Journal of traumatic stress最新文献

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Examining the associations between posttraumatic stress disorder symptom clusters across cognitive processing therapy. 研究认知加工疗法中创伤后应激障碍症状群之间的关联。
IF 2.4 3区 医学
Journal of traumatic stress Pub Date : 2024-10-25 DOI: 10.1002/jts.23107
Casey L May, Laura Stayton-Coe, Kathleen M Chard
{"title":"Examining the associations between posttraumatic stress disorder symptom clusters across cognitive processing therapy.","authors":"Casey L May, Laura Stayton-Coe, Kathleen M Chard","doi":"10.1002/jts.23107","DOIUrl":"https://doi.org/10.1002/jts.23107","url":null,"abstract":"<p><p>Cognitive processing therapy (CPT) is a well-known trauma-focused treatment that aims to generate more adaptive posttrauma cognitions and emotions. Changes in cognitions are theorized to be the mechanism by which CPT leads to improvement in posttraumatic stress disorder (PTSD) symptoms. The present study aimed to explore associations between changes in PTSD symptom clusters during CPT. We hypothesized that early changes in negative alterations in cognitions and mood (NACM) would correlate with later changes in other symptom clusters. Data were collected from 296 veterans participating a 7-week PTSD residential treatment program at a U.S. Veterans Affairs medical center. PTSD symptoms were assessed at pretreatment (Week 1), midtreatment (Week 4), and posttreatment (Week 7). Cross-lagged path analyses demonstrated that pretreatment-to-midtreatment improvement in NACM was correlated with midtreatment-to-posttreatment improvement in avoidance, β = .52, though this association was bidirectional, suggesting pretreatment-to-midtreatment improvements in either cluster may be correlated with midtreatment-to-posttreatment improvements. Similarly, pretreatment-to-midtreatment improvement in intrusions, β = .40, and arousal, β = .49, were correlated with later improvement in avoidance, suggesting avoidance may improve after improvement in other clusters. Interestingly, pretreatment-to-midtreatment arousal improvement was significantly correlated with midtreatment-to-posttreatment NACM improvement, β = .27, though the reverse was nonsignificant, whereas a bidirectional association between arousal and intrusions emerged, β = .34, β = .53. Early changes in arousal were correlated with later changes in several other symptom clusters, whereas other clusters demonstrated bidirectional associations. These results may inform understanding of symptom improvement timing across CPT, which may aid in treatment selection and planning.</p>","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":"142502962","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
Postpartum anger among low-income women with high rates of trauma exposure. 高创伤暴露率低收入妇女的产后愤怒。
IF 2.4 3区 医学
Journal of traumatic stress Pub Date : 2024-10-21 DOI: 10.1002/jts.23109
ChienTi Plummer Lee, Joshua P Mersky, Xiyao Liu
{"title":"Postpartum anger among low-income women with high rates of trauma exposure.","authors":"ChienTi Plummer Lee, Joshua P Mersky, Xiyao Liu","doi":"10.1002/jts.23109","DOIUrl":"https://doi.org/10.1002/jts.23109","url":null,"abstract":"<p><p>Few studies have examined anger concerns among postpartum women despite their risk of mood dysregulation. This study examined the performance of the Dimensions of Anger Reactions-5 (DAR-5) scale, a brief screen for problematic anger, in a sample of 1,383 postpartum women in Wisconsin who received perinatal home visiting services. We aimed to analyze the discriminant validity and measurement invariance of the DAR-5, the occurrence of problematic anger symptoms and their co-occurrence with mental health concerns, and the association between elevated anger levels and exposure to potentially traumatic events in childhood and adulthood. Descriptive statistics for anger symptoms and their associations with depression, anxiety, and PTSD were calculated. Psychometric properties of the DAR-5 were assessed via confirmatory factor analyses, and associations between trauma exposure and anger were evaluated as bivariate and partial correlations. Approximately 21% of the sample exhibited problematic anger based on an established DAR-5 cutoff score (≥ 12). Anger symptoms co-occurred with posttraumatic stress disorder (PTSD), depressive, and anxiety symptoms, though the DAR-5 sufficiently distinguished anger from these correlated symptom profiles. The DAR-5 also demonstrated acceptable measurement invariance across levels of trauma exposure. Higher levels of trauma exposure in childhood and adulthood significantly increased the risk of problematic anger even after controlling for PTSD, anxiety, and depressive symptoms, partial <math> <semantics><mrow><mi>γ</mi></mrow> <annotation>${{bm gamma }}$</annotation></semantics> </math> <sub>pb</sub> range: .07-.16. The findings suggest the DAR-5 is a valid brief screen for anger in postpartum women. Increased attention should be paid to elevated anger and the co-occurrence of other mental health concerns following childbirth.