The Survivor Moms’ Companion: Open Pilot of a Posttraumatic Stress Specific Psychoeducation Program for Pregnant Survivors of Childhood Maltreatment and Sexual Trauma

2011 ◽  
Vol 1 (2) ◽  
pp. 111-121 ◽  
Author(s):  
Julia S. Seng ◽  
Mickey Sperlich ◽  
Heather Rowe ◽  
Heather Cameron ◽  
Anna Harris ◽  
...  

The Survivor Moms’ Companion (SMC) is a fully manualized, 10-module self-study psychoeducation program developed to address the pregnancy-specific needs of traumatic stress-affected abuse survivors. It aims to improve affect regulation, reduce interpersonal reactivity, and support posttraumatic stress disorder (PTSD) symptom management despite the presence of triggers. An open pilot enrolled “survivor moms” prior to 28 weeks gestation and they completed baseline diagnostic telephone interviews, fidelity measures, pretest and posttest, and self-report measures assessing the efficacy of the proposed mechanisms of intervention effect. Of 57 eligible women invited to participate, 32 took up the intervention, 9 completed at least the core 4 modules, and 18 completed all 10 modules. Participant scores showed improvements in anger expression, interpersonal reactivity, and PTSD symptom management, suggesting that participation in the SMC is beneficial. Results will inform the protocol for a cluster randomized trial of the SMC.

2001 ◽  
Vol 13 (4) ◽  
pp. 847-871 ◽  
Author(s):  
CHRISTINE WEKERLE ◽  
DAVID A. WOLFE ◽  
D. LYNN HAWKINS ◽  
ANNA-LEE PITTMAN ◽  
ASHLEY GLICKMAN ◽  
...  

The present study, utilizing both a child protective services and high school sample of midadolescents, examined the issue of self-report of maltreatment as it relates to issues of external validity (i.e., concordance with social worker ratings), reliability (i.e., overlap with an alternate child maltreatment self-report inventory; association of a self-labeling item as “abused” with their subscale item counterparts), and construct validity (i.e., the association of maltreatment with posttraumatic stress symptomatology and dating violence). Relevant theoretical work in attachment, trauma, and relationship violence points to a mediational model, whereby the relationship between childhood maltreatment and adolescent dating violence would be expected to be accounted for by posttraumatic stress symptomatology. In the high school sample, 1329 adolescents and, in the CPS sample, 224 youth on the active caseloads completed comparable questionnaires in the three domains of interest. For females only, results supported a mediational model in the prediction of dating violence in both samples. For males, child maltreatment and trauma symptomatology added unique contributions to predicting dating violence, with no consistent pattern emerging across samples. When considering the issue of self-labeling as abused, CPS females who self-labeled had higher posttraumatic stress symptomatology and dating violence victimization scores than did their nonlabeling, maltreated counterparts for emotional maltreatment. These results point to the need for ongoing work in understanding the process of disclosure and how maltreatment experiences are consciously conceptualized.


2013 ◽  
Vol 28 (6) ◽  
pp. 984-999 ◽  
Author(s):  
Robyn L. Gobin ◽  
Katherine M. Iverson ◽  
Karen Mitchell ◽  
Rachel Vaughn ◽  
Patricia A. Resick

Objective: Intimate partner violence (IPV) survivors often report histories of childhood maltreatment, yet the unique contributions of childhood maltreatment on IPV survivors’ distinct posttraumatic stress disorder (PTSD) symptoms remain inadequately understood. Method: Using interview and self-report measures, we examined IPV as a potential mediator of the association between childhood maltreatment and severity of PTSD symptom clusters (reexperiencing, avoidance, numbing, and hyperarousal) among a sample of 425 women seeking help for recent IPV. Results: Structural equation modeling demonstrated that while both childhood maltreatment and IPV were both positively associated with PTSD symptom clusters, IPV did not mediate the association between childhood maltreatment and severity of PTSD symptom clusters among acute IPV survivors. Conclusions: Childhood maltreatment has persistent effects on the PTSD symptoms of IPV survivors, suggesting that child maltreatment may need to be addressed in addition to IPV during PTSD treatment.


2011 ◽  
Vol 1 (2) ◽  
pp. 122-135 ◽  
Author(s):  
Mickey Sperlich ◽  
Julia S. Seng ◽  
Heather Rowe ◽  
Heather Cameron ◽  
Anna Harris ◽  
...  

Pregnant women with history of abuse and posttraumatic stress disorder (PTSD) have increased risk of adverse mental health and childbearing outcomes. The Survivor Moms’ Companion (SMC) is a psychoeducation program designed to meet the needs of women abuse survivors affected by PTSD during the childbearing year. This article reports on the feasibility, safety, and acceptability findings of an open pilot. Participants completed 10 self-study modules and structured tutoring sessions, and completed self-report measures, including reports of tutor fidelity to the manual, repeated assessment of PTSD symptoms, Subjective Units of Disturbance (SUD) scores, and evaluation interviews. Results indicate that the intervention can be implemented within low-resource settings with high level of fidelity to the manual. Monitoring of PTSD symptom level and distress indicate that the intervention is safe. Participants report satisfaction with the format and content and appreciation for the tutoring component. The SMC appears to be feasible, safe, and acceptable.


