Differences in outcomes emerged by partner number and partner number/gender (H3); these differences were mediated by experienced bi-negativity (H4). I could see in just those two statements how the ten sessions in between shifted my thinking. Participants identified as White (82.8%), Hispanic/Latina (12.4%), American Indian/Alaska Native (13.5%), Black/African American (13.8%), and/or Asian/Asian American (4.9%). Which takes a little bit of the pressure off of you, maybe. Latent class analyses (LCA) were used to identify subgroups of women with similar victimization experiences. This review focuses on three populations: combat veterans, child sexual abuse survivors, and survivors of domestic violence. It felt like it was less fraught. View details for DOI 10.1016/j.addbeh.2006.09.007, View details for Web of Science ID 000246097600013, View details for PubMedCentralID PMC1902810. A., Kaysen, D. Randomized Controlled Trial of a Spring Break Intervention to Reduce High-Risk Drinking. addresses Posttraumatic Stress Disorder (PTSD) as a pathway to preventing substance use All assessment and intervention procedures were web-based. Like, nothing was physically wrong. It all looked shining and miraculous. Results provide support for self-medication models of drinking and suggest the importance of exploring gender differences in mechanisms for drinking. Results generally supported a self-medication model with elevated PTSD symptoms predictive of greater alcohol use on that same day and on the following day. This is going to be a living document that you and I are going to share. So I'm going to teach you something new. I think it's more like if I hadn't waved, it wouldn't have happened. And then he ran up the alley the other way. Internalized heterosexism and cognitions about the self longitudinally predicted PTSD symptom severity. It feels like a small victory. Finally, we describe the agreements and protocols developed.We produced a strong sustainable research team that brought program and research funding to the community. Special thanks to Emily Dworkin, Patricia Resick, Henry Schwartz, and Shawn Bishop. View details for DOI 10.1080/07399332.2017.1375505, View details for Web of Science ID 000428750000008. Evidence has supported theorised influences that can account for alcohol-related disparities, yet important gaps remain. Lewis, M. A., Kaysen, D. L., Rees, M., Woods, B. and who were not engaged in AUD treatment. Like, I'm in someone else's clothes. And he, like-- like, I smiled or waved, and then he beckoned me over. Spring Break trips are associated with heavy drinking and with risky sexual behavior (e.g., unprotected sex, multiple partners, unwanted sexual contact), especially for those students who go on trips with friends. Women in the forceful severe category had higher levels of anxiety, depression, and trauma symptoms; higher proportions of incarceration and transactional sex; and more experiences with controlling and violent partners than did women in the other 2 groups. I mean, I think part of the reason that I haven't dealt with a lot of it is like the outcome wasn't-- and I know I've heard this before from other people who have been assaulted, is that the outcome wasn't, like, that bad. There were no significant differences in race, ethnicity, deployment history, or religion between SC users and others. I won't go for a run. Lesbian, gay, and bisexual young adults are at elevated risk for drinking compared to heterosexual young adults, and this discrepancy is particularly striking for sexual minority women (SMW). Of course, so many survivors of sexual assault don't get any treatment at all-- not talk therapy, not CPT, nothing. The systematic evaluation of relative risk offers insights into event-specific drinking and an empirical basis upon which to consider allocation of limited prevention resources. Adaptations used in low- and medium-income countries might offer useful ideas for increasing the portability, impact, and accessibility of evidence-based interventions in high-income countries. will be assessed pretreatment, immediately post-treatment, 3-, 6-, 9-, and 12-months Although preliminary, these results suggest that linking PTSD symptoms to a single traumatic event excludes a meaningful number of cases who are otherwise indistinguishable based on symptom profile. Dr. Kaysen and I walk through the worksheet, step by step, through all the prompts and questions CPT relies on-- whether there's evidence for my stuck point, whether I'm making an all or nothing statement, whether I'm jumping to conclusions, what I'm leaving out. Each question gets a numerical value on a scale of 0 to 4, and Dr. Kaysen adds them up. She completed an internship at the University of Washington and continued there to complete an NIAAA-funded F32 to study the area of overlap between PTSD and alcohol use disorders. Study data would benefit Assess this intervention delivered by Native American community health workers for Koo, K. H., Nguyen, H. V., Gilmore, A. K., Blayney, J. Given that identification of stuck points is central to implementing CPT, difficulty identifying stuck points could pose significant challenges for implementing CPT among Latino clients and warrants further examination. In each of the above adjusted models, low maternal education was associated with increased