Tag: Homework Solution

  • [Solved] Social Media and Smartphone Policy Memo / concept sheet

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    – 2 years ago **files (1)** – ## Conceptsheet.docx.docx **## Conceptsheet.docx.docx** **Social Media and Smartphone Policy Memo** Your task for this week is to compose an email or memo (you can choose which) that is based on the scenario below. You’ve been hired as an Assistant Director of Nursing a…

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    – 2 years ago

    **files (1)**

    – ## Conceptsheet.docx.docx

    **## Conceptsheet.docx.docx**

    **Social Media and Smartphone Policy Memo**

    Your task for this week is to compose an email or memo (you can choose which) that is based on the scenario below.

    You’ve been hired as an Assistant Director of Nursing at a long-term care facility that recently opened. The Director has discovered that some nurses and other staff members have been posting videos and selfies on social media, sometimes with patients visible. In a TikTok video, a portion of a patient’s chart can be made out in the background, raising privacy concerns and the risk of HIPAA violations. In a Twitter post, a staff member complained about a patient in a potentially disrespectful way. On Facebook, an employee shared erroneous information about the facility’s holiday hours.

    Your manager asks you to send a memo to the facility staff detailing a new social media and smartphone use policy to go into effect immediately. Employees should no longer use personal phones while working, except while on breaks. No photos or videos of the facility or patients should be posted on personal social media accounts, and all information or news about the facility should be approved by the Assistant Director before being posted.

    Compose your email or memo in a document, adding the necessary headings and features of the format you’ve chosen. Use our text as a reference to decide what kind of email or memo to write, and to make sure your email or memo looks and sounds professional. Your email or memo should be no less than 200 words and no more than 300 words. Feel free to make up any necessary information or details as needed as you write.

    Last, on a new page, write a 1-2 paragraph reflection on your email/memo addressing the following:

    Which type of email/memo did you decide to compose for this scenario? Why?

    What did you find challenging about writing your email/memo? Explain.

    Criteria:

    Structure and Organization Body

    Formatting

    Mechanics

    Reflection

    **## Conceptsheet.docx.docx**

    **Social Media and Smartphone Policy Memo**

    Your task for this week is to compose an email or memo (you can choose which) that is based on the scenario below.

    You’ve been hired as an Assistant Director of Nursing at a long-term care facility that recently opened. The Director has discovered that some nurses and other staff members have been posting videos and selfies on social media, sometimes with patients visible. In a TikTok video, a portion of a patient’s chart can be made out in the background, raising privacy concerns and the risk of HIPAA violations. In a Twitter post, a staff member complained about a patient in a potentially disrespectful way. On Facebook, an employee shared erroneous information about the facility’s holiday hours.

    Your manager asks you to send a memo to the facility staff detailing a new social media and smartphone use policy to go into effect immediately. Employees should no longer use personal phones while working, except while on breaks. No photos or videos of the facility or patients should be posted on personal social media accounts, and all information or news about the facility should be approved by the Assistant Director before being posted.

    Compose your email or memo in a document, adding the necessary headings and features of the format you’ve chosen. Use our text as a reference to decide what kind of email or memo to write, and to make sure your email or memo looks and sounds professional. Your email or memo should be no less than 200 words and no more than 300 words. Feel free to make up any necessary information or details as needed as you write.

    Last, on a new page, write a 1-2 paragraph reflection on your email/memo addressing the following:

    Which type of email/memo did you decide to compose for this scenario? Why?

    What did you find challenging about writing your email/memo? Explain.

    Criteria:

    Structure and Organization Body

    Formatting

    Mechanics

    Reflection

  • [Solved] REVIEW THIS ASSIGMENT

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    – 2 years ago **files (1)** – ## CRISTINADOCUMENTPDIABETESAPRN.docx **## CRISTINADOCUMENTPDIABETESAPRN.docx** **![](https://www.sweetstudy.com/questions/review-this-assigment)DIABETES MELLITUS** **Maria Cristina Morales Rodríguez** **Advanced Pathophysiology Analysis** **MRU University (2025)** **DI…

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    **files (1)**

    – ## CRISTINADOCUMENTPDIABETESAPRN.docx

    **## CRISTINADOCUMENTPDIABETESAPRN.docx**

    **![](https://www.sweetstudy.com/questions/review-this-assigment)DIABETES MELLITUS**

    **Maria Cristina Morales Rodríguez**

    **Advanced Pathophysiology Analysis**

    **MRU University (2025)**

    **DIABETES:**

    A chronic metabolic disorder that appears when blood sugar (glucose) is too high and persists due to the insufficiency of the pancreas to produce insulin or when the body does not react adequately to the effects of insulin. This condition affects millions of people around the world and of any age. It is a chronic disease that can be managed with medication and lifestyle changes, representing a compromise in its stability by the health system because, in the long term, it could bring complications such as nephropathy, neuropathy, retinopathy, cardiovascular disease, which would worsen the health of patients, endocrine metabolic disease. Diabetes describes a metabolic disorder of multiple etiologies characterized by chronic hyperglycemia with disorders in the metabolism of carbohydrates, fats, and proteins due to defects in the secretion and/or action of insulin or both.

    **The molecular mechanism underlying diabetes**

    Diabetes is due to a disorder of insulin: a 5.8 KDa peptide hormone secreted by the pancreatic islets of Langerhans in response to elevated levels of nutrients in the blood. Its main function is to maintain blood glucose concentrations within a normal range. Concomitant hyperglycemia can cause irreversible changes in the chemical composition of molecules such as non-enzymatic glycosylation that favors oxidative stress. Knowledge of the relationship between the molecular basis of DM and non-enzymatic glycolysis and oxidative stress leads to a better interpretation of this entity such as insulin resistance and its chronic complications.

    Diabetes is classified into two main types Type 1 Diabetes: is when the pancreas produces little or no insulin, which causes an increase in blood glucose, it is autoimmune, caused by the destruction of beta-pancreatic cells by the immune system, the presence of autoantibodies (anti-GAD, anti-IA2) have appeared, which help as markers of the progress of the disease. The lack of insulin due to its deficiency causes an inability in the blood glucose regulatory mechanism, which leads to an increase in this in the blood, hyperglycemia, and ketosis.

    Type 2 Diabetes: It begins as insulin resistance, meaning that the body cannot use insulin properly, causing the pancreas to produce more insulin until it can no longer meet the demand. This insulin resistance occurs in peripheral tissues (liver, muscle, adipose tissue). The exact cause of type 2 diabetes is unknown, but some factors may contribute: genetics, sedentary lifestyle, excessive weight gain, these factors: chronic inflammation, oxidative stress, and mitochondrial dysfunction.

    Molecular pathways: PI3K / AKT / regulates glucose uptake by insulin, endoplasmic reticulocyte (ER) stress, associated with alterations in fasting glycemia and/or glucose tolerance ( TGA), together with a state of insulin resistance (IR) that induces the overload of functions in b cells and the consequent activation of the ER (endoplasmic reticulum), this stress contributes to complications such as retinopathy and nephropathy through the MAPK pathway, related to inflammation and insulin resistance, the enormous capacity of beta cells to synthesize and secrete insulin is also what makes it vulnerable to chronic exposure to high levels of glucose and fatty acids, agents that contribute to beta cell failure in type 2 Diabetes.

    **3- Latest findings in Diabetes research**

    – Identification of a new risk factor for type 1 diabetes: Although it is known that type 1 diabetes is caused by an autoimmune attack on beta cells, which are responsible for insulin production, it has been discovered that proteins called hybrid insulin peptides (HIP) are found in the beta cells of people with type 1 diabetes and are recognized as foreign by their immune cells.

    -a molecule to improve glucose monitoring: Dr. Wang has created a molecule that uses a different, non-enzymatic approach to continuously monitor blood glucose levels (this molecule is stable over long periods and can be easily integrated into miniaturized systems) -use of stem cells: for the regeneration of pancreatic beta cells -genetic therapies: aimed at improving insulin expression -addressing family inheritance: the importance of early intervention in the disease and its A1C results to improve the evolution and its complications

    -use of immunotherapy to prevent immune cells from attacking beta cells and reduce the inflammatory process and personalize the treatment for each patient -intestinal microbiota and its role in insulin resistance -determination of BPA (a chemical substance present in many products of daily use), this has been found in many studies to have an immediate and direct effect on glucose levels -age, as one age there is a greater risk of contracting the disease, so a relationship is being established between these factors to improve disease prevention

    **4- Genetic, Environmental and Immunological Factors in Diabetes**

    **Genetic factors**: the risk of a child doubles if the patient developed diabetes before 11 years of age, however, if the mother and father have type 1 diabetes, the risk is 1/10, in many people, it can take years to develop the disease, however, type 2 diabetes has a greater link with family history, but may be closely related to environmental factors and lifestyle.

