European Journal of Psychotraumatology最新文献

{"title":"Feasibility of an interpreter-mediated neuropsychological test battery for trauma-affected refugees.","authors":"Søren Kit Bothe, T Rune Nielsen, Linda Nordin, Sabina Palic, Marie Høgh Thøgersen","doi":"10.1080/20008066.2025.2504841","DOIUrl":"10.1080/20008066.2025.2504841","url":null,"abstract":"<p><p><b>Background:</b> Cognitive impairment in trauma-affected refugees is often unassessed due to the absence of suitable cross-cultural neuropsychological measures, the high prevalence of psychiatric symptoms, and the need for interpreter mediation. This poses both a clinical challenge and a health inequality for trauma-affected refugees who are left without access to much needed rehabilitation. Untreated cognitive impairment is likely to reduce the effectiveness of mental health interventions.<b>Aim:</b> To assess the operational and clinical feasibility of a neuropsychological test battery specifically developed for trauma-affected refugees from Syria.<b>Method:</b> A neuropsychological test battery was developed to assess executive function, mental speed, attention, and memory. The test battery was administered to 27 refugees from Syria recruited after being referred for specialized trauma treatment. Operational feasibility was assessed by examining completion time and completion rate. Clinical feasibility was assessed through performance validity rates, skewness, and floor effects.<b>Results:</b> The test battery included Supermarket Fluency, Color Trails Test, Symbol Digit Modalities Test, World Health Organization/University of California, Los Angeles - Auditory Verbal Learning Test, and Digit Span. The mean completion time was 54 min, with 62% of participants completing the full battery and 70% of all tests being completed. Concerning performance validity, 11% of the participants failed two performance validity tests, while 26% failed one. Tests scores were generally skewed, and one subtest, Color Trails 2, showed evidence of a floor effect.<b>Conclusions:</b> Despite high levels of cognitive impairment in trauma-affected refugee populations, to our knowledge, the feasibility of a neuropsychological test battery has not previously been established for this group. This study supports the operational and clinical feasibility of the proposed interpreter-mediated neuropsychological test battery to trauma-affected refugees, provided that additional time is allocated to complete tests with time limits. The study highlights the need for cross-cultural validation of neuropsychological tests in trauma-affected refugees.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2504841"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of trauma and how to intervene: a narrative review of psychotraumatology over the past 15 years.","authors":"Miranda Olff, Irma Hein, Ananda B Amstadter, Cherie Armour, Marianne Skogbrott Birkeland, Eric Bui, Marylene Cloitre, Anke Ehlers, Julian D Ford, Talya Greene, Maj Hansen, Nathaniel G Harnett, Debra Kaminer, Catrin Lewis, Alessandra Minelli, Barbara Niles, Nicole R Nugent, Neil Roberts, Matthew Price, Anthony N Reffi, Soraya Seedat, Antonia V Seligowski, Anka A Vujanovic","doi":"10.1080/20008066.2025.2458406","DOIUrl":"10.1080/20008066.2025.2458406","url":null,"abstract":"<p><p>To mark 15 years of the European Journal of Psychotraumatology, editors reviewed the past 15-year years of research on trauma exposure and its consequences, as well as developments in (early) psychological, pharmacological and complementary interventions. In all sections of this paper, we provide perspectives on sex/gender aspects, life course trends, and cross-cultural/global and systemic societal contexts. Globally, the majority of people experience stressful events that may be characterized as traumatic. However, definitions of what is traumatic are not necessarily straightforward or universal. Traumatic events may have a wide range of transdiagnostic mental and physical health consequences, not limited to posttraumatic stress disorder (PTSD). Research on genetic, molecular, and neurobiological influences show promise for further understanding underlying risk and resilience for trauma-related consequences. Symptom presentation, prevalence, and course, in response to traumatic experiences, differ depending on individuals' age and developmental phase, sex/gender, sociocultural and environmental contexts, and systemic socio-political forces. Early interventions have the potential to prevent acute posttraumatic stress reactions from escalating to a PTSD diagnosis whether delivered in the golden hours or weeks after trauma. However, research on prevention is still scarce compared to treatment research where several evidence-based psychological, pharmacological and complementary/ integrative interventions exist, and novel forms of delivery have become available. Here, we focus on how best to address the range of negative health outcomes following trauma, how to serve individuals across the age spectrum, including the very young and old, and include considerations of sex/gender, ethnicity, and culture in diverse contexts, beyond Western, Educated, Industrialized, Rich, and Democratic (WEIRD) countries. We conclude with providing directions for future research aimed at improving the well-being of all people impacted by trauma around the world. The <i>15 years EJPT webinar</i> provides a 90-minute summary of this paper and can be downloaded here [http://bit.ly/4jdtx6k].