Journal of traumatic stress最新文献_第2页

Psychometric properties of the Chinese version of the Posttraumatic Cognitions Inventory (PTCI) in male first responders 中文版创伤后认知量表（PTCI）在男性急救者中的心理测量特征。

IF 3.4 3区医学

Journal of traumatic stress Pub Date : 2026-10-05 Epub Date: 2026-05-06 DOI: 10.1002/jts.70079

Fan Zhang, Xiaofei Mao, Xin Ji, Weizhi Liu

{"title":"Psychometric properties of the Chinese version of the Posttraumatic Cognitions Inventory (PTCI) in male first responders","authors":"Fan Zhang, Xiaofei Mao, Xin Ji, Weizhi Liu","doi":"10.1002/jts.70079","DOIUrl":"10.1002/jts.70079","url":null,"abstract":"This study aimed to conduct the first psychometric evaluation of both the full 33-item and short-form nine-item versions of the Posttraumatic Cognitions Inventory (PTCI and PTCI-9, respectively) in a sample of first responders from China. A total of 1,448 male first responders completed the PTCI, Life Events Checklist for DSM-5 (LEC-5), and PTSD Checklist for DSM-5 (PCL-5). Confirmatory factor analysis (CFA), measurement invariance, internal consistency, and criterion validity were used to examine the validity and reliability of the PTCI and PTCI-9. Optimal cutoff scores were determined via receiver operating characteristic (ROC) curve analysis. CFA results indicated inadequate fit for the original three-factor and alternative four-factor models of the PTCI, whereas the PTCI-9 demonstrated good model fit, root mean square error of approximation (RMSEA) = .052, confirmatory fit index (CFI) = .96, Tucker–Lewis index (TLI) = .93, goodness of fit index (GFI) = .98. The PTCI-9 showed measurement invariance across subgroups with and without interpersonal trauma exposure. Both versions of the measure were significantly related to PCL-5 scores, with no difference in correlation strength. Both versions showed good internal consistency, PTCI: ω = .98, PTCI-9: ω = .90. ROC analyses suggested optimal cutoff scores of 53 for the PTCI and 16 for the PTCI-9. These results indicate that the PTCI-9 demonstrates comparable or superior psychometric properties to the full PTCI among first responders, showing greater practical utility due to its brevity.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 5","pages":"836-844"},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839518","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

Variation in early-life maltreatment effects on adolescent psychopathology due to contamination 污染导致的早期虐待对青少年精神病理影响的变异。

IF 3.4 3区医学

Journal of traumatic stress Pub Date : 2026-10-05 Epub Date: 2026-05-08 DOI: 10.1002/jts.70076

Emily D. Dunning, Chad E. Shenk, Zachary Fisher, Steffany J. Fredman, John Felt

{"title":"Variation in early-life maltreatment effects on adolescent psychopathology due to contamination","authors":"Emily D. Dunning, Chad E. Shenk, Zachary Fisher, Steffany J. Fredman, John Felt","doi":"10.1002/jts.70076","DOIUrl":"10.1002/jts.70076","url":null,"abstract":"This study examined the effect of early-life maltreatment on adolescent psychopathology and whether the significance and magnitude of this effect varied based on the presence of contamination (i.e., when individuals in a comparison group are exposed to maltreatment). Data were drawn from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN; N = 1,354), a prospective cohort of children at risk for maltreatment. Children in the study were recruited by the time they were 4 years old (Mage = 4.56 years, SD = 0.70), and the sample was 50.8% female and 51.8% Black (25.7% White, 8.0% Hispanic, 1.0% Native American, 0.5% Asian, 11.3% mixed race, 1.7% other). Confirmed indicators characterized maltreatment prior to and after age 4 years. Adolescent self-report indicators identified maltreatment prior to 16 years of age and corrected contamination. Psychopathology was assessed via self-report at the LONGSCAN Age 16 assessment. Propensity score analyses indicated that maltreatment prior to 4 years of age only predicted significantly greater adolescent psychopathology symptoms after correcting contamination, B = 6.40, 95% CI [2.02, 10.79], SMD = 0.32, p = .004. Further, effect magnitudes increased 67% by correcting contamination. The results were robust to adjustments for maltreatment reexposure and covariate quality informing propensity score analyses. Correcting contamination can aid the discovery and replication of the effects of early life maltreatment on psychopathology.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 5","pages":"801-812"},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13234557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856820","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

Adapting and validating the Deployment Risk and Resilience Inventory–2 for use in Ukraine 调整和验证部署风险和弹性清单-2，以便在乌克兰使用。