    **Environmental factors**: Studies confirm that an increased risk of diabetes has been found in urban areas with poor air quality or changes in air quality, which could increase insulin resistance, quality of sociodemographic factors that influence family income, education if we add genetic predisposition, diet, and insufficient physical activity could explain the increase in the disease, the high rate of consumption of sugars and fat causes an increase in insulin resistance, sedentary lifestyle reduces insulin sensitivity, stress and lack of sleep impact on insulin secretion and glucose metabolism

    **Immunological factors**: Type 1 diabetes (autoimmune disease) Infiltration of the target organ by mononuclear cells, humoral and cellular autoreactivity: autoantibodies and autoreactive T cells, the possibility of transfer by immune effects, the possibility of immune effects, the possibility of immunotherapy, HLA association (a protein found on the surface of nucleated cells and responsible for identifying self and foreign in the body) and association with other autoimmune diseases. In conclusion, it has been shown that autoreactive T cells attack beta cells.

    Type 2 diabetes there is a low-grade inflammation both in subjects at risk and in subjects already carrying DM2, different alleles of genes that encode immune/inflammatory mediators, direct impact on the levels of these immune mediators of the main environmental factors involved in the pathogenesis of the disease: diet and physical activity, that is, chronic inflammation in DM2 is mediated by proinflammatory cytokines.

    **5- Therapeutic Implications and Evidence-Based Treatments**

    **Conventional Treatment:** is the medical management to control blood sugar levels, which includes lifestyle changes, such as weight loss or dietary changes and moderate exercise, the use of medications, the use of insulin in daily injections, and others may require the use of oral hypoglycemic agents, a complex carbohydrate diet (brown rice and cereals), fruits, vegetables, mature proteins and dairy products, the use of insulin for DM 1 and Metformin as first lines for DM 2

    New evidence-based therapies: SGLT2 inhibitors (and other types of drugs that can be used for DM 2) that improve renal glucose excretion, GLP-1 receptor agonists, drugs such as Semiglutide, which not only helps control glucose but also weight loss, Latest generation DPP-4 inhibitors, these drugs act on the incretin system, improving insulin production and reducing glucose production in the liver, Personalized medicine to improve response, according to genetic, environmental and immunological profiles, use of long-acting insulin, combined therapies and cell-based genetic therapies, looking for ways to replace or protect pancreatic cells, encapsulated beta cell implants, coated with a protective membrane that isolates them from the immune system, allowing them to produce insulin without being attacked, stem cells, with the goal of creating insulin-producing cells from stem cells, genetic therapy and gene editing for diabetes prevention, the use of advances in glucose monitoring without punctures, use of devices such as the Freestyle Libre and the Dexcom G6, which maintain glucose in the interstitial fluid and provide painless readings. Pancreatic islet transplantation

    **6 – Conclusions**

    Diabetes Mellitus is a chronic, complex, endocrine-metabolic disease with multiple pathophysiological factors and a close genetic, environmental, and immunological interaction, which can cause damage to different organs and tissues such as the kidney, brain, nerves, retina, heart, and arteries. These changes in blood sugar in the body can cause death. It is one of the leading causes of blindness, kidney failure, heart attacks, brain stagnation, and amputations of the lower limbs, which is why it is important to advance research to develop therapeutic strategies that focus on organ protection and cell regeneration, with the hope of improving the quality of life of all patients and minimizing the complications associated with this disease.

    **References**

    –   Sapra A, Bhandari P. (2023) Diabetes Mellitus Mellitus. Treasure Island, FL: StatPearls Publishing

    -American Diabetes Association. (2023). Standards of Medical Care in Diabetes -Diabetes Care,46(Suppl.1), S1-S280

    -Medically reviewed by Marina Basina, MD (2024), Diabetes Mellitus

    – Holf, R.I.G., DeVries, J.H., Hess-FischI, (2023) The management of type 1 diabetes in adults: A consensus report by the American Diabetes Association and the European Association for the Study of Diabetes, Diabetes Care.

    –
    [Ji-Hye Lee](https://pubmed.ncbi.nlm.nih.gov/?term=Lee+JH&cauthor_id=35563231) ,
    [Jaemin Lee](https://pubmed.ncbi.nlm.nih.gov/?term=Lee+J&cauthor_id=35563231) .  (2022). Endoplasmic Reticulum (ER) Stress and Its Role in Pancreatic Cell Dysfunction and Senescence in Type 2 Diabetes

    – Arlington, VA (2025). New Report: The American Diabetes Association Highlights Diabetes Research Advances and Achievements

    – Boulton AJM, Armstrong DG, Löndahl M, Frykberg RG, Game FL, Edmonds ME, Orgill DP, Kramer K, Gurtner GC, Januszyk M, Vileikyte L (2022).
    _New Evidence-Based Therapies for Complex Diabetic Foot Wounds_.

    -The Lancet Diabetes & Endocrinology (2023). Advances in diabetes therapy

    ## image1.jpeg

    **## CRISTINADOCUMENTPDIABETESAPRN.docx**

    **![](https://www.sweetstudy.com/questions/review-this-assigment)DIABETES MELLITUS**

    **Maria Cristina Morales Rodríguez**

    **Advanced Pathophysiology Analysis**

    **MRU University (2025)**

    **DIABETES:**

    A chronic metabolic disorder that appears when blood sugar (glucose) is too high and persists due to the insufficiency of the pancreas to produce insulin or when the body does not react adequately to the effects of insulin. This condition affects millions of people around the world and of any age. It is a chronic disease that can be managed with medication and lifestyle changes, representing a compromise in its stability by the health system because, in the long term, it could bring complications such as nephropathy, neuropathy, retinopathy, cardiovascular disease, which would worsen the health of patients, endocrine metabolic disease. Diabetes describes a metabolic disorder of multiple etiologies characterized by chronic hyperglycemia with disorders in the metabolism of carbohydrates, fats, and proteins due to defects in the secretion and/or action of insulin or both.

    **The molecular mechanism underlying diabetes**

    Diabetes is due to a disorder of insulin: a 5.8 KDa peptide hormone secreted by the pancreatic islets of Langerhans in response to elevated levels of nutrients in the blood. Its main function is to maintain blood glucose concentrations within a normal range. Concomitant hyperglycemia can cause irreversible changes in the chemical composition of molecules such as non-enzymatic glycosylation that favors oxidative stress. Knowledge of the relationship between the molecular basis of DM and non-enzymatic glycolysis and oxidative stress leads to a better interpretation of this entity such as insulin resistance and its chronic complications.

    Diabetes is classified into two main types Type 1 Diabetes: is when the pancreas produces little or no insulin, which causes an increase in blood glucose, it is autoimmune, caused by the destruction of beta-pancreatic cells by the immune system, the presence of autoantibodies (anti-GAD, anti-IA2) have appeared, which help as markers of the progress of the disease. The lack of insulin due to its deficiency causes an inability in the blood glucose regulatory mechanism, which leads to an increase in this in the blood, hyperglycemia, and ketosis.

    Type 2 Diabetes: It begins as insulin resistance, meaning that the body cannot use insulin properly, causing the pancreas to produce more insulin until it can no longer meet the demand. This insulin resistance occurs in peripheral tissues (liver, muscle, adipose tissue). The exact cause of type 2 diabetes is unknown, but some factors may contribute: genetics, sedentary lifestyle, excessive weight gain, these factors: chronic inflammation, oxidative stress, and mitochondrial dysfunction.

    Molecular pathways: PI3K / AKT / regulates glucose uptake by insulin, endoplasmic reticulocyte (ER) stress, associated with alterations in fasting glycemia and/or glucose tolerance ( TGA), together with a state of insulin resistance (IR) that induces the overload of functions in b cells and the consequent activation of the ER (endoplasmic reticulum), this stress contributes to complications such as retinopathy and nephropathy through the MAPK pathway, related to inflammation and insulin resistance, the enormous capacity of beta cells to synthesize and secrete insulin is also what makes it vulnerable to chronic exposure to high levels of glucose and fatty acids, agents that contribute to beta cell failure in type 2 Diabetes.

    **3- Latest findings in Diabetes research**

    – Identification of a new risk factor for type 1 diabetes: Although it is known that type 1 diabetes is caused by an autoimmune attack on beta cells, which are responsible for insulin production, it has been discovered that proteins called hybrid insulin peptides (HIP) are found in the beta cells of people with type 1 diabetes and are recognized as foreign by their immune cells.

    -a molecule to improve glucose monitoring: Dr. Wang has created a molecule that uses a different, non-enzymatic approach to continuously monitor blood glucose levels (this molecule is stable over long periods and can be easily integrated into miniaturized systems) -use of stem cells: for the regeneration of pancreatic beta cells -genetic therapies: aimed at improving insulin expression -addressing family inheritance: the importance of early intervention in the disease and its A1C results to improve the evolution and its complications

    -use of immunotherapy to prevent immune cells from attacking beta cells and reduce the inflammatory process and personalize the treatment for each patient -intestinal microbiota and its role in insulin resistance -determination of BPA (a chemical substance present in many products of daily use), this has been found in many studies to have an immediate and direct effect on glucose levels -age, as one age there is a greater risk of contracting the disease, so a relationship is being established between these factors to improve disease prevention

    **4- Genetic, Environmental and Immunological Factors in Diabetes**

    **Genetic factors**: the risk of a child doubles if the patient developed diabetes before 11 years of age, however, if the mother and father have type 1 diabetes, the risk is 1/10, in many people, it can take years to develop the disease, however, type 2 diabetes has a greater link with family history, but may be closely related to environmental factors and lifestyle.

