This is the next to last session, and I can feel we're coming to the end. Bio Debra Kaysen received her PhD in Clinical Psychology from the University of Missouri. Students perceived the typical same-sex student to have engaged in more frequent sexual behavior for all outcomes than students' own self-reported sexual behavior. These findings highlight the importance of considering SMW-specific norms as an important factor in predicting alcohol consumption in SMW. Neighbors, C., Atkins, D. C., Lewis, M. A., Lee, C. M., Kaysen, D., Mittmann, A., Fossos, N., Rodriguez, L. M. Alcohol-involved assault: Associations with posttrauma alcohol use, consequences, and expectancies. The present review aims to inform researchers, policy makers, trainers, and administrators about this diverse range of research. 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. Syntax; Advanced Search; New. They then read an eroticized sexual scenario and reported on their dissociation and emotional numbing experiences, unprotected sex refusal self-efficacy, and unprotected sex intentions.Path analysis revealed that CSA was indirectly associated with increased unprotected sex intentions through increased ASA severity, increased trauma-related symptoms, increased emotional numbing, and decreased unprotected sex refusal self-efficacy. 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. There was significant variability in RTC: 71.86% of variance in RTC was between-person differences, and 28.14% was within-person differences. Some people knock through it in two weeks. Right? Young adult sexual minority women are at high risk for interpersonal violence and other forms of trauma exposure compared with heterosexual populations and sexual minority men. 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. I don't really speak to people that much. So I'm going to have you read to me what you wrote. Objective: Sexual minority women (SMW) evidence elevated rates of trauma exposure, posttraumatic stress (PTS), and alcohol consumption. And then we will delve in. Lewis, M. A., Rhew, I. C., Fairlie, A. M., Swanson, A., Anderson, J., Kaysen, D. Provider Fidelity and Modifications to Cognitive Processing Therapy in a Diverse Community Health Clinic: Associations With Clinical Change. Although efficacious AUD interventions exist, few service members seek treatment. The present study examined differences and similarities among non-Latino, Latino Spanish-speaking, and Latino English-speaking clients in rigid beliefs-or "stuck points"-associated with PTSD symptoms in a sample of community mental health clients. My experience, by the way, was an outlier in that I was assaulted by a stranger. We utilized data from a 14-day daily diary study of 98 SMW to examine daily-level associations between experiences of minority stress, alcohol consumption and consequences, and two proposed mediators of these associations (perceived coping efficacy, social interaction anxiety). Similarly, alcohol dependence diagnosis was marginally lower among MIF participants than control participants at the 6-month assessment. Kaysen, D., Stappenbeck, C., Rhew, I., Simpson, T. Wounds that can't be seen: Implicit Trauma Associations predict posttraumatic stress disorder symptoms. Childhood psychological abuse was associated with adult physical and psychological abuse and partner psychological abuse. Implementation challenges were identified and may be informative for future implementation and evaluation of multi-sectoral strategies for populations facing ongoing adversity.ISRCTN65771265, June 27, 2016. And so it's more generic, which actually makes it way better in a lot of ways. The trial further supports the use of evidence-based therapies in lower-resource settings.This trial was registered at ClinicalTrials.gov on 16 July 2010 with an identifier of NCT01177072 as the Study of Effectiveness of Mental Health Interventions among Torture Survivors in Southern Iraq. Yet, little research has focused on these motivations. The present study is a longitudinal examination of substance use on PTSD symptom severity and course. Results suggest that SC is prevalent among substance-using soldiers and that DSM-IV criteria for abuse and dependence apply to SC. Using a permutation-based hypothesis test that is robust to the model assumptions implicit in regression models, BATD had significant effects on depression (p = .003) and dysfunction (p = .007), while CPT had a significant effect on dysfunction only (p = .004).Both interventions showed moderate to strong effects on most outcomes. Participants then viewed a mood-state-inducing video clip (positive, neutral, or negative), and completed the taste test. This study identified subgroups of female sexual assault survivors based on characteristics of their victimization experiences, validated the subgroup structure in a second cohort of women recruited identically to the first, and examined subgroups' differential associations with sexual risk/safety behavior, heavy episodic drinking (HED), psychological distress symptomatology, incarceration, transactional sex, and experiences with controlling and violent partners. Participants were grouped into the following diagnostic groups: current AUD (past 12 months), past AUD (prior to 12 months), and no AUD. Debra L. Kaysen, Ph.D. Department of Psychiatry & Behavioral Sciences, University of Washington . The next-day results suggest that the combination of the 7 PTSD symptoms did not predict next-day craving. Social interaction anxiety and perceived coping efficacy: Mechanisms of the association between minority stress and drinking consequences among sexual minority women. Yep. A diagnosis of PTSD moderated the association between one's own depression and anxiety coping and conformity drinking motives and alcohol-related consequences. I don't