Journal of traumatic stress最新文献_第10页

Emotional reactivity linking assaultive trauma and risky behavior: Evidence of differences between cisgender women and men 将攻击性创伤与危险行为联系起来的情绪反应性：顺性别女性与男性之间存在差异的证据。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-03-07 DOI: 10.1002/jts.23028

Anna Stumps, Nadia Bounoua, Naomi Sadeh

{"title":"Emotional reactivity linking assaultive trauma and risky behavior: Evidence of differences between cisgender women and men","authors":"Anna Stumps, Nadia Bounoua, Naomi Sadeh","doi":"10.1002/jts.23028","DOIUrl":"10.1002/jts.23028","url":null,"abstract":"Accumulating evidence suggests that trauma exposure is positively associated with future engagement in risky behavior, such as substance misuse, aggression, risky sex, and self-harm. However, the psychological factors driving this association and their relevance across gender groups require further clarification. In a community sample of 375 adults with a high rate of trauma exposure (age range: 18–55 years, M = 32.98 years, SD = 10.64; 76.3% assaultive trauma exposure), we examined whether emotional reactivity linked lifetime assaultive trauma exposure with past–month risky behavior. We also explored whether this model differed for cisgender women (n = 178, 47.6%) and men (n = 197, 52.5%). As hypothesized, assaultive trauma was positively related to emotional reactivity, β = .20, SE = 0.03, t(369) = 3.65, p < .001, which, in turn, partially accounted for the association between assaultive trauma and past-month risky behavior, indirect effect: β = .03, SE = 0.01, 95% bootstrapped CI [0.01, 0.06]. Gender moderated this association such that assaultive trauma was indirectly associated with risky behavior via emotional reactivity for women but not for men, index moderation: B = -0.03, SE = 0.02, 95% bootstrapped CI [-0.07, -0.01]. Cross-sectional results suggest that emotional reactivity may be a proximal target for clinical intervention to aid in the reduction of risky behavior among women.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 3","pages":"492-503"},"PeriodicalIF":3.3,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140059702","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 transdiagnostic traits of psychopathology and hybrid posttraumatic stress disorder factors in a trauma-exposed community sample 创伤暴露社区样本中精神病理学跨诊断特征与创伤后应激障碍混合因素之间的关联。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-03-01 DOI: 10.1002/jts.23023

Joel G. Sprunger, Jeffrey M. Girard, Kathleen M. Chard

{"title":"Associations between transdiagnostic traits of psychopathology and hybrid posttraumatic stress disorder factors in a trauma-exposed community sample","authors":"Joel G. Sprunger, Jeffrey M. Girard, Kathleen M. Chard","doi":"10.1002/jts.23023","DOIUrl":"10.1002/jts.23023","url":null,"abstract":"Dimensional conceptualizations of psychopathology hold promise for understanding the high rates of comorbidity with posttraumatic stress disorder (PTSD). Linking PTSD symptoms to transdiagnostic dimensions of psychopathology may enable researchers and clinicians to understand the patterns and breadth of behavioral sequelae following traumatic experiences that may be shared with other psychiatric disorders. To explore this premise, we recruited a trauma-exposed online community sample (N = 462) and measured dimensional transdiagnostic traits of psychopathology using parceled facets derived from the Personality Inventory for DSM-5 Faceted–Short Form. PTSD symptom factors were measured using the PTSD Checklist for DSM-5 and derived using confirmatory factor analysis according to the seven-factor hybrid model (i.e., Intrusions, Avoidance, Negative Affect, Anhedonia, Externalizing Behaviors, Anxious Arousal, And Dysphoric Arousal). We observed hypothesized associations between PTSD factors and transdiagnostic traits indicating that some transdiagnostic dimensions were associated with nearly all PTSD symptom factors (e.g., emotional lability: rmean = .35), whereas others showed more unique relationships (e.g., hostility–Externalizing Behavior: r = .60; hostility with other PTSD factors: rs = .12–.31). All PTSD factors were correlated with traits beyond those that would appear to be construct-relevant, suggesting the possibility of indirect associations that should be explicated in future research. The results indicate the breadth of trait-like consequences associated with PTSD symptom exacerbation, with implications for case conceptualization and treatment planning. Although PTSD is not a personality disorder, the findings indicate that increased PTSD factor severity is moderately associated with different patterns of trait-like disruptions in many areas of functioning.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 3","pages":"384-396"},"PeriodicalIF":3.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.23023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139996588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Posttraumatic stress disorder, Veterans Health Administration use, and care-seeking among recent-era U.S. veterans 美国近代退伍军人中的创伤后应激障碍、退伍军人健康管理局的使用情况以及寻求护理的情况。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-02-29 DOI: 10.1002/jts.23019

