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Adversity and Trauma Exposure and Related Consequences for Women's Health Across the Lifespan
Adversity and Trauma Exposure and Related Consequences for Women's Health Across the Lifes...
Adversity and Trauma Exposure and Related Consequences for Women's Health Across the Lifespan

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자료유형  
 학위논문 서양
최종처리일시  
20250211152646
ISBN  
9798383677919
DDC  
157
저자명  
Thomas, Jordan.
서명/저자  
Adversity and Trauma Exposure and Related Consequences for Womens Health Across the Lifespan
발행사항  
[Sl] : University of California, Los Angeles, 2024
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2024
형태사항  
221 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-02, Section: A.
주기사항  
Advisor: Sumner, Jennifer A.
학위논문주기  
Thesis (Ph.D.)--University of California, Los Angeles, 2024.
초록/해제  
요약Trauma and its psychological consequences-including posttraumatic stress disorder (PTSD), the signature stress-related psychopathology-are linked with adverse mental, physical, and sexual health in women. Examining associations between trauma-related factors and pertinent health markers at discrete periods of the lifespan may reveal potential mechanisms and intervention targets. Toward that end, this dissertation utilized a three-study design to investigate associations between trauma and related psychopathology and relevant women's health indicators during adolescence, the perinatal period, and midlife. Study 1 evaluated whether distinct dimensions of early life adversity-including threat (e.g., abuse) and deprivation (e.g., neglect)-were differentially linked with sexual behavior in a national sample of adolescents. While greater experiences of both threat and deprivation were linked with elevated odds of engagement in sex, experiences of threat were uniquely linked with diverse indicators of sexual risk behavior (e.g., earlier age at first sex, greater number of past-year partners, inconsistent condom use). Study 2 examined associations between couple-level manifestations of PTSD symptoms and maternal and paternal relationship functioning in a community-based sample of couples during the postpartum period. Using both data- and hypothesis-driven approaches, unique subgroups of couples-based on both partners' PTSD symptoms-were identified, including dyads characterized by concordance in PTSD symptoms (e.g., both low) and discordance (e.g., mother low-father high, mother low-father high). Across the two dyad classification methods, couple-level PTSD manifestations were differentially linked with subjective and objective indicators of relationship functioning, with individuals in couples concordant in reporting low PTSD symptoms exhibiting the most optimal relationship health. Study 3 investigated the underlying dimensional structure of PTSD-and associations between emergent symptom dimensions and menopause-related health indicators-in a sample of midlife women veterans. PTSD was best captured by six symptom dimensions, with greater symptoms across all factors linked with urinary and vasomotor, but not vaginal, symptoms; negative affect and dysphoric arousal emerged as particularly relevant to these menopause- and aging-related symptoms. Greater PTSD symptoms across dimensions were also linked with markers of sexual dysfunction. Taken together, these studies emphasize the role of trauma-related factors on diverse women's health metrics across the lifespan.
일반주제명  
Clinical psychology
일반주제명  
Mental health
일반주제명  
Womens studies
일반주제명  
Obstetrics
키워드  
Adversity
키워드  
Trauma
키워드  
Posttraumatic stress disorder
키워드  
Postpartum period
키워드  
Sexual dysfunction
기타저자  
University of California, Los Angeles Psychology 0780
기본자료저록  
Dissertations Abstracts International. 86-02A.
전자적 위치 및 접속  
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MARC

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■1001  ▼aThomas,  Jordan.
■24510▼aAdversity  and  Trauma  Exposure  and  Related  Consequences  for  Women's  Health  Across  the  Lifespan
■260    ▼a[Sl]▼bUniversity  of  California,  Los  Angeles▼c2024
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2024
■300    ▼a221  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-02,  Section:  A.
■500    ▼aAdvisor:  Sumner,  Jennifer  A.
■5021  ▼aThesis  (Ph.D.)--University  of  California,  Los  Angeles,  2024.
■520    ▼aTrauma  and  its  psychological  consequences-including  posttraumatic  stress  disorder  (PTSD),  the  signature  stress-related  psychopathology-are  linked  with  adverse  mental,  physical,  and  sexual  health  in  women.  Examining  associations  between  trauma-related  factors  and  pertinent  health  markers  at  discrete  periods  of  the  lifespan  may  reveal  potential  mechanisms  and  intervention  targets.  Toward  that  end,  this  dissertation  utilized  a  three-study  design  to  investigate  associations  between  trauma  and  related  psychopathology  and  relevant  women's  health  indicators  during  adolescence,  the  perinatal  period,  and  midlife.  Study  1  evaluated  whether  distinct  dimensions  of  early  life  adversity-including  threat  (e.g.,  abuse)  and  deprivation  (e.g.,  neglect)-were  differentially  linked  with  sexual  behavior  in  a  national  sample  of  adolescents.  While  greater  experiences  of  both  threat  and  deprivation  were  linked  with  elevated  odds  of  engagement  in  sex,  experiences  of  threat  were  uniquely  linked  with  diverse  indicators  of  sexual  risk  behavior  (e.g.,  earlier  age  at  first  sex,  greater  number  of  past-year  partners,  inconsistent  condom  use).  Study  2  examined  associations  between  couple-level  manifestations  of  PTSD  symptoms  and  maternal  and  paternal  relationship  functioning  in  a  community-based  sample  of  couples  during  the  postpartum  period.  Using  both  data-  and  hypothesis-driven  approaches,  unique  subgroups  of  couples-based  on  both  partners'  PTSD  symptoms-were  identified,  including  dyads  characterized  by  concordance  in  PTSD  symptoms  (e.g.,  both  low)  and  discordance  (e.g.,  mother  low-father  high,  mother  low-father  high).  Across  the  two  dyad  classification  methods,  couple-level  PTSD  manifestations  were  differentially  linked  with  subjective  and  objective  indicators  of  relationship  functioning,  with  individuals  in  couples  concordant  in  reporting  low  PTSD  symptoms  exhibiting  the  most  optimal  relationship  health.  Study  3  investigated  the  underlying  dimensional  structure  of  PTSD-and  associations  between  emergent  symptom  dimensions  and  menopause-related  health  indicators-in  a  sample  of  midlife  women  veterans.  PTSD  was  best  captured  by  six  symptom  dimensions,  with  greater  symptoms  across  all  factors  linked  with  urinary  and  vasomotor,  but  not  vaginal,  symptoms;  negative  affect  and  dysphoric  arousal  emerged  as  particularly  relevant  to  these  menopause-  and  aging-related  symptoms.  Greater  PTSD  symptoms  across  dimensions  were  also  linked  with  markers  of  sexual  dysfunction.  Taken  together,  these  studies  emphasize  the  role  of  trauma-related  factors  on  diverse  women's  health  metrics  across  the  lifespan.
■590    ▼aSchool  code:  0031.
■650  4▼aClinical  psychology
■650  4▼aMental  health
■650  4▼aWomens  studies
■650  4▼aObstetrics
■653    ▼aAdversity
■653    ▼aTrauma
■653    ▼aPosttraumatic  stress  disorder
■653    ▼aPostpartum  period
■653    ▼aSexual  dysfunction
■690    ▼a0622
■690    ▼a0453
■690    ▼a0347
■690    ▼a0380
■71020▼aUniversity  of  California,  Los  Angeles▼bPsychology  0780.
■7730  ▼tDissertations  Abstracts  International▼g86-02A.
■790    ▼a0031
■791    ▼aPh.D.
■792    ▼a2024
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17163271▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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