IF 3.4 3区医学

Journal of traumatic stress Pub Date : 2026-10-05 Epub Date: 2026-06-01 DOI: 10.1002/jts.70080

Shirin Kazimov, Sarah Fountain, David Boan, Richard Cowden, Vitaliy L. Voytenko

{"title":"Adapting and validating the Deployment Risk and Resilience Inventory–2 for use in Ukraine","authors":"Shirin Kazimov, Sarah Fountain, David Boan, Richard Cowden, Vitaliy L. Voytenko","doi":"10.1002/jts.70080","DOIUrl":"10.1002/jts.70080","url":null,"abstract":"Direct exposure to combat is a leading cause of poor mental and physical health in military veterans. Recent findings suggest that a complex set of interconnected social, economic, and cultural factors further increase the risk of postdeployment symptomatology. The Deployment Risk and Resilience Inventory–Second Edition (DRRI-2) is a 17-scale questionnaire that measures psychosocial risk and resilience factors among military personnel. The DRRI-2 has been validated for use in the United States, French-speaking Canada, and Israel. This study aimed to adapt and psychometrically validate the DRRI-2 for use in Ukraine. A sample of 373 military personnel completed a translated version of the DRRI-2 along with existing validated Ukrainian-language measures of posttraumatic stress, depression, anxiety, and global functioning. A focus group of military personnel established face validity of the Ukrainian version of the DRRI-2. Internal consistency (Cronbach's alpha) for the 17 scales ranged from .57 to .96, with an average of .83. Concurrent validity was established by comparing the measure to widely used validated measures. Risk factor scales correlated positively with posttraumatic stress disorder (PTSD), depressive, and anxiety symptom severity, rs = .10–.58, and negatively with physical and mental health, rs = −.35–.05, whereas resilience factor scales correlated negatively with symptom severity, rs = −.42–−.22, and positively with functioning, rs = −.01–.38. These findings suggest that the Ukrainian DRRI-2 demonstrates acceptable-to-strong reliability and validity and can be used to assess deployment-related risk and resilience factors among Ukrainian military personnel.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 5","pages":"845-856"},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148143818","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 prevalence and distribution of traumatic events and stressors: Insights from eight countries 创伤事件和压力源的流行和分布：来自八个国家的见解。

IF 3.4 3区医学

Journal of traumatic stress Pub Date : 2026-10-05 Epub Date: 2026-07-26 DOI: 10.1002/jts.70109

Salma M. Abdalla, Madison Pickerel, Samuel B. Rosenberg, Bernard F. Banda, Catherine K. Ettman, Sandro Galea

{"title":"The prevalence and distribution of traumatic events and stressors: Insights from eight countries","authors":"Salma M. Abdalla, Madison Pickerel, Samuel B. Rosenberg, Bernard F. Banda, Catherine K. Ettman, Sandro Galea","doi":"10.1002/jts.70109","DOIUrl":"10.1002/jts.70109","url":null,"abstract":"Traumatic events and life stressors play a central role in shaping population physical and mental health, yet recent global evidence on their prevalence and demographic distribution remains limited. This study examined the prevalence and demographic patterning of lifetime traumatic events and stressors over the past 12 months across eight countries. The Global Social Determinants of Health Survey (GSDS) collected cross-sectional, nationally representative data from adults aged 18 years and older in Brazil, France, India, Indonesia, Nigeria, the Philippines, Turkey, and the United States from 2023 to 2024. Using weighted analyses and Poisson regression models, we assessed the distribution of 20 traumatic events and life stressors by age, gender, educational attainment, income, marital status, area of living, and country. The analysis included 8,198 participants. Overall, 66.7%, 95% CI [65.5%, 67.9%], of respondents reported experiencing at least one lifetime traumatic event. Compared to respondents in the United States, those in the Philippines reported the highest mean number of traumatic events, whereas those in India reported the lowest. The most frequently reported traumatic events were losing a loved one and exposure to natural disasters. In the past 12 months, 67.0%, 95% CI [65.7%, 68.2%], of respondents experienced at least one life stressor. All countries demonstrated higher mean stressor levels than the United States. Feeling alone was the most frequently reported stressor, particularly among young adults. Traumatic events and stressors are unequally distributed across countries and demographic groups, with some populations reporting higher exposure and certain experiences more prevalent among specific demographic groups.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 5","pages":"934-949"},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148592406","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

Effects on intrusive memories of playing Tetris with or without simultaneous and deliberate memory recall 同时记忆和刻意记忆对俄罗斯方块侵入性记忆的影响。

