Journal of traumatic stress最新文献

Posttraumatic stress and posttraumatic growth among female and male veterans: The contribution of romantic relationship and friendship functioning.

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-01-29 DOI: 10.1002/jts.23134

Eileen P Barden, Shaina A Kumar, Julia C Sager, Johanna Thompson-Hollands, Daniel J Lee, Kelly Harper, Terence M Keane, Brian P Marx

{"title":"Posttraumatic stress and posttraumatic growth among female and male veterans: The contribution of romantic relationship and friendship functioning.","authors":"Eileen P Barden, Shaina A Kumar, Julia C Sager, Johanna Thompson-Hollands, Daniel J Lee, Kelly Harper, Terence M Keane, Brian P Marx","doi":"10.1002/jts.23134","DOIUrl":"https://doi.org/10.1002/jts.23134","url":null,"abstract":"Posttraumatic growth (PTG) is characterized as the experience of positive psychological change following exposure to traumatic stress. However, studies examining the association between posttraumatic stress disorder (PTSD) symptoms and PTG have demonstrated mixed results. Further, although higher levels of social support have been shown to predict higher ratings of PTG, there are limited longitudinal findings regarding how interpersonal functioning may affect the association between PTSD symptoms and PTG. In this study, we examined interpersonal functioning in romantic relationships and friendships as mediators of the relation between PTSD symptom severity and PTG and examined potential sex differences among these associations. Participants were 1,427 veterans who completed self-report questionnaires across three time points. A parallel mediation analysis indicated that romantic relationship, β = -.01, 95% CI [-.03, -.001], and friendship, β = -.02, 95% CI [-.04, -.001], functioning were both indirectly associated with PTG in the full sample. Moreover, sex-stratified models indicated that romantic relationship functioning was a significant mediator for male veterans, β = -.02, 95% CI [-.05, -.01], whereas friendship functioning was a significant mediator for female veterans, β = -.04, 95% CI [-.08, -.01]. Together, these findings suggest that interpersonal functioning is an important factor in PTG, and targeting romantic relationship and friendship functioning in the context of trauma-focused treatment may be valuable and can help build a pathway from PTSD symptoms to PTG among female and male veterans.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Associations between death anxiety and probable posttraumatic stress disorder and clinical depression and anxiety in older Israeli adults during wartime. 战时以色列老年人的死亡焦虑与可能的创伤后应激障碍以及临床抑郁和焦虑之间的关系。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-01-27 DOI: 10.1002/jts.23131

Yoav S Bergman, Rotem Saar-Ashkenazy, Yifat Faran, Eyal Klonover, Yuval Palgi

{"title":"Associations between death anxiety and probable posttraumatic stress disorder and clinical depression and anxiety in older Israeli adults during wartime.","authors":"Yoav S Bergman, Rotem Saar-Ashkenazy, Yifat Faran, Eyal Klonover, Yuval Palgi","doi":"10.1002/jts.23131","DOIUrl":"https://doi.org/10.1002/jts.23131","url":null,"abstract":"The outbreak of the Israel-Hamas war on October 7, 2023, has presented unprecedented challenges to older adults' mental health, including increased posttraumatic stress, anxiety, and depression. The current study examined potential war- and age-related factors associated with probable posttraumatic stress disorder (PTSD), clinical depression (probable depression), and generalized anxiety disorder (probable anxiety) among older adults during the ongoing war. Moreover, due to the continued threat of death, we examined whether death anxiety is an additional contributing factor to older adults' probable PTSD, depression, and anxiety. Data were collected January-March 2024 from 554 community-dwelling older adults (Mage = 73.90 years, SD = 7.35, range: 61-96 years) who completed online scales assessing sociodemographic variables, war exposure (distance from the Gaza Strip, exposure to terror attacks/blasts), and age-related constructs (assistance in daily activities [ADL], cognitive decline, physical illnesses, death anxiety). Increased ADL was associated with probable depression, B = 0.62, OR = 1.87, and anxiety, B = 0.42, OR = 1.53, and cognitive decline was associated with probable depression, B = 1.52, OR = 4.56. Older adults with high levels of death anxiety were almost 3 times as likely to meet the criteria for probable PTSD, B = 1.05, OR = 2.85, and more than 1.5 as likely to meet the criteria for probable depression, B = 0.54, OR = 1.71, and anxiety, B = 0.50, OR = 1.65. The importance of death anxiety as a potential risk factor for negative psychological outcomes among older adults during war is discussed.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A mixed-methods investigation of a digital mental health tool to manage posttrauma anger.