</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2458406"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11803766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maximizing expectancy violation and exposure outcomes in patients with PTSD.","authors":"Marike J Kooistra, Maartje Schoorl, Danielle A C Oprel, Willem van der Does, Rianne A de Kleine","doi":"10.1080/20008066.2024.2447183","DOIUrl":"10.1080/20008066.2024.2447183","url":null,"abstract":"<p><p><b>Background:</b> It has been proposed that maximizing expectancy violation enhances the efficacy of exposure therapy. The clinical utility of expectancy violation remains unclear and it has not yet been studied in PTSD.<b>Objective:</b> We aimed to test whether explicitly focusing on expectancy violation leads to superior exposure outcomes.<b>Method:</b> Adult treatment-seeking patients with PTSD (<i>N</i> = 60) were randomly assigned to one 90-minute exposure session focusing on either expectancy violation or a control condition without an expectancy focus. Assessments occurred before the session and one week later, measuring changes in fear responses during a script-driven imagery task, and PTSD symptoms.<b>Results:</b> Using multilevel analyses, we found no between-condition differences. On average, fear responses to the imagery and PTSD symptoms decreased over time. The expectancy violation condition exhibited a greater decrease in threat appraisal, which appeared to mediate symptom reduction.<b>Conclusions:</b> We found no evidence that explicitly focusing on expectancy violation led to superior immediate effects. However, it may lead to more changes in expectancies which could affect symptom improvement over an extended period. Further research is needed to determine whether emphasizing expectancy violation in exposure therapy for PTSD is advantageous.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2447183"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142946947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapists perspectives on the Early Intervention after Rape study: a qualitative process evaluation of a randomized controlled trial.","authors":"Tina Haugen, Joar Øveraas Halvorsen, Oddgeir Friborg, Berit Schei, Cecilie Therese Hagemann, Marianne Kjelsvik","doi":"10.1080/20008066.2024.2443279","DOIUrl":"10.1080/20008066.2024.2443279","url":null,"abstract":"<p><p><b>ABSTRACT</b><b>Background</b>: Early interventions using trauma-focused cognitive behavioural therapy have the potential to alleviate post-traumatic stress symptoms in individuals who have experienced recent sexual assault. Specialized Sexual Assault Centers (SACs) in Norway offers psychosocial support, however, this support varies across SACs and its efficacy has not been researched. The Early Intervention after Rape (EIR) study is a multisite randomized controlled trial designed to assess the efficacy and effectiveness of training SAC nurses and social workers to deliver a modified version of prolonged exposure therapy shortly after rape.<b>Objective</b>: This article aims to present a qualitative process evaluation of the implementation of the EIR study across three SACs in Norway, from the perspective of nurses and social workers.<b>Method</b>: We conducted semi-structured interviews with fifteen nurses and social workers, ten of whom received training in prolonged exposure therapy (mPE). We used Thematic Analysis to identify themes and subthemes.<b>Results</b>: Thematic analysis yielded four significant themes for process evaluation: (1) The quality of the new intervention modified prolonged exposure was considered satisfactory through training and supervision and delivered with good adherence to the manual, although some therapists perceived the manual as too rigid; (2) Adoption dynamics within the SACs are complex and include both enthusiasm for clinical research as well as resistance to change; (3) Narrow inclusion criteria and burden with participation for patients may limit reach and representativeness of the RCT; (4) Unintended consequences were identified, such as delayed start, conflicting advices and cross-contamination, underscoring the ongoing necessity for process evaluation alongside RCTs.<b>Conclusion</b>: This qualitative process evaluation offers insight into real-world clinical challenges with implementing a new intervention and conducting a multisite RCT within SACs in Norway. This study may inform opportunities to advance evidence-based practices for rape survivors seeking help.