Journal of traumatic stress最新文献

Expanding the framework of attention in posttraumatic stress disorder: Commentary on Clauss et al. (2025). 扩展创伤后应激障碍的注意力框架：评克劳斯等人（2025）。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-07-24 DOI: 10.1002/jts.70009

Janne L Punski-Hoogervorst, Avi Avital

引用次数: 0

Caregiver and provider perspectives on the needs of families waiting for trauma therapy. 看护者和提供者对等待创伤治疗的家庭需求的看法。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-07-23 DOI: 10.1002/jts.23191

Caitlin Rancher, Owen Winters, Angela D Moreland, Daniel W Smith

{"title":"Caregiver and provider perspectives on the needs of families waiting for trauma therapy.","authors":"Caitlin Rancher, Owen Winters, Angela D Moreland, Daniel W Smith","doi":"10.1002/jts.23191","DOIUrl":"https://doi.org/10.1002/jts.23191","url":null,"abstract":"Children's exposure to trauma is a ubiquitous stressor associated with severe adjustment problems. Although mental health services can effectively reduce this distress, families often spend months waiting for treatment. Beyond timely access to care, the needs and concerns of families on the waitlist for trauma-focused treatment are unknown. In the present study, we addressed this gap by conducting interviews with key participant groups: adult caregivers with a child on the waitlist for trauma-focused services (n = 16) and providers of trauma-focused treatment (n = 17). Participants completed semistructured interviews on the needs and concerns of families on the waitlist for trauma-focused mental health services for their child. Interview transcripts were analyzed using a combination of deductive and inductive thematic analysis. Consolidated thematic coding yielded four themes related to waitlist concerns: waitlist duration, worsening symptoms, family not feeling supported, and safety. Six additional themes emerged related to waitlist needs: parenting services, psychoeducation on trauma, check-ins on well-being and status, case management, financial resources, and referrals to other services. The results suggest that both caregivers and providers are largely aligned in their perspectives of the needs and concerns of families on the waitlist for trauma-focused treatment. Several of the identified needs could be addressed by low-intensity interventions delivered by paraprofessionals. The accessibility and appropriateness of providing support to families on the waitlist for treatment should be explored.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690655","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 higher exposure to potentially morally injurious events and negative posttraumatic cognition trajectories throughout cognitive processing therapy. 在认知加工治疗中，潜在道德伤害事件的高暴露与负面创伤后认知轨迹之间的关系。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-07-09 DOI: 10.1002/jts.23179

Anusha M Limdi, Daniel R Szoke, Dale L Smith, Sarah A Pridgen, Philip Held

{"title":"Associations between higher exposure to potentially morally injurious events and negative posttraumatic cognition trajectories throughout cognitive processing therapy.","authors":"Anusha M Limdi, Daniel R Szoke, Dale L Smith, Sarah A Pridgen, Philip Held","doi":"10.1002/jts.23179","DOIUrl":"https://doi.org/10.1002/jts.23179","url":null,"abstract":"Individuals with higher potentially morally injurious event (PMIE) exposure often exhibit elevated levels of negative posttraumatic cognitions (NPCs). Researchers have argued that individuals with moral injury (MI) following PMIE exposure experience more prescriptive NPCs than those without MI. As these prescriptive NPCs may be harder address using cognitive processing therapy (CPT), first-line posttraumatic stress disorder (PTSD) treatments may not fully address MI. This study evaluated the impact of PMIE exposure on NPC trajectories during intensive CPT for PTSD. We examined NPC trajectories in a group of 738 service members and veterans (SMVs) who participated in a 2-week CPT-based intensive PTSD treatment program. Time was a significant predictor of the Posttraumatic Cognitions Inventory (PTCI) score trajectory over treatment, p < .001. The interaction between time and PMIE exposure also significantly predicted PTCI trajectories, p = .008, such that higher PMIE exposure was related to higher PTCI scores during the first half of treatment; however, by the end of treatment, PTCI scores were visually similar regardless of PMIE exposure. The PTCI subscales (Negative Cognitions About the Self, Negative Cognitions About the World, and Self-Blame) were also analyzed and resulted in similar associations with time and PMIE exposure as well as with PTCI total score. These findings suggest that intensive CPT appears to be effective in reducing NPCs in SMVs regardless of PMIE exposure. Therefore, even when patients report PMIE exposure, CPT clinicians should continue identifying and targeting NPCs.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600868","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