IF 3.4 3区医学

Journal of traumatic stress Pub Date : 2026-10-05 Epub Date: 2026-07-01 DOI: 10.1002/jts.70104

Kevin van Schie, Henrik Kessler, Iris M. Engelhard

{"title":"Effects on intrusive memories of playing Tetris with or without simultaneous and deliberate memory recall","authors":"Kevin van Schie, Henrik Kessler, Iris M. Engelhard","doi":"10.1002/jts.70104","DOIUrl":"10.1002/jts.70104","url":null,"abstract":"Two interventions that tax visuospatial working memory (WM) may reduce intrusive memories despite differing procedurally: playing Tetris with or without memory recall. Accordingly, this study examined how engagement with negative memories influences intrusion frequency (Experiment 1) and WM load (Experiment 2). In Experiment 1 (N = 90), participants viewed a trauma film and were assigned to Tetris without memory recall, Tetris with memory recall, or a no-task control condition. Participants rated memory vividness and unpleasantness before and after the intervention and recorded film-related intrusions in a diary for 1 week. In Experiment 2 (N = 45), a reaction time task assessed whether brief memory reactivation (as used in the Tetris without memory recall condition) or concurrent, deliberate recall (as used in the Tetris with memory recall condition) differentially taxed WM. Experiment 1 showed that the Tetris with memory recall task led to the largest reductions in memory vividness, ηp2 = .09, p = .017, and unpleasantness, ηp2 = .09, p = .015, relative to the other conditions, but, unexpectedly, intrusion frequency did not differ between interventions, ηp2 = .02, BF01 = 5.57, p = .448. Experiment 2 indicated that only simultaneous, deliberate recall imposed a WM load, ηp2 = .11, p = .032. The lack of effects on intrusive memories warrants consideration of methodological differences between this and prior Tetris research and highlights the need to clarify which elements and mechanisms of the intervention—whether implemented with or without deliberate recall—modulate intrusions before translating these findings into clinical practice.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 5","pages":"897-908"},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.70104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148360776","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

Pacing in posttraumatic stress disorder therapy: A meta-regression of treatment frequency and completion rates 创伤后应激障碍治疗中的起搏：治疗频率和完成率的元回归。

IF 3.4 3区医学

Journal of traumatic stress Pub Date : 2026-10-05 Epub Date: 2026-07-26 DOI: 10.1002/jts.70111

David M. Horton, Gan Shi, Matthew A. Davis, Peter P. Grau, Amy M. Kilbourne

{"title":"Pacing in posttraumatic stress disorder therapy: A meta-regression of treatment frequency and completion rates","authors":"David M. Horton, Gan Shi, Matthew A. Davis, Peter P. Grau, Amy M. Kilbourne","doi":"10.1002/jts.70111","DOIUrl":"10.1002/jts.70111","url":null,"abstract":"The present study utilized posttraumatic stress disorder (PTSD) clinical trials repository data to analyze associations between treatment frequency (i.e., weekly or more than weekly) and completion outcomes across cognitive processing therapy (CPT), prolonged exposure (PE), and eye movement desensitization and reprocessing (EMDR). Covariates included treatment type, interactions between treatment type and treatment frequency, total number of treatment sessions, mean age, and study-level risk of bias. All studies that met the eligibility criteria were included with CPT, PE, and EMDR in a secondary analysis to evaluate patterns in operationalizing treatment completion. A total of 84 study arms (k = 66 studies) were included in the primary analysis. Compared to CPT, patients had slightly lower odds of completing PE, odds ratio (OR) = 0.73, 95% confidence interval (CI) [0.62, 0.86], but were twice as likely to complete EMDR, OR = 2.44, 95% CI [1.82, 3.27]. Increasing the frequency of PE doubled the odds of completion compared to CPT, OR = 2.15, 95% CI [1.55, 2.99]. A Frequency × Treatment interaction signal was nonsignificant for EMDR, OR = 1.61, 95% CI [0.96, 2.71]. Secondary outcomes revealed substantial heterogeneity in definitions of treatment completion, with only one third of all CPT, PE, and EMDR trial arms explicitly defining treatment completion as completing all treatment sessions. Future research should expand these findings to other modalities, as well as standardize operationalizations of treatment completion.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 5","pages":"775-784"},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.70111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148592387","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

Psychological mediators of the associations between adverse and benevolent childhood experiences and posttraumatic stress disorder (PTSD) and complex PTSD: A systematic review and meta-analysis 不良和善意童年经历与创伤后应激障碍（PTSD）和复杂创伤后应激障碍之间关联的心理调节因素：系统综述和荟萃分析。