know anyone around me, and I feel alone. Within-person findings demonstrated that on days when participants used more limiting/stopping PBS, fewer manner of drinking PBS, and more serious harm reduction PBS than average they also consumed more drinks and reached higher BACs. Mean scores for combined depression and anxiety improved in the individual-support group (2.2 at baseline, 1.7 at the end of treatment, and 1.5 at 6 months after treatment), but improvements were significantly greater in the therapy group (2.0 at baseline, 0.8 at the end of treatment, and 0.7 at 6 months after treatment) (P<0.001 for all comparisons). Dr. Kaysen says that I should consider trying to go to the bar to watch the game, that it's actually not risky behavior. Students completed a Web-based survey that comprised measures of 21st birthday PBS, alcohol consumption, and alcohol-related negative consequences. This current study was designed to address this gap. Latent class analyses (LCA) were used to identify subgroups of women with similar victimization experiences. Results indicated that all participants significantly reduced their drinking over time. And then he kept saying, let me just kiss it, and put his mouth on my vagina. Methodological advances in this literature have begun to allow for examinations of how minority-specific and general risk factors of alcohol misuse may contribute to patterns of alcohol involvement over time and within social-relational contextsThe recommendations made in the current mini-review are meant to facilitate future collaborative efforts, scale development, thoughtful methodological design and analysis and theoretically driven nuanced hypotheses to better understand, and ultimately address, alcohol-related disparities among sexual and gender minority populations. We found that PTSD was positively associated with alcohol use and that PTSD and trauma exposure were associated with increased avoidant coping. Intrusive memories following alcohol-involved sexual assault, Examining the influence of gender and sexual motivation in college hookups. Overall, findings suggest that specific PTSD symptoms are associated with higher alcohol use and that these relationships are moderated by daily coping self-efficacy. We present results from our needs/assets assessment that led to the selection of a trauma-informed intervention. Identification With Mainstream Culture and Preference for Alternative Alcohol Treatment Approaches in a Community Sample. Results provide support for self-medication models of drinking and suggest the importance of exploring gender differences in mechanisms for drinking. So for today, what we're going to do is we're going to actually start by going through the impact statement that you wrote. That's lovely. I'm Ira Glass. And have you ever been out of control and not had something bad happen? Young adult women (N = 1057) who identified as lesbian or bisexual completed annual measures of daily heterosexism, traumas, and drinking outcomes for four years, and completed a measure of emotion dysregulation during the third year of data collection. These findings provide further evidence that, for this at risk population, treating PTSD as soon as possible after onset may improve long term physical functioning. A 2 (PTSD diagnosis) x 3 (abstainer, infrequent/light, regular/heavy drinking) ANCOVA was conducted, with injuries and length of abuse as covariates and health concerns as the dependent variable. Clinicians are advised to assess unique stressors faced by SMW and their potential contribution to problematic drinking outcomes, and to target emotion dysregulation in alcohol treatments. OBJECTIVE: Managing complex psychiatric disorders like PTSD and bipolar disorder is challenging in Federally Qualified Health Centers (FQHCs) delivering care to U.S residents living in underserved rural areas. Individuals It was intense. View details for DOI 10.1016/j.cct.2019.105873, View details for DOI 10.3389/fpsyg.2019.01872, View details for Web of Science ID 000482207100001, View details for Web of Science ID 000473714500096, View details for Web of Science ID 000473714500163, View details for Web of Science ID 000473714500166. Internalized heterosexism and cognitions about the self longitudinally predicted PTSD symptom severity. CPT via AI community health workers in a resource-limited tribal reservation. Neighbors, C., Pedersen, E. R., Kaysen, D., Kulesza, M., Walter, T. Event-Specific Drinking Among College Students. To examine the relation between interpersonal violence and substance use and to describe the role of victim and perpetrator substance use within such incidents among university students.A random sample of students (N=1197) participating in this cross-sectional study completed an online survey. College students (N = 1,540; 53.9 % female) were asked to report descriptive normative perceptions of sex with casual partners, drinking prior to sex, number of drinks prior to sex, and condom use as well as their own Spring Break drinking and sexual behaviors. Posttraumatic stress disorder (PTSD) and alcohol dependence (AD) frequently co-occur, although results of both cross-sectional and longitudinal studies evaluating the nature of their relationship have been mixed. Walker, D. D., Jaffe, A. E., Pierce, A. R., Walton, T. O., Kaysen, D. L. Cognitive Processing Therapy for Posttraumatic Stress Disorder via Telehealth: Practical Considerations During the COVID-19 Pandemic. It's funny to think that I was not cautious about the very thing kids are always warned of-- strangers. Women with single male partners and women with multiple male and female partners exhibited elevated experienced bi-negativity and differences in outness (H1). At higher frequencies, childhood psychological abuse was associated with all forms of adult abuse. View