risk of preterm birth, in the analysis with depressive symptoms OR 0.18, CI 0.04-0.86 and in the analyses with psychological abuse OR 0.19, CI 0.04-0.91.These findings suggest that future research should focus on understanding the psychosocial antecedents to preterm birth, to better target interventions and improve maternal child health in limited resource settings. The event happened because I had a drink. Participants were screened and assessed at baseline, 1-week, and 3- and 6-month follow-ups. Yep. Alcohol use did not predict physical health but was associated with PTSD. Pedersen, E. R., Kaysen, D. L., Lindgren, K. P., Blayney, J., Simpson, T. L. Sexual assault, drinking norms, and drinking behavior among a national sample of lesbian and bisexual women. I crossed off a bunch that I just didn't think were stuck points in the first place. Participants completed four annual surveys. But also hard because it feels less special. I think it shifts to helplessness in some ways. Unexpectedly, WAs more strongly endorsed somatization than AAs. Simpson, T. L., Comtois, K., Moore, S. A., Kaysen, D. Experimental and cross-sectional examinations of the relations among implicit alcohol cognitions, stress, and drinking. This study examined the role of Asian ethnicity as a moderator of drinking outcomes associated with alcohol-related sexual assault (incapacitated rape). CPT sessions were rated for treatment fidelity and therapist modifications.Overall, therapist adherence was high, although it decreased across sessions suggesting potential drift. findings from this pilot will provide evidence for a larger effectiveness trial. We were interested in determining the extent to which these relationships differed across gender.A total of 780 (57.3% female) incoming heavy drinking college freshmen who were between the ages of 18 and 25 years completed self-reported measures of IPV perpetration, alcohol use and problems, and alcohol aggression expectancies and subjective evaluations of those expectancies as part of the baseline assessment for a larger social norms alcohol intervention study. The model demonstrated acceptable fit, chi2 (83) = 402.9, p Contrary to a mutual maintenance model prediction, drinking did not predict next-day PTSD symptoms. While research has documented heavy drinking practices and associated negative consequences of college students turning 21, few studies have examined prevention efforts aimed at reducing high-risk drinking during 21st birthday celebrations. She has conducted critical studies on treatment of PTSD and/or substance use across a variety of populations (sexual minority women, Native Americans, sexual assault survivors, torture survivors, active duty military) and in a variety of settings (the Democratic Republic of Congo, Iraq, primary care, rural settings). Dworkin, E. R., Bergman, H. E., Walton, T. O., Walker, D. D., Kaysen, D. L. Proximal relationships between social support and PTSD symptom severity: A daily diary study of sexual assault survivors. PTSD also moderated the association between the perception of others' depression coping motives and one's own consequences. To describe our partnership and research infrastructure development strategies and discuss steps in developing a culturally grounded framework to obtain data and identify a trauma-informed evidence-based intervention.We present funding strategies that develop and maintain the partnership and tools that guided research development. Nice. This paper describes the development and successful implementation of the study's marketing strategies at the recruitment period's midpoint (2010-2012). [SNIFFS] Someone wrote me an email [SNIFFS] just about my book. Yeah, you have. We're joking, but there's something there. I'm older. In addition, infrequent/light drinking, even for women with PTSD, may be associated with fewer health concerns. Other research conducted by Dr. Kaysen has focused on increasing our understanding of how PTSD and substance use may influence each other. Results of regression analyses revealed associations between experiencing CSA and adult sexual abuse, and experiencing childhood physical abuse and adult physical and sexual abuse. It's like you're forehead-slapping. Across specific subgroups (fraternity/sorority members and men) different patterns emerged. I want you to write at least one page on what you think, now, about why the traumatic event occurred. I understand the moodiness of "Twin Peaks" better and why cardigans were so essential for Kurt Cobain. Kaysen, D., Stappenbeck, C. A., Carroll, H., Fukunaga, R., Robinette, K., Dworkin, E. R., Murray, S. M., Tol, W. A., Annan, J., Bolton, P., Bass, J. My statement, when I'm not in control, bad things will happen-- is there evidence it might not be true? Dr. Kaysen reminds me that he had a knife. When Jeffrey Epstein was found dead, I was angry on behalf of his victims. Sexual minority women have elevated trauma exposure and prevalence of posttraumatic stress disorder (PTSD) compared to heterosexual women and they are also more likely to use cannabis, although no research has examined relationships between PTSD and cannabis use in this population. Or sometimes if you're interacting with people, then you may be more likely to get compliments. Curriculum Vita . The current study adds to the previous literature by exploring