Journal of traumatic stress最新文献_第2页

Exploring the association between moral injury and posttraumatic stress symptoms among Canadian public safety personnel. 探讨加拿大公共安全人员的道德伤害与创伤后应激症状之间的关系。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-12-16 DOI: 10.1002/jts.23122

Andrea M D'Alessandro-Lowe, Andrew M Scott, Herry Patel, Bethany Easterbrook, Kimberly Ritchie, Andrea Brown, Mina Pichtikova, Mauda Karram, Emily Sullo, James Mirabelli, Hygge Schielke, Ann Malain, Charlene O'Connor, Shannon Remers, Ruth Lanius, Randi E McCabe, Margaret C McKinnon

{"title":"Exploring the association between moral injury and posttraumatic stress symptoms among Canadian public safety personnel.","authors":"Andrea M D'Alessandro-Lowe, Andrew M Scott, Herry Patel, Bethany Easterbrook, Kimberly Ritchie, Andrea Brown, Mina Pichtikova, Mauda Karram, Emily Sullo, James Mirabelli, Hygge Schielke, Ann Malain, Charlene O'Connor, Shannon Remers, Ruth Lanius, Randi E McCabe, Margaret C McKinnon","doi":"10.1002/jts.23122","DOIUrl":"https://doi.org/10.1002/jts.23122","url":null,"abstract":"Public safety personnel (PSP), such as police officers, firefighters, correctional workers, and paramedics, routinely face work stressors that increase their risk of developing posttraumatic stress disorder (PTSD). PSP may additionally face moral transgressions in the workplace (e.g., witnessing human suffering, working within broken systems), heightening the risk of moral injury (MI) in this population. Research among military personnel and health care workers shows an association between MI and PTSD; however, less is known about the association between these constructs among PSP. Canadian PSP completed an online survey between June 2022 and June 2023, including a demographic questionnaire and measures of PTSD, MI, dissociation, depression, anxiety, stress, and childhood adversity. Latent variable structural equation modeling (SEM) was performed to ascertain the impact of a latent MI construct (i.e., shame, trust violation, functional impairment) on a latent PTSD construct (i.e., intrusions, avoidance, negative alterations in cognition and mood, hyperreactivity, depersonalization, derealization). Sex, age, depression, anxiety, stress, and childhood adversity were included as covariates. A total of 314 PSP were included in the data analysis. A latent variable SEM regressing PTSD onto MI and including covariates accounted for 83.7% of the variance in PTSD. MI was the strongest predictor compared to all covariates and was significantly associated with PTSD symptoms, β = .506, p < .001, above and beyond the impacts of sex, age, depression, anxiety, stress, and childhood adversity. These findings are consistent with research among military members and health care providers and highlight the importance of further exploring MI among PSP.","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":"142837306","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

Correction to Posttraumatic Growth fter MDMA-Assisted Psychotherapy for Posttraumatic Stress Disorder. mdma辅助心理治疗创伤后应激障碍后创伤后成长的矫正。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-12-03 DOI: 10.1002/jts.23097

引用次数: 0

Expression of Concern: Posttraumatic Growth After MDMA-Assisted Psychotherapy for Posttraumatic Stress Disorder. 关注的表达：mdma辅助心理治疗创伤后应激障碍后的创伤后成长。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-12-03 DOI: 10.1002/jts.23116

引用次数: 0

Expression of Concern: Sleep Quality Improvements After MDMA-Assisted Psychotherapy for the Treatment of Posttraumatic Stress Disorder. 关注的表达：mdma辅助心理治疗后创伤后应激障碍的睡眠质量改善。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-12-03 DOI: 10.1002/jts.23117

引用次数: 0

Correction to Sleep Quality Improvements After MDMA-Assisted Psychotherapy for the Treatment of Posttraumatic Stress Disorder. mdma辅助心理治疗对创伤后应激障碍患者睡眠质量的改善。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-12-03 DOI: 10.1002/jts.23098

引用次数: 0

Accommodation of posttraumatic stress symptoms: A scoping review of the literature. 创伤后应激症状的调适：文献综述。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-11-19 DOI: 10.1002/jts.23112

Margaret Talbot, Johanna Thompson-Hollands

{"title":"Accommodation of posttraumatic stress symptoms: A scoping review of the literature.","authors":"Margaret Talbot, Johanna Thompson-Hollands","doi":"10.1002/jts.23112","DOIUrl":"10.1002/jts.23112","url":null,"abstract":"Social support is protective in the recovery from mental health diagnoses. However, well-intended support can also interfere with treatment, as in the case of accommodation, when a support person changes their behaviors to alleviate a patient's distress. This paper describes a scoping review of the research literature regarding posttraumatic stress symptoms (PTSS) and accommodation, conducted using the Preferred Reporting Items extension for Scoping Review Guidelines (PRISMA-ScR). A total of 26 articles were included in the review. Designs and settings were mixed, but most studies examined accommodation by female adult intimate partners of male military members, veterans, and first responders with PTSS. Most participants were White. Accommodation was typically associated with negative relationship outcomes, and some couples treatments (e.g., cognitive behavioral conjoint therapy interventions) were associated with improvements in PTSS accommodation. Future work on PTSS accommodation should prioritize recruiting more diverse participants (i.e., gender, race, ethnicity, military status, types of support people). In addition, researchers should continue to examine accommodation as a mediator or moderator variable. Further examination of accommodation and PTSS may provide helpful insights into the involvement of support people in treatment to increase treatment effectiveness.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668430","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

