Trauma Final

Question 1

What is the acronym for PTSD

Answer 1

TRAAA

Traumatic event, re-experiencing, avoidance, alterations, arousal

Question 2

What are some SYSTEMIC AND STRUCTURAL barriers to treatment?

Answer 2

Access issues, availability of services, affordability, poor quality of care, cultural matching, policy limitations

Question 3

Access issues

Answer 3

inaccessibilities, location, transportation

Question 4

Availability of services

Answer 4

few opportunities for in-home services, rise in telehealth services

Question 5

Affordability

Answer 5

high cost of medications/services, lack of insurance or disability coverage

Question 6

Poor quality of care

Answer 6

limited access to culturally competent clinicians and case management

Question 7

Cultural matching

Answer 7

few opportunities to work with clinicians who match their identities

Question 8

policy limitations

Answer 8

Global lack of comprehensive mental health policies, lack of legal protections of human/civil rights for people with mental illness

Question 9

What are some INDIVIDUAL barriers?

Answer 9

Internalized stigma, lack of education of mental illness, cultural norms

Question 10

What are some ATTITUDINAL barriers?

Answer 10

low perceived mood, desire to handle problems on their own

Question 11

Which barrier played a bigger role in influencing and continuing treatment

Answer 11

attitudinal

Question 12

Eustress

Answer 12

GOOD, helps with motivation. It is positive and helps us prep

ex: studying, new baby, getting married, stress before a performance

Question 13

Distress

Answer 13

BAD, unhealthy, and negatively impacts us

ex: trauma, perceived stress, car accident

Question 14

What are the different levels of stress

Answer 14

Stress levels range from acute to chronic. Within this we have micro (individual), meso (family, community), macro (nationwide, worldwide)

Question 15

examples of levels of stress

Answer 15

acute: fight with friend
chronic: financies
micro: discrimination
meso: natural disaster
macro: recession

Question 16

Resilience

Answer 16

A persons ability to cope with the negative impact of trauma

Question 17

What are the three facts of resilience

Answer 17

recovery- ability to resume normal pre-stress level
resistance- ability to maintain and exhibit normal functioning through stressor
reconfiguration- ability to reconfigure cognitions, beliefs, and ADAPT

Question 18

Posttraumatic growth

Answer 18

positive, meaningful psychological changes that a person can experience as a result of struggling with traumatic and stressful life events

This includes developing an increased appreciation

Question 19

What are the growth domains of PTG

Answer 19

peceived changes in self
changes in life priorities
improved relationships
increased existential awareness
enhanced spiritual beliefs

Question 20

Facilitators of PTG (8)

Answer 20

1. sharing negative emotions
2. cognitive processing or rumination
3. positive coming strategies
4. agreeableness
5. experiencing multiple sources of trauma
6. event centrality
7. resilience
8. growth actions

Question 21

What is the difference between hyperactive sympathetic and hypoactive parasympathetic

Answer 21

HS- overactive fight or flight
HP- underactive maintenance of rest

Question 22

Health and physical changes that come with trauma

Answer 22

increased cardiovascular reactivity to trauma cues

disrupted sleep

hyperactive sympathetic and hypoactive parasympathetic

hypothalamic-pituitary

high resting heart rate

Question 23

What are the 3 components of the stress response

Answer 23

physiological- arousal, hormone secretion
emotional- anxiety, fear
behavioral- coping strategies

Question 24

What are the stages of the stress response

Answer 24

1. stimulus
2. primary appraisal
3. secondary appraisal
4. ability to cope
5. stress response

Question 25

Definition of moral injury

Answer 25

most commonly defined as the perpetrating, failing to prevent, or bearing witness to acts that transgress deeply held moral beliefs and expectations closely aligned with spiritual and existential concerns as well as guilt shame and social withdrawal, and demoralization

Question 26

What is the "just world" myth

Answer 26

the belief that our world is just and fair and if we are just and fair we will get rewarded “people get what they get” “if you do good you get rewarded and if you do bad you get punished”

Question 27

How are MI mental health outcomes worsened?

Answer 27

lack of social support, difficulty meaning making, and negative connotations surrounding their experiences

Question 28

How are MI mental health outcomes improved?

Answer 28

Better social support, mindfulness, education on mental health pre-deployment

Question 29

What is CPT and who created it

Answer 29

CPT is a psychotherapy for trauma based on CBT and it was created by Patricia Resick in 1988

Question 30

What is the main concept of CPT

Answer 30

It is based in restructuring trauma related cognitions. People organize information into schemas and when trauma disrupts these schemas it can cause PTSD

Question 31

In CPT, what do trauma resolutions occur through?

Answer 31

idenifying stuck points and engaging in cognitive restructuring to restructure their trauma narrative into a more accurate, balanced interpretation

Question 32

Who created PE

Answer 32

Edna Foa, she also helped develop emotional processing therapy

Question 33

How do trauma resolutions occur in PE

Answer 33

- activation and emotional engagement of trauma memories - organization of trauma narratives - correction of dysfunctional cognitions