details for DOI 10.1016/j.addbeh.2012.03.024, View details for Web of Science ID 000305549900017, View details for PubMedCentralID PMC3584679. And it's effective. Those in the Findings indicated three clusters of student definitions of hooking up: Cluster 1 had the broadest definition, referring to sex in general, not specific sexual acts, and to making out. View details for DOI 10.1007/s11121-018-0879-4, View details for Web of Science ID 000466220100003, View details for PubMedCentralID PMC6127012. I could see in just those two statements how the ten sessions in between shifted my thinking. I don't set an end goal. Due to difficulties with its detection through standard testing, it may be an attractive substance of abuse for military personnel. And he, like-- like, I smiled or waved, and then he beckoned me over. Doing so is essential for showing the utility of these associations as predictors, and ultimately, targets for screening or intervention. This article is protected by copyright. So that's tough, because you're in a strange city. Interventions that increase college women's access to social support after sexual assault may thus be helpful in addressing PTSD. All 3 in-person interventions reduced negative consequences experienced. I won't go for a run. Results indicated that PTSD symptoms were highly associated with drinking-to-cope motives for both men and women, but with greater drinking for enhancement motives for men only. The college environment is often one where increases in alcohol use are seen, but the impact of college status on SMW's drinking has been understudied. Are trauma memories state-dependent? In cross-sectional studies, social support and posttraumatic stress disorder (PTSD) symptoms appear related, in that higher severity of PTSD is associated with lower social support and vice versa. View details for PubMedCentralID PMC6736570. Kaysen, D., Pantalone, D. W., Chawla, N., Lindgren, K. P., Clum, G. A., Lee, C., Resick, P. A. Drinking motives were associated with class membership, although significant group comparisons varied by motive. View details for DOI 10.1016/j.addbeh.2005.12.025, View details for Web of Science ID 000240719500008, View details for PubMedCentralID PMC1893005. Rizvi, S. L., Kaysen, D., Gutner, C. A., Griffin, M. G., Resick, P. A. Posttraumatic stress disorder, alcohol use, and physical health concerns. Participants included 368 active-duty Army personnel who expressed interest in participating in a "check-up" around their alcohol or substance use, of whom 294 (80%) met DSM-IV criteria for substance abuse or dependence (including alcohol, illicit drugs, and prescription medications) and were not engaged in substance abuse treatment. This study examined timing of alcohol-related sexual assaults (incapacitated rape) in relation to both alcohol consumption and alcohol-related negative consequences. It's Halloween, and she's got on themed earrings and spider web tights. Assessments of combined depression and anxiety symptoms (average score on the Hopkins Symptom Checklist [range, 0 to 3, with higher scores indicating worse symptoms]), PTSD symptoms (average score on the PTSD Checklist [range, 0 to 3, with higher scores indicating worse symptoms]), and functional impairment (average score across 20 tasks [range, 0 to 4, with higher scores indicating greater impairment]) were performed at baseline, at the end of treatment, and 6 months after treatment ended.A total of 65% of participants in the therapy group and 52% of participants in the individual-support group completed all three assessments. Second, women were grouped by partner gender/number (single female/male partner: n = 338; women with multiple female and male partners: n=132). The phrases have a separate CPT meaning. Our findings indicate that both researchers and clinicians should turn their attention to processes of resilience among young SMW, particularly young SMW of color. Profile, Reviews, Appointments, Insurances. The current review extends prior reviews by adding more recent research, including both qualitative and experimental studies (i.e., expanding to review more diverse methods), research that focuses on the use of technology in alcohol-related hookups (i.e., emerging issues), further develops prevention and intervention potentials and directions, and also offers a broader discussion of hooking up outside of college student populations (i.e., expanding generalization). 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. Our apartment was near two big streets, Santa Monica Boulevard and Beverly Glen. All participation occurred over the telephone. What did you notice in the process? Follow-up assessment was completed 1 week after SB.Although the SB web BASICS (with and without friends) and general BASICS interventions were not effective at reducing SB drinking, results indicated significant intervention effects for SB in-person BASICS in reducing SB drinking, particularly on trip days. Alcohol use did not predict physical health but was associated with PTSD. It felt like it was less fraught. On days when SMW had higher than typical socialization and enhancement motives, they tended to drink more, and SMW who typically had higher coping motives tended to drink more on any given day. View details for DOI 10.1080/19359705.2017.1353472, View details for Web of Science ID 000423989100004, View details for PubMedCentralID PMC6261480. If you are able, we strongly encourage you to listen to the audio, which includes emotion and emphasis that's not on the page. But of course, I'm worried. In addition, we suggest appropriate action steps, including problem-solving strategies, evidence-informed modifications to CPT and PE, and alternative intervention approaches. The present study adds to this growing event-specific risk literature by examining