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-01-26 DOI: 10.1002/jts.23126

Olivia Metcalf, Le Pham, Karen E Lamb, Sophie Zaloumis, Meaghan L O'Donnell, Tianchen Qian, Tracey Varker, Sean Cowlishaw, David Forbes

{"title":"A mixed-methods investigation of a digital mental health tool to manage posttrauma anger.","authors":"Olivia Metcalf, Le Pham, Karen E Lamb, Sophie Zaloumis, Meaghan L O'Donnell, Tianchen Qian, Tracey Varker, Sean Cowlishaw, David Forbes","doi":"10.1002/jts.23126","DOIUrl":"https://doi.org/10.1002/jts.23126","url":null,"abstract":"Problematic anger affects up to 30% of individuals who have experienced trauma. Digital mental health approaches, such as ecological momentary assessment (EMA) delivered via smartphone and wearable devices (i.e., wearables), hold significant potential for the development of novel digital technology treatments. The objective of this cohort study was to examine the acceptability, feasibility, and outcomes from 10 days of usage of a digital mental health tool combining EMA and wearable use among trauma-exposed adults with problematic anger. We used mixed methods to examine feasibility and acceptability and explored quantitative changes in mental health symptoms among participants over the study period (N = 98, 80.4% women, Mage = 38 years). Quantitative and qualitative data revealed that regular EMA combined with a wearable was feasible and acceptable in the sample. We observed reductions in problem anger, p < .001, repeated-measures d (dRM) = -0.81, 95% CI [-1.04, -0.59]; and posttraumatic stress disorder symptoms, p = .025, dRM = -0.26, 95% CI [-0.55, -0.03], over the 10 days of monitoring. Qualitative findings suggest that by regularly \"checking in\" on anger symptoms, participants improved their self-awareness and ability to self-manage their mood. These findings provide valuable learnings for building future personalized digital mental health tools.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A scoping review of psychosocial interventions delivered by non-mental health workers following disaster events. 对灾难事件后由非精神卫生工作者提供的社会心理干预进行范围审查。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-01-20 DOI: 10.1002/jts.23127

Tracey Varker, Julia Fredrickson, James Agathos, Phoebe Howlett, Alexandra Howard, Meaghan L O'Donnell

{"title":"A scoping review of psychosocial interventions delivered by non-mental health workers following disaster events.","authors":"Tracey Varker, Julia Fredrickson, James Agathos, Phoebe Howlett, Alexandra Howard, Meaghan L O'Donnell","doi":"10.1002/jts.23127","DOIUrl":"https://doi.org/10.1002/jts.23127","url":null,"abstract":"Individuals exposed to disasters are at high risk of developing mental health conditions, yet the availability of mental health practitioners is often limited. The aim of this scoping review was to examine the quality of the evidence for psychosocial interventions that can be delivered by non-mental health workers in the context of disasters. Searches were performed in PsycInfo, EMBASE, Family & Society Studies Worldwide, CINAHL, Global Health, PubMed, and SCOPUS, from inception through to November 2024, to identify studies of relevance. Only studies investigating psychosocial interventions that could be delivered by non-mental health clinicians in a non-hospital or clinic setting were included. In total, 69 primary intervention studies examining 27 universal interventions and 10 indicated interventions were identified. Studies were rated on quality and risk of bias, and GRADE was used to rank the evidence for each intervention. For universal interventions, no study had an evidence rating above \"very low\" to support confidence in a significant impact on clinical outcomes. For indicated interventions, Problem Management Plus (PM+) and Self-Help Plus (SH+) had an evidence rating of \"high\" in the postdisaster context, and Skills for Life Adjustment and Resilience (SOLAR) had a \"low\" evidence rating; the remaining interventions were given \"very low\" ratings. Despite the high number of psychosocial interventions that target postdisaster distress, very few have been tested using rigorous methodologies with large samples. Future research should include methodologies that test interventions at scale and recognize the impacts of compounding disasters.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143007771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Therapeutic impacts of recalling and processing positive autobiographical memories on posttrauma health: An open-label study. 回忆和加工积极自传体记忆对创伤后健康的治疗影响：一项开放标签研究。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-01-16 DOI: 10.1002/jts.23129