<b>Trial registration:</b> ClinicalTrials.gov identifier: NCT05489133..</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2443279"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142946963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Imagery Rescripting (ImRs) and Eye Movement Desensitization and Reprocessing (EMDR) as treatment of childhood-trauma related post-traumatic stress disorder (Ch-PTSD) in adults: effects on Schema Modes.","authors":"Martine Daniëls, Marie-Louise Meewisse, Annet Nugter, Sophie A Rameckers, Eva Fassbinder, Arnoud Arntz","doi":"10.1080/20008066.2025.2454191","DOIUrl":"10.1080/20008066.2025.2454191","url":null,"abstract":"<p><p><b>Background:</b> Many patients with post-traumatic stress disorder (PTSD) due to childhood trauma (Ch-PTSD) also suffer from comorbid personality pathology. Little is known about the effectiveness of treatments for Ch-PTSD in reducing the comorbid personality pathology. Schema Modes are an operationalization of personality pathology according to schema therapy and can be measured with the Schema Mode Inventory (SMI). Therefore, we evaluated the effects of two treatments for adult patients with Ch-PTSD on Schema Modes.<b>Method:</b> Participants (<i>n</i> = 114) of the Imagery Rescripting and Eye Movement Desensitization and Reprocessing (IREM) Randomized Clinical Trial (Boterhoven de Haan, K. L., Lee, C. W., Fassbinder, E., Voncken, M. J., Meewisse, M., Van Es, S. M., Menninga, S., Kousemaker, M., & Arntz, A. (2017). Imagery rescripting and eye movement desensitization and reprocessing for treatment of adults with childhood trauma-related post-traumatic stress disorder: IREM study design. <i>BMC Psychiatry</i>, <i>17</i>(1), 1-12, Boterhoven de Haan, K. L., Lee, C. W., Fassbinder, E., van Es, S. M., Menninga, S., Meewisse, M.-L., Rijkeboer, M., Kousemaker, M., & Arntz, A. (2020). Imagery rescripting and eye movement desensitization and reprocessing as treatment for adults with post-traumatic stress disorder from childhood trauma: Randomised clinical trial. <i>The British Journal of Psychiatry</i>, <i>217</i>(5), 609-615) with Ch-PTSD who filled in the SMI next to other outcomes, were randomly allocated to a 12-session treatment of Imagery Rescripting (ImRs) or Eye Movement Desensitization and Reprocessing (EMDR). The SMI was collected at waitlist, pre-treatment, mid-treatment, posttreatment, and 8-week and 1-year follow-up.<b>Results:</b> For both treatments, patients reported large reductions in the Maladaptive Schema Modes and improvements in the Adaptive Schema Modes (Cohen's <i>d</i> = .94-1.18) from pre-treatment to posttreatment, 8-week follow-up, and 1-year follow-up. No statistically significant differences were found between ImRs and EMDR regarding changes in Schema Modes over time. No significant changes were observed during the waitlist period.<b>Conclusions:</b> ImRs and EMDR showed improvements in Schema Modes when primarily targeting Ch-PTSD. The results indicate the possible value of both treatments in reducing comorbid personality pathology.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2454191"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11809175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maladaptive appraisals and posttraumatic stress reactions in young terror survivors across 8 years: a random intercepts cross-lagged analysis.","authors":"Andrea Undset, Tine Jensen, Marianne S Birkeland, Richard Meiser-Stedman, Grete Dyb, Ines Blix","doi":"10.1080/20008066.2025.2459462","DOIUrl":"10.1080/20008066.2025.2459462","url":null,"abstract":"<p><p><b>Background:</b> Though there is substantial support for the importance of maladaptive appraisals for the development of posttraumatic stress reactions (PTSR), little is known about the long-term temporal relationship between maladaptive appraisals and PTSR beyond the first year after a traumatic event.<b>Objective:</b> We aimed to investigate three research questions: (1) Does the level of maladaptive appraisals change over time? (2) Are maladaptive appraisals and PTSR concurrently related to each other in the long term? (3) What is the direction of the temporal relationship between maladaptive appraisals and PTSR?<b>Method:</b> The participants were young survivors after the terror attack at Utøya island in Norway in 2011. We included data measured at 14-15 months, 30-32 months, and 102-108 months post trauma. The participants (<i>N</i> = 315) were all younger than 25 years at the time of the attack (mean age was 18.4, SD = 2.3), and 48.3% were female. The aims were investigated using correlations, paired t-tests, random intercept cross-lagged panel models (RI-CLPM), and cross-lagged panel models (CLPM).