Sonali Singal, Priya K Johal, Sara Hameed, Ariel Worley, Tanya C Saraiya
{"title":"Reductions in cigarette use in a pilot intervention for opioid use disorder and PTSD.","authors":"Sonali Singal, Priya K Johal, Sara Hameed, Ariel Worley, Tanya C Saraiya","doi":"10.1080/20008066.2026.2697550","DOIUrl":"10.1080/20008066.2026.2697550","url":null,"abstract":"<p><p><b>Background:</b> Posttraumatic stress disorder (PTSD) symptoms are associated with increased substance misuse, including cigarettes and opioids. People who use opioids often report a desire to quit cigarettes, but little research has explored concurrent reductions in opioid and cigarette use in treatments for PTSD and substance use disorders.<b>Objective:</b> This exploratory study examined changes in cigarette use in a pilot study of an integrated psychotherapy for co-occurring opioid use disorder (OUD) and PTSD.<b>Method:</b> Daily cigarette use was measured using the Timeline Followback at 30 days before baseline, during weekly intervention sessions, and at 1-month follow-up. Bootstrapped linear mixed effect models tested for self-reported reductions in cigarette use across a subsample (<i>n</i>=4) who reported using cigarettes at baseline.<b>Results:</b> Results showed reductions in the average number of cigarettes used per day (CPD) between baseline and 1-month follow-up (<i>B</i>=-.93, <i>SE</i>=.41, <i>p</i>=.04) from an average of 17.06 (SD=15.32) CPD at baseline to an average of 8.07 (SD=9.28) CPD at follow-up. Additionally, participants reported high satisfaction with the intervention, with a mean score of 28.33 (SD=2.78) on the Client Satisfaction Questionnaire and all participants completed the intervention.<b>Conclusions:</b> Exploratory findings suggest that the integrated treatment for OUD/PTSD may have assisted in reductions of co-occurring cigarette use. Notable limitations include the study's small sample size, lack of a control group, and lack of nicotine product-specific self-report and biological measures. Although exploratory, observed changes suggest future work should explore concurrent reductions in opioid and cigarette use in randomized clinical trials for OUD/PTSD.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2697550"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148600877","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}
Yaara Sadeh, Leila Graham, Hillary M Kapa, Julian D Ford, Anke de Haan, Denise Hien, Tine K Jensen, Markus A Landolt, Richard Meiser-Stedman, Reginald D V Nixon, Nicole R Nugent, Miranda Olff, Silje Ormhaug, Glenn Saxe, Nancy Kassam-Adams
{"title":"Building the framework for ongoing discovery: coding practice elements in child traumatic stress intervention studies.","authors":"Yaara Sadeh, Leila Graham, Hillary M Kapa, Julian D Ford, Anke de Haan, Denise Hien, Tine K Jensen, Markus A Landolt, Richard Meiser-Stedman, Reginald D V Nixon, Nicole R Nugent, Miranda Olff, Silje Ormhaug, Glenn Saxe, Nancy Kassam-Adams","doi":"10.1080/20008066.2026.2650097","DOIUrl":"10.1080/20008066.2026.2650097","url":null,"abstract":"<p><p><b>Background:</b> Data re-use and secondary analysis present significant opportunities to advance knowledge in the traumatic stress and psychotherapy research fields and fully realize the contributions of prior research participants. However, to enable meaningful cross-study analyses of intervention studies, systematic approaches to characterizing intervention components are needed.<b>Objective:</b> This paper describes the development of a comprehensive framework for categorizing practice elements in child traumatic stress interventions, designed as part of the Child Trauma Prevention and Treatment (CTPT) Data Archive project.<b>Method:</b> Through review of existing literature, expert consultation, and systematic refinement, we developed a framework for categorizing practice elements in child traumatic stress interventions.<b>Results:</b> We identified 54 practice elements across five categories targeting the child, parent/family, elements addressing any intervention participant, the broader context, and process elements. This framework enables researchers to describe child traumatic stress interventions at a granular level, facilitating novel analyses examining specific intervention components across nominally distinct intervention models. Application of this framework to active arms within multiple intervention studies demonstrates its utility for characterizing diverse prevention and treatment approaches.