Cultural group and self-construal moderate the association between expressive suppression and posttraumatic stress disorder symptoms. 文化群体和自我概念可调节表达性抑制与创伤后应激障碍症状之间的关系。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-11-18 DOI: 10.1002/jts.23113

Laura Jobson, Larissa Shiying Qiu, Joshua Wong, Haoxiang Li, July Lies, Winnie Lau, Richard A Bryant, Belinda J Liddell

{"title":"Cultural group and self-construal moderate the association between expressive suppression and posttraumatic stress disorder symptoms.","authors":"Laura Jobson, Larissa Shiying Qiu, Joshua Wong, Haoxiang Li, July Lies, Winnie Lau, Richard A Bryant, Belinda J Liddell","doi":"10.1002/jts.23113","DOIUrl":"10.1002/jts.23113","url":null,"abstract":"Few studies have considered the influence of cultural factors on the associations between posttraumatic stress disorder (PTSD) and key emotion regulation strategies, such as expressive suppression and reappraisal. This study investigated the influences of cultural background and self-construal orientation on PTSD symptoms and both suppression and reappraisal. Chinese Australian (n = 129) and European Australian (n = 140) trauma survivors completed an online survey assessing suppression and reappraisal (Emotion Regulation Questionnaire), cultural values (Self Construal Scale), and PTSD symptoms (PTSD Checklist for DSM-5). We hypothesized that participants in the Chinese Australian group would report higher levels of suppression and reappraisal than those in the European Australian group and that self-construal and cultural group would moderate both the associations between PTSD symptoms and both suppression reappraisal. Correlation and moderation analyses were performed to examine these hypotheses. Chinese Australian participants reported higher levels of reappraisal than European Australian participants, ηp 2 = .05, p < .001. Regardless of cultural group, there was no significant association between reappraisal and PTSD symptoms, B = 0.10, p = .849, 95% CI [-0.93,1.13]. Cultural group and self-construal moderated the association between suppression and PTSD symptoms, ΔR2 = .02, p = .007, whereas a positive association was observed between suppression and PTSD symptoms; however, this association was not significant for Chinese Australians who endorsed higher levels of interdependence. These findings suggest that suppression may be less strongly associated with PTSD symptoms for Chinese Australians who value interdependence. This finding highlights the importance of considering cultural values in PTSD treatment approaches.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668431","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

Longitudinal associations among resilience, social isolation, and gender in U.S. Iraq and Afghanistan-era veterans. 美国伊拉克和阿富汗退伍军人的复原力、社会隔离和性别之间的纵向联系。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-11-14 DOI: 10.1002/jts.23111

Allison Metts, Corina Mendoza, Rahel Pearson, Suzannah K Creech

{"title":"Longitudinal associations among resilience, social isolation, and gender in U.S. Iraq and Afghanistan-era veterans.","authors":"Allison Metts, Corina Mendoza, Rahel Pearson, Suzannah K Creech","doi":"10.1002/jts.23111","DOIUrl":"https://doi.org/10.1002/jts.23111","url":null,"abstract":"Negative mental health outcomes are prevalent among veterans exposed to military-related stressors and are associated with social isolation. Limited research exists on resilience following military separation and its impact on social isolation in veterans. We examined resilience against military-related stressors and 2-year longitudinal associations with social isolation indicators; gender differences were also explored. U.S. military veterans (N = 351, 70.4% men) who deployed to the wars in and around Iraq and Afghanistan following the September 11, 2001, terrorist attacks (9/11) were recruited as part of a longitudinal assessment study examining predictors of postdeployment adjustment. Using a residualization approach, resilience was approximated as low stressor reactivity (SR), calculated by regressing mental health onto military-related stressor exposure. Military-related stressors were significantly associated with posttraumatic stress disorder (PTSD) related to both events during post-9/11 deployment (deployment event) and outside of post-9/11 deployment (other event), functional disability, and depression. After correcting for multiple comparisons, only SR derived from depressive symptoms predicted more closeness difficulties in social relationships longitudinally, B = 0.50, q = .023. Women also demonstrated higher SR than men regarding other event-related PTSD symptoms, B = -0.52, q < .001; functional disability, B = -0.28, q = .028; and depression, B = -0.34, q = .012. Results suggest that veterans with higher depressogenic reactivity to military-related stressors were more likely to endorse discomfort with closeness than those with lower depressogenic reactivity. Women veterans may also be more impacted by nondeployment traumatic distress, psychosocial dysfunction, and depression in response to military-related stressors.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142621876","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