Ben Porter, Mary E. Dozier, Amber D. Seelig, Yunnuo Zhu, Michaela S. Patoilo, Edward J. Boyko, Rudolph P. Rull

{"title":"Posttraumatic stress disorder, Veterans Health Administration use, and care-seeking among recent-era U.S. veterans","authors":"Ben Porter, Mary E. Dozier, Amber D. Seelig, Yunnuo Zhu, Michaela S. Patoilo, Edward J. Boyko, Rudolph P. Rull","doi":"10.1002/jts.23019","DOIUrl":"10.1002/jts.23019","url":null,"abstract":"The current study investigated the associations among probable posttraumatic stress disorder (PTSD), recent Veterans Health Administration (VHA) health care use, and care-seeking for PTSD in U.S. military veterans. Analyses were conducted among 19,691 active duty military personnel enrolled in the Millennium Cohort Study who separated from the military between 2000 and 2012 and were weighted to the 1,130,103 active duty personnel who separated across this time period. VHA utilization was identified from electronic medical records in the year before survey completion, and PTSD care-seeking and PTSD symptoms were assessed through self-report on the 2014–2016 survey; thus, the observation period regarding care-seeking and VHA use encompassed 2013–2016. Veterans with probable PTSD were more likely to use VHA services than those without probable PTSD, aOR = 1.12, 95% CI [1.01, 1.24], although the strongest association with recent VHA use was a depression diagnosis, aOR = 2.47, 95% CI [2.26, 2.70]. Among veterans with probable PTSD, the strongest predictor of care-seeking was recent VHA use compared to community care, aOR = 4.01, 95% CI [3.40, 4.74); reporting a diagnosis of depression was the second strongest predictor of PTSD care-seeking, OR = 2.99, 95% CI [2.53, 3.54]. However, the absolute number of veterans with probable PTSD who were not seeking care was approximately equivalent between veterans using VHA services and those not using VHA services. Additionally, certain groups were identified as being at risk of not seeking care, namely Air Force veterans and veterans with high physical and mental functioning despite substantial PTSD symptoms.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 3","pages":"460-470"},"PeriodicalIF":3.3,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139996589","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

Psychological adaptation among health care workers who work with trauma-exposed refugees in Greece 在希腊为遭受创伤的难民提供服务的医护人员的心理适应情况。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-02-19 DOI: 10.1002/jts.23022

Bita Ghafoori, Sofia Triliva, Panagiota Chrysikopoulou, Andreas Vavvos

引用次数: 0

Associations between different forms of intimate partner violence and posttraumatic stress among women who use drugs and alcohol in Kyrgyzstan 吉尔吉斯斯坦吸毒和酗酒妇女中不同形式的亲密伴侣暴力与创伤后应激反应之间的关系。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-02-14 DOI: 10.1002/jts.23017

Tina Jiwatram-Negron, Melissa Meinhart, Malorie Ward, Lynn Michalopoulos, Qihao Zhan, Danil Nikitin, Louisa Gilbert

