European Journal of Psychotraumatology最新文献

{"title":"Trauma echoes: factors associated with peritraumatic distress and anxiety five days following Iranian missile attack on Israel.","authors":"Boaz M Ben-David, Tchelet E Bressler, Lia Ring, Ortal Shimon-Raz, Yuval Palgi","doi":"10.1080/20008066.2024.2446070","DOIUrl":"10.1080/20008066.2024.2446070","url":null,"abstract":"<p><p><b>Introduction:</b> On 13-14 April 2024, Iran launched ∼300 drones and missiles at Israel, in an unprecedented attack. As most studies examine the effects of trauma months or years later, less is known about its effects days later. To fill this gap, this study gauged the population response, five days after the attack. Specifically, we examined the prevalence and factors associated with two precursors for later development of PTSD, peritraumatic distress (PD) and generalized anxiety disorder (GAD).<b>Methods:</b> Five-hundred and fifty-three participants (M_age = 57.51, SD = 13.67 years, range [30-90], 48.3% females) reported their distal and proximal exposure to traumatic events, probable PTSD due to Israel-Hamas-War, sleeping troubles, and media information consumption during the event.<b>Results:</b> Logistic regressions indicated that, after adjusting for demographics, clinical levels of PD and GAD (respectively, using the accepted cutoffs) were significantly linked to probable PTSD due to the Israel-Hamas War (PD:OR = 4.066, 95%CI: 2.236-7.393, <i>p </i>< .001; GAD:OR =<i> </i>2.397, 95%CI: 1.285-4.471, <i>p </i>= .006), sleeping troubles (PD:OR = 1.248, 95%CI: 1.186-1.314, <i>p </i>< .001; GAD:OR = 1.325, 95%CI: 1.242-1.413, <i>p </i>< .001) and media consumption (PD:OR = 1.442, 95%CI:1.17-1.777, <i>p </i>= .001; GAD:OR = 1.515, 95%CI: 1.144-2.007, <i>p </i>= .004), but not to previous trauma (life-long exposure or Israel-Hamas war).<b>Discussion:</b> Results suggest that previous psychopathology, stress-related reactions (sleeping) and actions (media consumption), rather than previous exposures to traumatic events are the primary indices related to PD and GAD in the first days after exposure to war-related traumatic events. Findings highlight the importance of early detection of reactions and symptoms following trauma exposure. The main limitation of the study is its cross-sectional design. Future longitudinal studies are needed to understand the developmental trajectory of these effects.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2446070"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142946998","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":"Bidirectional relationships among complex PTSD, dissociation, and psychotic symptoms in two samples.","authors":"Hong Wang Fung, Anson Kai Chun Chau, Stanley Kam Ki Lam, Grace Wing Ka Ho, Colin A Ross, Ming Yu Claudia Wong, Edward K S Wang, Wai Tong Chien, Janet Yuen-Ha Wong","doi":"10.1080/20008066.2025.2458364","DOIUrl":"10.1080/20008066.2025.2458364","url":null,"abstract":"<p><p><b>Background:</b> Although trauma-related symptoms (e.g. complex PTSD and dissociative symptoms) and psychotic symptoms often co-occur, little is known about the complex relationships among these symptoms over time.<b>Objective:</b> This study examined the bidirectional relationships among complex PTSD symptoms, dissociative symptoms, and positive symptoms of psychosis.<b>Methods:</b> This study analyzed available longitudinal data from two convenience samples (Sample 1: <i>N</i> = 214, Chinese-speaking adults; Sample 2: <i>N</i> = 301, English-speaking adults). Participants in both samples completed validated measures of ICD-11 complex PTSD (that included measurement of 'classical' PTSD), dissociation, and positive symptoms of psychosis at baseline and follow-up, six months (Sample 1) or 12 months (Sample 2) apart. A cross-lagged panel model was used to examine the longitudinal relationship between trauma-related symptoms and psychotic symptoms in each sample.<b>Results:</b> In Sample 1, baseline dissociative symptoms significantly predicted positive symptoms of psychosis at follow-up. In Sample 2, no significant longitudinal relationships between trauma-related and psychotic symptoms were observed. In both samples, baseline disturbances in self-organization (DSO) symptoms predicted 'classical' PTSD symptoms at follow-up.<b>Conclusion:</b> This study made the first attempt to examine the longitudinal relationships among ICD-11 complex PTSD symptoms, dissociative symptoms, and psychotic symptoms. The inconsistent findings point to the importance of further research on the longitudinal relationships between trauma-related and psychotic symptoms. Moreover, our results indicate that addressing DSO symptoms may be important in the prevention and treatment of PTSD symptoms.