    **Environmental factors**: Studies confirm that an increased risk of diabetes has been found in urban areas with poor air quality or changes in air quality, which could increase insulin resistance, quality of sociodemographic factors that influence family income, education if we add genetic predisposition, diet, and insufficient physical activity could explain the increase in the disease, the high rate of consumption of sugars and fat causes an increase in insulin resistance, sedentary lifestyle reduces insulin sensitivity, stress and lack of sleep impact on insulin secretion and glucose metabolism

    **Immunological factors**: Type 1 diabetes (autoimmune disease) Infiltration of the target organ by mononuclear cells, humoral and cellular autoreactivity: autoantibodies and autoreactive T cells, the possibility of transfer by immune effects, the possibility of immune effects, the possibility of immunotherapy, HLA association (a protein found on the surface of nucleated cells and responsible for identifying self and foreign in the body) and association with other autoimmune diseases. In conclusion, it has been shown that autoreactive T cells attack beta cells.

    Type 2 diabetes there is a low-grade inflammation both in subjects at risk and in subjects already carrying DM2, different alleles of genes that encode immune/inflammatory mediators, direct impact on the levels of these immune mediators of the main environmental factors involved in the pathogenesis of the disease: diet and physical activity, that is, chronic inflammation in DM2 is mediated by proinflammatory cytokines.

    **5- Therapeutic Implications and Evidence-Based Treatments**

    **Conventional Treatment:** is the medical management to control blood sugar levels, which includes lifestyle changes, such as weight loss or dietary changes and moderate exercise, the use of medications, the use of insulin in daily injections, and others may require the use of oral hypoglycemic agents, a complex carbohydrate diet (brown rice and cereals), fruits, vegetables, mature proteins and dairy products, the use of insulin for DM 1 and Metformin as first lines for DM 2

    New evidence-based therapies: SGLT2 inhibitors (and other types of drugs that can be used for DM 2) that improve renal glucose excretion, GLP-1 receptor agonists, drugs such as Semiglutide, which not only helps control glucose but also weight loss, Latest generation DPP-4 inhibitors, these drugs act on the incretin system, improving insulin production and reducing glucose production in the liver, Personalized medicine to improve response, according to genetic, environmental and immunological profiles, use of long-acting insulin, combined therapies and cell-based genetic therapies, looking for ways to replace or protect pancreatic cells, encapsulated beta cell implants, coated with a protective membrane that isolates them from the immune system, allowing them to produce insulin without being attacked, stem cells, with the goal of creating insulin-producing cells from stem cells, genetic therapy and gene editing for diabetes prevention, the use of advances in glucose monitoring without punctures, use of devices such as the Freestyle Libre and the Dexcom G6, which maintain glucose in the interstitial fluid and provide painless readings. Pancreatic islet transplantation

    **6 – Conclusions**

    Diabetes Mellitus is a chronic, complex, endocrine-metabolic disease with multiple pathophysiological factors and a close genetic, environmental, and immunological interaction, which can cause damage to different organs and tissues such as the kidney, brain, nerves, retina, heart, and arteries. These changes in blood sugar in the body can cause death. It is one of the leading causes of blindness, kidney failure, heart attacks, brain stagnation, and amputations of the lower limbs, which is why it is important to advance research to develop therapeutic strategies that focus on organ protection and cell regeneration, with the hope of improving the quality of life of all patients and minimizing the complications associated with this disease.

    **References**

    –   Sapra A, Bhandari P. (2023) Diabetes Mellitus Mellitus. Treasure Island, FL: StatPearls Publishing

    -American Diabetes Association. (2023). Standards of Medical Care in Diabetes -Diabetes Care,46(Suppl.1), S1-S280

    -Medically reviewed by Marina Basina, MD (2024), Diabetes Mellitus

    – Holf, R.I.G., DeVries, J.H., Hess-FischI, (2023) The management of type 1 diabetes in adults: A consensus report by the American Diabetes Association and the European Association for the Study of Diabetes, Diabetes Care.

    –
    [Ji-Hye Lee](https://pubmed.ncbi.nlm.nih.gov/?term=Lee+JH&cauthor_id=35563231) ,
    [Jaemin Lee](https://pubmed.ncbi.nlm.nih.gov/?term=Lee+J&cauthor_id=35563231) .  (2022). Endoplasmic Reticulum (ER) Stress and Its Role in Pancreatic Cell Dysfunction and Senescence in Type 2 Diabetes

    – Arlington, VA (2025). New Report: The American Diabetes Association Highlights Diabetes Research Advances and Achievements

    – Boulton AJM, Armstrong DG, Löndahl M, Frykberg RG, Game FL, Edmonds ME, Orgill DP, Kramer K, Gurtner GC, Januszyk M, Vileikyte L (2022).
    _New Evidence-Based Therapies for Complex Diabetic Foot Wounds_.

    -The Lancet Diabetes & Endocrinology (2023). Advances in diabetes therapy

    ## image1.jpeg

  • [Solved] Writing as a Process

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    Write a short paper discussing your history as a writer _Questions to address:_ 1. What is it about writing that challenges you? What causes you to want to give up and walk away? 2. What do you think about your ability to write? What kinds of experiences have shaped your feelings about writing? 3…

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    Write a short paper discussing your history as a writer

    _Questions to address:_

            1. What is it about writing that challenges you? What causes you to want to give up and walk away?

            2. What do you think about your ability to write?  What kinds of experiences have shaped your feelings about writing?

            3. Have you ever received feedback that made you question your ability to succeed?

            4. What is good about writing? Locate at least two journal articles to support this.

           5. What do you think about writing? How can writing help you grow?

    **Please provide no less than five (5) well-thought, content-sound, grammatically correct sentences for each question of the assignment.**

    Note that a good paragraph has at least 5 sentences.

    Please follow the 7th edition of the APA rules & guidelines to **submit as a paper (cover page, etc.).**

    – 2 years ago

  • [Solved] Reflection matterrs

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    Reflection matterrs – 2 years ago

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    Reflection matterrs

    – 2 years ago

  • [Solved] wk6-2025

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    – Explain how different cultures construe primary and secondary control – Explain the differences between high-context cultures and low-context cultures – Explain the impact that language has on various domains according to the Whorfian hypothesis Find one research study (or more) to explain the …

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    – Explain how different cultures construe primary and secondary control

    – Explain the differences between high-context cultures and low-context cultures

    – Explain the impact that language has on various domains according to the Whorfian hypothesis

    Find one research study (or more) to explain the following concepts to provide either evidence for it (prove it) or against it (disprove it), you may provide evidence for either side. Explain, describe, compare and contrast:

    – Learned helplessness and cultural differences in the perception of choice

    – 2 years ago

  • [Solved] psy snh

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    – 2 years ago **files (3)** – ## milestone1113.docx – ## MilestoneOne12111.docx – psyweek6.mht **## milestone1113.docx** 1 #### **Milestone One: Resource Collection** name PSY-790-10178-M01 Capstone in Psychology Elizabeth Babskie January 15, 2025 **Milestone One: Resource Collection** #### Research…

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    – 2 years ago

    **files (3)**

    – ## milestone1113.docx

    – ## MilestoneOne12111.docx

    – psyweek6.mht

    **## milestone1113.docx**

    1

    #### **Milestone One: Resource Collection** name PSY-790-10178-M01 Capstone in Psychology Elizabeth Babskie January 15, 2025 **Milestone One: Resource Collection**

    #### Research Topic

    The proposed research topic for my capstone project is: "The Influence of Trauma in Early Childhood on the Mental Health and Development of Adolescents." This research seeks to explore the long-term effects of early trauma, including abuse, neglect, and exposure to violence, on adolescents' emotional regulation, cognitive development, and social functioning. Additionally, it aims to evaluate interventions designed to mitigate the effects of early trauma and build resilience.

    #### Research Questions

    1. What psychosocial residuals of early trauma persist into adolescence?

    2. How does early trauma affect academic performance and social relationships during adolescence?

    3. Which interventions are most effective in fostering resilience among adolescents who experienced early trauma?

    4. How can schools and community organizations design supportive environments for these adolescents?

    #### Importance of the Topic

    Childhood trauma is a significant public health concern with long-term consequences that extend into adolescence and adulthood. Studies consistently link early trauma to mental health challenges, including depression, anxiety, and PTSD, as well as impaired academic and social functioning. Despite its prevalence, interventions for adolescents remain underdeveloped, particularly those addressing resilience-building. This research is vital to improving our understanding of trauma's effects and creating evidence-based interventions to support affected individuals.

    #### Literature Review

    The following peer-reviewed resources support this research and provide insights into the topic.

    1. Felitti, V. J., Anda, R. F., Nordenberg, D., et al. (1998).
    Citation: Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/S0749-3797(98)00017-8
    Summary: This foundational study established the ACE framework, highlighting the long-term impacts of childhood trauma on mental and physical health. The study emphasizes the cumulative effect of adverse experiences on psychological outcomes, laying the groundwork for understanding trauma's role in adolescence.
    Evaluation: The methodology, including its large sample size, enhances the study's credibility. Its relevance to this research lies in its comprehensive exploration of early trauma's effects, but it focuses more on adult outcomes than adolescent development.

