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Betrayal Trauma and Callous-Unemotionality in Youth: Numbing of Posttraumatic Stress in an Adolescent Intensive Outpatient Sample

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2025, Doctor of Psychology (Psy.D.), Xavier University, Psychology.
The present study sought to experimentally investigated the role of emotional numbing as a mediator in the relationship between posttraumatic stress symptoms and callous-unemotional traits in an adolescent sample seeking mental health or substance use treatment. Additionally, the relation of trauma exposure on treatment outcome and level of care referral was examined. Adolescents ages 11-19 (N = 119) who completed an intake for potential IOP treatment were enrolled in the study. Those who reported trauma were administered measures of posttraumatic stress, callous-unemotional traits, and emotional numbing during routine intake procedures. Referral decision, IOP substance abuse treatment outcome and duration were collected and their relation to trauma tested. Intended mediation analyses could not be conducted due to insufficient power. Trauma exposure was predictive of requiring intensive outpatient level of care or greater but was not associated with substance use disorder treatment outcome or days of treatment. More research is needed to better understand the role of trauma on treatment need and emotional numbing on developmental trajectories for youth with trauma history who develop callous-unemotional traits.
Susan Kenford (Advisor)
Hannah Lubman (Committee Member)
Stacey Raj (Committee Member)
53 p.

Recommended Citations

Citations

  • Washburn, H. (2025). Betrayal Trauma and Callous-Unemotionality in Youth: Numbing of Posttraumatic Stress in an Adolescent Intensive Outpatient Sample [Doctoral dissertation, Xavier University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=xupsy1727198796014537

    APA Style (7th edition)

  • Washburn, Haley. Betrayal Trauma and Callous-Unemotionality in Youth: Numbing of Posttraumatic Stress in an Adolescent Intensive Outpatient Sample . 2025. Xavier University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=xupsy1727198796014537.

    MLA Style (8th edition)

  • Washburn, Haley. "Betrayal Trauma and Callous-Unemotionality in Youth: Numbing of Posttraumatic Stress in an Adolescent Intensive Outpatient Sample ." Doctoral dissertation, Xavier University, 2025. http://rave.ohiolink.edu/etdc/view?acc_num=xupsy1727198796014537

    Chicago Manual of Style (17th edition)