European Journal of Psychotraumatology最新文献

{"title":"Pooling data from studies on prolonged grief: the Multi-region Archive of Research data on Bereavement and Loss from Empirical Studies (MARBLES) project.","authors":"Paul A Boelen, Samet Baş, Laura T Bolaséll, Richard A Bryant, Gizem Cesur-Soysal, Maarten C Eisma, Barbara Goodfellow, Jos De Keijser, Anette Kersting, Emrah Keser, Maja O'Connor, Holly G Prigerson, Bibi Schut, Iris Vissers, Suqin Tang, Julia Treml, Lonneke A Van Tuijl, Jianping Wang, Lisanne Asberg, Franziska Lechner-Meichsner, Chusi Xie, Xin Xu, Lonneke I M Lenferink","doi":"10.1080/20008066.2026.2652128","DOIUrl":"10.1080/20008066.2026.2652128","url":null,"abstract":"<p><p><b>Introduction:</b> Prolonged Grief Disorder (PGD) was newly included in the 11th edition of the International Classification of Diseases (ICD-11) and the text revision of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR)<i>.</i> There is a need to increase our understanding of the prevalence, nature, and risk factors of this condition. Research in this area can be advanced by pooling existing datasets.<b>Objective:</b> The MARBLES (Multi-region Archive of Research data on Bereavement and Loss from Empirical Studies) project was initiated to create a consortium of researchers conducting studies on PGD. Its goal is to harmonize and combine data from separate studies into a unified, individual participant data-archive, boosting bereavement research.<b>Methods:</b> To date, data from 16,666 bereaved individuals have been compiled from 32 datasets across nine countries. All datasets include data on PGD symptoms and sociodemographic and loss characteristics; most also include data on emotion regulation and concurrent symptoms. For preliminary analyses presented in this paper, data on sociodemographic and loss-related characteristics and on PGD, posttraumatic stress, and depression symptoms were harmonized.<b>Results:</b> Regarding the preliminary analyses, participants' mean age was in their mid-40s, about 70% of the participants were female, one in four participants had lost a partner, and one in four participants experienced an unnatural loss. Analyses (with multiple imputation) indicated that 18.3% met criteria for probable PGD (ICD-11).<b>Conclusion:</b> The MARBLES archive demonstrates that it is feasible to build a FAIR archive of PGD symptom data. Although the archive can already be used to study the prevalence, pathogenesis, and predictors of PGD symptoms and associated emotional problems, it is intended as an evolving resource. Its potential will expand as additional datasets are added and use of the archive grows. Future extensions should prioritize the inclusion of underrepresented groups (e.g. migrants) and currently missing social, cognitive, and neurobiological variables.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2652128"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148014073","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":"Psychotherapy for PTSD - a scoping review of how change during treatment has been studied.","authors":"Nicolás García-Mejía, Anja F Ernst, Miriam J J Lommen, Lea Seidel-Koulaxis, Julián D Moreno-Villamizar, Oliwia K Nadolna, Sara V Prada, Judith K Daniels","doi":"10.1080/20008066.2026.2679314","DOIUrl":"10.1080/20008066.2026.2679314","url":null,"abstract":"<p><p><b>Background:</b> Posttraumatic Stress Disorder (PTSD) treatment shows 40% of non-response rate despite the efficacy of evidence-based psychotherapies like Prolonged Exposure (PE), and Cognitive Processing Therapy (CPT). Understanding how PTSD symptoms change during treatment, and the mechanisms that precede, mediate, or moderate these changes, is essential for improving interventions.<b>Objective:</b> This systematic scoping review mapped how changes in PTSD have been studied during psychotherapy between 2000 and 2023, focusing on (1) research objectives, (2) PTSD conceptualization, (3) covariates and mechanisms included, (4) repeated measurement timing and frequency, and (5) statistical modelling of change.<b>Methods:</b> Following PRISMA guidelines, we searched scientific databases for English- and Spanish-language peer-reviewed studies. Eligible studies included adults diagnosed with PTSD, examined evidence-based psychotherapies, and incorporated at least three repeated in-treatment assessments. Excluded were pharmacological trials, case studies, and non-empirical articles. After a three-phase screening, 115 studies met inclusion criteria. Data were extracted on research objectives, measurements, demographics, and analytic methods, and summarized using descriptive statistics.<b>Results:</b> Most studies were conducted in the United States (82%) involving veterans or active military (50%). PE (50%) and CPT (31%) dominated the treatment landscape. A total of 207 research objectives were identified, grouped into 16 categories. The most frequent were temporal precedence, time-stable predictors, and identification of change trajectories. PTSD and depression were the most frequently measured constructs (83%), typically assessed session-by-session with an average of nine repeated measurements, aligned with protocol duration. Multilevel regression modelling was the predominant analytic strategy (48%).