatment, our 269 participants were separated into either an athlete group or a non-athlete group and compared using two one-way multivariate analyses of covariance (MANCOVA). Emotional neglect served as the covariate due to non-athletes' significantly higher emotional neglect scores than athletes. The first MANCOVA compared athletes and non-athletes on positive outcomes, which included measures of post-traumatic growth, three adaptive coping strategies, and self-compassion. In the second MANCOVA, we assessed for differences between athletes and non-athletes on negative outcomes, which included measures of traumatic, depressive, and anxious symptomology and a maladaptive coping strategy. Neither MANCOVA reached significance, rejecting our hypothesis that athletes would be more resilient than non-athletes to the negative impact of childhood maltreatment. Discussion considers possible reasons for the lack of significance, such as the recency of athletic participation or the specific type of maltreatment experienced, as well as limitations and directions for future research.

Today’s military encompasses a wide variety of families who are affected by deployments in multiple and complex ways. Following deployments, families must reconnect in their relationships and reestablish their way of life. Appropriate and effective communication during this time is critical, yet many military couples struggle with this process. Moreover, student service members/veterans and their families are in a unique position. In addition to coping with changes in their marital relationship, student veterans may feel isolated or unsupported on college campuses, often experiencing anxiety, depression, posttraumatic stress, or suicidality. The current study seeks to bridge the gap between the military family literature and the student service member/veteran literature by examining how deployment experiences, mental health issues, and communication patterns influence post-deployment relationship adjustment among student veterans. Analyses tested whether communication style and/or current mental health concerns mediate associations between combat experiences and couples’ relationship adjustment, as well as between experiences in the aftermath of battle and relationship adjustment. Results suggest that although posttraumatic stress is significantly related to deployment experiences among student veterans, participants report no significant negative effects of deployment on relationship adjustment. Communication style, however, was significantly associated with relationship adjustment, and a lack of positive communication was …

The purpose of this study was to examine the impact of military deployment on children, and the roles that risk and protective factors and parenting stress play in emotional symptoms and behaviors exhibited by children while their parents are deployed. A sample of 143 parents (recruited from all branches of the military) who remained at home while their spouses were deployed completed online self-report questionnaires measuring demographic and background information, child internalizing and externalizing behavior, parenting stress, child adaptability, valuing behavior, family cohesion/environment, and parenting behaviors. The sample primarily consisted of mothers (n = 141) and Caucasian individuals (n = 126), which may limit the generalizability of the findings. Results of the study suggest risk factors including parenting stress, corporal punishment, length of time a parent is deployed, and type of deployment (combat vs. non-combat) were predictive of poorer child outcomes. Protective factors including values consistent behavior, child adaptability, and family cohesion were predictive of better childhood outcomes. Parenting stress served as a mediating variable between the relationship of total risk and child outcomes, while values consistent behavior served as a mediating variable between the relationship of protective factors experienced by children and child outcomes. Military deployments not only impact …

Research has indicated that OEF/OIF veterans are experiencing mental health concerns following deployment. While there are increasing numbers of veterans returning to higher education institutions after discharging from the military, there is a scarcity of empirical research investigating student veterans’ experiences as they transition into college. The purpose of the current study was to examine whether social support moderates the effects of psychological distress on college adjustment among a sample of student veterans. Participants were administered a Background Information Questionnaire, measures of psychological distress (i.e., GAD-7, PHQ-9, IES-R), Multidimensional Scales of Perceived Social Support, and the Student Adjustment to College Questionnaire. Multiple regressions revealed significant main effects for the variables of interest, but analyses failed to support the hypothesis that perceived social support would moderate the effects of psychological distress on college adjustment.

Currently, neuropsychologists rely on assessment instruments rooted in century old theory and technology to make evaluations of military personnel’s readiness to return-to-duty or return to their community. The present study sought to explore an alternative by evaluating the validity of a neuropsychological assessment presented within a virtual reality platform. The integration of a neuropsychological assessment into a cognitively and emotionally demanding virtual environment – reminiscent of a combat experience in Iraq – offers a more ecologically valid manner in which to evaluate the cognitive skills required in theater. U.S. military veterans’ (N = 50) performance on the Virtual Reality Stroop Task (VRST) was compared with performance on a paper-and-pencil, a computer adapted version of the Stroop task, and the subtests included in the Automated Neuropsychological Assessment Metrics-4 (ANAM4) TBI-MIL test battery. Results supported the validity of the VRST, indicating it demonstrates the typical Stroop effect pattern. The emotional salience of the VRST resulted in slowed reaction time compared to the ANAM Stroop. Further, the complex interference condition of the VRST offers opportunities for evaluation of exogenous and endogenous attentional processing. In the evaluation of threat, participants were noted to perform more accurately and more quickly in low threat versus high …