Development of a codebook for the narrative analysis of in-hospital trauma interviews of patients following stroke. 为中风患者院内创伤访谈的叙事分析编制编码手册。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-11-01 DOI: 10.1002/jts.23106

Corinne Meinhausen, Anusha Fatehpuria, Jaifreen Bhangu, Donald Edmondson, Ian M Kronish, Patrick Wilson, Jennifer A Sumner

{"title":"Development of a codebook for the narrative analysis of in-hospital trauma interviews of patients following stroke.","authors":"Corinne Meinhausen, Anusha Fatehpuria, Jaifreen Bhangu, Donald Edmondson, Ian M Kronish, Patrick Wilson, Jennifer A Sumner","doi":"10.1002/jts.23106","DOIUrl":"https://doi.org/10.1002/jts.23106","url":null,"abstract":"Given their sudden onset and life-threatening consequences, strokes and transient ischemic attacks (TIAs) can trigger posttraumatic stress disorder (PTSD). To gain a deeper understanding of the potential influence of factors in patients' descriptions of these medical events on PTSD, we conducted a standardized trauma interview with a convenience sample of patients hospitalized for suspected stroke/TIA (N = 98) to assess the details and emotional experience of the stroke/TIA event. Three researchers reviewed the interviews and the research literature on risk and protective factors for PTSD. From this analysis, a codebook with descriptions, examples, and scoring protocols for eight Likert scale, two categorical, and four binary codes was developed. Upon demonstrating sufficient interrater reliability, the research team scored all narratives. Three superordinate themes were identified in the analysis: distress (e.g., fear, helplessness), potential protective factors (e.g., positive expectancies, concern for loved ones), and level of detail (e.g., somatic detail, emotional detail). Differences in perceptions, themes, and expectations emerged in the narratives, indicating a wide range of responses following stroke/TIA. Additionally, patient age was negatively correlated with scores for the fear, r = -.34, p < .001, and negative consequences, r = -.24, p = .018, codes and positively associated with the likelihood of having positive expectancies, OR = 1.05, 95% CI [1.00, 1.10], p = .039. These findings provide a more comprehensive understanding of how patients reflect on their experiences post-stroke/TIA and can inform future research on the contributions of trauma narrative characteristics and emotional responses to PTSD risk.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564449","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

Association between the number of individuals injured in a traumatic event and posttraumatic stress disorder among hospitalized trauma patients. 住院创伤患者中在创伤事件中受伤的人数与创伤后应激障碍之间的关系。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-10-25 DOI: 10.1002/jts.23110

Tomer Talmy, Shir Bulis, Irina Radomislensky, Shir Bushinsky, Nir Tsur, Daniel Gelman, Omer Paulman, Sami Gendler, Avishai M Tsur, Ofer Almog, Avi Benov

{"title":"Association between the number of individuals injured in a traumatic event and posttraumatic stress disorder among hospitalized trauma patients.","authors":"Tomer Talmy, Shir Bulis, Irina Radomislensky, Shir Bushinsky, Nir Tsur, Daniel Gelman, Omer Paulman, Sami Gendler, Avishai M Tsur, Ofer Almog, Avi Benov","doi":"10.1002/jts.23110","DOIUrl":"https://doi.org/10.1002/jts.23110","url":null,"abstract":"Posttraumatic stress disorder (PTSD) often occurs following mass casualty events, yet the connection between the number of individuals injured in an event and PTSD risk in smaller-scale events (i.e., involving one or several injured persons) remains unclear. We conducted a registries-based study cross-referencing three databases across the continuum of care for military trauma patients hospitalized for traumatic injuries. The study population was categorized into three groups based on the number of injured individuals involved (i.e., single injured person, two to four [2-4] injured people, and five or more [≥ 5] injured people), and PTSD prevalence was assessed using long-term disability claim diagnoses. Overall, 4,030 military personnel were included (age at injury: Mdn = 20 years), and 18.3% were subsequently diagnosed with PTSD, with the highest prevalence in events involving ≥ 5 injured individuals (35.8%). Regression analyses adjusted for potential confounders revealed that being injured in an event with 2-4 injured persons, OR = 1.68, 95% CI [1.31, 2.15], or ≥ 5 injured persons, OR = 2.36, 95% CI [1.79, 3.13], was associated with increased odds of developing PTSD compared to being the sole injured person. The findings suggest a direct association between the number of injured individuals in an event and PTSD prevalence among traumatic injury survivors. The results underscore the importance of early diagnosis and interventions to prevent PTSD in individuals injured in multicasualty and mass casualty events.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502961","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