<b>Conclusions:</b> Future research should state causal aims openly and base measurement on theory and evidence rather than tradition. Exploratory studies are needed to build an accurate understanding of the timing of PTSD change. Crucially, no studies used ecological momentary assessment, and samples show limited generalizability. Finally, research efforts significantly increased since 2010, evidencing the importance of this type of research.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2679314"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13347857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148395875","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":"Role of baseline emotion dysregulation and perceived daily stress in adherence to and completion of narrative exposure therapy among forced migrants.","authors":"Rina S Ghafoerkhan, Henriette E Van Heemstra, Willem F Scholte, Samrad Ghane, Niels Van Der Aa, Paul A Boelen","doi":"10.1080/20008066.2026.2626108","DOIUrl":"10.1080/20008066.2026.2626108","url":null,"abstract":"<p><strong>Background: </strong>Forced migrants are at risk of developing post-traumatic stress disorder (PTSD). Narrative exposure therapy (NET) is an empirically supported treatment for forced migrants with PTSD. However, multiple barriers can make it difficult for them to consistently engage in and complete mental health treatment. Identifying factors contributing to the feasibility of NET could enhance its treatment outcomes.</p><p><strong>Objectives: </strong>The first aim was to examine whether baseline levels of perceived daily stress and emotion dysregulation were associated with NET completion. The second aim was to test whether these baseline measures were associated with NET adherence, while considering pretreatment PTSD symptom severity. In this study, completion was defined as having completed the full treatment protocol, while adherence was defined as the total number of attended treatment sessions relative to the total number of planned sessions.</p><p><strong>Method: </strong>An uncontrolled observational study was conducted at an outpatient mental health clinic. Treatment-seeking forced migrants (<i>N</i> = 86, 59% identifying as women, age range 19-63 years) with PTSD were monitored while engaging in NET. Pretreatment measures were considered as indicators: a perceived stress scale, difficulties in emotion regulation scale, and a PTSD checklist. Information on NET session attendance, treatment protocol adherence, and completion was derived from medical records. Analyses were carried out using logistical and hierarchical regression analysis.</p><p><strong>Results: </strong>First, baseline levels of perceived daily stress and emotion dysregulation were not found to be associated with NET completion rates. Secondly, baseline perceived daily stress scores were significantly associated with treatment adherence, although not when controlling for baseline PTSD symptom severity. Overall, NET adherence could not be attributed to baseline measures.</p><p><strong>Conclusions: </strong>The lack of significant findings could be due to the limited sample size or methodological choices. Alternative factors impacting NET treatment completion and session adherence could be considered for future research.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2626108"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12973787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147369319","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 trauma in refugees using ITEM and ITI: clinician's reported challenges and ethical-professional considerations.","authors":"Frederik Bernt Scharff, Sofie Grimshave Bangsgaard, Thomas Brudholm, Lotte Segal, Linda Nordin, Sabina Palic, Marie Høgh Thøgersen","doi":"10.1080/20008066.2026.2643046","DOIUrl":"10.1080/20008066.2026.2643046","url":null,"abstract":"<p><p><b>Introduction:</b> This study investigates clinical reported challenges and ethical-professional considerations related to the use of the International Trauma Interview (ITI) and International Trauma Exposure Measure (ITEM) with trauma-affected refugees in Denmark. These instruments were implemented in 2023 across several Danish refugee rehabilitation clinics to screen for trauma and assess ICD-11 PTSD and Complex PTSD diagnoses.<b>Methods:</b> Data collection included individual and focus group interviews with 12 clinical psychologists administering ITEM and ITI across three refugee treatment clinics. Interviews were analyzed and coded to identify key issues experienced by clinicians regarding their use of ITEM and ITI with refugee patients.<b>Results:</b> All clinicians reported challenges using ITEM and/or ITI, with the majority expressing ethical-professional considerations. Main themes included: When and how to administer the measures, to whom, and the perceived appropriateness of the content for refugees. Simultaneously, all clinicians found the measures clinically useful to some extent.<b>Conclusions:</b> Clinicians' ethical and professional considerations on the use of ITI and ITEM with refugees indicated multiple ways to improve the measures' clinical utility and reduce patient distress. Key recommendations included introducing more flexible timing of assessments, implementing training on integrating and communicating assessment findings to patients and revising the language to be clearer and more culturally sensitive. Further regular supervision and dedicated spaces for discussing challenges may be needed to support the use of the measures in a refugee setting.