    2. Bethell, C. D., Newacheck, P., Hawes, E., & Halfon, N. (2014).
    Citation: Adverse childhood experiences: Assessing the impact on health and school engagement and the mitigating role of resilience. Health Affairs, 33(12), 2106–2115.
    [https://doi.org/10.1377/hlthaff.2014.0914](https://doi.org/10.1377/hlthaff.2014.0914)
    Summary: This article examines how ACEs affect school engagement and overall health, emphasizing the protective role of resilience. It highlights strategies to foster resilience in children and adolescents to mitigate trauma's effects on education and social behavior.
    Evaluation: The authors present strong, evidence-based arguments supported by national survey data. While the focus on school engagement aligns well with the proposed research, the article provides limited detail on specific interventions.

    3. Brunzell, T., Stokes, H., & Waters, L. (2016).
    Citation: Trauma-informed positive education: Using positive psychology to strengthen vulnerable students. Contemporary School Psychology, 20(1), 63–83. https://doi.org/10.1007/s40688-015-0064-8
    Summary: This article introduces trauma-informed education as a strategy to improve outcomes for students with adverse childhood experiences. It focuses on integrating resilience-building practices, such as mindfulness and positive psychology, within educational settings.
    Evaluation: The study's strength lies in its practical application of trauma-informed practices within schools. However, the lack of quantitative data limits the generalizability of the findings.

    4. Alisic, E., Zalta, A. K., van Wesel, F., et al. (2014).
    Citation: Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: Meta-analysis. British Journal of Psychiatry, 204(5), 335–340. https://doi.org/10.1192/bjp.bp.113.131227
    Summary: This meta-analysis provides an overview of PTSD prevalence in children and adolescents exposed to trauma. It highlights risk factors, including the type and timing of trauma, and underscores the importance of early interventions.
    Evaluation: The present study crystallizes several studies' findings into concrete conclusions in the light of methodological rigor. Highly relevant: though focused on PTSD, other psychiatric outcomes, including depression and anxiety disorders, were not addressed.

    5. Bryant, R. A., & Deane, F. P. (2022).
    Citation: Cognitive-behavioral interventions for trauma-related disorders in children and adolescents: A review of efficacy and implementation. Journal of Child Psychology and Psychiatry, 63(2), 134–147. https://doi.org/10.1111/jcpp.13487
    Summary: This review stipulates the effectiveness of CBT among traumatized children and adolescents; further, it outlines various barriers in implementing CBT through schools and local communities.

    Evaluation: The authors give an extensive review of the efficiency of the CBT, hence being a good source in designing the intervention. On critical analysis, this article has failed to address another approach method, for example, mindfulness and family-based interventions.

    **Analysis of Sources**

    Each source adds to different information that contributes to the research topic:

    · Felitti et al. on the lifetime effect of trauma,

    · building resilience and engagement in school by Bethell et al.

    · to fit the educational approach of the research, trauma-informed practices which can be explicitly implemented into schools by Brunzell et al.

    · Alisic et al. provide solid data regarding PTSD prevalence to back up the importance of early intervention.

    · Bryant & Deane discuss the debate evidence-based interventions informing practical strategies in developing resilience.

    **Conclusion**:

    These will add cumulatively to the knowledge base on early trauma effects and go a long way in helping to inform interventions for adolescents. The three resources above, therefore, provide evidence to inform the inclusion of strategies in resilience building, trauma-informed education, and cognitive behavioral approach. Synthesizing the findings, this proposed research is aimed at addressing the gaps in current practice and actionable solutions to support traumatized adolescents.

    References

    Alisic, E., Zalta, A. K., van Wesel, F., et al. (2014). Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: Meta-analysis. British Journal of Psychiatry, 204(5), 335–340.
    [https://doi.org/10.1192/bjp.bp.113.131227](https://doi.org/10.1192/bjp.bp.113.131227)

    Bethell, C. D., Newacheck, P., Hawes, E., & Halfon, N. (2014).
    _Adverse childhood experiences: Assessing the impact on health and school engagement and the mitigating role of resilience._ _Health Affairs_, 33(12), 2106–2115.
    [https://doi.org/10.1377/hlthaff.2014.0914](https://doi.org/10.1377/hlthaff.2014.0914)

    Brunzell, T., Stokes, H., & Waters, L. (2016).
    _Trauma-informed positive education: Using positive psychology to strengthen vulnerable students._ _Contemporary School Psychology_, 20(1), 63–83.
    [https://doi.org/10.1007/s40688-015-0064-8](https://doi.org/10.1007/s40688-015-0064-8)

    Bryant, R. A., & Deane, F. P. (2022).
    _Cognitive-behavioral interventions for trauma-related disorders in children and adolescents: A review of efficacy and implementation._ _Journal of Child Psychology and Psychiatry_, 63(2), 134–147.
    [https://doi.org/10.1111/jcpp.13487](https://doi.org/10.1111/jcpp.13487)

    Felitti, V. J., Anda, R. F., Nordenberg, D., et al. (1998).
    _Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study._ _American Journal of Preventive Medicine_, 14(4), 245–258. https://doi.org/10.1016/S0749-3797(98)00017-8

    **## MilestoneOne12111.docx**

    2

    **Milestone One: Resource Collection**

    Student’s name

    Institution affiliation

    Course

    Instructor’s name

    Date

    **Milestone One: Resource Collection**

    **Overview of the Research**

    Early childhood traumatic experiences including abuse, neglect, and witnessing of violence and its impact on emotional, cognitive, and social development in adolescents will be the proposed topic of research. The research will also explore how interventions can foster resilience in adolescents facing these challenges, particularly within school environments. The key areas of interest involve the psychosocial effects of early trauma, the impact on academic performance, social relationships, and effective interventions.

    **Research Questions**

    The research questions proposed are as follows:

    1. What psychosocial residuals of early trauma persist into adolescence?

    2. Does trauma experienced early affect later academic and social performance in the adolescent period?

    3. Which interventions most effectively foster resilience in adolescents who have been traumatized early in their lives?

    4. How can supportive environments for these adolescents be designed by schools and community organizations?

    These questions have been identified at the core of the proposed research, which can help bridge gaps between trauma theory and intervention practices for adolescents.

    **Evaluation of Topic Fit to the Field of Psychology**

    The topic of review is trauma experienced during early childhood and its repercussions in later adolescent years. Trauma psychology generally falls under developmental psychology. Scientific evidence has already demonstrated that experiences of trauma significantly alter emotional modulation, cognitive maturation, and social functioning early in life. These changes contribute mightily toward structuring how well adolescents perform mental health, or disorders concerning them, for example, symptoms indicating PTSD, major depression, or anxiety problems. This study seeks to help build in its own unique area of resilient development interventions through schooling and at communities and elaborate to what psychological mechanisms undergird these and thereby apply interventions when the developing world needs care support.

    **Synthesis of Previous Scholarly Research Findings**

    The literature review draws from several critical studies including Felitti et al. (1998) who study foundational in trauma research, establishing the Adverse Childhood Experiences (ACE) framework and demonstrating the long-term effects of childhood trauma on physical and mental health outcomes. The study, however, emphasizes adult outcomes more than adolescent development, indicating a gap that the research aims to address by focusing on the adolescent phase. Additionally, Bethell et al. (2014) emphasize the role of resilience in mitigating the effects of ACEs. It links early trauma to poor school engagement and overall health. Although Bethell et al. (2014) provide valuable insights into resilience, their study falls short in detailing specific interventions, which this research intends to explore further, particularly within school environments.

    Brunzell et al. (2016) introduce trauma-informed education and how integrating positive psychology within school settings can improve outcomes for traumatized students. While the study provides practical insights, its lack of quantitative data limits its ability to generalize findings across diverse settings, a gap this research seeks to fill. Alisic et al. (2014) focus on PTSD prevalence in children and adolescents with trauma exposure, identifying risk factors, and advocating for early interventions. This study however, does not incorporate other important mental health issues among children, such as depression and anxiety, which this research is trying to present. Whereas Bryant and Deane (2022) conducted a comprehensive review of cognitive-behavioral treatments for trauma-related disorders among children and adolescents, the key focus still lies in the area of CBT. No consideration of other therapeutic approaches has been made, such as mindfulness and family-based interventions that could be highly relevant when considering treatment of trauma within a broader approach.

    **Comparison and Evaluation of Studies**

    A comparison of these studies indicates that, while they provide a clear understanding of early trauma and its association with mental health, each has some limitations:

    · While the studies by Felitti et al. (1998) and Bethell et al. (2014) are based on long-term trauma, the interventions aimed at adolescents are only minimally addressed.

    · Brunzell et al. (2016) present a promising model of trauma-informed education; however, the absence of quantitative evidence limits the generalization of their findings.

    · Alisic et al. (2014) study and also Bryant and Deane (2022) literature were quite enlightening on interventions, such as CBT; however, there was a shortage regarding the variety of interventions discussed. This paper will add to current information by considering other kinds of interventions, such as family-based therapy and mindfulness, which can probably represent more holistic approaches in adolescents.