<b>Results:</b> We found a significant decrease in PTSR severity from 14-15 months to 30-32 months, and there was a significant increase in the mean level of maladaptive appraisals from 30-32 months to 102-108 months post trauma. Maladaptive appraisals and PTSR were highly associated across the three time points. Stable individual differences seem to account for most of the longitudinal relationship between maladaptive appraisals and PTSR, and we did not find clear indications of a direction of the temporal relationship between the variables.<b>Conclusions:</b> Our results indicate that the level of maladaptive appraisals can be quite stable once established, that they remain associated with PTSR, and that the long-term relationship between maladaptive appraisals and PTSR in the years following a trauma may best be explained by stable individual differences.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2459462"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting high anger intensity using ecological momentary assessment and wearable-derived physiological data in a trauma-affected sample.","authors":"Olivia Metcalf, Karen E Lamb, David Forbes, Meaghan L O'Donnell, Tianchen Qian, Tracey Varker, Sean Cowlishaw, Sophie Zaloumis","doi":"10.1080/20008066.2025.2472485","DOIUrl":"10.1080/20008066.2025.2472485","url":null,"abstract":"<p><p><b>Background:</b> Digital technologies offer tremendous potential to predict dysregulated mood and behavior within an individual's environment, and in doing so can support the development of new digital health interventions. However, no prediction models have been built in trauma-exposed populations that leverage real-world data.<b>Objective:</b> This project aimed to determine if wearable-derived physiological data can predict anger intensity in trauma-exposed adults.<b>Method:</b> Heart rate variability (i.e. a commercial wearable stress score) was combined with ecological momentary assessment (EMA) data collected over 10 days (<i>n</i> = 84). Five summary measures from stress scores collected 10 min prior to each EMA were selected using factor analysis of 24 candidates.<b>Results:</b> A high area under the receiver operating curve (AUC) was found for a logistic mixed effects model including these measures as predictors, ranging 0.761 (95% CI:0.569-0.921) to 0.899 (95% CI:0.784-0.980) across cross-validation methods.<b>Conclusions:</b> While the predictive performance may be overly optimistic due to the outcome prevalence (13.8%) and requires replication with larger datasets, our promising findings have significant methodological and clinical implications for researchers looking to build novel prediction and treatment approaches to respond to posttraumatic mental health.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2472485"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methods for integrating public datasets: insights from youth disaster mental health research.","authors":"Alexa Riobueno-Naylor, Isabella Gomez, Sarah Quan, Chloe Hutt Vater, Mauricio Montes, Barbora Hoskova, Betty S Lai","doi":"10.1080/20008066.2025.2481699","DOIUrl":"10.1080/20008066.2025.2481699","url":null,"abstract":"<p><p><b>Introduction:</b> Weather-related disasters pose significant risks to youth mental health. Exposure to multiple disasters is becoming more common; however, the effects of such exposure remain understudied. This study demonstrates the application of integrative data approaches and FAIR (Findable, Accessible, Interoperable, Reusable) data principles to evaluate the relationship between cumulative disaster exposure and youth depression and suicidality in the United States, taking into account contextual factors across levels of social ecology.<b>Methods:</b> We combined data from five public sources, including the Youth Risk Behavior Surveillance System (YRBS), Federal Emergency Management Agency (FEMA), United States Census Bureau, Center for Homeland Defense and Security School Shooting Safety Compendium, and Global Terrorism Database. The integrative dataset included 415,701 youth from 37 districts across the United States who completed the YRBS between 1999 and 2021. The YRBS served as the core dataset.<b>Results:</b> This data note highlights strategies for harmonizing diverse data formats, addressing geographic and temporal inconsistencies, and validating integrated datasets. Automated data cleaning and visualization techniques enhance accuracy and efficiency. Planning for sensitivity analyses before data cleaning is recommended to improve the data integration process and enhance the robustness of findings.<b>Discussion:</b> This integrative approach demonstrates how leveraging FAIR principles can advance trauma research by facilitating large-scale analyses of complex public health questions. The methods provide a replicable framework for examining population-level impacts of phenomena and highlight opportunities for expanding trauma research.