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Biomedical subjects

Terri L Weaver

Publications and source records attributed to Terri L Weaver.

6 recordsLinked to original sources

Advances in violence and trauma: toward comprehensive ecological models.

The most important things learned about violence and trauma in the past 20 years are that interpersonal violence is prevalent, with different forms co-occurring, and that victims' reactions are complex. Researchers are called to consider models that include the ecological context within which victims experience violence and trauma to gain a better understanding of the variation seen in psychological outcomes. Multivariate data-analytic techniques such as structural equation modeling and cluster analysis are suggested as promising ways to explore questions framed by comprehensive models. These recommendations are predicted to provide comprehensive and individualized ways to intervene and prevent interpersonal violence.

Battered Women↗

Self-injurious behaviors, PTSD arousal, and general health complaints within a treatment-seeking sample of sexually abused women.

Eighty-nine adult female survivors of childhood sexual abuse, presenting for psychological treatment, were assessed for self-reported rates of self-injurious behaviors (SIB), health complaints, and posttraumatic stress disorder (PTSD) symptoms of physiological arousal. A composite measure of current SIB was significantly and positively associated with health complaints, PTSD arousal, and three measures of sexual abuse severity: age of onset for sexual abuse, injury experienced during the sexual abuse, and perceived life threat. Tests of mediation revealed that symptoms of PTSD arousal mediated the relationship between earlier age of onset for sexual abuse and SIB. PTSD arousal moderated the relationship between sexual-abuse-related injury and SIB. SIB was a unique predictor of health complaints, even after controlling for sexual abuse severity and PTSD arousal.

Adult↗

Smoking patterns, symptoms of PTSD and depression: preliminary findings from a sample of severely battered women.

Intimate partner violence (IPV) is a public health problem that significantly impacts the physical and emotional well-being of women. In addition to the health risk associated with violence exposure, female victims of IPV are at increased risk of engaging in damaging health behaviors, including cigarette smoking. The present study examined patterns of cigarette smoking, using the Fagerström Test for Nicotine Dependence (FTND), and explored its association with sociodemographic factors, characteristics of physical, psychological, and sexual forms of IPV, symptoms of posttraumatic stress disorder (PTSD), and depression within 62 female victims of severe battering. Fifty-eight percent of the total sample reported that they were current smokers. Within the group of current smokers, women who evidenced greater symptoms of nicotine-related physical dependence (NRPD) were more likely to be unemployed, have less education, experience more recent violence, more severe IPV-related sexual coercion, more IPV-related dominance/isolation, and more severe symptoms of PTSD and depression. In addition, greater symptoms of NRPD were significantly and positively associated with PTSD clusters of reexperiencing and arousal. Implications for these preliminary findings were discussed and directions for future research were detailed.

Adult↗

Schematic integration of traumatic events.

Across multiple disciplines of psychology, one commonly used heuristic device, the schema, has often been called upon to illustrate the integration of an event. This paper is a critical examination of the literature on schemas and traumatic events. Three perspectives are identified: process-focused models, content-focused models, and construct-focused models. Process-focused models most clearly elucidate the change mechanisms and provide specific treatment implications in terms of exposure-based interventions. Content-focused models provide clinicians and researchers with hypothesized thematic conflicts that may need to be addressed in treatment. Construct-focused models and methodologies may provide a means by which researchers can represent and quantify the degree of conceptual integration of a traumatic event. The concepts of schema formation, activation, and modification are explored from each perspective. Implications for assessment and clinical interventions are also discussed.

Adaptation, Psychological↗

A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims.

The purpose of this study was to compare cognitive-processing therapy (CPT) with prolonged exposure and a minimal attention condition (MA) for the treatment of posttraumatic stress disorder (PTSD) and depression. One hundred seventy-one female rape victims were randomized into 1 of the 3 conditions, and 121 completed treatment. Participants were assessed with the Clinician-Administered PTSD Scale, the PTSD Symptom Scale, the Structured Clinical Interview for DSM-IV, the Beck Depression Inventory, and the Trauma-Related Guilt Inventory. Independent assessments were made at pretreatment, posttreatment, and 3 and 9 months posttreatment. Analyses indicated that both treatments were highly efficacious and superior to MA. The 2 therapies had similar results except that CPT produced better scores on 2 of 4 guilt subscales.

Adult↗