    **Addressing Research Gaps**

    A critical gap identified in the literature is the insufficient exploration of specific interventions aimed at fostering resilience in adolescents, especially within educational contexts. While resilience is often discussed in theoretical terms, there is a lack of detailed research on how resilience-building practices can be integrated into school environments. Additionally, most studies focus on PTSD as the primary mental health issue resulting from childhood trauma, with less emphasis on other outcomes like depression, anxiety, or social withdrawal.

    **The Research will Fill this Gap by:**

    · Exploring how different interventions (including CBT, mindfulness, family therapy) can be implemented in schools to support adolescents.

    · Investigating how schools and community organizations can create trauma-informed environments that foster resilience.

    · Expanding the focus to include a broader range of mental health challenges, not just PTSD.

    **Contribution of Existing Research to Real-World Problems**

    Existing research on childhood trauma has significant implications for the general public. By identifying the long-term effects of trauma, these studies emphasize the need for early intervention to prevent the development of serious mental health issues in adolescents. There is an increasing recognition of the importance of trauma-informed practices both at schools and in other community venues as a means to support vulnerable youth.

    This research will help further this effort by providing actionable insights into how schools can implement effective interventions to mitigate the effects of trauma. By focusing on resilience-building strategies, the study aims to offer practical solutions that can be adopted by educational institutions and community organizations to support vulnerable adolescents. This research is vital for public health, education, and social services, as it directly addresses the well-being of a high-risk population and offers evidence-based strategies for improvement.

    **Organizing and Aligning the Literature Review to the Message**

    The literature review should be logically organized to flow from identifying the research topic through synthesizing previous work, identifying research gaps, and culminating in implications for this study. This clear path includes the following general form for this type of literature review paper:

    1.
    **Introduction**: A brief introduction to the research topic and questions.

    2.
    **Literature Review**: A summary of prior research with regard to how trauma impacts adolescent development and intervention.

    3.
    **Gap Identification**: A presentation of the shortcomings of the available research and what gaps this research will attempt to fill.

    4.
    **Proposed Research Contribution**: Identifying how the research will fill these gaps and, its contribution to practical applications.

    5.
    **Conclusion**: A summary of the synthesis of the literature, and the re-engagement with the research questions and the overall argument.

    **Synthesizing Conclusion**

    The literature review demonstrates a critical need for more focused research on interventions that build resilience in adolescents affected by early trauma. While existing studies have established the pervasive impacts of trauma, particularly regarding PTSD, they lack detailed exploration of intervention methods in educational settings. This research aims to bridge this gap by exploring various therapeutic interventions, such as CBT, mindfulness, and family-based therapies, and evaluating their effectiveness in supporting adolescents in school environments. By synthesizing the existing literature and proposing a path forward, the study will contribute valuable insights to the field of psychology, particularly in improving mental health outcomes for adolescents facing the consequences of early trauma.

    Bottom of Form

    References

    Alisic, E., Zalta, A. K., Van Wesel, F., Larsen, S. E., Hafstad, G. S., Hassanpour, K., & Smid, G. E. (2014). Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: meta-analysis.
    _The British Journal of Psychiatry_,
    _204_(5), 335-340.
    [https://doi.org/10.1192/bjp.bp.113.131227](https://doi.org/10.1192/bjp.bp.113.131227)

    Bethell, C. D., Newacheck, P., Hawes, E., & Halfon, N. (2014). Adverse childhood experiences: Assessing the impact on health and school engagement and the mitigating role of resilience.
    _Health affairs_,
    _33_(12), 2106-2115.
    [https://doi.org/10.1377/hlthaff.2014.0914](https://doi.org/10.1377/hlthaff.2014.0914)

    Brunzell, T., Stokes, H., & Waters, L. (2016).
    _Trauma-informed positive education: Using positive psychology to strengthen vulnerable students._ _Contemporary School Psychology_, 20(1), 63–83.
    [https://doi.org/10.1007/s40688-015-0064-8](https://doi.org/10.1007/s40688-015-0064-8)

    Bryant, R. A., & Deane, F. P. (2022).
    _Cognitive-behavioral interventions for trauma-related disorders in children and adolescents: A review of efficacy and implementation._ _Journal of Child Psychology and Psychiatry_, 63(2), 134–147.
    [https://doi.org/10.1111/jcpp.13487](https://doi.org/10.1111/jcpp.13487)

    Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study.
    _American journal of preventive medicine_,
    _14_(4), 245-258.
    [https://www.ajpmonline.org/article/S0749-3797(98)00017-8/fulltext](https://www.ajpmonline.org/article/S0749-3797(98)00017-8/fulltext)

    **psyweek6.mht**

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    **psyweek6.mht**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/psyweek6-mht)

    **## milestone1113.docx**

    1

    #### **Milestone One: Resource Collection** name PSY-790-10178-M01 Capstone in Psychology Elizabeth Babskie January 15, 2025 **Milestone One: Resource Collection**

    #### Research Topic

    The proposed research topic for my capstone project is: "The Influence of Trauma in Early Childhood on the Mental Health and Development of Adolescents." This research seeks to explore the long-term effects of early trauma, including abuse, neglect, and exposure to violence, on adolescents' emotional regulation, cognitive development, and social functioning. Additionally, it aims to evaluate interventions designed to mitigate the effects of early trauma and build resilience.

    #### Research Questions

    1. What psychosocial residuals of early trauma persist into adolescence?

    2. How does early trauma affect academic performance and social relationships during adolescence?

    3. Which interventions are most effective in fostering resilience among adolescents who experienced early trauma?

    4. How can schools and community organizations design supportive environments for these adolescents?

    #### Importance of the Topic

    Childhood trauma is a significant public health concern with long-term consequences that extend into adolescence and adulthood. Studies consistently link early trauma to mental health challenges, including depression, anxiety, and PTSD, as well as impaired academic and social functioning. Despite its prevalence, interventions for adolescents remain underdeveloped, particularly those addressing resilience-building. This research is vital to improving our understanding of trauma's effects and creating evidence-based interventions to support affected individuals.

    #### Literature Review

    The following peer-reviewed resources support this research and provide insights into the topic.

    1. Felitti, V. J., Anda, R. F., Nordenberg, D., et al. (1998).
    Citation: Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/S0749-3797(98)00017-8
    Summary: This foundational study established the ACE framework, highlighting the long-term impacts of childhood trauma on mental and physical health. The study emphasizes the cumulative effect of adverse experiences on psychological outcomes, laying the groundwork for understanding trauma's role in adolescence.
    Evaluation: The methodology, including its large sample size, enhances the study's credibility. Its relevance to this research lies in its comprehensive exploration of early trauma's effects, but it focuses more on adult outcomes than adolescent development.

    2. Bethell, C. D., Newacheck, P., Hawes, E., & Halfon, N. (2014).
    Citation: Adverse childhood experiences: Assessing the impact on health and school engagement and the mitigating role of resilience. Health Affairs, 33(12), 2106–2115.
    [https://doi.org/10.1377/hlthaff.2014.0914](https://doi.org/10.1377/hlthaff.2014.0914)
    Summary: This article examines how ACEs affect school engagement and overall health, emphasizing the protective role of resilience. It highlights strategies to foster resilience in children and adolescents to mitigate trauma's effects on education and social behavior.
    Evaluation: The authors present strong, evidence-based arguments supported by national survey data. While the focus on school engagement aligns well with the proposed research, the article provides limited detail on specific interventions.

    3. Brunzell, T., Stokes, H., & Waters, L. (2016).
    Citation: Trauma-informed positive education: Using positive psychology to strengthen vulnerable students. Contemporary School Psychology, 20(1), 63–83. https://doi.org/10.1007/s40688-015-0064-8
    Summary: This article introduces trauma-informed education as a strategy to improve outcomes for students with adverse childhood experiences. It focuses on integrating resilience-building practices, such as mindfulness and positive psychology, within educational settings.
    Evaluation: The study's strength lies in its practical application of trauma-informed practices within schools. However, the lack of quantitative data limits the generalizability of the findings.

    4. Alisic, E., Zalta, A. K., van Wesel, F., et al. (2014).
    Citation: Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: Meta-analysis. British Journal of Psychiatry, 204(5), 335–340. https://doi.org/10.1192/bjp.bp.113.131227
    Summary: This meta-analysis provides an overview of PTSD prevalence in children and adolescents exposed to trauma. It highlights risk factors, including the type and timing of trauma, and underscores the importance of early interventions.
    Evaluation: The present study crystallizes several studies' findings into concrete conclusions in the light of methodological rigor. Highly relevant: though focused on PTSD, other psychiatric outcomes, including depression and anxiety disorders, were not addressed.

    5. Bryant, R. A., & Deane, F. P. (2022).
    Citation: Cognitive-behavioral interventions for trauma-related disorders in children and adolescents: A review of efficacy and implementation. Journal of Child Psychology and Psychiatry, 63(2), 134–147. https://doi.org/10.1111/jcpp.13487
    Summary: This review stipulates the effectiveness of CBT among traumatized children and adolescents; further, it outlines various barriers in implementing CBT through schools and local communities.

    Evaluation: The authors give an extensive review of the efficiency of the CBT, hence being a good source in designing the intervention. On critical analysis, this article has failed to address another approach method, for example, mindfulness and family-based interventions.