IF 3.4 3区医学

Journal of traumatic stress Pub Date : 2026-10-05 Epub Date: 2026-06-25 DOI: 10.1002/jts.70098

Sarah Louise Guthrie, Thanos Karatzias, Mark Shevlin, Anna Bak-Klimek, Amanda Woodrow

{"title":"Psychological mediators of the associations between adverse and benevolent childhood experiences and posttraumatic stress disorder (PTSD) and complex PTSD: A systematic review and meta-analysis","authors":"Sarah Louise Guthrie, Thanos Karatzias, Mark Shevlin, Anna Bak-Klimek, Amanda Woodrow","doi":"10.1002/jts.70098","DOIUrl":"10.1002/jts.70098","url":null,"abstract":"Adverse and benevolent childhood experiences (ACEs and BCEs, respectively) are uniquely associated with posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD); however, there is no systematic review on the mechanisms of these associations. This systematic review and meta-analysis aimed to synthesize studies considering psychological mediators of the associations between ACEs/BCEs and PTSD/CPTSD. Databases (PsychINFO, PubMed, PTSDpubs, PsycARTICLES, and Web of Science) were searched from inception to August 2025 for peer reviewed studies of adult populations examining psychological mediators of the associations between ACEs or BCEs and PTSD or CPTSD. A total of 63 studies involving 31,540 participants met the inclusion criteria. Mediators were grouped into six categories: cognitive beliefs and appraisals (n = 33), emotion regulation strategies (n = 40), interpersonal relationships (n = 7), spiritual and religious beliefs (n = 2), attachment style (n = 5), and dissociation symptoms (n = 9), with mostly small effect sizes. Subcategory meta-analysis revealed emotion regulation, β = .4, 95% CI [0.001, 0.78], and maladaptive coping strategies, β = .05, 95% CI [0.03, 0.07], significantly mediated the association between ACEs and PTSD. Risk of bias and quality of evidence were assessed. Overall, evidence was insufficient to determine how mediators function across pathways, and a paucity of literature is highlighted, considering BCEs and CPTSD.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 5","pages":"785-800"},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.70098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148317816","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

A systematic review of the prevalence, risk factors, and protective factors of posttraumatic stress disorder among paramedics 护理人员创伤后应激障碍的患病率、危险因素和保护因素的系统回顾。

IF 3.4 3区医学

Journal of traumatic stress Pub Date : 2026-10-05 Epub Date: 2026-06-04 DOI: 10.1002/jts.70086

Brogan Johnston, Danielle Wynne, Michael Threlfall, Kathryn Gardner, Carolina Campodonico

{"title":"A systematic review of the prevalence, risk factors, and protective factors of posttraumatic stress disorder among paramedics","authors":"Brogan Johnston, Danielle Wynne, Michael Threlfall, Kathryn Gardner, Carolina Campodonico","doi":"10.1002/jts.70086","DOIUrl":"10.1002/jts.70086","url":null,"abstract":"Paramedics are frequently exposed to trauma and may be at elevated risk of posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD). This review aimed to map PTSD prevalence among paramedics, identify risk and protective factors, and scope existing literature on CPTSD in paramedics. Studies were identified through a systematic database search, appraised using the Appraisal Tool for Cross-Sectional Studies (AXIS) and the Newcastle-Ottawa Quality Assessment Scale (NOS; for cohort studies). Data were analyzed through narrative synthesis. A total of 43 studies involving 12,783 paramedics were included. PTSD prevalence ranged from 1.0% to 82.4% in the 29 studies that reported prevalence, with 15 studies reporting rates of 14.6%–40%. Consistent risk factors included low social support, poor sleep, workplace stress, anxiety, and depression. Protective factors included resilience, social support, and a sense of coherence. Most cross-sectional studies were rated as high quality. The limited longitudinal evidence suggests lower PTSD prevalence or symptom levels than cross-sectional findings. No studies examined CPTSD. Taken together, the findings indicate that PTSD is common among paramedics, although evidence on CPTSD is absent. Future research should prioritize longitudinal designs and examine CPTSD prevalence in paramedics.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 5","pages":"745-760"},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.70086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148163758","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

Wildfires and mental health in adults and youth: Meta-analysis of prevalence estimates by assessment timing, diagnostic criteria, and assessment methods 野火与成人和青少年的心理健康：通过评估时间、诊断标准和评估方法对患病率估计进行meta分析。

IF 3.4 3区医学

Journal of traumatic stress Pub Date : 2026-10-05 Epub Date: 2026-06-12 DOI: 10.1002/jts.70088