<b>Conclusions:</b> This work represents an essential step toward enhancing the value of integrated data resources and advancing evidence-based traumatic stress interventions for children and families.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2650097"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148028542","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":"Harnessing the power of FAIR data to advance sex/gender insights in psychotraumatology.","authors":"Stephanie Haering, Mirjam Van Zuiden","doi":"10.1080/20008066.2026.2651060","DOIUrl":"10.1080/20008066.2026.2651060","url":null,"abstract":"<p><p><b>Background:</b> Sex and gender impact trauma exposure, as well as trauma-related outcomes and treatment efficacy. Still, knowledge about the extent of these sex/gender differences, as well as the distinct mechanisms that contribute towards these differences in psychotraumatology, is limited.<b>Objective:</b> This article outlines how the use of Findable, Accessible, Interoperable, and Reusable (FAIR) research data can further enhance our insights into sex and gender aspects in trauma research.<b>Method and Results:</b> We present and discuss four ways in which FAIR trauma data can facilitate sex/gender-sensitive trauma research: (1) FAIR trauma data may overcome the current lack of sex/gender-sensitive reporting in our field by enabling secondary sex-stratified analyses; (2) FAIR trauma data may facilitate data pooling across studies and thereby increase the statistical power of sex/gender-related analyses into trauma-related outcomes and its underlying mechanisms; (3) FAIR trauma data may promote the reliability and robustness of sex/gender-related trauma research; and (4) FAIR trauma data may aid in creating an evidence base for currently understudied sex and/or gender minorities by means of data pooling across studies. Additional benefits, potential challenges, and further considerations are discussed.<b>Conclusions:</b> FAIR data provide an important and feasible avenue to address pressing and timely questions on sex/gender-related aspects in trauma research. Such knowledge will contribute towards refined sex/gender-sensitive interventions and advance health equity in the psychotraumatology field.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2651060"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13103999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147766608","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 racist events on post-trauma mental health symptoms among immigrants and refugees in Canada: the role of racial trauma.","authors":"Ling Jin, Tina Nguyen","doi":"10.1080/20008066.2026.2737042","DOIUrl":"10.1080/20008066.2026.2737042","url":null,"abstract":"<p><p><b>Background:</b> Immigrants and refugees are at greater risk of mental health symptoms, including elevated symptoms of depression, anxiety, and posttraumatic stress disorder (PTSD). For racialized immigrants and refugees, frequent exposure to racist events is one of several predictors of mental health outcomes. According to race-based traumatic stress theory, repeated exposure to racist events can undermine safety, belonging, and dignity, and may lead to racial trauma, referring to the psychological and physiological stress responses arising from such experiences. However, it remains unknown whether racial trauma plays a mediating role in the relationship between racist events and mental health symptoms. To address this gap, the present study aimed to examine racial trauma as a mediator of this relationship among racialized immigrants and refugees in Canada.<b>Methods:</b> A sample of 182 immigrants and refugees in Canada (M<sub>age </sub>= 30.76; 52.2% men; 52.7% of African descent) completed self-report measures. The mediating role of racial trauma in the relationship between racist events and mental health symptoms (PTSD, depression, anxiety) was examined using PROCESS Model 4.<b>Results:</b> Results indicated that racial trauma significantly explained the relationship between racist events and mental health outcomes, including PTSD (<i>B</i> = 0.35, CI [0.20, 0.56]), depression (<i>B</i> = 0.11, CI [0.06, 0.18]), and anxiety (<i>B</i> = 0.12, CI [0.08, 0.17]). The model accounted for 34.02% to 46.21% of the variances in mental health outcomes.<b>Conclusions:</b> Among racialized immigrants and refugees, greater exposure to racist events was associated with elevated racial trauma, which contributed to higher PTSD, depression, and anxiety symptoms. Clinicians, community organizations, and policymakers should integrate anti-racism strategies and racial trauma frameworks to support the mental health of immigrants and refugees.