differences in trauma exposure, sexual identity, mental health, and substance use in a nonprobability national sample of young adult SMW. Coping drinking motives, but not other drinking motives, mediated within-person associations between PTS and drinking, such that daily fluctuations in PTS symptoms were associated with stronger-than-normal coping drinking motives, which in turn predicted more drinks per drinking day. Debra Kaysen is a clinical psychologist and Professor in the Department of Psychiatry and Behavioral Sciences at Stanford University. tribal partners. View details for PubMedCentralID PMC6736570. The DSM-5 symptom criteria fit the data well in confirmatory factor analysis. Women who had any alcohol problems had higher PTSD symptoms. Intervention and screening efforts could likely benefit from targeting those associations. The Impact of Personalized Letters Versus General Pamphlets as a Function of Sex and Controlled Orientation. The big mama worksheets ask for percentages related to how much you feel things and to how much you believe certain thoughts. CPT does the same thing, but in a systematized way. I fail at setting up the recording equipment a few times, before getting it semi-right. Participants were grouped into the following diagnostic groups: current AUD (past 12 months), past AUD (prior to 12 months), and no AUD. Nice. But I don't see how it's adding up yet. I'm going to miss her. Although alcohol use has been associated with increased risk of victimization, little is known about how victim substance use at the time of assault may affect posttraumatic stress disorder (PTSD) symptom development. I don't fully understand the percentages, but I did feel better after working through it. A dose-response model underlies posttraumatic stress disorder (PTSD) and posits a relationship between event magnitude and clinical outcome. I love making lists. Differing Approaches to Addressing the Gap in Dissemination of Evidence-Based Care in Mental Health, The Relationship Between Assault and Physical Health Complaints in a Sample of Female Drinkers Roles of Avoidant Coping and Alcohol Use. But what we're going to be doing from this session on out is we're going to start working with different themes. These findings suggest that for individuals with comorbid AD and PTSD, interventions that focus on reducing PTSD symptoms are likely to lower coping motives for both genders, and targeting coping motives is likely to result in decreased drinking for women but not for men, whereas targeting enhancement motives is likely to lead to reduced drinking for both genders. View details for DOI 10.1177/0886260514540802, View details for Web of Science ID 000352003900001. PTSD in sexual assault survivors by developing a web-based early intervention aimed at Drinking on holidays or special days was substantially lower than drinking on 21st birthdays. There was significant variability in RTC: 71.86% of variance in RTC was between-person differences, and 28.14% was within-person differences. Specifically, participants indicated the extent to which they intended to (a) get drunk and (b) drink enough to black out or pass out; and the extent to which they were willing to (a) get drunk and (b) drink enough to black out or pass out. And fear came down, anger came down, and frustration came down. (PsycINFO Database Record, View details for Web of Science ID 000394993800002. Fitzpatrick, S., Dworkin, E. R., Zimmerman, L., Javorka, M., Kaysen, D. Daily relationships between posttraumatic stress symptoms, drinking motives, and alcohol consumption in trauma-exposed sexual minority women. View details for DOI 10.1007/s10865-007-9140-5, View details for Web of Science ID 000255839100003, View details for PubMedCentralID PMC2977920. The, because I wasn't raped, or because I wasn't cut, I shouldn't have these reactions? Most longitudinal studies suggest that PTSD symptoms erode social support over time, although some suggest that higher social support is prospectively associated with decrease in PTSD symptom severity. Not because I didn't want to or need to, but because I didn't know how. One hundred and five U.S. undergraduate heavy episodic drinkers completed baseline measures of: drinking patterns, three Implicit Association Tests (evaluating drinking identity, alcohol excite, alcohol approach associations) and their explicit measure counterparts, implicit theories about willpower, and working memory capacity. Dr. Kaysen asks me if I've crossed any off. The wolf beckons Little Red Riding Hood. Women in the CPT villages increased group membership and participation at 6-month follow-up and emotional support seeking after the intervention compared with women in the individual support villages.Results support the efficacy of group CPT to increase dimensions of social capital among survivors of sexual violence in a low-income conflict-affected context. sexual-risk behaviors (HSB) for American Indian / Alaska Native (AIAN) men and women. Dr. Kaysen pauses. Findings indicated that daily heterosexism longitudinally predicted trauma-related cognitions (i.e., cognitions related to the self, world, and self-blame). What did you notice in the process? potential for social support to mitigate the harm of trauma. I take out the worksheets, and we loop back to my stuck point about the boxers. As