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2643046"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147503480","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":"Trauma re-experiencing episodes during esketamine treatment in patients with treatment-resistant depression and comorbid PTSD: a retrospective case series.","authors":"Maud Rothärmel, Lila Mekaoui, François Kazour, Morgane Herrero, Eva-Maria Beetz-Lobono, Aiste Lengvenyte, Jérôme Holtzmann, Philippe Raynaud, Macarena Cuenca, Samuel Bulteau, Pierre De Maricourt, Thomas Husson, Emilie Olié, Bénédicte Gohier, Anne Sauvaget, Raphaël Gaillard, Raphaëlle Richieri, David Szekely, Ludovic Samalin, Olivier Guillin, Virginie Moulier, Wissam El-Hage, Andrew Laurin, Lucie Berkovitch","doi":"10.1080/20008066.2025.2609425","DOIUrl":"10.1080/20008066.2025.2609425","url":null,"abstract":"<p><p><b>Background:</b> Posttraumatic stress disorder (PTSD) is a severe and frequent affection that is highly comorbid to major depressive disorder. Comorbid PTSD and depression increase the risk of treatment-resistant depression (TRD), with a high risk of functional impairment and suicide. Esketamine nasal spray is a recent validated treatment for TRD, but its efficacy on comorbid TRD-PTSD remains insufficiently documented. In particular, it is unknown whether traumatic re-experiencing may occur during esketamine treatment and if so, how it influences clinical outcomes.<b>Objectives:</b> Our objective was to describe trauma re-experiencing episodes during esketamine sessions and their impact on clinical trajectories within an ecological sample of patients with comorbid TRD-PTSD.<b>Methods:</b> We retrospectively collected clinical data of patients receiving esketamine nasal spray for TRD for whom at least one trauma re-experiencing episodes had been identified by clinicians during esketamine sessions across 11 psychiatric departments.<b>Results:</b> Between February 2020 and March 2023, 22 adult patients with TRD met inclusion criteria. In sixteen patients (72.7%) trauma re-experiencing episodesdisappeared as the sessions progressed. In six patients (27.3%), esketamine treatment was stopped because of trauma re-experiencing episodes. When esketamine was continued, favourable clinical outcomes were observed both for depression and PTSD (depression response rate: 45.5% and remission rate: 22.7%; PTSD improvement rate: 45.5% and remission: 18.2%).<b>Limitations:</b> The retrospective design of the study and the absence of a comparator group are the main limitations of our study.<b>Conclusions:</b> Our results suggest that esketamine can be safely administered to patients with comorbid PTSD and TRD, and that the occurrence of trauma re-experiencing episodes does not hinder clinical response.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2609425"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147591084","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":"Gender bias of the general public regarding sexual victimization: a study using case vignettes in Japan.","authors":"Kyoko Odawara, Misari Oe, Tetsuya Ishida, Hiromi Chiba, Michiko Matsuoka, Emelie L Miller, Motohiro Ozone","doi":"10.1080/20008066.2026.2650092","DOIUrl":"10.1080/20008066.2026.2650092","url":null,"abstract":"<p><p><b>Background:</b> From a victim support perspective, researching public perceptions of sexual violence is critically important, since these perceptions can influence judicial decisions and media coverage. However, a few studies have examined the public awareness of the gender bias in the perpetrator-victim relationships.<b>Objective:</b> We conducted a survey to investigate whether the general public in Japan perceives sexual violence differently depending on the genders of the perpetrators and victims.<b>Methods:</b> We surveyed 137 members of the Japanese general public aged ≥18 years (48 men, 89 women, aged 19-73 years). Participants completed a cross-sectional online survey describing four short case vignettes with four different gender patterns regarding the perpetrator and victim of sexual violence. Participants were asked to rate the psychological impact on the victim in each vignette and to indicate whether the victim would be considered having experienced psychological trauma, and whether the victim could have escaped without being victimized.<b>Results:</b> Participants' responses showed that they regarded the 'man perpetrator-woman victim' situation as having the greatest psychological impact. When the perpetrators were women, the participants described lower psychological impacts.<b>Conclusions:</b> These results revealed that the general public perceives sexual violence differently depending on the genders of the perpetrator and victim, especially when the perpetrator is a woman.