European Journal of Psychotraumatology最新文献

{"title":"Understanding mental health needs in Ukraine: protocol for a longitudinal survey of mental health in children and caregivers during the war in Ukraine.","authors":"Richard A Bryant, Iryna Shtefen, Oleh Romanchuk, Oksana Mykhniak, Cathy Cresswell, Andrea Danese, Grete Dyb, Nancy Kassam-Adams, Christopher Layne, Dennis Ougrin, Rita Rosner, Wendy K Silverman, Richard Meiser-Stedman, Kirsi Peltonen, Naser Morina","doi":"10.1080/20008066.2026.2696096","DOIUrl":"10.1080/20008066.2026.2696096","url":null,"abstract":"<p><p><b>Background:</b> The full invasion of Ukraine by Russia in 2022 has created a situation of sustained stress for the Ukrainian population. Initial surveys indicate that Ukrainians have experienced elevated rates of anxiety, depression, and posttraumatic stress disorder (PTSD) since the onset of the war. Most research has focused on adults and there is relatively less study on children and adolescent mental health. Research that has been conducted is limited by (a) predominant reliance on parent reports of children's mental health, (b) biased sampling, (c) lack of integrated child and caregiver reports, and (d) cross-sectional designs.<b>Method:</b> The <b>U</b>krainian Families <b>N</b>avigating <b>I</b>nsecurity, <b>T</b>rauma, and <b>Y</b>ielding Strength (UNITY) initiative is a nationally-representative longitudinal cohort study of mental health in Ukrainian children aged 8-16 years. Children (<i>N</i> = 3,000) will be recruited via schools from 22 oblasts across Ukraine. Sampling will be stratified from regions with high, medium, and low exposure to Russian attacks during the war. Recruitment will be stratified according to 8-12 and 13-16 years of age (on a 1:1 basis), gender of children (1:1), and urban vs. rural region (1:1). One caregiver of the child participant will also be assessed. Children will be assessed for anxiety, depression, PTSD, prolonged grief, externalizing problems, suicidality, positive affect, social and family support, posttraumatic cognitions, somatic symptoms, functioning, and posttraumatic growth. Caregivers will be assessed for family exposure to traumatic events, psychological distress, prolonged grief, psychological wellbeing, parenting practices, hope, and positive affect. The UNITY study will initially be conducted over three waves, with the expectation of ongoing collection following the war. The protocol was pre-registered at https://archive.org/details/osf-registrations-n62gy-v1.<b>Discussion:</b> The UNITY study will provide much-needed evidence regarding the mental health needs of young Ukrainians and their families, and the factors that moderate psychological adjustment during and after the war.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2696096"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13421111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148600817","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 PTSD and CPTSD in Serbia: clinical validation of the International Trauma Questionnaire.","authors":"Bojana Pejušković, Marija Lero, Viktor Pavlović, Mila Arsenijević, Mihailo Ilić, Danilo Pešić","doi":"10.1080/20008066.2026.2646128","DOIUrl":"10.1080/20008066.2026.2646128","url":null,"abstract":"<p><p><b>Background:</b> ICD-11 distinguishes post-traumatic stress disorder (PTSD) from complex PTSD (CPTSD) by introducing disturbances in self-organization (DSO) as a defining feature of CPTSD. Accurate identification of these conditions requires instruments aligned with the ICD-11 framework. The International Trauma Questionnaire (ITQ) was specifically developed to assess PTSD and CPTSD from ICD-11, but the Serbian version has not yet been validated in a clinical population.<b>Objective:</b> This study aimed to evaluate the psychometric properties of the Serbian version of the ITQ in a clinical sample, including its factor structure, reliability, and concurrent and discriminant validity in relation to trauma exposure, childhood adversity, emotional distress, emotional dysregulation, dissociation, suicidality, and quality of life.<b>Method:</b> A total of 199 adult psychiatric patients at the Institute of Mental Health in Belgrade completed the ITQ, Life Events Checklist (LEC-5), Impact of Event Scale-Revised (IES-R), Adverse Childhood Experiences Questionnaire (ACE-Q), Depression Anxiety Stress Scales (DASS-21), Difficulties in Emotion Regulation Scale (DERS), Brief Dissociative Experiences Scale (DES-B), Suicidal Ideation Attributes Scale (SIDAS), and the Manchester Short Assessment of Quality of Life (MANSA). Confirmatory factor analysis was used to compare competing ICD-11 models of PTSD and CPTSD.<b>Results:</b> Both the six-factor correlated model and the second-order PTSD-DSO model showed good fit, whereas the single-factor model of CPTSD was not supported. CPTSD was more common than PTSD (25.7% vs. 18.7%) and was associated with higher levels of emotional dysregulation, dissociation, suicidality, and poorer quality of life. PTSD symptoms were more strongly associated with trauma-related distress, while DSO showed stronger associations with depression, anxiety, and negative self-concept.