Since 2008, the United States (USA) has resettled thousands of Bhutanese refugees, providing brief financial support and pathways to citizenship. Despite the efforts of governing bodies and voluntary agencies which facilitate resettlement, many refugees struggle with adapting to the vastly different lifestyle, economy, language and social structures. In particular, effectively addressing psychological needs of this population is a challenge for service providers operating within an expensive health care system based on Western constructs of mental health. In response to this challenge, refugee resettlement agencies throughout the country use community gardens to promote psychological healing, self-sufficiency, community engagement, and a return of human dignity. Though success of these programs is being shared in the media, there has yet to be empirical data examining their impact. The current study tested whether Bhutanese refugee engagement in a community garden impacts symptoms of depression, anxiety, PTSD and somatic complaints. The study also investigated whether community gardening is associated with perceptions of social support and adjustment to life in the United States. Quantitative and qualitative data was collected from 50 adult Bhutanese refugees in Fort Worth, Texas. Gardening was significantly related to increased social support overall, a key factor in overall functionality within communal cultures; …

The purpose of this study was to develop a manualized therapy group for wives or significant others of veterans with posttraumatic stress disorder and to evaluate its effectiveness in reducing wives' psychological symptoms. A second aim of the study was to determine if women's involvement in the wives group resulted in decreases in their husbands' PTSD symptoms. Women recruited for the study were administered pre-test measures during a screening session. They then participated in a 9-session manualized therapy group designed by the researcher that included psychoeducational, process, and support components. Examples of group topics included psychoeducation regarding PTSD, assertiveness and communication, intimacy, self-care, and stress management. After completing the group sessions, participants were asked to complete post-test measures. Other factors explored in this study included marital satisfaction, perceived social support, general satisfaction with the group, and demographic variables. Results indicated that wives who participated in the group treatment exhibited significant decreases in secondary stress symptoms and increases in marital satisfaction from pre-test to post-test. The majority of participants also reported high levels of satisfaction with the group process. Therefore, it appears that the group protocol presented in this study could be a useful tool in the treatment of wives of …

The purpose of the current study was to understand the lived experiences and perspectives of high-functioning survivors of moderate or severe childhood maltreatment (CM) as related to the role of athletic participation in the development of their resilience. We emailed and screened Division I student-athletes from universities across the U. S. who did not meet criteria for a traumatic stress disorder. Using a constructivist grounded theory approach and constant comparison methodology, we obtained and analyzed interview data from 13 participants. The pathways through which participation in childhood athletics supported their coping include receiving social support from coaches and teammates, being present and engaged in their athletic participation, feeling relatively safe in their athletic environment, and spending time away from the main perpetrators of the CM. After applying concepts from existing literature to our data, we developed hypotheses to explain the processes by which participation in youth sport fosters resilience. For example, sport participation may provide opportunities for corrective emotional experiences that help young athletes heal. In addition, based on self-determination theory, maltreated elite athletes may benefit from sport participation because it meets their three basic needs (i.e., autonomy, mastery, and relatedness). We conclude this study with suggested implications for researchers …

This study examined symptoms of anxiety and depression in 99 children and adolescents following a residential fire. Children and their parents completed self-administered questionnaires regarding the fire and their current functioning. The most commonly experienced symptoms were worry/ oversensitivity, anhedonia, negative mood, and fear of failure and criticism. There were no significant ethnic differences across symptomology. Exposure was directly related to parental report of child internalizing behaviors, whereas loss was unrelated to symptoms. Level of support (general and fire related) and active coping were directly associated with positive child adjustment. The impact of negative life events was related to poorer functioning. Overall, a child's environment and coping strategy appear to be the best predictors of adjustment following a residential fire.

The present study related generational status, family dynamics, and perceptions of racial discrimination (PRD) to acute psychiatric outcomes among a nationally representative Asian American sample (N = 2095), using data from the National Latino and Asian American Study (NLAAS). High self-reports of PRD were correlated with endorsement of clinical depression and suicidality as predicted. Regression analyses suggested that high PRD, low family cohesion, and high family conflict served as significant predictors of poor mental health independently, but moderator hypotheses predicting the interaction of these factors were not supported. Clinical and research implications are provided.