    **Analysis of Sources**

    Each source adds to different information that contributes to the research topic:

    · Felitti et al. on the lifetime effect of trauma,

    · building resilience and engagement in school by Bethell et al.

    · to fit the educational approach of the research, trauma-informed practices which can be explicitly implemented into schools by Brunzell et al.

    · Alisic et al. provide solid data regarding PTSD prevalence to back up the importance of early intervention.

    · Bryant & Deane discuss the debate evidence-based interventions informing practical strategies in developing resilience.

    **Conclusion**:

    These will add cumulatively to the knowledge base on early trauma effects and go a long way in helping to inform interventions for adolescents. The three resources above, therefore, provide evidence to inform the inclusion of strategies in resilience building, trauma-informed education, and cognitive behavioral approach. Synthesizing the findings, this proposed research is aimed at addressing the gaps in current practice and actionable solutions to support traumatized adolescents.

    References

    Alisic, E., Zalta, A. K., van Wesel, F., et al. (2014). Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: Meta-analysis. British Journal of Psychiatry, 204(5), 335–340.
    [https://doi.org/10.1192/bjp.bp.113.131227](https://doi.org/10.1192/bjp.bp.113.131227)

    Bethell, C. D., Newacheck, P., Hawes, E., & Halfon, N. (2014).
    _Adverse childhood experiences: Assessing the impact on health and school engagement and the mitigating role of resilience._ _Health Affairs_, 33(12), 2106–2115.
    [https://doi.org/10.1377/hlthaff.2014.0914](https://doi.org/10.1377/hlthaff.2014.0914)

    Brunzell, T., Stokes, H., & Waters, L. (2016).
    _Trauma-informed positive education: Using positive psychology to strengthen vulnerable students._ _Contemporary School Psychology_, 20(1), 63–83.
    [https://doi.org/10.1007/s40688-015-0064-8](https://doi.org/10.1007/s40688-015-0064-8)

    Bryant, R. A., & Deane, F. P. (2022).
    _Cognitive-behavioral interventions for trauma-related disorders in children and adolescents: A review of efficacy and implementation._ _Journal of Child Psychology and Psychiatry_, 63(2), 134–147.
    [https://doi.org/10.1111/jcpp.13487](https://doi.org/10.1111/jcpp.13487)

    Felitti, V. J., Anda, R. F., Nordenberg, D., et al. (1998).
    _Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study._ _American Journal of Preventive Medicine_, 14(4), 245–258. https://doi.org/10.1016/S0749-3797(98)00017-8

    **## MilestoneOne12111.docx**

    2

    **Milestone One: Resource Collection**

    Student’s name

    Institution affiliation

    Course

    Instructor’s name

    Date

    **Milestone One: Resource Collection**

    **Overview of the Research**

    Early childhood traumatic experiences including abuse, neglect, and witnessing of violence and its impact on emotional, cognitive, and social development in adolescents will be the proposed topic of research. The research will also explore how interventions can foster resilience in adolescents facing these challenges, particularly within school environments. The key areas of interest involve the psychosocial effects of early trauma, the impact on academic performance, social relationships, and effective interventions.

    **Research Questions**

    The research questions proposed are as follows:

    1. What psychosocial residuals of early trauma persist into adolescence?

    2. Does trauma experienced early affect later academic and social performance in the adolescent period?

    3. Which interventions most effectively foster resilience in adolescents who have been traumatized early in their lives?

    4. How can supportive environments for these adolescents be designed by schools and community organizations?

    These questions have been identified at the core of the proposed research, which can help bridge gaps between trauma theory and intervention practices for adolescents.

    **Evaluation of Topic Fit to the Field of Psychology**

    The topic of review is trauma experienced during early childhood and its repercussions in later adolescent years. Trauma psychology generally falls under developmental psychology. Scientific evidence has already demonstrated that experiences of trauma significantly alter emotional modulation, cognitive maturation, and social functioning early in life. These changes contribute mightily toward structuring how well adolescents perform mental health, or disorders concerning them, for example, symptoms indicating PTSD, major depression, or anxiety problems. This study seeks to help build in its own unique area of resilient development interventions through schooling and at communities and elaborate to what psychological mechanisms undergird these and thereby apply interventions when the developing world needs care support.

    **Synthesis of Previous Scholarly Research Findings**

    The literature review draws from several critical studies including Felitti et al. (1998) who study foundational in trauma research, establishing the Adverse Childhood Experiences (ACE) framework and demonstrating the long-term effects of childhood trauma on physical and mental health outcomes. The study, however, emphasizes adult outcomes more than adolescent development, indicating a gap that the research aims to address by focusing on the adolescent phase. Additionally, Bethell et al. (2014) emphasize the role of resilience in mitigating the effects of ACEs. It links early trauma to poor school engagement and overall health. Although Bethell et al. (2014) provide valuable insights into resilience, their study falls short in detailing specific interventions, which this research intends to explore further, particularly within school environments.

    Brunzell et al. (2016) introduce trauma-informed education and how integrating positive psychology within school settings can improve outcomes for traumatized students. While the study provides practical insights, its lack of quantitative data limits its ability to generalize findings across diverse settings, a gap this research seeks to fill. Alisic et al. (2014) focus on PTSD prevalence in children and adolescents with trauma exposure, identifying risk factors, and advocating for early interventions. This study however, does not incorporate other important mental health issues among children, such as depression and anxiety, which this research is trying to present. Whereas Bryant and Deane (2022) conducted a comprehensive review of cognitive-behavioral treatments for trauma-related disorders among children and adolescents, the key focus still lies in the area of CBT. No consideration of other therapeutic approaches has been made, such as mindfulness and family-based interventions that could be highly relevant when considering treatment of trauma within a broader approach.

    **Comparison and Evaluation of Studies**

    A comparison of these studies indicates that, while they provide a clear understanding of early trauma and its association with mental health, each has some limitations:

    · While the studies by Felitti et al. (1998) and Bethell et al. (2014) are based on long-term trauma, the interventions aimed at adolescents are only minimally addressed.

    · Brunzell et al. (2016) present a promising model of trauma-informed education; however, the absence of quantitative evidence limits the generalization of their findings.

    · Alisic et al. (2014) study and also Bryant and Deane (2022) literature were quite enlightening on interventions, such as CBT; however, there was a shortage regarding the variety of interventions discussed. This paper will add to current information by considering other kinds of interventions, such as family-based therapy and mindfulness, which can probably represent more holistic approaches in adolescents.

    **Addressing Research Gaps**

    A critical gap identified in the literature is the insufficient exploration of specific interventions aimed at fostering resilience in adolescents, especially within educational contexts. While resilience is often discussed in theoretical terms, there is a lack of detailed research on how resilience-building practices can be integrated into school environments. Additionally, most studies focus on PTSD as the primary mental health issue resulting from childhood trauma, with less emphasis on other outcomes like depression, anxiety, or social withdrawal.

    **The Research will Fill this Gap by:**

    · Exploring how different interventions (including CBT, mindfulness, family therapy) can be implemented in schools to support adolescents.

    · Investigating how schools and community organizations can create trauma-informed environments that foster resilience.

    · Expanding the focus to include a broader range of mental health challenges, not just PTSD.

    **Contribution of Existing Research to Real-World Problems**

    Existing research on childhood trauma has significant implications for the general public. By identifying the long-term effects of trauma, these studies emphasize the need for early intervention to prevent the development of serious mental health issues in adolescents. There is an increasing recognition of the importance of trauma-informed practices both at schools and in other community venues as a means to support vulnerable youth.

    This research will help further this effort by providing actionable insights into how schools can implement effective interventions to mitigate the effects of trauma. By focusing on resilience-building strategies, the study aims to offer practical solutions that can be adopted by educational institutions and community organizations to support vulnerable adolescents. This research is vital for public health, education, and social services, as it directly addresses the well-being of a high-risk population and offers evidence-based strategies for improvement.

    **Organizing and Aligning the Literature Review to the Message**

    The literature review should be logically organized to flow from identifying the research topic through synthesizing previous work, identifying research gaps, and culminating in implications for this study. This clear path includes the following general form for this type of literature review paper:

    1.
    **Introduction**: A brief introduction to the research topic and questions.

    2.
    **Literature Review**: A summary of prior research with regard to how trauma impacts adolescent development and intervention.

    3.
    **Gap Identification**: A presentation of the shortcomings of the available research and what gaps this research will attempt to fill.

    4.
    **Proposed Research Contribution**: Identifying how the research will fill these gaps and, its contribution to practical applications.

    5.
    **Conclusion**: A summary of the synthesis of the literature, and the re-engagement with the research questions and the overall argument.

    **Synthesizing Conclusion**

    The literature review demonstrates a critical need for more focused research on interventions that build resilience in adolescents affected by early trauma. While existing studies have established the pervasive impacts of trauma, particularly regarding PTSD, they lack detailed exploration of intervention methods in educational settings. This research aims to bridge this gap by exploring various therapeutic interventions, such as CBT, mindfulness, and family-based therapies, and evaluating their effectiveness in supporting adolescents in school environments. By synthesizing the existing literature and proposing a path forward, the study will contribute valuable insights to the field of psychology, particularly in improving mental health outcomes for adolescents facing the consequences of early trauma.