<b>Conclusions:</b> The Serbian version of the ITQ demonstrates good reliability, validity, and clinical utility for the assessment of PTSD and CPTSD according to ICD-11. Its use may improve diagnostic differentiation and support more targeted trauma-informed treatment in Serbian clinical settings.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2646128"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632791","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":"Differential linguistic patterns across Rorschach, TAT, and SCT in individuals with PTSD.","authors":"Hongsin Ahn, Ji Sun Hong, So Hee Lee, Doug Hyun Han","doi":"10.1080/20008066.2026.2700825","DOIUrl":"10.1080/20008066.2026.2700825","url":null,"abstract":"<p><p><b>Background:</b> While prior studies have examined linguistic markers of PTSD using everyday discourse or autobiographical narratives, comparative studies identifying specific markers across different projective personality tests remain limited.<b>Objective:</b> To investigate whether language features in projective personality tests differentiate individuals with PTSD from non-PTSD controls and assess their predictive value for symptom severity.<b>Method:</b> Verbatim transcripts from 283 participants (183 PTSD, 100 controls) across the Rorschach, TAT, and SCT were analysed using NLP across six categories: negative emotion, positive emotion, insight, causation, body-related, and self-focus. ANCOVAs with Bonferroni correction compared linguistic indicators between groups controlling for age and sex. Hierarchical regression analyses assessed predictive validity for symptom severity.<b>Results:</b> Following Bonferroni correction (α = .0028), four indicators showed significant group differences (ηp² = .036-.092): Rorschach Negative Emotion, SCT Positive Emotion, SCT Insight, and TAT Negative Emotion. In the PTSD group, TAT Negative Emotion was the strongest cross-symptom predictor of PTSD, depressive, and anxiety severity. Reduced Rorschach Body-related language and elevated SCT Insight were associated with greater symptom burden. TAT Positive Emotion negatively predicted symptom severity. In the non-PTSD group, SCT Self-Focus was the strongest predictor of PTSD-related severity, and SCT Positive Emotion negatively predicted anxiety. A sensitivity analysis revealed that SCT Positive Emotion and TAT Negative Emotion did not replicate under a more conservative Core Lexicon and should be treated as exploratory; only Rorschach Negative Emotion and SCT Insight were robust across lexicon configurations.<b>Conclusions:</b> Individuals meeting PTSD criteria showed reduced somatic language and elevated negative emotional expression, while self-referential processing and positive emotional expression emerged as salient markers in non-clinical individuals, though these differences should be interpreted cautiously given substantial demographic imbalances. These preliminary findings suggest that projective linguistic analysis may have potential as a supplementary approach in trauma-related research, pending external validation and replication in independent datasets.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2700825"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148577504","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":"Adolescent predictors of post-traumatic growth during the COVID-19 pandemic: a 28-year longitudinal study.","authors":"Ingrid Elise Oldereid Andersen, Gertrud Sofie Hafstad, Ole Martin Solberg, Tilmann von Soest","doi":"10.1080/20008066.2026.2666967","DOIUrl":"10.1080/20008066.2026.2666967","url":null,"abstract":"<p><p><b>Background:</b> Despite growing interest in the positive psychological consequences of trauma, such as post-traumatic growth (PTG), most existing studies rely on cross-sectional designs, limiting our understanding of how and when growth occurs. Longitudinal research is needed to identify early-life antecedents of PTG and clarify its developmental pathways.<b>Objective:</b> This study examined whether social, psychological, and sociodemographic factors in adolescence predict PTG in midlife in response to the COVID-19 pandemic.<b>Method:</b> We used data from a 28-year population-based longitudinal study (<i>N</i> = 2,215). Adolescent predictors from 1992 included social relationships, mental health, and sociodemographic characteristics. PTG in response to the COVID-19 pandemic was measured in 2020 using the three subscales relating to others, personal strength, and appreciation of life from a short version of the Post-Traumatic Growth Inventory. We conducted univariate and multivariate linear regression analyses and tested for possible moderation effects of gender.