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2481699"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Appetitive aggression and associated factors among military soldiers retiring from active service in Uganda.","authors":"Dan Mwangye Bigirwa, Godfrey Zari Rukundo, Moses Muwanguzi, Alain Favina, Scholastic Ashaba","doi":"10.1080/20008066.2025.2493026","DOIUrl":"10.1080/20008066.2025.2493026","url":null,"abstract":"<p><p><b>Background:</b> Appetitive aggression is a type of aggression that is characterized by a fascination with violence and a desire to inflict pain on the perceived enemy. This type of aggression has mainly been studied among former child soldiers and demobilized combatants. Information on appetitive aggression among retiring active service officers is limited. This study aimed to determine the prevalence of appetitive aggression and the associated factors among soldiers who are retiring from active service in Uganda.<b>Methods:</b> A sample of 247 retiring military soldiers from the Uganda People's Defence Force (UPDF), who had assembled at Gaddafi Barracks in Jinja district in eastern Uganda in preparation for the retirement exercise, was randomly selected for this cross-sectional study. We assessed participants for appetitive aggression using the Appetitive Aggression Scale, and also collected information on alcohol and drug use, exposure to traumatic life events, post-traumatic stress disorder, childhood trauma, and depression. We ran logistic regression models to determine the factors associated with appetitive aggression among the study participants.<b>Results:</b> Ninety-seven per cent (<i>n</i> = 239) of the participants were male and the mean age was 46 years. The prevalence of appetitive aggression was 58%. Not being depressed (<i>p</i> = .040) and experience of traumatic events (<i>p</i> = .001) were associated with high odds of appetitive aggression.<b>Conclusion:</b> The prevalence of appetitive aggression among the study participants was high. Having experienced traumatic events was associated with a greater odds of appetitive aggression, while having depression was protective against appetitive aggression. Interventions aimed at preventing appetitive aggression among soldiers should target addressing the trauma experienced during their line of duty.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2493026"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of parental labour migration and childhood maltreatment with psychosocial health among adolescents and young adults in China.","authors":"Yuwei Yang, Weiqing Jiang, Yitong He, Wanxin Wang, Yiling Hua, Cuihong Huang, Xinyu Zheng, Ciyong Lu, Xueying Du, Lan Guo","doi":"10.1080/20008066.2025.2500139","DOIUrl":"10.1080/20008066.2025.2500139","url":null,"abstract":"<p><p><b>Background:</b> Few studies have simultaneously considered the impacts of parental labour migration and childhood maltreatment on psychosocial health.<b>Objective:</b> To estimate the complex associations of parental labour migration and childhood maltreatment with psychosocial health among adolescents and young adults in China.<b>Method:</b> This cross-sectional study was conducted among undergraduates aged 17 to 24 years from sixty colleges and universities across 10 provinces of China. Childhood maltreatment was assessed using the Childhood Trauma Questionnaire-Short Form, and psychosocial health was measured using the Strengths and Difficulties Questionnaire (SDQ). Weighted linear mixed regression models, multiplicative interactions, and joint and mediation analyses were performed.<b>Results:</b> Of the 28,810 participants included (mean [SD] age, 19.87 [1.62] years), 12035 (41.8%) were male. In the fully adjusted model, participants who experienced parental migration were more likely to report higher levels of SDQ total difficulties (e.g. <i>β</i> = 0.16 [95% CI, 0.05 to 0.28]) compared with those with non-migrant parents. A positive association was found between the cumulative number of childhood maltreatment and SDQ total difficulties (<i>β</i> = 0.54 [95% CI, 0.49 to 0.60]), with a dose-response relationship observed for the levels of childhood maltreatment and SDQ total difficulties. Compared with individuals without exposure to both parental migration and childhood maltreatment, those exposed to both parental migration and at least 2 numbers of childhood maltreatment had the highest magnitude of psychosocial health difficulties (<i>β</i> = 1.12 [95% CI, 0.91 to 1.33]). Moreover, childhood maltreatment may partially mediate the association between parental migration and psychosocial health, with the mediation proportion being 58.8%.<b>Conclusion:</b> Exposure to parental labour migration or childhood maltreatment was positively associated with psychosocial health among adolescents and young adults. Parental migration and childhood maltreatment may jointly aggravate psychosocial health problems. These findings indicate the necessity of comprehensive interventions targeting adversity stressors to improve psychosocial health, especially for left-behind children experiencing maltreatment.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2500139"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}