Ateka A Contractor, Brett A Messman, Sheila Daniela Dicker-Oren, Sidonia E Compton, Danica C Slavish, Sharon R Sznitman, Talya Greene

{"title":"Therapeutic impacts of recalling and processing positive autobiographical memories on posttrauma health: An open-label study.","authors":"Ateka A Contractor, Brett A Messman, Sheila Daniela Dicker-Oren, Sidonia E Compton, Danica C Slavish, Sharon R Sznitman, Talya Greene","doi":"10.1002/jts.23129","DOIUrl":"https://doi.org/10.1002/jts.23129","url":null,"abstract":"The processing of positive memories technique (PPMT) entails detailed narration and processing of specific positive autobiographical memories (AM) and has shown promise in improving posttraumatic stress disorder (PTSD) symptoms. We examined whether participants receiving PPMT reported decreases in PTSD and depressive symptom severity, negative affect levels/reactivity, posttrauma cognitions, and positive emotion dysregulation, as well as increases in positive affect levels/reactivity and the number of retrieved positive AMs across four PPMT sessions. Individuals (N = 70) recruited from the community completed surveys at baseline (pre-PPMT), each PPMT session, and after completing all four PPMT sessions. Multilevel linear growth models indicated session-to-session decreases in PTSD severity, β = -.17, p < .001; depressive symptom severity, β = -.13, p < .001; negative affect levels, β = -.13, p < .001; positive affect reactivity, β = -.14, p = .014; and posttrauma cognitions, β = -.12, p < .001; and session-to-session increases in negative affect reactivity, β = .18, p = .001. Paired-samples t tests indicated decreases in retrieved positive AMs, d = 0.40, p = .001, including specific positive AMs, and negative AMs, d = 0.23, p = .022, and increases in retrieved overgeneral positive AMs, d = -0.38, p = .002, from baseline to postintervention. Thus, PPMT may help decrease PTSD and depression severity, negative affect, posttrauma cognitions, and negative AM recall tendencies. Clinicians may need to incorporate additional skills into the PPMT framework to improve positive affect processes that can be sustained over time.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143007748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ICD-11 posttraumatic stress disorder (PTSD) and complex PTSD in a sample of prison staff: A latent profile approach. ICD-11在监狱工作人员样本中的创伤后应激障碍（PTSD）和复杂PTSD：一个潜在的侧面分析方法。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-01-16 DOI: 10.1002/jts.23128