Spring Break-specific normative perceptions of sexual risk behavior and the role that these perceptions and taking a trip with a friend or with a romantic partner have on Spring Break sexual behavior. Implicit measures of alcohol associations (i.e. This case highlights the utility of this therapy in targeting both ASD symptoms and internalized homophobia relating to experiencing a hate crime-related assault. The current study used data from drinking days collected via daily diary assessments from 81 trauma-exposed SMW. It feels like a small victory. We produced preliminary data and research and publication guidelines that have facilitated program and research funding to address community-driven concerns.This study highlights the importance of bidirectional collaboration with American Indian communities, as well as the time and funding needed to maintain these relationships. So write that down. Treatment addressed assault-related posttraumatic stress disorder symptoms and depressive symptoms. Kaysen, D., Bedard-Gilligan, M. A., Stappenbeck, C. A. Randomized Trial of Motivational Interviewing Plus Feedback for Soldiers With Untreated Alcohol Abuse. Yeah. Fraternity/sorority members reliably reported higher estimates of drinking for reference groups that included fraternity/ sorority status, and, to a lesser extent, men reported higher estimates for reference groups that included men.The results suggest that interventions targeting normative misperceptions may need to provide feedback based on participant demography or group membership. RTC was measured using the Readiness to Change Ruler.Analyses were conducted using hierarchical linear modeling. When examined separately, this finding held for bisexual women, but was not significant for lesbian women, likely because they reported fewer male hookup partners. One village was excluded owing to concern about the competency of the psychosocial assistant, resulting in 7 villages that provided therapy (157 women) and 8 villages that provided individual support (248 women). Because it wasn't worse, I should be functioning better-- gone. Sexual minority women (SMW) are at increased risk for alcohol use disorders and related problems. Stanford is currently not accepting patients for this trial. That I should have avoided him, [SOBBING] rather than interact. 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). However, in weeks in which students drank more, they experienced a decrease in RTC. Am I basing things on facts or feelings? So one of the things was a piece around your mom's instructions. Dr. Kaysen joined the faculty at University of Washington in 2006 in the Department of Psychiatry and Behavioral Sciences. A follow-up assessment was completed approximately 1 week after students' birthdays.Results indicated a significant intervention effect for BASICS in reducing blood alcohol content reached and number of negative consequences experienced. Even reading the one-sentence description of the assault during the audio recording of my book left me in tears. Multilevel modeling indicated very strong agreement between mean daily and retrospective reports for total scores and symptom clusters, with pseudo-R2 ranging from .55 to .77. 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. Back next week with more stories of This American Life. Absolutely. Debra Kaysen, Kristen Lindgren, Deepa Rao, À la Carte or Prix Fixe? The purpose of the present study was to examine between- and within-person relationships among protective behavioral strategies (PBS), alcohol consumption, and related negative consequences during the 21st birthday week. That was something that I didn't actually remember until I was writing it this morning. And I have a list of stuck points to show for it-- 31 different sentences written sloppily on a piece of paper, like a list of groceries. Participants who had consumed alcohol had lower initial intrusive symptoms, but their symptoms improved less over time. I mean, I hear the word shame associated a lot with things like this. Self-medication has been theorized to explain comorbidity between posttraumatic stress disorder (PTSD) and drinking, whereupon problem drinking develops in order to modulate negative affect and ameliorate PTSD symptoms. Finally, retrospective recall for each symptom cluster showed acceptable specificity to the corresponding daily symptom clusters. Walton, T. O., Walker, D. D., Kaysen, D. L., Roffman, R. A., Mbilinyi, L., Neighbors, C. Symptoms of Posttraumatic Stress Predict Craving Among Alcohol Treatment Seekers: Results of a Daily Monitoring Study. I've made it to Friday of my first week. 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. Exploratory moderator analyses found that this effect was higher for those with lower baseline BMI.Results suggest that higher PTSD symptoms are longitudinally associated with increased BMI and that binge eating behavior is one factor that explains this relationship. I bought a poncho the colors of Mardi Gras. 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. This study used latent class analysis to identify subgroups of SMW based on drinking locations and companions and examined whether class membership was associated with consequences, drinking motives, and LGBTQ-related constructs (e.g., outness, discrimination).A sample of 670 SMW reported on alcohol use, drinking locations and companions, and related measures as part of a larger study on women's health.Based on SMW's patterns of responding to drinking locations and companions, latent class analysis identified five classes: Infrequent Drinking Contexts (10% of sample, reference class), Private/Intimate Drinking (28%), Convivial Drinking (29%), Alone/Convivial Drinking (20%), and Multiple Drinking Contexts (13%).
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