{"title":"Associations between different forms of intimate partner violence and posttraumatic stress among women who use drugs and alcohol in Kyrgyzstan","authors":"Tina Jiwatram-Negron, Melissa Meinhart, Malorie Ward, Lynn Michalopoulos, Qihao Zhan, Danil Nikitin, Louisa Gilbert","doi":"10.1002/jts.23017","DOIUrl":"10.1002/jts.23017","url":null,"abstract":"Survivors of intimate partner violence (IPV) have an increased risk of experiencing posttraumatic stress, and the subsequently associated symptoms can vary by form of IPV exposure (i.e., physical, sexual, or psychological IPV). Related research among socially marginalized populations, however, is limited, including among women who use and misuse substances. Drawing on baseline data from a pilot study conducted among 213 women in Kyrgyzstan who reported using drugs or engaging in hazardous alcohol use, we examined the associations between different forms of IPV and severe posttraumatic stress symptoms (PTSS). The vast majority of participants reported lifetime (93.9%, n = 200) and past 3-month (65.3%, n = 139) IPV, and two thirds of participants (65.3%, n = 139) reported experiencing PTSS in the prior month. Multivariable logistic regression analyses indicated statistically significant associations between only some forms of IPV and PTSS, including physical IPV, adjusted odds ratio (aOR) = 3.24, 95% confidence interval (CI) [1.15, 9.14], and injurious IPV, aOR = 2.71, 95% CI [1.10, 6.65]. Additionally, experiencing any form of IPV was associated with 4.95 higher odds of reporting PTSS, 95% CI [1.16, 21.15]; no other results were significant. These results not only underscore the need for future research on the mechanisms that might explain the unique associations between different forms of IPV and posttraumatic stress, but also highlight an urgent need for trauma-informed mental health and psychosocial support interventions for women who use drugs and alcohol.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 2","pages":"318-327"},"PeriodicalIF":3.3,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139735558","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 pilot randomized controlled trial of online written exposure therapy delivered by peer coaches to veterans with posttraumatic stress disorder 由同伴教练为患有创伤后应激障碍的退伍军人提供在线书面暴露疗法的试点随机对照试验。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-02-13 DOI: 10.1002/jts.23020

Carmen P. McLean, Nadia Malek, Casey L. Straud

{"title":"A pilot randomized controlled trial of online written exposure therapy delivered by peer coaches to veterans with posttraumatic stress disorder","authors":"Carmen P. McLean, Nadia Malek, Casey L. Straud","doi":"10.1002/jts.23020","DOIUrl":"10.1002/jts.23020","url":null,"abstract":"This pilot randomized clinical trial (RCT) sought to examine the preliminary efficacy of an internet-based version of written exposure therapy delivered to veterans through an online program supported by peer coaches. Veterans (N = 124) with clinically significant posttraumatic stress disorder (PTSD) symptoms were randomly assigned to imaginal exposure either via writing (written exposure) or verbal recounting (verbal exposure). The online treatment involved four to eight sessions of imaginal exposure preceded and followed by an online chat with a peer coach. Participants completed assessments at baseline, posttreatment, and 3-month follow-up. Half of the participants never started treatment; among those who started treatment, the mean number of sessions completed was 4.92. At posttreatment, participants in both conditions reported clinically meaningful improvements in PTSD symptoms, d = 1.35; depressive symptoms, d = 1.10; and functioning, d = 0.39. Although participants in both treatment conditions demonstrated significant improvements in PTSD symptom severity, equivalence results were inconclusive, as the 95% confidence interval of the change score difference exceeded the specified margin and overlapped with 0. Estimated mean change scores demonstrated that both conditions showed significant reductions at posttreatment and follow-up. Although engagement with the online program was a significant challenge, the findings suggest that written exposure therapy is effective for improving PTSD symptoms, depressive symptoms, and functioning when adapted for internet-based delivery and facilitated by peer coaches. Using technology to deliver exposure therapy and task-shifting the role of the therapist to peer coaches are promising strategies to increase access to effective PTSD care.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 3","pages":"471-482"},"PeriodicalIF":3.3,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139723124","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

Editorial: State of the Journal 社论：期刊现状。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-02-13 DOI: 10.1002/jts.23027

Denise M. Sloan

引用次数: 0

Associations among posttraumatic stress disorder symptoms, life satisfaction, and well-being comparisons: A longitudinal investigation 创伤后应激障碍症状、生活满意度和幸福感比较之间的关联：纵向调查。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-02-11 DOI: 10.1002/jts.23018