<b>Results:</b> Having close friendships and caring parents in adolescence consistently predicted higher PTG in midlife. Social acceptance was related to increased PTG in univariate analyses, but not in adjusted models. Mental health problems were univariately associated with greater scores on the appreciation of life subscale. Immigrant status predicted greater appreciation of life in both univariate and multivariate models, whereas higher parental education was associated with lower scores on the personal strength subscale. No significant moderation effects of gender were observed.<b>Conclusions:</b> This is the first study to investigate adolescent predictors of PTG in midlife. Findings highlight the lasting importance of social and familial support during adolescence for fostering positive psychological outcomes later in life.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2666967"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148028478","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":"Emotional regulation and alexithymia as mediators in TF-CBT for sexually abused children.","authors":"Martine Hébert, Amélie Tremblay-Perreault","doi":"10.1080/20008066.2026.2633005","DOIUrl":"10.1080/20008066.2026.2633005","url":null,"abstract":"<p><p><b>Background:</b> Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based intervention designed to address trauma-related symptoms in children. However, ways changes occur within TF-CBT are still understudied. Alexithymia and emotional regulation could be promising mediators.<b>Objective:</b> This study evaluated the effectiveness of TF-CBT in reducing post-traumatic stress symptoms (PTSS), dissociation, and internalizing and externalizing difficulties, while also exploring the mediating roles of emotional regulation and alexithymia.<b>Method:</b> A sample of 234 sexually abused children (mean age = 9.06) received TF-CBT at a Child Advocacy Center. Parents reported on children's dissociation, internalizing and externalizing behaviour problems, emotional regulation, and alexithymia. PTSS were assessed by both parents and clinicians.<b>Results:</b> Participants showed significant improvements in PTSS (<i>d</i> = .67 and 1.61 for parent- and clinician-reported, respectively), dissociation (<i>d</i> = .62), and internalizing (<i>d</i> = .70), and externalizing (<i>d</i> = .61) behaviour problems from pretest to post-test. A series of within-subject parallel mediation models assessed whether changes in emotional regulation and alexithymia were associated to changes in outcomes. Gains in emotional regulation capacities significantly mediated improvements in PTSS, dissociation, and both internalizing and externalizing difficulties. In contrast, alexithymia was a significant mediator only for PTSS reported by clinicians, dissociation and internalizing difficulties, suggesting that reductions in alexithymia were linked to symptom alleviation in these areas. Changes in alexithymia were not significantly related to changes in parent-reported PTSS or externalizing difficulties.<b>Conclusion:</b> These findings highlight the critical role of emotional regulation in TF-CBT's effectiveness across multiple symptom domains and underscore alexithymia's specific influence on dissociation and internalizing difficulties. Understanding these mediating mechanisms can help refine treatment approaches, leading to more targeted interventions that enhance therapeutic outcomes for sexually abused children.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2633005"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12997376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147466914","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":"Vicarious trauma and burnout: the role of self-compassion.","authors":"Grace Woolway, Susannah Jenner, Dorothy King, Hjördis Lorenz","doi":"10.1080/20008066.2026.2678103","DOIUrl":"10.1080/20008066.2026.2678103","url":null,"abstract":"<p><p><b>Background:</b> Psychologists are frequently exposed to distressing trauma stories which may increase the likelihood of experiencing vicarious trauma. Vicarious trauma can cause changes in core beliefs and cognitive schemas, ultimately changing an individual's view of self, others and the world.<b>Objective:</b> The current study aims to determine the extent of vicarious trauma and burnout psychologists in the United Kingdom experience, whether they are associated with each other, and to understand their relationship with self-compassion.<b>Method:</b> Practitioner psychologists were invited to participate in an anonymous online survey if they had been exposed to clients' trauma stories through their work. The survey explored psychologists' personal and workplace characteristics and assessed vicarious trauma, burnout and self-compassion.<b>Results:</b> Two hundred and fifty-five participants completed the survey and were included in data analysis. Psychologists experienced moderate levels of vicarious trauma. High vicarious trauma scores were associated with higher levels of personal, work and client-related burnout. Higher levels of vicarious trauma and burnout were also associated with lower self-compassion scores. Self-compassion did not significantly moderate the relationship between vicarious trauma and burnout. However, a sensitivity analysis suggests self-kindness may weaken the association between vicarious trauma and burnout, but the effect size is small.