    Bottom of Form

    References

    Alisic, E., Zalta, A. K., Van Wesel, F., Larsen, S. E., Hafstad, G. S., Hassanpour, K., & Smid, G. E. (2014). Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: meta-analysis.
    _The British Journal of Psychiatry_,
    _204_(5), 335-340.
    [https://doi.org/10.1192/bjp.bp.113.131227](https://doi.org/10.1192/bjp.bp.113.131227)

    Bethell, C. D., Newacheck, P., Hawes, E., & Halfon, N. (2014). Adverse childhood experiences: Assessing the impact on health and school engagement and the mitigating role of resilience.
    _Health affairs_,
    _33_(12), 2106-2115.
    [https://doi.org/10.1377/hlthaff.2014.0914](https://doi.org/10.1377/hlthaff.2014.0914)

    Brunzell, T., Stokes, H., & Waters, L. (2016).
    _Trauma-informed positive education: Using positive psychology to strengthen vulnerable students._ _Contemporary School Psychology_, 20(1), 63–83.
    [https://doi.org/10.1007/s40688-015-0064-8](https://doi.org/10.1007/s40688-015-0064-8)

    Bryant, R. A., & Deane, F. P. (2022).
    _Cognitive-behavioral interventions for trauma-related disorders in children and adolescents: A review of efficacy and implementation._ _Journal of Child Psychology and Psychiatry_, 63(2), 134–147.
    [https://doi.org/10.1111/jcpp.13487](https://doi.org/10.1111/jcpp.13487)

    Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study.
    _American journal of preventive medicine_,
    _14_(4), 245-258.
    [https://www.ajpmonline.org/article/S0749-3797(98)00017-8/fulltext](https://www.ajpmonline.org/article/S0749-3797(98)00017-8/fulltext)

    **psyweek6.mht**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/psyweek6-mht)

    **## milestone1113.docx**

    1

    #### **Milestone One: Resource Collection** name PSY-790-10178-M01 Capstone in Psychology Elizabeth Babskie January 15, 2025 **Milestone One: Resource Collection**

    #### Research Topic

    The proposed research topic for my capstone project is: "The Influence of Trauma in Early Childhood on the Mental Health and Development of Adolescents." This research seeks to explore the long-term effects of early trauma, including abuse, neglect, and exposure to violence, on adolescents' emotional regulation, cognitive development, and social functioning. Additionally, it aims to evaluate interventions designed to mitigate the effects of early trauma and build resilience.

    #### Research Questions

    1. What psychosocial residuals of early trauma persist into adolescence?

    2. How does early trauma affect academic performance and social relationships during adolescence?

    3. Which interventions are most effective in fostering resilience among adolescents who experienced early trauma?

    4. How can schools and community organizations design supportive environments for these adolescents?

    #### Importance of the Topic

    Childhood trauma is a significant public health concern with long-term consequences that extend into adolescence and adulthood. Studies consistently link early trauma to mental health challenges, including depression, anxiety, and PTSD, as well as impaired academic and social functioning. Despite its prevalence, interventions for adolescents remain underdeveloped, particularly those addressing resilience-building. This research is vital to improving our understanding of trauma's effects and creating evidence-based interventions to support affected individuals.

    #### Literature Review

    The following peer-reviewed resources support this research and provide insights into the topic.

    1. Felitti, V. J., Anda, R. F., Nordenberg, D., et al. (1998).
    Citation: Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/S0749-3797(98)00017-8
    Summary: This foundational study established the ACE framework, highlighting the long-term impacts of childhood trauma on mental and physical health. The study emphasizes the cumulative effect of adverse experiences on psychological outcomes, laying the groundwork for understanding trauma's role in adolescence.
    Evaluation: The methodology, including its large sample size, enhances the study's credibility. Its relevance to this research lies in its comprehensive exploration of early trauma's effects, but it focuses more on adult outcomes than adolescent development.

    2. Bethell, C. D., Newacheck, P., Hawes, E., & Halfon, N. (2014).
    Citation: Adverse childhood experiences: Assessing the impact on health and school engagement and the mitigating role of resilience. Health Affairs, 33(12), 2106–2115.
    [https://doi.org/10.1377/hlthaff.2014.0914](https://doi.org/10.1377/hlthaff.2014.0914)
    Summary: This article examines how ACEs affect school engagement and overall health, emphasizing the protective role of resilience. It highlights strategies to foster resilience in children and adolescents to mitigate trauma's effects on education and social behavior.
    Evaluation: The authors present strong, evidence-based arguments supported by national survey data. While the focus on school engagement aligns well with the proposed research, the article provides limited detail on specific interventions.

    3. Brunzell, T., Stokes, H., & Waters, L. (2016).
    Citation: Trauma-informed positive education: Using positive psychology to strengthen vulnerable students. Contemporary School Psychology, 20(1), 63–83. https://doi.org/10.1007/s40688-015-0064-8
    Summary: This article introduces trauma-informed education as a strategy to improve outcomes for students with adverse childhood experiences. It focuses on integrating resilience-building practices, such as mindfulness and positive psychology, within educational settings.
    Evaluation: The study's strength lies in its practical application of trauma-informed practices within schools. However, the lack of quantitative data limits the generalizability of the findings.

    4. Alisic, E., Zalta, A. K., van Wesel, F., et al. (2014).
    Citation: Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: Meta-analysis. British Journal of Psychiatry, 204(5), 335–340. https://doi.org/10.1192/bjp.bp.113.131227
    Summary: This meta-analysis provides an overview of PTSD prevalence in children and adolescents exposed to trauma. It highlights risk factors, including the type and timing of trauma, and underscores the importance of early interventions.
    Evaluation: The present study crystallizes several studies' findings into concrete conclusions in the light of methodological rigor. Highly relevant: though focused on PTSD, other psychiatric outcomes, including depression and anxiety disorders, were not addressed.

    5. Bryant, R. A., & Deane, F. P. (2022).
    Citation: Cognitive-behavioral interventions for trauma-related disorders in children and adolescents: A review of efficacy and implementation. Journal of Child Psychology and Psychiatry, 63(2), 134–147. https://doi.org/10.1111/jcpp.13487
    Summary: This review stipulates the effectiveness of CBT among traumatized children and adolescents; further, it outlines various barriers in implementing CBT through schools and local communities.

    Evaluation: The authors give an extensive review of the efficiency of the CBT, hence being a good source in designing the intervention. On critical analysis, this article has failed to address another approach method, for example, mindfulness and family-based interventions.

    **Analysis of Sources**

    Each source adds to different information that contributes to the research topic:

    · Felitti et al. on the lifetime effect of trauma,

    · building resilience and engagement in school by Bethell et al.

    · to fit the educational approach of the research, trauma-informed practices which can be explicitly implemented into schools by Brunzell et al.

    · Alisic et al. provide solid data regarding PTSD prevalence to back up the importance of early intervention.

    · Bryant & Deane discuss the debate evidence-based interventions informing practical strategies in developing resilience.

    **Conclusion**:

    These will add cumulatively to the knowledge base on early trauma effects and go a long way in helping to inform interventions for adolescents. The three resources above, therefore, provide evidence to inform the inclusion of strategies in resilience building, trauma-informed education, and cognitive behavioral approach. Synthesizing the findings, this proposed research is aimed at addressing the gaps in current practice and actionable solutions to support traumatized adolescents.

    References

    Alisic, E., Zalta, A. K., van Wesel, F., et al. (2014). Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: Meta-analysis. British Journal of Psychiatry, 204(5), 335–340.
    [https://doi.org/10.1192/bjp.bp.113.131227](https://doi.org/10.1192/bjp.bp.113.131227)

    Bethell, C. D., Newacheck, P., Hawes, E., & Halfon, N. (2014).
    _Adverse childhood experiences: Assessing the impact on health and school engagement and the mitigating role of resilience._ _Health Affairs_, 33(12), 2106–2115.
    [https://doi.org/10.1377/hlthaff.2014.0914](https://doi.org/10.1377/hlthaff.2014.0914)

    Brunzell, T., Stokes, H., & Waters, L. (2016).
    _Trauma-informed positive education: Using positive psychology to strengthen vulnerable students._ _Contemporary School Psychology_, 20(1), 63–83.
    [https://doi.org/10.1007/s40688-015-0064-8](https://doi.org/10.1007/s40688-015-0064-8)

    Bryant, R. A., & Deane, F. P. (2022).
    _Cognitive-behavioral interventions for trauma-related disorders in children and adolescents: A review of efficacy and implementation._ _Journal of Child Psychology and Psychiatry_, 63(2), 134–147.
    [https://doi.org/10.1111/jcpp.13487](https://doi.org/10.1111/jcpp.13487)

    Felitti, V. J., Anda, R. F., Nordenberg, D., et al. (1998).
    _Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study._ _American Journal of Preventive Medicine_, 14(4), 245–258. https://doi.org/10.1016/S0749-3797(98)00017-8

    **## MilestoneOne12111.docx**

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    **Milestone One: Resource Collection**

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    **Milestone One: Resource Collection**

    **Overview of the Research**

    Early childhood traumatic experiences including abuse, neglect, and witnessing of violence and its impact on emotional, cognitive, and social development in adolescents will be the proposed topic of research. The research will also explore how interventions can foster resilience in adolescents facing these challenges, particularly within school environments. The key areas of interest involve the psychosocial effects of early trauma, the impact on academic performance, social relationships, and effective interventions.