more advanced methodologies are developed for symptom assessment in traumatic stress studies, it is important to examine how these methodologies can exacerbate distress or contribute to symptoms among study participants. It's going to be a little different than a lot of our other sessions. This current study was designed to address this gap. It's a big thing in mania. Mental health related quality of life (SF-12 MCS) is 2.5 standard deviations below the national mean.DISCUSSION: We hypothesize that patients randomized to Telepsychiatry Collaborative Care will have better outcomes than those randomized to Telepsychiatry Enhanced Referral because a higher proportion will engage in evidence-based treatment. This increased risk has been attributed to minority stress. This is one that's going to be a life skill for you. I can see the beginning point. We hypothesized that specific drinking consequences would predict risk for revictimization above and beyond the quantity of alcohol consumed. This pattern of results was also found for those with high negative drinking consequences during the month prior to the assault. A., Norris, J., Olin, C. C., Gasser, M. L., Kaysen, D., Neighbors, C. Predicting PTSD Severity From Experiences of Trauma and Heterosexism in Lesbian and Bisexual Women: A Longitudinal Study of Cognitive Mediators. 91% of students never experienced an incapacitated rape, 2% reported an incapacitated rape prior to the first assessment point (n=30), and 6% reported one over the course of the study (n=76). Participants were mostly White (72.8%) and ranged in age from 18 to 25 (M = 23.8). Although drinking motives have been shown to influence drinking behavior among women with trauma histories and PTSD, no known research has examined the influence of drinking motives on alcohol use and alcohol-related consequences for women with PTSD as compared to women with a trauma history but no PTSD and women with no trauma history. And I'll ask you if you know what the score was. This is like ninja therapy. How was it writing the second impact statement? It has many boxes, and tables, and questions, 26 in all. These findings are consistent with the psychological mediation framework (Hatzenbuehler, 2009) and suggest that SMW group-specific processes such as discrimination may be especially important in conferring risk for problem drinking via emotion dysregulation. And I tell Dr. Kaysen about this. I don't know why he molested me. For example, among those higher on coping drinking motives, a 1-unit increase in PTSD symptom severity was associated with a 35% increase in amount of alcohol consumed the same day, while among those low on coping drinking motives, a 1-unit PTSD increase was associated with only a 10% increase in alcohol consumption. Greater attention to fidelity and adaptation can enhance training so providers can tailor while retaining core components of the intervention. Between-person analyses suggested that people with generally higher social support tended to have lower PTSD symptoms on a given day, but average PTSD symptom severity was not associated with day-to-day fluctuations in social support.Rather than eroding in response to daily symptoms, social support might be sought out following increases in PTSD, and when received consistently, might reduce symptoms of PTSD in the short term. Results highlight the importance of coping drinking motives and suggest that alternative coping strategies may help trauma-exposed SMW to manage heightened PTS symptoms without increasing their alcohol consumption. OK. All right. Results found the overall MANOVA for ethnicity and incapacitated rape (IR) interactions to be significant. Finally, it is geared toward Childhood psychological abuse was associated with adult physical and psychological abuse and partner psychological abuse. (PsycINFO Database Record, View details for Web of Science ID 000430378900005, View details for PubMedCentralID PMC6020062, View details for Web of Science ID 000428649900003. Client symptomatology was tracked using the PTSD Symptom Scale and the Beck Depression Inventory over the course of 12 sessions and for a 3-month posttermination session. Like, if you have shame, you have something to feel shameful about. What if someone told you about a type of therapy that could help you work through unhealed trauma in just ten sessions? The present study evaluated the comparative efficacy of a general prevention effort (i.e., Brief Alcohol Screening and Intervention for College Students, or BASICS) and event-specific prevention in reducing 21st birthday drinking and related negative consequences. A., Moore, S. A., Kaysen, D. The Correspondence of Daily and Retrospective PTSD Reports Among Female Victims of Sexual Assault. Either you're going to need to listen for compliments you're getting naturally without filtering them. He was in control. View details for DOI 10.1080/20008198.2020.1735162, View details for Web of Science ID 000519981800001. Participants were followed over 2 14-consecutive-day measurement bursts (720 person-days reported). I've never dealt with it, I never wanted to-- in the book, in treatment. Objective: Sexual minority women (SMW) evidence elevated rates of trauma exposure, posttraumatic stress (PTS), and alcohol consumption. Or like inappropriate. All right, I'm going to make a copy