2010 ◽  
Vol 7 (2) ◽  
pp. 194-202 ◽  
Author(s):  
Marina M. Reeves ◽  
Alison L. Marshall ◽  
Neville Owen ◽  
Elisabeth A.H. Winkler ◽  
Elizabeth G. Eakin

Background:We compared the responsiveness to change (prepost intervention) of 3 commonly-used self-report measures of physical activity.Methods:In a cluster-randomized trial of a telephone-delivered intervention with primary care patients, physical activity was assessed at baseline and 4 months (n = 381) using the 31-item CHAMPS questionnaire; the 6-item Active Australia Questionnaire (AAQ); and, 2 walking for exercise items from the US National Health Interview Survey (USNHIS). Responsiveness to change was calculated for frequency (sessions/week) and duration (MET·minutes/week) of walking and moderate-to-vigorous intensity physical activity.Results:The greatest responsiveness for walking frequency was found with the USNHIS (0.45, 95% CI: 0.19, 0.72) and AAQ (0.43, 95% CI: 0.19, 0.67), and for walking duration with the USNHIS (0.27, 95%CI 0.13, 0.41) and CHAMPS (0.24, 95% CI: 0.12, 0.36). For moderate-to-vigorous activity, responsiveness for frequency was slightly higher for the AAQ (0.50, 95% CI: 0.30, 0.69); for duration it was slightly higher for CHAMPS (0.32, 95% CI: 0.17, 0.47).Conclusions:In broad-reach trials, brief self-report measures (USNHIS and AAQ) are useful for their comparability to population physical activity estimates and low respondent burden. These measures can be used without a loss in responsiveness to change relative to a more detailed self-report measure (CHAMPS).


2021 ◽  
Author(s):  
Philipp Herzog ◽  
Tim Kaiser ◽  
Winfried Rief ◽  
Eva-Lotta Brakemeier ◽  
Tobias Kube

Dysfunctional expectations are a particularly important subset of cognitions that influence the development and maintenance of various mental disorders. This study aimed to develop and validate a scale to assess dysfunctional expectations in posttraumatic stress disorder (PTSD), the “Posttraumatic Expectations Scale” (PTES). In a cross-sectional study, 70 PTSD patients completed the PTES, the Posttraumatic Cognitions Inventory (PTCI), as well as measures of the severity of symptoms of PTSD and depression. The results show that the PTES has excellent internal consistency and correlates significantly with the PTCI and PTSD symptom severity. A regression analysis revealed that the PTES explained variance of PTSD symptom severity above the PTCI, supporting the incremental validity of the PTES. While the original version of the PTES comprises 81 items, short scales were constructed using the BISCUIT method. The current findings suggest that the PTES is a reliable and valid novel self-report measure in patients with PTSD.


2020 ◽  
Vol 5 (2) ◽  
pp. 230-239
Author(s):  
Shaikh I. Ahmad ◽  
Bennett L. Leventhal ◽  
Brittany N. Nielsen ◽  
Stephen P. Hinshaw

2018 ◽  
Author(s):  
Jonathan Hill ◽  
Sarah Jones ◽  
Lisa Williams ◽  
Jayne Morriss

Cross-situational emotionality is a well-established dimension of personality, however the ability to modulate emotional expression by social domain is also a key aspect of personality functioning. We describe a self-report measure, the Domain Emotional Expression Profile (DEEP), designed to assess 5 emotions and behaviours in relation to 5 social domains, and report 2 studies. Study 1 (N = 166 students) assessed construct validity based on predictions from attachment theory regarding distress expression, and explored other emotions and domains. Study 2 (N = 279 students) tested hypotheses based on findings from Study 1 and explored the status of friendship interactions. In Study 1, mean distress-expression comfort-seeking scores in family and partner interactions were substantially higher than in work and in a social (e.g. party) situation consistent with the attachment based prediction (p < .001). In exploratory analyses mean anger expression scores were similarly higher in family and partner relationships than in work and social situations. However distress expression was higher in partner than family interactions (p = .008) which was not the case for anger expression. Study 2 replicated these findings from Study 1, and indicated an intermediate position for friendships between family and partner, and work and social interactions. We report support for the construct validity of the DEEP and replicated evidence regarding the partitioning of anger expression across domains, together with new indications of friendship processes. This method of profiling emotional expression and behaviours across social contexts offers a way of characterising individual differences, including those associated with psychopathology.


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