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2458364"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432731","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":"Using explainable machine learning to investigate the relationship between childhood maltreatment, positive psychological traits, and CPTSD symptoms.","authors":"Xiaoxiao Zhou, Zongbao Liang, Guangzhen Zhang","doi":"10.1080/20008066.2025.2455800","DOIUrl":"10.1080/20008066.2025.2455800","url":null,"abstract":"<p><p><b>Background:</b> The functional impairment resulting from CPTSD symptoms is enduring and far-reaching. Existing research has found that CPTSD symptoms are closely associated with childhood maltreatment; however, researchers debate whether CPTSD symptoms are predominantly influenced by a specific type of childhood maltreatment or the combined influence of multiple maltreatment types.<b>Objective:</b> (1) Examines the impact of childhood maltreatment on CPTSD symptoms, specifically exploring whether specific types of maltreatment or the cumulative exposure to multiple types of maltreatment play a predominant role. (2) Investigates the role of positive psychological traits in this relationship, assessing whether these traits serve as protective factors or are outcomes of the negative psychological consequences of maltreatment.<b>Methods:</b> A sample of 1894 adolescents (<i>M</i>age = 13.88; <i>SD</i> = 1.00) from a chronically impoverished rural area in China completed the International Trauma Questionnaire - Child and Adolescent Version for CPTSD symptoms, the Childhood Trauma Questionnaire - Short Form for childhood maltreatment types. Positive psychological traits, including mindfulness, self-compassion, and gratitude, were measured using the Mindful Attention Awareness Scale (MAAS), the Self-Compassion Scale - Short Form, and the Gratitude Questionnaire. We addressed the research question using explainable machine learning methods, with SHAP enhancing model interpretability.<b>Results:</b> The findings indicate that emotional abuse is the most effective predictor of CPTSD symptoms, with individuals who experienced emotional abuse showing higher rates of other forms of maltreatment. Among positive psychological traits, mindfulness contributes the most, followed by self-compassion, while gratitude shows no significant association with CPTSD symptoms. Additionally, individuals with poor positive psychological traits are more likely to have experienced maltreatment, whereas those with higher positive traits are less exposed to abuse.<b>Conclusions:</b> Emotional abuse and low levels of positive psychological traits are strongly associated with CPTSD symptoms in adolescents from impoverished areas, with positive traits showing limited buffering effects against maltreatment.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2455800"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499992","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":"Identifying traumatization in young children through structured play: validation of the Odense Child Trauma Screening (OCTS) in Lithuania.","authors":"Paulina Zelviene, Odeta Gelezelyte, Agniete Kairyte, Ask Elklit, Sille Schandorph Løkkegaard, Evaldas Kazlauskas","doi":"10.1080/20008066.2025.2474373","DOIUrl":"10.1080/20008066.2025.2474373","url":null,"abstract":"<p><p><b>Background:</b> There is a need for valid methods to evaluate young children's (4-8 years) psychological difficulties related to traumatic experiences. The Odense Child Trauma Screening (OCTS), developed by Danish researchers, is a play-based story stem assessment tool developed to screen for indicators of traumatization in young children. Just a few studies of the OCTS have been published so far.<b>Objective:</b> The current study aimed to test the reliability and convergent validity of the OCTS in the Lithuanian community and risk subsamples of young children aged 4-8 years.<b>Method:</b> The total sample consisted of 209 participants (58.9% girls) from the community (47.4%) and risk (52.6%) subsamples, <i>M</i>age = 6.29 (<i>SD </i>= 1.48). All children were screened with the OCTS, and caregivers completed self-report questionnaires: demographics, the Child and Adolescent Trauma Screen-Caregiver (CATS-C), and the Strengths and Difficulties Questionnaire (SDQ).<b>Results:</b> The data suggests that the OCTS has good inter-rater reliability. The OCTS, SDQ, and CATS-C scores were significantly higher in the risk subsample, with small to large effect sizes. Boys and younger children (3-4-year-olds) scored higher on the OCTS. Out of all the OCTS stories, the Burnt hand story had significant correlation coefficients with all the CATS-C PTSD symptoms.<b>Conclusions:</b> The study provides initial information about the reliability and the validity of the OCTS and calls for further exploration of this instrument. There were also variations in scores between the Lithuanian data and an earlier study of the Danish sample. Future studies on the OCTS would benefit from further cross-cultural, reliability and the validity examination.