Posttraumatic stress disorder symptoms, posttraumatic cognitions, and dissociative experiences following rape: The roles of rape tactics and peritraumatic tonic immobility. 强奸后的创伤后应激障碍症状、创伤后认知和分离体验：强奸策略和创伤周围强直不动的作用

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-07-07 DOI: 10.1002/jts.23182

Anna C Barbano, Danielle M Piggott, Ian M Raugh, Jessica R Ellem, Minden B Sexton, RaeAnn E Anderson

{"title":"Posttraumatic stress disorder symptoms, posttraumatic cognitions, and dissociative experiences following rape: The roles of rape tactics and peritraumatic tonic immobility.","authors":"Anna C Barbano, Danielle M Piggott, Ian M Raugh, Jessica R Ellem, Minden B Sexton, RaeAnn E Anderson","doi":"10.1002/jts.23182","DOIUrl":"https://doi.org/10.1002/jts.23182","url":null,"abstract":"Posttraumatic stress disorder (PTSD) is a common psychopathological outcome of sexual assault. Peritraumatic tonic immobility (TI; involuntary \"freezing\") during sexual assault has been linked with worsened PTSD symptoms, yet little research has examined these effects longitudinally. The present study aimed to examine the effects of TI on the severity of PTSD symptoms, negative posttraumatic cognitions (NPC), and dissociative symptoms over 1 year among 112 female survivors of sexual assault aged 16-30 years. Multilevel linear regressions evaluated the effects of time since sexual assault, TI severity, and their interaction on the severity of PTSD symptoms, NPC (total, blame, self, world), and dissociative symptoms. Results indicated that TI severity was associated with increased NPC, β = .22, p = .018, and dissociative symptom severity, β = .65, p = .037, but not PTSD symptom severity, β = .25, p = .116; these associations remained consistent over time. Given the salience of NPCs, individuals seeking care for TI-associated sexual trauma may benefit from interventions that can reduce NPCs (e.g., prolonged exposure, cognitive processing therapy). Further evaluating these treatments' utility in reducing dissociation may be of particular benefit to individuals with a history of TI reactions during trauma. Finally, coercive rape tactics were associated with increased PTSD symptoms, β = .48, p = .002, whereas forcible, β = -.04, p = .805, and drug- or alcohol-facilitated rape tactics, β = .35, p = .285, were not, indicating the importance of assessing verbal coercion in research and clinical work with individuals who have experienced sexual assault.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144575780","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 meta-analysis of the association between posttraumatic stress symptoms and problematic sexual behavior among preteen children. 青春期前儿童创伤后应激症状与问题性行为关系的荟萃分析。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-07-07 DOI: 10.1002/jts.23186

Brian Allen, Lauren Ferrer-Pistone

引用次数: 0

A 1-year follow-up of the My Grief app for prolonged grief. 对“我的悲伤”应用程序进行了为期一年的跟踪调查。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-06-20 DOI: 10.1002/jts.23181

Maarten C Eisma, Lara O Schmitt, Rakel Eklund, Filip K Arnberg, Paul A Boelen, Josefin Sveen