<b>Conclusions:</b> The findings from the present study highlight the importance of screening psychologists for vicarious trauma and burnout. As higher self-compassion was significantly associated with lower vicarious trauma and burnout, compassion focused approaches may be beneficial to reduce negative consequences associated with exposure to distressing trauma content disclosed by clients.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2678103"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13274503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257901","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":"Distinct correlates of post-traumatic stress disorder and subthreshold post-traumatic stress disorder considering a broad range of adverse experiences.","authors":"Celeste Minn Tan, Vanessa Ai Ling Seet, Rachel Hsiao Shen Tan, Sherilyn Shi Hui Chang, Yoke Boon Tan, Phern-Chern Tor, Charmaine Yu Zheng Tang, Yu Wei Lee, Nisha Chandwani, Swapna Verma, Mythily Subramaniam, Jianlin Liu","doi":"10.1080/20008066.2026.2694161","DOIUrl":"10.1080/20008066.2026.2694161","url":null,"abstract":"<p><p><b>Background:</b> While not all trauma-exposed individuals develop post-traumatic stress disorder (PTSD), many experience severe and enduring emotional effects. In Singapore, no study has investigated the prevalence and correlates of subthreshold PTSD and PTSD using gold-standard clinical interviews.<b>Objectives:</b> This study was the first to examine the prevalence and correlates of PTSD, subthreshold PTSD, and correlates associated while exploring a broad range of adverse experiences, including Criterion A (e.g. physical and sexual abuse) and non-Criterion A (e.g. emotional abuse) events.<b>Method:</b> We recruited 500 outpatients, aged 21-65, with mood or schizophrenia spectrum disorders from Singapore's only tertiary psychiatric hospital. Self-report measures assessed emotion dysregulation, suppression, and total trauma events. Clinical interviews, like the Clinician-Administered PTSD Scale (CAPS-5), measured dissociation and PTSD, while the Brief Psychiatric Rating Scale measured negative affect. Among trauma-exposed individuals (<i>n</i> = 461), multinomial regression examined differences between subthreshold PTSD, PTSD and the no-PTSD reference group, with analyses conducted separately for Criterion A and non-Criterion A events.<b>Results:</b> In the overall sample, PTSD prevalence was 15.0% and subthreshold PTSD was 18.4% among individuals with an index event classified as Criterion A. PTSD following an index event classified as Criterion A was associated with a broader range of correlates than index events classified as non-Criterion A. Conversely, among individuals exposed to events classified as non-Criterion A, PTSD was primarily associated with emotional correlates when subthreshold PTSD was defined as 'two of four criteria.' PTSD is also associated with a broader set of correlates than subthreshold PTSD across exposure types and subthreshold PTSD definitions. Correlates of subthreshold PTSD vary depending on exposure type. Negative affect was most frequently associated with multiple definitions of subthreshold PTSD and PTSD across trauma types.<b>Conclusion:</b> Findings suggest distinct symptom profiles by trauma type and emphasise the clinical relevance of non-Criterion A events and subthreshold PTSD.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2694161"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13390167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535633","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 relationship between attentional bias and posttraumatic stress symptoms among bereaved parents: a three-year longitudinal study using linear mixed models.","authors":"Fei Xiao, Xinyuan Li, Buzohre Eli, Yan Ma, Cong Gao, Zhengkui Liu","doi":"10.1080/20008066.2026.2689201","DOIUrl":"10.1080/20008066.2026.2689201","url":null,"abstract":"<p><p><b>Background:</b> Attentional biases are often considered key mechanisms in the onset and maintenance of various emotional disorders. However, existing research has reported inconsistent findings regarding the relationship between attentional bias and posttraumatic stress symptoms.<b>Objective:</b> This study aimed to examine the predictive effects of attentional bias on posttraumatic stress symptoms among bereaved Chinese parents who have lost their only children, using a three-year longitudinal analysis with linear mixed models.<b>Method:</b> Attentional bias and posttraumatic stress symptoms of bereaved parents (<i>N</i> = 47, aged 52-72 years) were assessed annually over three consecutive years using a dot-probe task and the PTSD Checklist for DSM-5 (PCL-5).<b>Results:</b> We found that vigilance toward positive stimuli was a negative predictor of posttraumatic stress symptoms, whereas vigilance toward negative stimuli positively predicted posttraumatic stress symptoms. Additionally, difficulty disengaging from both positive and negative stimuli was positively associated with posttraumatic stress symptoms. These associations were particularly evident regarding intrusions and alterations in arousal and reactivity at specific stimulus presentation durations.