Katie Dhingra, David Boyda, Sean M Mitchell, Peter J Taylor

{"title":"ICD-11 posttraumatic stress disorder (PTSD) and complex PTSD in a sample of prison staff: A latent profile approach.","authors":"Katie Dhingra, David Boyda, Sean M Mitchell, Peter J Taylor","doi":"10.1002/jts.23128","DOIUrl":"https://doi.org/10.1002/jts.23128","url":null,"abstract":"Although empirical support for the International Statistical Classification of Diseases and Related Health Problems (11th ed.; ICD-11) distinction between posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) is growing, research into the ICD-11 CPTSD model in prison staff is lacking. This study used latent profile analysis (LPA) to (a) determine if there are distinct groups of trauma-exposed prison governors (i.e., \"wardens\" in the United States and Canada) who have symptom profiles consistent with the distinction between PTSD and CPTSD and (b) identify predictors and posttraumatic maladaptive beliefs associated with the latent profiles. Trauma-exposed prison governors (N = 385) completed the International Trauma Questionnaire (ITQ) and a measure of traumatic life events. LPA was used to extract profiles using the six ITQ symptom clusters and revealed four profiles: CPTSD (8.4%), PTSD (14.4%), disturbances in self-organization (DSO; 11.0%), and low symptoms (66.3%). Membership in the CPTSD and DSO profiles was associated with cumulative traumatization, odds ratios (OR) = 1.42 and OR = 1.26, respectively, and poorer health, OR = 2.84 and OR = 1.64, respectively, relative to the low symptom profile, and membership in the PTSD profile was associated with younger age, OR = 0.91, relative to the low symptom profile. The CPTSD profile showed the highest level of posttraumatic maladaptive beliefs. This study yields empirical support for the ICD-11 CPTSD model in prison staff. The results provide additional support for the validity of ITQ measurement of PTSD and CPTSD.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143007772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prolonged grief symptoms and lingering attachment predict approach behavior toward the deceased. 长期的悲伤症状和挥之不去的依恋预示着对死者的接近行为。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-01-06 DOI: 10.1002/jts.23124

Maarten C Eisma, Thomas A de Lang, Katerina Christodoulou, Lara O Schmitt, Paul A Boelen, Peter J de Jong

{"title":"Prolonged grief symptoms and lingering attachment predict approach behavior toward the deceased.","authors":"Maarten C Eisma, Thomas A de Lang, Katerina Christodoulou, Lara O Schmitt, Paul A Boelen, Peter J de Jong","doi":"10.1002/jts.23124","DOIUrl":"https://doi.org/10.1002/jts.23124","url":null,"abstract":"Following the death of a loved one, both approach behaviors related to the deceased (i.e., engagement with feelings, memories, and/or reminders of the deceased) and the avoidance of reminders of the death are theorized to precipitate severe and persistent grief reactions, termed prolonged grief. The \"approach-avoidance processing hypothesis\" holds that these behavioral tendencies occur simultaneously in prolonged grief disorder (PGD). We tested this hypothesis using a novel free-viewing attention task. Bereaved adults (N = 72, 81.9% female) completed a survey assessing prolonged grief symptoms, depressive symptoms, and lingering attachment and a free-viewing task assessing voluntary attention toward pictures of the deceased and combinations of the deceased with loss-related words (i.e., loss-reality reminders). A main finding was that participants with higher prolonged grief symptom levels, ρ(70) = .32, p = .006, and more lingering attachment, ρ(70) = .26, p = .030, showed stronger attentional focus toward pictures of the deceased. No significant association emerged between either prolonged grief symptom levels or lingering attachment and attention toward loss-reality reminders. The findings suggest that higher prolonged grief symptom levels may be characterized by persisting approach tendencies toward the deceased. Countering excessive proximity-seeking to the deceased in therapy could be beneficial for bereaved adults who show severe and persistent grief reactions.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Moral injury: State of the Science. 道德伤害：科学现状。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-01-05 DOI: 10.1002/jts.23125

Brett T Litz

引用次数: 0

Royal Canadian Mounted Police cadets' exposure to potentially psychologically traumatic events during the Cadet Training Program. 加拿大皇家骑警学员在学员训练计划中暴露于潜在的心理创伤事件。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-12-20 DOI: 10.1002/jts.23115

Katie L Andrews, Kirby Q Maguire, Laleh Jamshidi, Tracie O Afifi, Jolan Nisbet, Robyn E Shields, Taylor A Teckchandani, Gordon J G Asmundson, Alain Brunet, Lisa M Lix, Shannon Sauer-Zavala, Jitender Sareen, Terence M Keane, J Patrick Neary, R Nicholas Carleton