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2737042"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227579","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":"Body dysmorphic disorder symptom severity and intimate partner violence: the role of PTSD and DSO symptom domains.","authors":"Yael Lahav, Sharon Avidor","doi":"10.1080/20008066.2026.2692770","DOIUrl":"https://doi.org/10.1080/20008066.2026.2692770","url":null,"abstract":"<p><p><b>Background:</b> Body dysmorphic disorder (BDD) is common among survivors of interpersonal trauma. However, the relationship between BDD symptoms and intimate partner violence (IPV), as well as the roles of posttraumatic stress disorder (PTSD) symptom domains and disturbances in self-organization (DSO) symptom domains, remain unclear.<b>Objective:</b> This longitudinal study, which included three waves of data collection (T1, T2, T3), examined: (1) BDD symptom severity as a concomitant of IPV; (2) associations between PTSD and DSO symptom domains and BDD symptom severity in IPV survivors; and (3) the mediating roles of PTSD and DSO symptom domains in the relationship between the degree of IPV exposure and BDD symptoms, while controlling for age, history of childhood abuse, and IPV polyvictimization.<b>Method:</b> An online survey was completed by a convenience sample of 422 adult women, 76.8% (<i>n</i> = 324) of whom reported IPV exposure. PTSD symptom domains, DSO symptom domains, and BDD symptom severity and covariates were assessed via self-report measures.<b>Results:</b> Analyses indicated higher BDD symptom severity and a greater proportion of clinically significant BDD symptoms at T3 among participants exposed to IPV at T1. A sense of threat, negative self-concept, and disturbed relationships at T2 were associated with elevated BDD symptom severity at T3. However, only negative self-concept mediated the relationship between the degree of IPV exposure and BDD symptom severity; greater IPV exposure at T1 was associated with increased negative self-concept at T2, which, in turn, was associated with higher BDD symptom severity at T3.<b>Conclusions:</b> The current findings suggest that IPV survivors are at heightened risk for BDD symptoms and highlight negative self-concept, a component of DSO, as a potential mechanism underlying this vulnerability.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2692770"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469804","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":"Informant bias and the invisible symptoms in childhood trauma assessment: introducing the symptom visibility-informant bias framework.","authors":"Annika Skandsen","doi":"10.1080/20008066.2026.2695488","DOIUrl":"https://doi.org/10.1080/20008066.2026.2695488","url":null,"abstract":"<p><p><b>Background:</b> Assessing childhood trauma involves persistent methodological and ethical challenges. Many trauma-related symptoms are internal, developmentally shaped, or context-dependent, making them difficult to observe, report, or interpret. Assessment further relies on multiple informants whose perspectives are partial and unevenly aligned with children's lived experiences.<b>Objective:</b> The paper develops the Symptom Visibility-Informant Bias (SVIB) Framework for Childhood Trauma Assessment to explain how trauma-related symptoms may become visible, invisible, or misclassified across child, caregiver, teacher, clinician, researcher, and biological sources of information.<b>Method:</b> Using a literature-informed conceptual analytic approach, the paper synthesizes developmental, epidemiological, clinical, methodological, and ethical research on childhood trauma assessment.<b>Results:</b> The proposed framework identifies four interacting levels that shape trauma recognition: child-level developmental and relational factors, symptom-level visibility, informant-level vantage points, and system-level assessment conditions.<b>Conclusion:</b> This framework conceptualizes childhood trauma assessment as a relational and ethical visibility process, highlighting the need for multimodal, multi-informant, developmentally sensitive, and trauma-informed approaches.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2695488"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469698","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}
Anton Kurapov, Inna Vlasenko, Sabrina E Hettegger, Michael Liedlgruber, Frank H Wilhelm, Sarah K Danböck