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2650092"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13078649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147671857","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":"Long-term physical and mental health effects of unresolved disaster-related bereavement: evidence from an 8-year propensity score-matched cohort study.","authors":"Eun-Joo Park, Ji-Won Han, Maenseok Noh, Soyoung Jeon, Bomi Park, Yoonjoo Choi, Hyun Soo Kim, Hae Sun Jung, Kyoung-Sae Na, Weon-Young Lee","doi":"10.1080/20008066.2026.2635919","DOIUrl":"10.1080/20008066.2026.2635919","url":null,"abstract":"<p><p><b>Background:</b> Evidence on the long-term mental and physical health effects of disaster-related bereavement remains limited.<b>Objective:</b> To compare long-term healthcare utilisation and disease incidence among individuals bereaved in the Sewol ferry disaster with matched controls.<b>Method:</b> This retrospective cohort study used Korean National Health Insurance data to match 388 bereaved individuals with 1,552 controls. Healthcare utilisation and disease incidence were examined over three years pre-disaster and eight years post-disaster using difference-in-differences and Cox proportional hazards models.<b>Results:</b> Psychiatric outpatient utilisation among the bereaved increased from 10% pre-disaster to 38% in year 1, stabilised around 20%, and rose again to 38% in year 8, whereas controls showed a gradual increase to 22%. Difference-in-differences analyses demonstrated significantly higher psychiatric outpatient visits in the bereaved group, with excess visits of 2.87 (95% CI 1.52-4.22) in years 1-3, 1.86 (0.51-3.21) in years 4-6, and 1.56 (0.21-2.91) in years 7-8. Psychiatric admissions also increased significantly across post-disaster periods. Physical outpatient visits showed delayed excess increases in years 4-6 and 7-8. Cox models indicated elevated risks for infectious, benign neoplastic, endocrine, mental, neurological, digestive, dermatological, and musculoskeletal disorders, as well as abnormal findings and injury.<b>Conclusions:</b> Eight years after the disaster, bereaved individuals continued to exhibit persistent mental health problems and greater physical healthcare utilisation. These findings highlight the need for long-term, integrated support addressing both mental and physical health beyond the immediate aftermath of disasters.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2635919"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13015077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147503604","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 overlooked trauma: psychological violence and its impact on PTSD symptoms.","authors":"Raquel M Gonçalves, Camila M F Gama, Sérgio De Souza Junior, Mariana Xavier, Eliane Volchan, Letícia De Oliveira, Fátima S Erthal, William Berger, Izabela Mocaiber, Mirtes G Pereira","doi":"10.1080/20008066.2026.2649110","DOIUrl":"10.1080/20008066.2026.2649110","url":null,"abstract":"<p><p><b>Background:</b> Psychological violence, defined as interpersonal acts intended to humiliate or diminish others without physical force, has been linked to significant psychological suffering. Despite its prevalence and association with mental health disorders, it is not classified as a potentially traumatic event under the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) criteria for post-traumatic stress disorder (PTSD) diagnosis.<b>Objective:</b> This study examines whether psychological violence, when identified as the index trauma, is associated with PTSD symptoms at levels comparable to those elicited by DSM-5-recognized traumas.<b>Method:</b> In this cross-sectional study, 530 Brazilian undergraduate students completed the Trauma History Questionnaire (THQ) and the PTSD Checklist for DSM-5 (PCL-5). Negative binomial regression and logistic regression models were used to examine associations between trauma type and PTSD symptom severity and probable diagnosis.<b>Results:</b> Compared to crime- and disaster-related trauma, psychological violence was associated with greater PTSD symptom severity and higher odds of probable PTSD diagnosis. Its impact was comparable to that of physical and sexual violence.<b>Conclusions:</b> These findings emphasize the importance of raising awareness about the emotional consequences of psychological violence and highlight the need for greater recognition of psychological violence as part of the spectrum of experiences associated with PTSD. Recognizing psychological trauma as a threat to the fundamental human need for social connection has critical implications for diagnostic refinement and treatment protocols.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2649110"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632883","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":"Organisational readiness and preparedness for trauma-informed practice across UK frontline services: a mixed-methods study.","authors":"Nicola Cogan, Spence Whittaker, Alison Kirk, William Hodgson, Susan Rasmussen, Cherrie Short","doi":"10.1080/20008066.2026.2670135","DOIUrl":"10.1080/20008066.2026.2670135","url":null,"abstract":"<p><p><b>Background:</b> Frontline professionals in health, social care, and emergency response settings are routinely exposed to traumatic events. Trauma-informed practice (TIP) frameworks emphasise organisational readiness, including leadership, systems, and culture, alongside organisational preparedness, referring to the practical capacity to recognise, respond to, and support trauma exposure. Despite increasing policy attention, there is limited empirical evidence that describes how frontline workers experience these organisational factors in practice and how they influence psychological safety, help-seeking, perceptions of workplace support and longer-term staff wellbeing following traumatic or distressing occupational experiences.