Pascal Schlechter, Thole H. Hoppen, Nexhmedin Morina

{"title":"Associations among posttraumatic stress disorder symptoms, life satisfaction, and well-being comparisons: A longitudinal investigation","authors":"Pascal Schlechter, Thole H. Hoppen, Nexhmedin Morina","doi":"10.1002/jts.23018","DOIUrl":"10.1002/jts.23018","url":null,"abstract":"Many individuals who encounter potentially traumatic events go on to develop symptoms of posttraumatic stress disorder (PTSD). Research suggests that survivors of traumatic events frequently compare their current well-being to different standards; yet, knowledge regarding the role of comparative thinking in well-being is limited to a few cross-sectional studies. We therefore examined the temporal associations among aversive well-being comparisons (i.e., comparisons threatening self-motives), PTSD symptoms, and life satisfaction in individuals exposed to traumatic events. Participants (N = 518) with a trauma history completed measures of PTSD symptoms and life satisfaction, as well as the Comparison Standards Scale for Well-being (CSS-W), at assessment points 3 months apart. The CSS-W assesses the frequency, perceived discrepancy, and affective impact of aversive social, temporal, counterfactual, and criteria-based comparisons related to well-being. All participants reported having engaged in aversive well-being comparisons during the last 3 weeks. Comparison frequency emerged as a significant predictor of PTSD symptoms, β = .24, beyond baseline PTSD symptom severity. Life satisfaction contributed unique variance to the comparison process by predicting comparison frequency, β = −.18; discrepancy, β = −.24; and affective impact, β = .20. The findings suggest that frequent aversive comparisons may lead to a persistent focus on negative aspects of well-being, thereby exacerbating PTSD symptoms, and further indicate that comparison frequency, discrepancy, and affective impact are significantly influenced by life satisfaction. Taken together, the findings support the need for a thorough examination of the role of comparative thinking in clinical populations, which may ultimately help improve clinical care.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 3","pages":"448-459"},"PeriodicalIF":3.3,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.23018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139717718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Linguistic and affective characteristics of script-driven imagery for adults with posttraumatic stress order: Associations with clinical outcomes during deep transcranial magnetic stimulation 创伤后应激障碍成人脚本驱动想象的语言和情感特征：深部经颅磁刺激与临床结果的关联。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-01-30 DOI: 10.1002/jts.23010

Andrew G. Guzick, Aron Tendler, Lily A. Brown, Ogechi C. Onyeka, Eric A. Storch

{"title":"Linguistic and affective characteristics of script-driven imagery for adults with posttraumatic stress order: Associations with clinical outcomes during deep transcranial magnetic stimulation","authors":"Andrew G. Guzick, Aron Tendler, Lily A. Brown, Ogechi C. Onyeka, Eric A. Storch","doi":"10.1002/jts.23010","DOIUrl":"10.1002/jts.23010","url":null,"abstract":"Brief exposure to traumatic memories using script-driven imagery (SDI) has been proposed as a promising treatment for posttraumatic stress disorder (PTSD). This study investigated the effect of SDI plus active versus sham deep transcranial magnetic stimulation (TMS) in a secondary analysis of a randomized controlled trial for adults with PTSD (N = 134). Linguistic features of scripts and self-reported distress during a 12-session deep TMS treatment protocol were examined as they related to (a) baseline PTSD symptom severity, (b) trauma characteristics, and (c) treatment outcomes. Linguistic Inquiry and Word Count (LIWC) software was used to analyze the following linguistic features of SDIs: negative emotion, authenticity, and cognitive processing. More use of negative emotion words was associated with less severe self-reported and clinician-rated baseline PTSD symptom severity, r = -.18, p = .038. LIWC features did not differ based on index trauma type, range: F(3, 125) = 0.29–0.49, ps = .688–.831. Between-session reductions in self-reported distress across SDI trials predicted PTSD symptom improvement across both conditions at 5-week, B = -15.68, p = .010, and 9-week endpoints, B = -16.38, p = .011. Initial self-reported distress and linguistic features were not associated with treatment outcomes. The findings suggest that individuals with PTSD who experience between-session habituation to SDI-related distress are likely to experience a corresponding improvement in PTSD symptoms.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 2","pages":"291-306"},"PeriodicalIF":3.3,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139642358","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

State of the science: Eye movement desensitization and reprocessing (EMDR) therapy 科学现状：眼动脱敏和再处理疗法（EMDR）。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-01-28 DOI: 10.1002/jts.23012

Ad de Jongh, Carlijn de Roos, Sharif El-Leithy

引用次数: 0