{"title":"A 1-year follow-up of the My Grief app for prolonged grief.","authors":"Maarten C Eisma, Lara O Schmitt, Rakel Eklund, Filip K Arnberg, Paul A Boelen, Josefin Sveen","doi":"10.1002/jts.23181","DOIUrl":"10.1002/jts.23181","url":null,"abstract":"Mobile health applications (apps) are increasingly used to reduce mental health problems. However, few effective apps are available for bereaved adults. Recently, a randomized controlled trial demonstrated the short-term beneficial effects of access to the My Grief app in mitigating symptoms of prolonged grief and posttraumatic stress in bereaved parents. The present study examined the long-term outcomes of app access and their predictors in a longitudinal survey of participants who had access to the My Grief app. We assessed symptoms of prolonged grief (PG-13), posttraumatic stress (PCL-5), and depressive symptoms (PHQ-9) at 3-, 6-, and 12-month follow-up assessments. Potential predictors of symptom change included baseline symptom levels, sociodemographic and loss-related variables, rumination (UGRS), negative grief-related cognitions (GCQ-SF), avoidance processes (DAAPGQ), and self-reported app use reported at each follow-up. Significant small-to-moderate reductions in prolonged grief, posttraumatic stress, and depressive symptoms were observed in people with app access at most follow-ups, ds = 0.26-0.66. For each symptom type, more severe baseline symptoms significantly predicted larger symptom reductions, Bs = 0.37-0.55. Lower baseline negative grief-related cognitions significantly predicted larger 3-month prolonged grief, B = -0.15, and posttraumatic stress symptom reductions, B = -0.23. Lower baseline anxious avoidance significantly predicted larger 3-month depressive symptom reductions, B = -0.23. Self-reported app use did not significantly predict symptom changes. Participants with access to the My Grief app experienced decreased symptom levels over a 1-year period. Specific cognitive behavioral processes (avoidance, negative cognitions) appear to be implicated in the short-term effects of app access.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333422","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

The effectiveness of cognitive processing therapy for posttraumatic stress disorder in Azerbaijan. 认知加工治疗在阿塞拜疆创伤后应激障碍的有效性。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-06-19 DOI: 10.1002/jts.23183

Jamila Ismayilova, Josef I Ruzek, Gunel Muradova, Aygun Sultanova, Nigar Mammadli, Gulsabah Guliyeva, Fuad Ismayilov, Kathleen M Chard

{"title":"The effectiveness of cognitive processing therapy for posttraumatic stress disorder in Azerbaijan.","authors":"Jamila Ismayilova, Josef I Ruzek, Gunel Muradova, Aygun Sultanova, Nigar Mammadli, Gulsabah Guliyeva, Fuad Ismayilov, Kathleen M Chard","doi":"10.1002/jts.23183","DOIUrl":"https://doi.org/10.1002/jts.23183","url":null,"abstract":"Posttraumatic stress disorder (PTSD) poses a significant mental health challenge in postconflict Azerbaijan. This study explored the effectiveness of cognitive processing therapy (CPT) in this context, addressing a critical gap in psychotherapeutic interventions for PTSD. The study employed an intent-to-treat (ITT) analysis to assess the impact of CPT on PTSD and depressive symptoms, evaluate sustainability over 3 months, and examine changes in psychosocial functioning and well-being. A single-arm, open-label pilot dissemination project was conducted from October 2022 to April 2023. Participants (N = 103) underwent CPT led by local clinicians trained by U.S. experts. Measures included the PTSD Checklist for DSM-5 (PCL-5), Patient Health Questionnaire-9 (PHQ-9), World Health Organization Well-Being Index (WHO-5), and Brief Inventory of Psychosocial Functioning (B-IPF). Post-CPT, significant reductions were observed in PTSD symptoms, ΔMbaseline-posttreatment = -35.9, p < .001, d = 3.56, and depressive symptom, ΔM baseline-posttreatment = -12.9, p < .001, d = 2.91. Sustained improvements in PTSD symptoms were noted at the 3-month follow-up assessment. Psychosocial functioning notably improved posttreatment ΔM baseline-posttreatment = -5.6, p < .001, d = 0.75, and well-being showed a significant increase, ΔM baseline-posttreatment = 7.1, p < .001, d = 1.52. This pilot trial highlights CPT's effectiveness in alleviating PTSD and depressive symptoms, improving psychosocial functioning, and enhancing well-being. Despite limitations, the findings suggest that CPT is a promising psychotherapeutic intervention for PTSD in Azerbaijan, warranting further research with larger samples and extended follow-up periods.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333424","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