Barbara Forresi, Annalisa Oppo, Alberto Misitano, Alice Barbieri, Karestan C. Koenen, Kristina J. Korte

{"title":"Wildfires and mental health in adults and youth: Meta-analysis of prevalence estimates by assessment timing, diagnostic criteria, and assessment methods","authors":"Barbara Forresi, Annalisa Oppo, Alberto Misitano, Alice Barbieri, Karestan C. Koenen, Kristina J. Korte","doi":"10.1002/jts.70088","DOIUrl":"10.1002/jts.70088","url":null,"abstract":"The increasing number of wildfires worldwide has drawn significant attention to their potential psychopathological consequences, primarily posttraumatic stress disorder (PTSD), depression, and anxiety. This meta-analysis aimed to quantify the prevalence rates of these disorders in wildfire-exposed adults and youth by quantitatively examining variations in prevalence estimates across measurement and methodological approaches, addressing a gap not previously explored in the literature. A systematic review was conducted following PRISMA guidelines. Several random-effects meta-analyses were conducted to estimate the overall pooled prevalence rates of each disorder. Subgroup analyses examined age group, assessment timing, diagnostic criteria, and assessment methods (self-report vs. clinician-administered). A total of 33 studies were included. Overall prevalence rates were 26.6%, 95% CI [19.7, 33.5] for PTSD; 28.9%, 95% CI [22.5, 35.2] for depression; and 25.2%, 95% CI [19.3, 31.1] for anxiety. Prevalence estimates for PTSD and depression significantly varied according to the time interval between wildfire exposure and assessment. Although PTSD prevalence estimates differed across assessment timing subgroups, depression followed a nonlinear pattern. Even several months after a wildfire, prevalence rates were higher than 14% for each disorder. Subgroup analyses showed no statistically significant differences according to age, diagnostic criteria, or assessment method. Overall, findings indicate that postwildfire prevalence estimates primarily reflect assessment timing rather than differences in age, diagnostic criteria, or assessment method. Clinically relevant levels of PTSD, depression, and anxiety persisted over time, highlighting the need for early intervention, sustained monitoring, and continued psychological support.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 5","pages":"761-774"},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148226110","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

Affective responses to positive events as a pathway linking posttraumatic stress disorder symptoms to risky behaviors among South Asian Americans 南亚裔美国人对积极事件的情感反应是连接创伤后应激障碍症状与危险行为的途径

IF 3.4 3区医学

Journal of traumatic stress Pub Date : 2026-10-05 Epub Date: 2026-07-01 DOI: 10.1002/jts.70106

Priya K. Johal, Siyuan Wang, Nicole H. Weiss, Ateka A. Contractor

{"title":"Affective responses to positive events as a pathway linking posttraumatic stress disorder symptoms to risky behaviors among South Asian Americans","authors":"Priya K. Johal, Siyuan Wang, Nicole H. Weiss, Ateka A. Contractor","doi":"10.1002/jts.70106","DOIUrl":"10.1002/jts.70106","url":null,"abstract":"South Asian Americans, one of the largest immigrant groups in the United States, experience trauma and engage in risky behaviors. South Asian Americans may face cultural pressures to suppress positive affect, which could explain the association between posttraumatic stress disorder (PTSD) and risky behaviors. This study used associational variable analysis to examine whether PTSD symptom severity was associated with risky behaviors and if affective responses to positive events explained variance in this association. South Asian American adults who were exposed to trauma (N = 244; Mage = 34.26 years, SD = 8.60; 54.9% men) were recruited through Amazon Mechanical Turk. Three multivariate linear regressions were conducted, each modeling PTSD symptoms, risky behaviors, and one affective response (i.e., positive emotionality, hedonic deficits, or negative affect interference), controlling for age and gender. Significant models were probed for indirect associations. Many participants met the criteria for probable PTSD (48.0%) and engaged in at least one past-month risky behavior (79.0%), including problematic technology use, eating behaviors, and alcohol use (55.7%–60.2%). PTSD symptom severity was positively associated with engagement in risky behaviors, R2 = .79, p < .001, and indirect effects were significant via hedonic deficits, β = .07, bootstrapped 95% CI [.03, .12], and negative affect interference, β = .24, bootstrapped 95% CI [.12, .37]. Findings suggest that PTSD symptoms among South Asian Americans may reflect difficulties in experiencing and sustaining positive affect, which may contribute to risky behaviors. Trauma interventions targeting compromised affective responses may reduce risky behaviors in this population.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 5","pages":"921-933"},"PeriodicalIF":3.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148361487","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