of the impact statement. I didn't know why. This study examined timing of alcohol-related sexual assaults (incapacitated rape) in relation to both alcohol consumption and alcohol-related negative consequences. In contrast, interventions that contain non-SB-related content, are web-based, or seek to involve friends may be less effective at reducing SB drinking. She strays from the path, and then she sings, "He drew me close and he swallowed me down, down a dark slimy path where life's secrets that I never want to know and when everything familiar seemed to disappear forever." We created a framework and matrix of program objectives grounded in community knowledge. View details for DOI 10.1186/s12888-014-0360-2, View details for Web of Science ID 000348155600001, View details for PubMedCentralID PMC4301059, Sexual minorities have higher rates of depression and anxiety than their heterosexual counterparts. Although a few studies have evaluated self-control as a moderator of the relationship between implicit measures of alcohol-related associations and drinking, this study extended that work by using a previously-validated manipulation that included a more (vs. less) cognitively demanding task and incentive to restrain drinking and by evaluating multiple validated measures of alcohol-related associations. Can you describe the worksheet, actually? And one of my stuck points is, when I'm not in control, bad things will happen, which I believe 80%. Racial minority SMW reported lower community connectedness, but not lower collective self-esteem. I'm put off by the language. High adherence ratings were associated with greater reductions in depressive symptoms, whereas higher competence ratings were associated with greater reduction in posttraumatic stress symptoms.The results highlight the importance of differentially assessing therapist adherence, competence, and modifications to EBP in usual care settings. tribal and rural communities and the mental health field. It was a place where I knew most of our neighbors. But still, I wouldn't have said I was a little girl. Valenstein-Mah, H., Larimer, M., Zoellner, L., Kaysen, D. A Person-Centered Approach to Examining Heterogeneity and Subgroups Among Survivors of Sexual Assault. Results were not consistent with expectations. But that night, I find that doing them is calming and clear. feasibility and acceptability in a resource-limited rural reservation setting. I've been working so hard to learn the process of CPT that I didn't realize how much I'd resolved along the way. Secondary outcomes included posttraumatic stress, anxiety, and traumatic grief symptoms.Twenty community mental health workers, working in rural health clinics, were randomly assigned to training in one of the two interventions. The findings also suggest that effective EBP delivery in routine care may require minor adaptations to meet client needs, consistent with previous studies. This protocol paper describes SPIRIT, a pragmatic comparative effectiveness trial designed to compare two approaches to managing PTSD and bipolar disorder in FQHCs.INTERVENTIONS: Treatment comparators are: 1) Telepsychiatry Collaborative Care, which integrates consulting telepsychiatrists into primary care teams, and 2) Telepsychiatry Enhanced Referral, where telepsychiatrists and telepsychologists treat patients directly.METHODS: Because Telepsychiatry Enhanced Referral is an adaptive intervention, a Sequential, Multiple Assignment, Randomized Trial design is used. Analyses using structural equation modeling (SEM) indicated direct and indirect paths in the sexual assault-problem drinking relation. These results also offer support for the utility of MI-based prevention strategies in increasing RTC within individuals. Like, there's something like--. However, in weeks in which students drank more, they experienced a decrease in RTC. Our findings indicate that both researchers and clinicians should turn their attention to processes of resilience among young SMW, particularly young SMW of color. Are you different now than you were then? No studies have assessed revictimization among MSM living with HIV, despite strong evidence for disproportionately high rates of life span abuse among this group, along with the added vulnerability of living with HIV and sexual minority stress. My previous belief shifts because I've concluded that it's inaccurate. It was like he found a way into my personal sexuality, like a portal into parts of me I hadn't explored or known, because I was so young. The email was from a young woman who is also bipolar. Based on lessons learned from prior studies and clinical delivery of CPT via telehealth, recommendations are made with regard to overall strategies for adapting CPT to a telehealth format, including how to conduct routine assessments and ensure treatment fidelity. Adolescent sexual victimization was an important predictor of sexual revictimization in college women; blackout drinking may confer unique risk for revictimization. View details for DOI 10.1093/alcalc/agy012, View details for Web of Science ID 000439653000006, View details for PubMedCentralID PMC6016689, Multiple studies indicate that implicit alcohol-related associations (i.e., indices of relatively fast, spontaneous processes) predict drinking.

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