Browsing by Author "Immel, Christopher"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
- Identifying Protective Factors of Posttraumatic Stress Disorder, Depression, and Self-Reported Health Outcomes of Residential Fire SurvivorsImmel, Christopher (Virginia Tech, 2011-05-02)Posttraumatic Stress Disorder (PTSD) has been demonstrated as the primary pathway through which morbidity and mortality is achieved post-trauma. However, less is known about protective factors to PTSD, depression, and self-reported health outcomes of adults following a traumatic event. Through examination of residential fire survivors, the current project evaluated the predictive validity of protective factors of PTSD as they relate to PTSD, depression, and somatic health outcomes. Additionally, the project collapsed the three outcomes variables into a unified health construct and evaluated protective factors ability to predict health. It was hypothesized the peritraumatic emotionality, social support, and resource loss would predict PTSD, depression, and somatic health. Additionally, it was predicted that peritraumatic emotionality, social support, and resource loss would predict a unified construct of health. Participants were assessed via self-report and semi-structured interviews approximately four months post-fire. Results of the current project demonstrated strong associations amongst peritraumatic emotionality and resource loss for many of the outcome variables. However, social support was not found to be a predictor of any of the outcomes variables. When evaluating the unified health construct, resource loss was found to significant predict a resilient group of trauma survivors four months post-fire. The present study suggests lower peritraumatic emotionality and lower sustained resource loss are significant protective factors for resiliency from trauma.
- Posttraumatic Stress Disorder and Symptom Subclusters as a Mediator of Self-Reported Somatic Health Among Individuals Exposed to Residential FireImmel, Christopher (Virginia Tech, 2008-05-08)Health outcomes following a traumatic event are an important aspect of recovery from any type of trauma. Further, distress and psychopathology, specifically Posttraumatic Stress Disorder (PTSD), have been shown to have a significant impact on physical health recovery post-trauma. The current study utilized a sample of 56 (48 women, 8 men) residential fire survivors to examine the potential mediating effect of PTSD and PTSD symptom subclusters. Participants were interviewed four months after a residential fire and were assessed on levels of exposure to the fire (Fire Questionnaire & Resource Loss Scale), PTSD symptomology (Anxiety Disorder Interview Schedule), and somatic health complaints (Brief Symptom Inventory). Consistent with previous findings, PTSD was found to mediate the relationship between exposure to a traumatic event and reporting of health symptoms. Further, the increased arousal subcluster was found to mediate the aforementioned relationship; the avoidance symptom subcluster was found to partially mediate the same relationship. Implications of results of the current project are discussed with regard to the impact of trauma on survivorsâ health, along with recommendations for further research.