Mary C. Grace’s research while affiliated with University of Cincinnati and other places

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Publications (38)


The Comorbidity of Post‐traumatic Stress Disorder and Suicidality in Vietnam Veterans
  • Article

December 2010

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38 Reads

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56 Citations

Suicide and Life-Threatening Behavior

Teresa L. Kramer PhD

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Vietnam veterans (N = 232) recruited from three sources were assessed for suicidal thinking and behaviors, and symptoms of posttraumatic stress disorder (PTSD) and depression. Findings support the notion that suicidal thoughts are prevalent in this group, with veterans in psychotherapy reporting a greater likelihood of such symptoms (82.6%) than veterans in the community (35.7%) or those seeking assistance through a veteran's outreach center (66.7%). Thoughts of ending one's life and a previous suicide attempt were significantly correlated with a diagnosis of PTSD (r = .53, p < .001; and r = .33, p < .001, respectively). Veterans with a diagnosis of PTSD and depression or dysthymia were also more likely to report suicidal thinking and behaviors than veterans with only one of the diagnoses.


Buffalo Creek Survivors in the Second Decade: Comparison with Unexposed and Nonlitigant Groups1

July 2006

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48 Reads

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68 Citations

Journal of Applied Social Psychology

This study investigated the second-decade effects of the Buffalo Creek dam collapse and flood that occurred in West Virginia in 1972. One hundred twenty-one survivors who had participated in an earlier lawsuit against the coal company that built the collapsed dam were compared to 78 nonlitigant survivors on self-reported symptoms, clinical ratings, and diagnoses. A nonexposed sample from a geographically and culturally similar neighborhood was investigated as well. Findings showed no differences between the litigant and nonlitigant survivor groups. The survivor groups together showed higher rates of anxiety, depression, and hostility symptoms and diagnoses than the nonexposed sample. The findings were discussed in the context of the nature of the traumatic event, social and cultural influences on recovery, and the constellation of symptoms which differentiated the groups.



Dam break: Long-term follow-up of children exposed to the Buffalo Creek disaster
  • Article
  • Full-text available

January 2002

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1,038 Reads

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14 Citations

This chapter discusses the results of a long-term study of survivors of a West Virginia dam collapse that produced death and injury and led to physical relocation for the survivors. Early reports on the disaster aftermath indicated that some children exhibited moderate to severe psychological stress. This chapter, written 17 years after the dam collapse, summarizes evidence indicating that children's postdisaster reactions were influenced by various characteristics, such as age, gender, family environment, and parental responses to the disaster. Symptom severity ameliorated over time and as the children developed, but the authors found that posttraumatic stress disorder (PTSD) remained present among the survivors at a higher than normal rate. This study is significant for being one of the few to follow disaster survivors longitudinally. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

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Assessing Long-Term Effects of Trauma: Diagnosing Symptoms of Avoidance and Numbing

April 1999

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45 Reads

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32 Citations

American Journal of Psychiatry

This study compared the discovery of posttraumatic stress disorder (PTSD) symptoms by means of the Structured Clinical Interview for DSM-III-R (SCID) with a semistructured, psychodynamic clinical interview in a long-term follow-up of the survivors of the Buffalo Creek (W.Va.) flood. Videotaped semistructured, psychodynamic clinical interviews of a small group of survivors (N=6) were compared with the results obtained in a prior group-level SCID investigation. Seventy-two percent of the total PTSD symptoms for the subjects studied were elicited exclusively by the psychodynamic clinical interview. PTSD cluster C symptoms of avoidance and numbing of general responsiveness were especially sensitive to discovery by this method. The psychodynamic clinical interview should be included in the design of studies that seek to investigate long-term effects of trauma, which are especially likely to be manifest in negative symptoms and subtle character change.