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2474373"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585111","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":"Assessing neurocognitive outcomes in PTSD: a multilevel meta-analytical approach.","authors":"Snaefridur Gudmundsdottir Aspelund, Hjordis Lilja Lorange, Thorhildur Halldorsdottir, Birna Baldursdottir, Heiddis Valdimarsdottir, Unnur Valdimarsdottir, Harpa Lind Hjördísar Jónsdóttir","doi":"10.1080/20008066.2025.2469978","DOIUrl":"10.1080/20008066.2025.2469978","url":null,"abstract":"<p><p><b>Background:</b> Evidence supporting the association between posttraumatic stress disorder (PTSD) and cognitive impairment is accumulating. However, less is known about which factors influence this association.<b>Objective:</b> The aims of this meta-analysis were to (1) elucidate the association between PTSD and a broad spectrum of cognitive impairment, including the risk of developing neurocognitive disorder (NCD) later in life, using a multilevel meta-analytic approach, and (2) identify potential moderating factors of this association by examining the effects of age (20-39, 40-59, 60+), study design (cross-sectional or longitudinal), study population (war-exposed populations/veterans or the general population), neurocognitive outcome assessed (i.e. a diagnosis of NCD or type of cognitive domain as classified according to A Compendium of Neuropsychological tests), gender (≥50% women or <50% women), study quality (high vs low), type of PTSD measure (self-report or clinical diagnosis), as well as the presence of comorbidities such as traumatic brain injury (TBI), depression, and substance use (all coded as either present or absent).<b>Method:</b> Peer-reviewed studies on this topic were extracted from PubMed and Web of Science with predetermined keywords and criteria. In total, 53 articles met the criteria. Hedge's <i>g</i> effect sizes were calculated for each study and a three-level random effect meta-analysis conducted.<b>Results:</b> After accounting for publication bias, the results suggested a significant association between PTSD and cognitive impairment, <i>g</i> = 0.13 (95% CI: 0.10-0.17), indicating a small effect. This association was consistent across all examined moderators, including various neurocognitive outcomes, age, gender, study design, study population, study quality, type of PTSD measure, and comorbidities such as depression, substance use, and TBI.<b>Conclusions:</b> These findings collectively suggest that PTSD is associated with both cognitive impairment and NCD. This emphasizes the need for early intervention (including prevention strategies) of PTSD, alongside monitoring cognitive function in affected individuals.International Prospective Register of Systematic Reviews (PROSPERO) registration number: CRD42021219189, date of registration: 02.01.2021.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2469978"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585209","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":"COVID-19 hardship and mental health in Chilean parents: the role of disaster exposure and family resilience.","authors":"Camila Espinoza, Lenneke Alink, David P Laplante, Bernet Elzinga, Shelley van der Veek","doi":"10.1080/20008066.2025.2465001","DOIUrl":"10.1080/20008066.2025.2465001","url":null,"abstract":"<p><p><b>Background:</b> The negative mental health effects of the pandemic on families are well documented, while factors that buffer or increase such effects still need further investigation. Previous exposure to adversity might increase the negative impact of pandemic experiences. On the other hand, family resilience may protect against these negative effects, and may also be regarded as a mediator explaining the negative association between pandemic hardship and mental health.<b>Objective:</b> The current study focused on the effects of COVID-19-related hardship on parental mental health. We evaluated the impact of the individual experiences with the COVID-19 pandemic on mental health among Chilean parents from a community sample, who were exposed in varying levels to a destructive earthquake and tsunami approximately 10 years earlier.<b>Method:</b> Participants (<i>N </i>= 219) completed online measures of pandemic hardship, mental health, disaster hardship related to the past earthquake, and family resilience. We examined the moderating role of disaster exposure and the moderating and mediating role of family resilience on the current impact of the pandemic on mental health.<b>Results:</b> Individual exposure levels of COVID-19 hardship were associated with mental health complaints. Both previous disaster hardship and family resilience were associated with mental health complaints. However, previous disaster hardship did not moderate the relationship between pandemic hardship and mental health complaints, nor did family resilience moderate or mediate it.