{"title":"Royal Canadian Mounted Police cadets' exposure to potentially psychologically traumatic events during the Cadet Training Program.","authors":"Katie L Andrews, Kirby Q Maguire, Laleh Jamshidi, Tracie O Afifi, Jolan Nisbet, Robyn E Shields, Taylor A Teckchandani, Gordon J G Asmundson, Alain Brunet, Lisa M Lix, Shannon Sauer-Zavala, Jitender Sareen, Terence M Keane, J Patrick Neary, R Nicholas Carleton","doi":"10.1002/jts.23115","DOIUrl":"https://doi.org/10.1002/jts.23115","url":null,"abstract":"Lifetime exposures to potentially psychologically traumatic events (PPTEs) among Royal Canadian Mounted Police (RCMP) cadets starting the Cadet Training Program (CTP) appear lower than exposures reported by serving RCMP, but the prevalence of PPTE exposures during the CTP remains unknown. The current study assessed PPTE exposures during the CTP and examined associations with mental disorders among RCMP cadets. Participants were cadets (n = 449, 24.7% women) from the larger RCMP Longitudinal Study who self-reported critical incidents, PPTE exposures, and mental health disorder symptoms at pretraining and predeployment. Most participants reported no exposures to a PPTE (n = 374, 83.3%) during the CTP. Participants who reported any PPTE exposure (n = 75, 16.7%; i.e., direct or indirect) most commonly reported serious transport accidents, physical assault, and sudden accidental death. The most common direct PPTEs (i.e., \"happened to me\") during the CTP were physical assault (n = 13), other unwanted or uncomfortable sexual experience (n = 11), and serious transportation accident (n = 8). The total number of PPTE types reported at predeployment was associated with increased odds of screening positive for any mental health disorder, aOR = 1.22, 95% CI [1.01, 1.49], p = .049, and positively associated with mental health disorder symptoms, ps < .001. These results provide the first assessment of PPTE exposure among RCMP cadets during the CTP, indicating that 16.7% of cadets experience PPTEs directly or indirectly. The PPTEs reported by cadets may help inform additional opportunities to further increase safety during training.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identifying transdiagnostic traumatic stress reactions in U.S. military veterans: A nationally representative study. 识别美国退伍军人的跨诊断创伤应激反应：一项具有全国代表性的研究。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-12-16 DOI: 10.1002/jts.23119

Cameron P Pugach, Shane W Adams, Blair E Wisco, Robert H Pietrzak

{"title":"Identifying transdiagnostic traumatic stress reactions in U.S. military veterans: A nationally representative study.","authors":"Cameron P Pugach, Shane W Adams, Blair E Wisco, Robert H Pietrzak","doi":"10.1002/jts.23119","DOIUrl":"https://doi.org/10.1002/jts.23119","url":null,"abstract":"Traumatic stress reactions (TSRs) exist on a continuum that includes posttraumatic stress disorder (PTSD), highly comorbid psychopathology, and resilience, highlighting the need for comprehensive and integrative approaches capable of capturing the full spectrum of heterogeneous reactions. Here, we used a transdiagnostic and multidimensional method to characterize clinical phenotypes of TSRs in a nationally representative sample of U.S. military veterans. The Middle-Out Approach was used to evaluate self-reported PTSD, generalized anxiety, major depressive symptoms, and physical and mental functioning to identify discrete latent classes of TSRs and their demographic, military and trauma history, and psychosocial correlates. Cross-sectional data were analyzed from 3,727 U.S. veterans who participated in the National Health and Resilience in Veterans Study. Latent class analysis identified five classes of veterans: low TSR (61.3%), anxious/depressive (16.6%), avoidant arousal (9.2%), dysphoric arousal (8.2%), and high TSR (4.7%). Veterans in the dysphoric arousal and high TSR classes demonstrated lower functioning than other classes, which showed similar levels of moderate-to-high functioning despite symptom differences. Classes distinguished between resilience to PTSD symptoms versus resilience to all symptoms and functioning domains and were differentially associated with demographic characteristics, trauma and military histories, and psychosocial characteristics. The results suggest that veterans exhibit different clinical phenotypes of TSRs, which may help inform etiology, diagnostic subtypes, and personalized treatment. Further, although most veterans with psychopathology experience functional impairment, a sizable subset demonstrates high functioning despite psychopathology symptoms.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142837322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0