Traumatic events over the life span: Survivors of the Buffalo Creek disaster

January 1997

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36 Reads

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10 Citations

This chapter focuses on a series of studies of survivors of the Buffalo Creek (West Virginia) dam collapse and flood which our research group had the opportunity to conduct over nearly 2 decades. Both child and adult survivors were assessed 2 yrs after the disaster, and followed up in the 2nd decade to assess any continuing impact of that event. This chapter synthesizes the results, focusing on how the impact of such an event may change over time, as well as how the particular life stage of the person, both at exposure to the disaster, and at follow-up may affect their adaptation to the event. The overall findings of the study are compatible with the hypothesis that individuals may be more vulnerable to the impacts of earlier traumatic events at certain points in their lives than at other points, regardless of the age at the time of exposure, suggesting that psychopathology is not necessarily continuous. Further, the particular nature of the response may vary as a function of current age as well. (PsycINFO Database Record (c) 2012 APA, all rights reserved)




The Comorbidity of Posttraumatic Stress Disorder and Suicidality in Vietnam veterans

April 1994

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26 Reads

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79 Citations

Suicide and Life-Threatening Behavior

Vietnam veterans (N = 232) recruited from three sources were assessed for suicidal thinking and behaviors, and symptoms of posttraumatic stress disorder (PTSD) and depression. Findings support the notion that suicidal thoughts are prevalent in this group, with veterans in psychotherapy reporting a greater likelihood of such symptoms (82.6%) than veterans in the community (35.7%) or those seeking assistance through a veteran's outreach center (66.7%). Thoughts of ending one's life and a previous suicide attempt were significantly correlated with a diagnosis of PTSD (r = .53, p < .001; and r = .33, p < .001, respectively). Veterans with a diagnosis of PTSD and depression or dysthymia were also more likely to report suicidal thinking and behaviors than veterans with only one of the diagnoses.


Psychological effects of toxic contamination

February 1994

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146 Reads

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62 Citations

describe, clinically and empirically, the nature of the symptom picture [the Informed of Radioactive Contamination Syndrome] that emerged following residents' receipt of information about their exposure to radioactive contamination from a nuclear weapons plant in Fernald, Ohio / the data from 50 individuals [ages 26–69 yrs] who were active participants in a class action lawsuit were used for these purposes / focus on the types of symptoms which were relatively prominent, and which of these decreased over time and which remained more chronic (PsycINFO Database Record (c) 2012 APA, all rights reserved)


Citations (36)


... When it comes to psychological distress emerging after exposure to a traumatic stressor [42], a long-lasting debate regards the temporal stability or change in the presence of such distress. Early cross-sectional studies have certainly shown that distress can persist for up to several decades following various traumatic events, such as military combat [43], prison and war confinement [44], the Holocaust [45], natural disasters [46], and accidents [47]. However, due to their methodological design, these studies could not disentangle whether stress symptoms increase, reduce, or remain stable over time. ...

Reference:

Using Metaphors to Understand Suffering in COVID-19 Survivors: A Two Time-Point Observational Follow-Up Study
Identifying Survivors at Risk: Long-Term Impairment Following the Beverly Hills Supper Club Fire

Journal of Consulting and Clinical Psychology

... The prompt availability of psychological interventions in the aftermath of a natural disaster has become essential to prevent the onset, as well as the worsening of psychopathological symptoms in exposed individuals (National Institute of Mental Health, 2002;Te Brake et al., 2009), especially in children, who are more vulnerable to the dramatic effects of critical events, compared to adults (Norris et al., 2002b). Indeed, children's psychopathological responses may be enduring (Ularntinon et al., 2008;Piyasil et al., 2011) and persist until adulthood (Honig et al., 1993;Green et al., 1994), with a significant impairment of their individual functioning throughout their lifespan. ...

Portraits of Survival: A Twenty-Year Follow-up of the Children of Buffalo Creek
  • Citing Article
  • January 1993

The Psychoanalytic Study of the Child

... Second, few studies have tracked the long-term sequelae of major disasters, with most research focusing on the initial year or 2 years after the event. The longest follow-up to date was conducted after the Buffalo Creek dam disaster, which studied a sample of litigants over time; this study found that PTSD decreased from 44% at 2 years to 28% at 14 years (Grace et al., 1993). Another study of survivors of the Oklahoma Bombing found that the rate of PTSD decreased from 41% at 6 months to 26% at 7 years (North et al., 2011); this latter study found no cases of delayed onset of PTSD in which people developed the disorder if they did not present with it at the 2-year assessment. ...

