Page 1 |
Save page Remove page | Previous | 1 of 167 | Next |
|
small (250x250 max)
medium (500x500 max)
large ( > 500x500)
Full Resolution
All (PDF)
|
This page
All
Subset |
TRAUMA-RELATED TREATMENT GAINS AMONG WOMEN
WITH HISTORIES OF INTERPERSONAL VIOLENCE AND
CO-OCCURRING MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS
by
Margaret-Anne Mackintosh
A Dissertation Presented to the
FACULTY OF THE GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(PSYCHOLOGY)
August 2009
Copyright 2009 Margaret-Anne Mackintosh
Object Description
| Title | Trauma-related treatment gains among women with histories of interpersonal violence and co-occurring mental health and substance abuse disorders |
| Author | Mackintosh, Margaret-Anne |
| Author email | mackinto@usc.edu; maggi@lachesis.info |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Psychology |
| School | College of Letters, Arts and Sciences |
| Date defended/completed | 2009-03-23 |
| Date submitted | 2009 |
| Restricted until | Unrestricted |
| Date published | 2009-08-03 |
| Advisor (committee chair) | Gatz, Margaret |
| Advisor (committee member) |
Hennigan, Karen McArdle, Jack Trickett, Penelope |
| Abstract | Interpersonal violence directed against girls and women is both widespread and can lead to serious long-term consequences, including the development of co-occurring mental health and substance abuse disorders. This two-part study investigated psychosocial gains following trauma-focused treatment among women with histories of interpersonal violence and co-occurring disorders. The data are drawn from the Los Angeles site of the national Women, Comorbid Disorders and Violence Study; (WCDVS), which assessed the effects of integrated substance abuse and mental health treatment using an intent-to-treat quasi-experimental design. A diverse sample of 370 women was interviewed up to five times over 12-months. The first part of the present study established the longitudinal consistency of a measure of posttraumatic stress symptoms. Results indicated that five of the 17 items performed inconsistently across time and were dropped. The second part investigated the impact of a trauma-focused treatment program (Seeking Safety; Najavits, 2002) on posttraumatic stress symptoms and unsafe events. The impact of attendance on outcome measures was assessed using longitudinal structural equation models, and statistically adjusted for days in residential treatment and WCDVS treatment group. Results indicated that while there were significant decreases in posttraumatic stress symptoms across time, level of traumafocused treatment did not predict these changes. Significant reductions in posttraumatic stress symptoms were predicted by greater use of residential treatment services early in the woman’s enrollment in the study. Women in both treatment conditions showed significant reductions in unsafe events at six months. For women in the integrated services group, greater exposure to trauma-focused treatment was associated with fewer unsafe events. Finally, greater participation in trauma-focused treatment predicted greater use of residential services, even after women had completed the trauma-focused treatment program. While the reduction in unsafe events suggests increased use of safety behaviors and coping skills like those taught in Seeking Safety, the reductions in posttraumatic stress symptoms across different residential treatment programs was unexpected.; Increased awareness of the negative impact of traumatic experiences and availability of trauma informed service providers may lead to dissemination of trauma relevant information into the general treatment programs. |
| Keyword | psychology; trauma; Seeking Safety; posttraumatic stress; treatment; outcome study; women; comorbid disorders; co-occurring disorders; PTSD; interpersonal violence |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Provenance | Electronically uploaded by the author |
| Type | texts |
| Legacy record ID | usctheses-m2454 |
| Rights | Mackintosh, Margaret-Anne |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | http://www.usc.edu/isd/libraries/services/ask_a_librarian/email/ |
| Filename | etd-Mackintosh-2635 |
| Archival file | uscthesesreloadpub_Volume14/etd-Mackintosh-2635.pdf |
Description
| Title | Page 1 |
| Full text | TRAUMA-RELATED TREATMENT GAINS AMONG WOMEN WITH HISTORIES OF INTERPERSONAL VIOLENCE AND CO-OCCURRING MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS by Margaret-Anne Mackintosh A Dissertation Presented to the FACULTY OF THE GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (PSYCHOLOGY) August 2009 Copyright 2009 Margaret-Anne Mackintosh |
Comments
Post a Comment for Page 1