<b>Conclusions:</b> These results align with the evidence of the negative emotional impact of pandemic-related stressors, and propose family resilience and past disaster exposure as relevant predictors of mental health during the sanitary emergency. Findings are discussed in the broader social context in Chile and warrant adjusting public policies towards those underserved groups heavily affected by the pandemic.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2465001"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540638","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":"Low neuroticism as an indicator of resilience: a longitudinal study of Danish soldiers before, during and after deployment.","authors":"Ole Melkevik, Lennart Schou Jeppesen, Sofie Folke, Anni B S Nielsen","doi":"10.1080/20008066.2025.2476810","DOIUrl":"https://doi.org/10.1080/20008066.2025.2476810","url":null,"abstract":"<p><p><b>Background</b>: Posttraumatic stress disorder (PTSD) is a serious and debilitating condition among military veterans. Exposure to potentially traumatic events (PTEs) may lead to PTSD and PTE sensitivity may be influenced by the personality trait neuroticism.<b>Objective</b>: The current investigation aims to test whether exposure to PTEs during deployment is associated with changes in PTSD symptoms, and whether individual levels of neuroticism are related to resilience or sensitivity to such exposures.<b>Methods</b>: The study sample included 701 Danish soldiers deployed to Afghanistan in 2009. PTSD symptoms were measured pre-, peri- and post-deployment (T1-T3) with the PTSD Checklist-Civilian Version. PTSD symptom load was modelled in a mixed linear model along with an extensive list of covariates. Interactions between time, exposure, and neuroticism were tested in order to assess whether neuroticism moderated the effect of PTEs upon PTSD symptoms.<b>Results</b>: On average, PTSD symptoms decreased from T1 through T3. Factors associated with higher PTSD symptom levels included number of past trauma, neuroticism, and low age at deployment. Interaction analyses showed that individuals with low and medium neuroticism levels displayed no significant change in PTSD symptoms, and individuals with high neuroticism displayed a significant decrease in PTSD symptoms. These changes were consistent across levels of perceived exposure to danger and combat and witnessing the consequences of war.<b>Conclusions</b>: Results indicate that low levels of neuroticism appear to be related to resilience. Individuals with high levels of neuroticism displayed elevated PTSD symptoms across all time points, but contrary to expectations, they reported a significant decrease in PTSD symptoms from pre- to post-deployment.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2476810"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A journey towards a trauma informed and responsive Justice system: the perspectives and experiences of senior Justice workers.","authors":"Nicola Cogan, Dwight Tse, Melanie Finlayson, Samantha Lawley, Jacqueline Black, Rhys Hewitson, Suzanne Aziz, Helen Hamer, Cherrie Short","doi":"10.1080/20008066.2024.2441075","DOIUrl":"10.1080/20008066.2024.2441075","url":null,"abstract":"<p><p><b>Objectives:</b> There is a risk of re-traumatisation for survivors of trauma who engage with the Justice system, given their high propensity to encounter situations that trigger traumatic responses. While a growing body of research has explored the experience of trauma informed practice (TIP) from service user perspectives, little research has incorporated the views and experiences of practitioners working in the Justice system in terms of the implementation of TIP in their service setting.<b>Method:</b> An exploratory, qualitative research design based on semi-structured, in-depth interviews. One to one, online interviews were conducted with senior Justice workers (<i>n</i> = 22) who had undertaken theoretically informed TIP training and had responsibility for its implementation. Interviews were audio-recorded, transcribed and analysed using an inductive, reflexive thematic approach.<b>Results:</b> The themes identified were: (1) Supporting staff and user knowledge and well-being (training, trust, safety, reflection), (2) Recognition in the value of TIP (reflected in the resources, supervision, infrastructure and physical environment), (3) Encouraging flexible, creative and collaborative ways of working (overcoming resistance).