    **Research Questions**

    The research questions proposed are as follows:

    1. What psychosocial residuals of early trauma persist into adolescence?

    2. Does trauma experienced early affect later academic and social performance in the adolescent period?

    3. Which interventions most effectively foster resilience in adolescents who have been traumatized early in their lives?

    4. How can supportive environments for these adolescents be designed by schools and community organizations?

    These questions have been identified at the core of the proposed research, which can help bridge gaps between trauma theory and intervention practices for adolescents.

    **Evaluation of Topic Fit to the Field of Psychology**

    The topic of review is trauma experienced during early childhood and its repercussions in later adolescent years. Trauma psychology generally falls under developmental psychology. Scientific evidence has already demonstrated that experiences of trauma significantly alter emotional modulation, cognitive maturation, and social functioning early in life. These changes contribute mightily toward structuring how well adolescents perform mental health, or disorders concerning them, for example, symptoms indicating PTSD, major depression, or anxiety problems. This study seeks to help build in its own unique area of resilient development interventions through schooling and at communities and elaborate to what psychological mechanisms undergird these and thereby apply interventions when the developing world needs care support.

    **Synthesis of Previous Scholarly Research Findings**

    The literature review draws from several critical studies including Felitti et al. (1998) who study foundational in trauma research, establishing the Adverse Childhood Experiences (ACE) framework and demonstrating the long-term effects of childhood trauma on physical and mental health outcomes. The study, however, emphasizes adult outcomes more than adolescent development, indicating a gap that the research aims to address by focusing on the adolescent phase. Additionally, Bethell et al. (2014) emphasize the role of resilience in mitigating the effects of ACEs. It links early trauma to poor school engagement and overall health. Although Bethell et al. (2014) provide valuable insights into resilience, their study falls short in detailing specific interventions, which this research intends to explore further, particularly within school environments.

    Brunzell et al. (2016) introduce trauma-informed education and how integrating positive psychology within school settings can improve outcomes for traumatized students. While the study provides practical insights, its lack of quantitative data limits its ability to generalize findings across diverse settings, a gap this research seeks to fill. Alisic et al. (2014) focus on PTSD prevalence in children and adolescents with trauma exposure, identifying risk factors, and advocating for early interventions. This study however, does not incorporate other important mental health issues among children, such as depression and anxiety, which this research is trying to present. Whereas Bryant and Deane (2022) conducted a comprehensive review of cognitive-behavioral treatments for trauma-related disorders among children and adolescents, the key focus still lies in the area of CBT. No consideration of other therapeutic approaches has been made, such as mindfulness and family-based interventions that could be highly relevant when considering treatment of trauma within a broader approach.

    **Comparison and Evaluation of Studies**

    A comparison of these studies indicates that, while they provide a clear understanding of early trauma and its association with mental health, each has some limitations:

    · While the studies by Felitti et al. (1998) and Bethell et al. (2014) are based on long-term trauma, the interventions aimed at adolescents are only minimally addressed.

    · Brunzell et al. (2016) present a promising model of trauma-informed education; however, the absence of quantitative evidence limits the generalization of their findings.

    · Alisic et al. (2014) study and also Bryant and Deane (2022) literature were quite enlightening on interventions, such as CBT; however, there was a shortage regarding the variety of interventions discussed. This paper will add to current information by considering other kinds of interventions, such as family-based therapy and mindfulness, which can probably represent more holistic approaches in adolescents.

    **Addressing Research Gaps**

    A critical gap identified in the literature is the insufficient exploration of specific interventions aimed at fostering resilience in adolescents, especially within educational contexts. While resilience is often discussed in theoretical terms, there is a lack of detailed research on how resilience-building practices can be integrated into school environments. Additionally, most studies focus on PTSD as the primary mental health issue resulting from childhood trauma, with less emphasis on other outcomes like depression, anxiety, or social withdrawal.

    **The Research will Fill this Gap by:**

    · Exploring how different interventions (including CBT, mindfulness, family therapy) can be implemented in schools to support adolescents.

    · Investigating how schools and community organizations can create trauma-informed environments that foster resilience.

    · Expanding the focus to include a broader range of mental health challenges, not just PTSD.

    **Contribution of Existing Research to Real-World Problems**

    Existing research on childhood trauma has significant implications for the general public. By identifying the long-term effects of trauma, these studies emphasize the need for early intervention to prevent the development of serious mental health issues in adolescents. There is an increasing recognition of the importance of trauma-informed practices both at schools and in other community venues as a means to support vulnerable youth.

    This research will help further this effort by providing actionable insights into how schools can implement effective interventions to mitigate the effects of trauma. By focusing on resilience-building strategies, the study aims to offer practical solutions that can be adopted by educational institutions and community organizations to support vulnerable adolescents. This research is vital for public health, education, and social services, as it directly addresses the well-being of a high-risk population and offers evidence-based strategies for improvement.

    **Organizing and Aligning the Literature Review to the Message**

    The literature review should be logically organized to flow from identifying the research topic through synthesizing previous work, identifying research gaps, and culminating in implications for this study. This clear path includes the following general form for this type of literature review paper:

    1.
    **Introduction**: A brief introduction to the research topic and questions.

    2.
    **Literature Review**: A summary of prior research with regard to how trauma impacts adolescent development and intervention.

    3.
    **Gap Identification**: A presentation of the shortcomings of the available research and what gaps this research will attempt to fill.

    4.
    **Proposed Research Contribution**: Identifying how the research will fill these gaps and, its contribution to practical applications.

    5.
    **Conclusion**: A summary of the synthesis of the literature, and the re-engagement with the research questions and the overall argument.

    **Synthesizing Conclusion**

    The literature review demonstrates a critical need for more focused research on interventions that build resilience in adolescents affected by early trauma. While existing studies have established the pervasive impacts of trauma, particularly regarding PTSD, they lack detailed exploration of intervention methods in educational settings. This research aims to bridge this gap by exploring various therapeutic interventions, such as CBT, mindfulness, and family-based therapies, and evaluating their effectiveness in supporting adolescents in school environments. By synthesizing the existing literature and proposing a path forward, the study will contribute valuable insights to the field of psychology, particularly in improving mental health outcomes for adolescents facing the consequences of early trauma.

    Bottom of Form

    References

    Alisic, E., Zalta, A. K., Van Wesel, F., Larsen, S. E., Hafstad, G. S., Hassanpour, K., & Smid, G. E. (2014). Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: meta-analysis.
    _The British Journal of Psychiatry_,
    _204_(5), 335-340.
    [https://doi.org/10.1192/bjp.bp.113.131227](https://doi.org/10.1192/bjp.bp.113.131227)

    Bethell, C. D., Newacheck, P., Hawes, E., & Halfon, N. (2014). Adverse childhood experiences: Assessing the impact on health and school engagement and the mitigating role of resilience.
    _Health affairs_,
    _33_(12), 2106-2115.
    [https://doi.org/10.1377/hlthaff.2014.0914](https://doi.org/10.1377/hlthaff.2014.0914)

    Brunzell, T., Stokes, H., & Waters, L. (2016).
    _Trauma-informed positive education: Using positive psychology to strengthen vulnerable students._ _Contemporary School Psychology_, 20(1), 63–83.
    [https://doi.org/10.1007/s40688-015-0064-8](https://doi.org/10.1007/s40688-015-0064-8)

    Bryant, R. A., & Deane, F. P. (2022).
    _Cognitive-behavioral interventions for trauma-related disorders in children and adolescents: A review of efficacy and implementation._ _Journal of Child Psychology and Psychiatry_, 63(2), 134–147.
    [https://doi.org/10.1111/jcpp.13487](https://doi.org/10.1111/jcpp.13487)

    Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study.
    _American journal of preventive medicine_,
    _14_(4), 245-258.
    [https://www.ajpmonline.org/article/S0749-3797(98)00017-8/fulltext](https://www.ajpmonline.org/article/S0749-3797(98)00017-8/fulltext)

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    [>Machine Learning homework help](https://www.sweetstudy.com/fields/computer-science-machine-learning) **READ ALL OF THIS TO ITS ENTIRETY FOR THIS ASSIGNMENT** Teaching technology provides instructors the opportunity to grade and assess many hands-on projects with a specific predicted outcome. Howev…

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    You will use the Learner Evaluation Assignment Grading Rubric to grade this Completed Assignment written by a student in an undergraduate program. The student wrote the Completed Assignment based on the Student Assignment Description. Submit the Learner Evaluation Assignment Grading Rubric, which allows a maximum of 9 points. In addition, provide the student with qualitative feedback about areas where the student can improve.

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    Please write a 2-page scholarly paper that describes a local area network. Use 12-point font, double-space, and write the paper in third person. Include a minimum of two references with a listed author and date of publication, cited with APA style.

    ## **Completed Assignment**

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    > How would I describe a local area network? Wow, that is a tough question to answer. The network usually has locations in various cities and is connected to a mane location in a larger city.
    >
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