<b>Objective:</b> This study explored frontline staff experiences of TIP across UK services, focusing on organisational readiness and preparedness and identifying strengths, gaps and priorities for improvement.<b>Methods:</b> A cross-sectional online survey was completed by 325 frontline workers across the NHS, social care and emergency response sectors. The survey assessed four domains: organisational structures and systems, workplace culture and psychological safety, leadership and workforce capability and wellbeing and access to support. Quantitative data were analysed descriptively. Free-text responses from 198 participants were analysed using reflexive thematic analysis and integrated with quantitative findings.<b>Results:</b> Participants described partial organisational readiness, including access to Employee Assistance Programmes, informal peer support and leadership endorsement of staff wellbeing. However, organisational preparedness to respond to trauma exposure was inconsistent. Psychological safety was limited, with many participants uncertain where to seek support and expressing concerns about confidentiality, stigma and professional consequences. Leadership training in trauma-informed approaches was limited, and communication about support pathways was often unclear.<b>Conclusions:</b> Frontline services demonstrate emerging strengths in trauma-informed readiness, but significant gaps remain in organisational preparedness. Key challenges relate to psychological safety, managerial capability, stigma and access to support. Strengthening leadership capability, improving communication, and creating safe, consistent pathways for help-seeking are essential to developing sustainable trauma-informed workplaces.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2670135"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148028633","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":"Screening PTSD in clinical populations within East Africa: results from the first follow-up study of NeuroGAP-psychosis.","authors":"Shaili C Jha, Rocky E Stroud, Ana Lucia Espinosa Dice, Joseph Kyebuzibwa, Stella Gichuru, Fredrick Ochieng, Manasi Sharma, Hayden Mountcastle, Lydia Marshall, Linnet Ongeri, Kristina J Korte, Karestan C Koenen, Lukoye Atwoli, Dickens Akena","doi":"10.1080/20008066.2026.2636455","DOIUrl":"10.1080/20008066.2026.2636455","url":null,"abstract":"<p><p><b>Background:</b> Given the high burden of trauma in Sub-Saharan Africa, there is a critical need for scalable tools to screen for trauma and posttraumatic stress disorder (PTSD) symptoms, especially in low-resource settings.<b>Objective:</b> This study aimed to evaluate the utility, reliability, and validity of the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) administered over the telephone to individuals previously enrolled in the Neuropsychiatric Genetics of African Populations-Psychosis study (NeuroGAP-Psychosis) study in Uganda (<i>N</i> = 4,921) and Kenya (<i>N</i> = 3,149).<b>Method:</b> Cases with psychosis and controls without psychosis (patients, caretakers, or employees) were recontacted from the NeuroGAP-Psychosis study and enrolled in a follow-up study. This follow-up included a phone-based assessment of trauma and PTSD using the Life Events Checklist for DSM-5 (LEC-5) and the PC-PTSD-5, followed by an in-person assessment of PTSD using the PTSD Checklist for the DSM-5 (PCL-5). All interviews were conducted in local languages and by trained research assistants.<b>Results:</b> High rates of participant recontact and completion were achieved, with 60% of participants in the Ugandan cohort and 85% in the Kenyan cohort successfully completing the trauma and PTSD assessment over the phone. In both countries, approximately 80% of those screened by phone also completed the in-person interview. The PC-PTSD-5 demonstrated overall good to acceptable reliability (α = 0.85/ω = 0.86 in Ugandan cohort; α = 0.76/ω = 0.77 in Kenyan cohort), across both cases with psychosis and controls without psychosis, and across the different study languages. Furthermore, evaluation of the PC-PTSD-5 against the PCL-5 in Uganda revealed strong performance based on both sensitivity (91%) and specificity (77%).<b>Conclusions:</b> The first follow-up study in NeuroGAP-Psychosis successfully demonstrates the feasibility of a hybrid telephone and in-person PTSD screening protocol in Sub-Saharan Africa. The results are a first step in establishing the research and clinical use of brief, scalable PTSD screening instruments in low-resource settings and in populations affected by psychosis.</p>","PeriodicalId":12055,"journal":{"name":"European Journal of Psychotraumatology","volume":"17 1","pages":"2636455"},"PeriodicalIF":4.2,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12997370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147467207","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}