{"title":"Psychometric properties of the Ukrainian version of Dissociative Subtype of Posttraumatic Stress Disorder Scale (DSPS).","authors":"Anton Kurapov, Inna Vlasenko, Sabrina E Hettegger, Michael Liedlgruber, Frank H Wilhelm, Sarah K Danböck","doi":"10.1080/20008066.2026.2635315","DOIUrl":"10.1080/20008066.2026.2635315","url":null,"abstract":"<p><p><b>Background:</b> The dissociative subtype of posttraumatic stress disorder (D-PTSD) was introduced in the DSM-5 to identify individuals with PTSD who experience dissociative symptoms, such as derealization and depersonalization. The Dissociative Subtype of PTSD Scale (DSPS) was developed to assess these symptoms but has yet to be validated in Ukrainian, a necessity due to the psychological impact of the ongoing conflict in Ukraine.<b>Objective:</b> This study aimed to develop and validate the Ukrainian version of the DSPS, examining its psychometric properties in a sample of trauma-exposed Ukrainian individuals.<b>Methods:</b> 1,119 Ukrainian participants, recruited using convenience and snowball sampling, took part in an online study assessing dissociative symptoms with the DSPS as well as symptoms of PTSD, depression, generalized anxiety disorder, somatic symptom disorder, and fear of sleep with established questionnaires. DSPS factor structure, internal consistency, and convergent and discriminant validity were assessed.<b>Results:</b> Confirmatory factor analysis confirmed the three-factor structure of the DSPS (derealization/depersonalization, loss of awareness, and psychogenic amnesia) with acceptable model fit indices for both lifetime and current severity items. Internal consistency was high for lifetime and current total scales (Cronbach's alpha = 0.83-0.87). Significant correlations with PTSD, depression, anxiety, and somatic symptoms were in the expected size-ranges, supporting convergent and discriminant validity.<b>Conclusions:</b> The Ukrainian DSPS demonstrated robust psychometric properties, validating its use as a reliable and valid tool for assessing dissociative symptoms in individuals exposed to war-related trauma. Its adaptation fills a critical gap in the diagnostic landscape, enabling timely intervention for trauma-exposed populations in Ukraine.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2635315"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12981259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147431896","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}
Tamara Sheinbaum, Fernando Salvador-Cabañas, Ana Fresán, Lourdes Nieto, Rebeca Robles, Neus Barrantes-Vidal, Tecelli Domínguez
{"title":"Childhood experiences of abuse and neglect: links with different psychopathology symptom dimensions in a Mexican sample.","authors":"Tamara Sheinbaum, Fernando Salvador-Cabañas, Ana Fresán, Lourdes Nieto, Rebeca Robles, Neus Barrantes-Vidal, Tecelli Domínguez","doi":"10.1080/20008066.2026.2622767","DOIUrl":"10.1080/20008066.2026.2622767","url":null,"abstract":"<p><p><b>Background:</b> The mental health impact of different forms of childhood maltreatment remains understudied in low- and middle-income countries.<b>Objective:</b> This study used a Mexican sample to examine the associations of five childhood maltreatment subtypes (emotional, physical, and sexual abuse, and emotional and physical neglect) with psychopathology symptoms encompassing depression, anxiety, posttraumatic stress, and domains of the psychosis spectrum.<b>Method:</b> Participants were 1,612 adults from the general population (M<sub>age </sub>= 30.3 years, SD<sub>age </sub>= 8.1 years; mostly women [79.4%], with a high school education or higher [97%], currently working [55.8%] or studying [30.7%]) who completed self-report measures of depression, anxiety, posttraumatic stress, positive psychotic experiences, multidimensional (positive, negative, and disorganised) schizotypy, and childhood maltreatment.<b>Results:</b> Linear regression analyses examining the unique association of the childhood maltreatment subtypes with the outcome measures indicated that emotional abuse was associated with all the outcomes except negative schizotypy. In addition, emotional neglect was associated with negative and disorganised schizotypy and symptoms of depression and anxiety, and sexual abuse was associated with posttraumatic stress symptoms.<b>Conclusions:</b> The findings contribute to efforts to elucidate patterns of association between childhood maltreatment and mental health outcomes across diverse contexts. Furthermore, they point to the need for increased attention to the impact of emotional maltreatment in low- and middle-income countries.