<b>Conclusions:</b> These findings strengthen our understanding of the relationship between attentional bias and posttraumatic stress symptoms through a longitudinal study design and analytic approach that accounts for random individual and time-related effects. Specific attentional bias components at particular stimulus presentation durations predicted posttraumatic stress symptoms, especially intrusions and alterations in arousal and reactivity.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2689201"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13552322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469694","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":"Supporting children's voice and agency in research.","authors":"Maj Hansen, Ida Haahr-Pedersen, Camille Warrington, Christina McMellon, Eilidh Lamb, Mary Mitchell","doi":"10.1080/20008066.2026.2709999","DOIUrl":"10.1080/20008066.2026.2709999","url":null,"abstract":"<p><p>Child abuse is highly prevalent globally and associated with profound consequences for children, underscoring the need for timely and coordinated responses such as the Children's Advocacy Centres (CAC) and the Barnahus (BH). Existing research on these models has primarily examined organisational structures and legal outcomes with significantly less attention given to children's lived experiences. In line with the United Nations Convention on the Rights of the Child, which emphasises both protection and participation, we argue in this editorial for a shift towards centreing children's voices and agency in research. Drawing on three research initiatives - 'Joining the Dots', 'Creating Spaces for Children', and 'Putting the Child First' - this editorial provides examples of how to meaningfully engage children in research. These projects employ creative, participatory, and trauma-informed methods to balance the children's right to protection and right to be heard when capturing the children's perspectives. They illustrate the importance of involving children in research and hence underline the risks of overlooking important insights into how support systems work in practice when children are not involved in research. This calls for greater investment in participatory approaches seeking to actively engage the children's perspectives to inform research, policy, and practice.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2709999"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13552309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900399","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":"Resilience in traumatised youth: qualitative study on therapists' perspectives and practices.","authors":"Ilse Visser, Rik Knipschild, Malindi van der Mheen, Levi Van Dam, Marleen Wildschut, Ramón J L Lindauer, Irma Hein","doi":"10.1080/20008066.2026.2712032","DOIUrl":"10.1080/20008066.2026.2712032","url":null,"abstract":"<p><p><b>Background:</b> Research has increasingly focused on how trauma-exposed youth achieve positive adaptation despite adversity, leading to the development of multiple theoretical frameworks of resilience. However, the extent to which these frameworks reflect current understandings and operationalisations of resilience in routine clinical practice remains unclear.<b>Objective:</b> This qualitative study examined how therapists conceptualised and applied resilience in routine therapeutic practice for trauma-exposed youth.<b>Method:</b> Twenty-three trauma therapists from four tertiary academic centres for child and adolescent psychiatry in the Netherlands participated in qualitative focus groups. Data were analysed using inductive thematic analysis.<b>Results:</b> Therapists emphasised resilience as both multidimensional, referring to the structure of resilience and its key dimensions, and multifactorial, referring to the multiple determinants shaping resilience. A third theme, clinical ambiguity, highlighted the different challenges trauma therapists face when attempting to adopt and integrate resilience into everyday therapeutic practice.<b>Conclusions:</b> Resilience remains difficult to conceptualise in a clearly delineated manner, complicating its application in therapeutic contexts. This underscores the need for more concrete guidance; actively engaging therapists in defining and implementing resilience may help translate it from a contested theoretical concept into a clinically meaningful and youth-relevant target for intervention. Such an approach facilitates the effective integration of both current and emerging resilience-based interventions into routine therapeutic practice, as well as their systematic evaluation.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2712032"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13552305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900403","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}