<b>Conclusions:</b> The findings have implications at the service user, provider and organisational level. Emphasis is placed on the importance of overcoming barriers to implementing TIP through adopting a whole systems approach that encourages collaborative working while supporting staff well-being, access to ongoing TIP training, supervision and resources to establish a safe working environment. Implementing a strengths-based, non-pathologising approach to TIP service delivery within the Justice system is essential. Further longitudinal work to explore the mechanisms by which TIP can help reduce re-traumatisation to service users and providers is recommended.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2441075"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931061","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":"ICD-11 posttraumatic stress disorder and complex PTSD: prevalence, predictors, and construct validity in Swiss older adults.","authors":"Myriam V Thoma, Enya Redican, Nathanael Adank, Valerie B Schneemann, Mark Shevlin, Andreas Maercker, Shauna L Rohner","doi":"10.1080/20008066.2024.2445368","DOIUrl":"https://doi.org/10.1080/20008066.2024.2445368","url":null,"abstract":"<p><p><b>Background:</b> This study assessed the prevalence rates, construct validity, predictors, and psychosocial factors linked to ICD-11 posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD), as assessed by the <i>International Trauma Questionnaire</i> (ITQ) in a German-speaking sample of Swiss older adults.<b>Method:</b> Participants were <i>N</i> = 1526 older adults aged 65+ (<i>M_age</i> = 72.34; <i>SD</i> = 6.20 years; age range = 65-95; female = 72.0%). Confirmatory factor analysis (CFA) tested alternative models of the latent structure of the ITQ. Risk factors and psychological outcomes associated with the ITQ subscales were also examined.<b>Results:</b> From the total sample, 86.2% had experienced at least one potentially traumatic event (PTE), with a median of three PTEs per person. Probable PTSD and CPTSD prevalence was 0.4% and 2.4%, respectively. CFA results indicated that a two-factor second-order model best captured the latent structure of the ITQ. Female gender and specific traumas, such as physical and sexual assault, were uniquely associated with PTSD. Fewer, non-specific factors were linked to disturbances in self-organization (DSO; encompassing affective dysregulation, a negative self-view, and difficulties in relationships). The PTSD and CPTSD factors were significantly associated with loneliness, anxiety, depression, and well-being.<b>Conclusions:</b> Results found that despite high trauma exposure among Swiss older adults, the prevalence of ICD-11 PTSD and CPTSD was low, with no significant gender differences. A two-factor second-order model provided the best fit for the ITQ. These findings indicate significant trauma exposure in Swiss older adults and the need for targeted interventions that address the trauma-specific and associated psychosocial challenges (i.e. loneliness, anxiety, depression, well-being) facing older adults.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2445368"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heterogeneity in racist events and posttraumatic mental health among Black, Indigenous, People of Color (BIPOC) first responders.","authors":"Ling Jin, Sidonia E Compton, Hawra Al-Khaz'Aly, Ateka A Contractor","doi":"10.1080/20008066.2024.2447202","DOIUrl":"10.1080/20008066.2024.2447202","url":null,"abstract":"<p><p><b>Background:</b> Black, Indigenous, People of Color (BIPOC) first responders in Canada report experiencing racism and an increased risk of trauma-related mental health symptoms.<b>Objective:</b> Using a BIPOC first responder sample in Canada, the present study examined subgroups of BIPOC first responders based on the frequency of different types of racist events, and their relations with mental health symptoms (posttraumatic stress disorder [PTSD] symptom clusters of intrusion, avoidance, negative alterations in cognitions and mood [NACM], and alterations in arousal and reactivity [AAR]; depression severity; anxiety severity).<b>Method:</b> The sample included 196 BIPOC first responders who reported more than one traumatic experience (<i>M</i>_age= 35.30; 71.4% men).<b>Results:</b> Latent profile analyses indicated a best-fitting 3-profile solution: Low (Profile 1), Moderate (Profile 2), and High (Profile 3) Frequency of Racist Events. Multinomial logistic regression indicated that BIPOC first responders reporting more frequent racist events endorsed greater depression severity, anxiety severity, and PTSD's NACM symptom severity.<b>Conclusions:</b> Findings improve our understanding of subgroups of BIPOC first responders based on the frequency and types of racist events they experience. Results highlight the need to incorporate assessments of racism-related experiences into therapeutic work, and to target depression, anxiety, and NACM symptoms among those who encounter more racist events.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"16 1","pages":"2447202"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142946944","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}