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2622767"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12912244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146200555","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":"'You're in chaos - and no one knows it': daily functional experience of young women emerging from out-of-home care in Israel.","authors":"Sarah Lazarus, Sara Rosenblum, Rachel Kizony","doi":"10.1080/20008066.2026.2634470","DOIUrl":"10.1080/20008066.2026.2634470","url":null,"abstract":"<p><p><b>Background:</b> Care leavers are considered a vulnerable population, for whom the transition from care into the community holds many challenges. Existing research focuses mainly on the psychosocial toll that care leavers' history has on their lives, while knowledge about their daily functioning and participation is scarce.<b>Objective:</b> This study explored Israeli female care leavers' daily experience using a functional approach, investigating characteristics, challenges, and strengths as facilitators or barriers to daily participation.<b>Method:</b> Using a qualitative phenomenological descriptive approach, 12 semi-structured interviews were conducted. Data were thematically analysed.<b>Results:</b> Four key themes emerged: (1) the impact of childhood home environments on daily life; (2) transitioning into adulthood from a functional perspective; (3) outlining and framing daily functional activities; and (4) factors enabling perseverance and hope.<b>Conclusions:</b> Functional role modelling, executive functions, routines, and habits should be considered regarding care leavers, particularly women. The variability and complexity of results underscore the importance of future research to advance the development of tailored intervention, including assessment of daily functional skills framed in routines, cognitive abilities, and health-related difficulties, in this population.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2634470"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12997368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147467338","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":"Comparing two posttraumatic stress disorder screening approaches to improve health outcomes in pregnant black women: a comparative effectiveness trial protocol.","authors":"Sarah Kuhil, Chaela Nutor, Nicole Sessions, Kiwanis Tucker, Tiffaney Renfro, Anahi Primgaard, Rebecca Hinrichs, Megan Lawley, Melvin Livingston, Traci Johnson, Briana Woods-Jaeger, Abigail Powers","doi":"10.1080/20008066.2026.2654921","DOIUrl":"10.1080/20008066.2026.2654921","url":null,"abstract":"<p><p><b>Background:</b> Posttraumatic stress disorder (PTSD) during pregnancy is directly related to negative maternal health and birth outcomes. However, prenatal screening for PTSD is not conducted regularly. In addition, PTSD and maternal morbidity disproportionally affect Black women, making it critical to improve detection and treatment of PTSD for Black women in pregnancy. Obstetrics clinics in urban safety net hospitals are uniquely positioned to implement systemic changes in how pregnant women are screened for comorbidities and retained in perinatal care, which could result in decreased maternal morbidities and improved mental health outcomes.<b>Methods:</b> Using a multicenter, randomized, parallel-group design, we outline a clinical trial that will compare the effectiveness of two active PTSD screening approaches for Black pregnant women receiving care in urban obstetrics clinics. Participants are randomly assigned to one of two intervention arms: a brief screening for PTSD or a culturally responsive screening, brief intervention and referral to treatment for obstetrics (SBIRT for OB) intervention.<b>Discussion:</b> This is the first study to directly examine the effects of these PTSD screening approaches on mental and physical health outcomes and care management for pregnant women. Improving how PTSD is identified and addressed during pregnancy could help reduce racial disparities in maternal health outcomes and ensure that Black mothers receive the care and support they deserve.<b>Trial registration:</b> The study has been registered with clinicaltrials.gov (NCT#06522022).</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2654921"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147766610","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}