The Buffalo Creek disaster. A 14-year follow-up
  • Citing Article
  • January 1993

... The lack of significant age differences in the prevalence rates of PTSD has been reflected in literature [43]. Several studies have highlighted the same finding among victims of technological disasters [44], combat [45], military conflict and terror attacks [46], severe injury [47], flooding resulting from the collapse of a dam [48] and other traumatic life events [49]. Our findings confirmed a general conclusion that age effect on PTSD severity was inconsistent [50]. ...

Age-related reactions to the Buffalo Creek dam collapse: Effects in the second decade
  • Citing Article
  • January 1996

... While several studies have compared older and younger individuals who have experienced trauma and findings generally suggest that elderly adults survive these traumatic events well in comparison (Green et al., 1996), many of these studies were focused on survivors of natural disasters (Ollendick and Hoffmann, 1982; Thompson et al., 1993; Norris et al., 1994; Green et al., 1996). However, some age comparison studies have been conducted with the veteran population. ...

Age-related reactions to the Buffalo Creek Dam collapse: effects in the second decade
  • Citing Article
  • January 1996

... Because 52 of the original plaintiffs had died, this figure represented 37% of living survivors. Of those living survivors not interviewed, 33% were known to have moved out of state, 36% refused, and 32% were not located, were never contacted, or we were unable to schedule them for an interview (Green & Grace, 1988). Survivors who participated in this 14-year follow-up, compared to those who refused to participate, had suffered significantly less personal loss through death during the flood, based on 1974 reports. ...

Conceptual Issues in Research with Survivors and Illustrations from a Follow-Up Study
  • Citing Chapter
  • January 1988

... The course of PTSD tends to fluctuate resulting in multiple trajectories that vary in severity and duration. The literature concerning these trajectories over time include groundbreaking large-scale retrospective American epidemiological studies [e.g., (26)], later follow-ups of Vietnam veterans [e.g., (27)], systematic prospective Danish and Dutch studies [e.g., (21,28)], and several longitudinal studies of civilians [e.g., (29,30)]. After the inclusion of ASD in the DSM-4, there was an increasing interest, resulting in several studies [e.g., (31,32)]. ...

The Buffalo Creek Disaster
  • Citing Chapter
  • January 1993

... After the shooting at Virginia Tech in 2007, researchers found that nearly one-sixth of students surveyed reported PTSD symptomatology, including flashbacks, emotional numbness, hypersensitivity, and pervasive anxiety (Hughes et al., 2011). There is also some evidence of survivors feeling socially isolated (Green et al., 1983;Mears, 2007), as well as students, in particular, struggling to be present and engaged in their classes (DeBacher & Harris-Moore, 2016). A more recent study showed increased use of antidepressants among youth living in U.S. localities where school shootings occurred between 2008 and 2013 (Rossin-Slater et al., 2019). ...

Levels of functional impairment following a civilian disaster: The Beverly Hills Supper Club fire

Journal of Consulting and Clinical Psychology

... Collective trauma is behavioral trends exhibited by communities (rather than individuals) that have experienced disasters, terrorist attacks or other large-scale disruptive events (like the pandemic) [15]. Communities experiencing collective trauma have been characterized as having high levels of civic engagement which over time transitions to widespread anger, depression and mistrust [22]. A growing body of research argues the importance of examining trauma in a larger context with a focus on historical and indigenous knowledge [67]. ...

Terrorism and Disaster: Individual and Community Mental Health Interventions
  • Citing Book
  • January 2003

... E. Brown et al., 2021;Murthy & Gross, 2017) to understand the causes and outcomes of the impact of potential future threats in a disaster situation (Karami et al., 2020). The impact of traumatic events may spread throughout communities rather than being limited to a few individuals as primary victims (Ursano & McCaughey, 1995), which can lead to the development of community that shares a common purpose regarding saving persons or maintaining well-being. ...

Individual and Community Responses to Trauma and Disaster: The Structure of Human Chaos