The association between childhood adversity and resilience among cadets: Evidence from The Royal Canadian Mounted Police Study. 军校学员童年逆境与适应力的关系：来自加拿大皇家骑警研究的证据。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-06-19 DOI: 10.1002/jts.23177

Isabel Garces-Davila, Taylor A Teckchandani, Laleh Jamshidi, Danielle M Caissie, Tamara Taillieu, Julie-Anne McCarthy, Lauren MacGowan, Lisa M Lix, Sherry H Stewart, Shannon Sauer-Zavala, Gregory P Krätzig, Jitender Saren, R Nicholas Carleton, Tracie O Afifi

{"title":"The association between childhood adversity and resilience among cadets: Evidence from The Royal Canadian Mounted Police Study.","authors":"Isabel Garces-Davila, Taylor A Teckchandani, Laleh Jamshidi, Danielle M Caissie, Tamara Taillieu, Julie-Anne McCarthy, Lauren MacGowan, Lisa M Lix, Sherry H Stewart, Shannon Sauer-Zavala, Gregory P Krätzig, Jitender Saren, R Nicholas Carleton, Tracie O Afifi","doi":"10.1002/jts.23177","DOIUrl":"10.1002/jts.23177","url":null,"abstract":"In this study, our aims were to (a) examine the associations between adverse childhood experiences (ACEs; i.e., childhood maltreatment, household challenges, and peer victimization) and resilience, adjusting for sociodemographic variables, and (b) test the moderating effect of emotional regulation on the association between childhood maltreatment ACEs and resilience in Royal Canadian Mounted Police (RCMP) cadets. Study data were from the RCMP Study. Participants were Cadets (N = 597, 75.0% men) who underwent a full assessment before the Cadet Training Program (CTP). Logistic regression models were used to estimate the associations between ACEs and resilience while adjusting for sociodemographic variables and to test the moderating effect of emotional regulation; adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were estimated. Several childhood maltreatment ACEs were associated with decreased resilience among cadets after adjustment for sociodemographic covariates: physical abuse, aOR = 0.26, 95% CI [0.10, 0.68]; emotional abuse, aOR = 0.28, 95% CI [0.10, 0.79]; neglect, aOR = 0.22, 95% CI [0.09, 0.55]; exposure to intimate partner violence, aOR = 0.18, 95% CI [0.04, 0.73]; and peer victimization, aOR = 0.30, 95% CI [0.12, 0.76]. The interaction between exposure to any childhood maltreatment ACE and emotional suppression, as assessed using the Emotion Regulation Questionnaire, was significantly associated with low resilience scores, aOR = 0.94, 95% CI [0.89, 0.99]. The current results underscore the critical importance of mitigating the adverse impact of childhood maltreatment ACEs on resilience processes among cadets before the CTP.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333423","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

Introduction to the special section on the long-term health impact of trauma, posttraumatic stress disorder, comorbid conditions, and aging. 介绍关于创伤、创伤后应激障碍、共病条件和衰老的长期健康影响的特殊部分。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-06-18 DOI: 10.1002/jts.23184

Brian N Smith, Anica Pless Kaiser

引用次数: 0

Sexual abuse among Mozambican women at risk for HIV/AIDS infection: The temporal stability of self-report. 面临艾滋病毒/艾滋病感染风险的莫桑比克妇女中的性虐待：自我报告的时间稳定性。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-06-15 DOI: 10.1002/jts.23178

Ana Luísa Patrão, Teresa M McIntyre, Eleonora C V Costa, Ângela Maia, Eduardo Matediana, Vanessa Azevedo

引用次数: 0