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142468812","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
What's in a treatment name? How people with posttraumatic stress disorder (PTSD) symptoms interpret and react to PTSD treatment names. 治疗名称中有哪些内容?有创伤后应激障碍(PTSD)症状的人如何理解创伤后应激障碍的治疗名称并对其做出反应。
IF 2.4 3区 医学
Journal of traumatic stress Pub Date : 2024-10-21 DOI: 10.1002/jts.23108
Sadie E Larsen, Rachel M Ranney, Rebecca Matteo, Kathleen M Grubbs, Jessica L Hamblen
{"title":"What's in a treatment name? How people with posttraumatic stress disorder (PTSD) symptoms interpret and react to PTSD treatment names.","authors":"Sadie E Larsen, Rachel M Ranney, Rebecca Matteo, Kathleen M Grubbs, Jessica L Hamblen","doi":"10.1002/jts.23108","DOIUrl":"https://doi.org/10.1002/jts.23108","url":null,"abstract":"<p><p>Prior research has rarely examined how people understand or react to the names of psychological treatments. In the case of evidence-based psychotherapies for posttraumatic stress disorder (PTSD), such reactions may be relevant to the low rates of uptake of such treatments. Participants who screened positive for PTSD (n = 887) completed questions assessing their initial reactions to PTSD treatment names as well as how a different name would affect their openness to treatment. In addition, they gave brief responses to open-ended questions about the reason for their initial reactions, and content analysis was used to better understand these reasons. The results indicated that among the treatment name options, cognitive processing therapy (CPT) and present-centered therapy (PCT) were viewed most positively. Approximately 40% of the sample preferred plain language alternatives for treatment names. Content analyses focused on descriptions of the treatments-which could be accurate or inaccurate-as well as whether respondents evaluated a treatment name itself as positive or negative. Some names conveyed treatments more accurately (e.g., CPT and written exposure therapy) than others (e.g., eye movement desensitization and reprocessing and prolonged exposure [PE]). Some names were also evaluated more positively (e.g., PCT) than others (e.g., PE). The general term \"trauma-focused therapy\" was seen as positive and clear. Addressing the ways patients react to psychological terms and treatment names could help clarify misperceptions about evidence-based psychotherapies and promote more widespread uptake of effective treatments for PTSD.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142468813","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
When the attention control condition works: A systematic review of attention control training for posttraumatic stress disorder. 当注意力控制条件起作用时:针对创伤后应激障碍的注意力控制训练的系统回顾。
IF 2.4 3区 医学
Journal of traumatic stress Pub Date : 2024-10-04 DOI: 10.1002/jts.23104
Kate Clauss, Tamara Cheney, Vanessa C Somohano, Sara Hannon, Joseph DeGutis, Michael Esterman, Joseph Constans, Maya O'Neil
{"title":"When the attention control condition works: A systematic review of attention control training for posttraumatic stress disorder.","authors":"Kate Clauss, Tamara Cheney, Vanessa C Somohano, Sara Hannon, Joseph DeGutis, Michael Esterman, Joseph Constans, Maya O'Neil","doi":"10.1002/jts.23104","DOIUrl":"https://doi.org/10.1002/jts.23104","url":null,"abstract":"<p><p>Attentional bias and deficits in attentional control are associated with posttraumatic stress disorder (PTSD) symptoms. Attention control training (ACT) may address these factors. We reviewed randomized controlled trials (RCTs) of ACT for PTSD to address unanswered questions about ACT's effectiveness, tolerability, and implementation. Studies were included if they were an RCT that used an adult sample, recruited participants with a PTSD diagnosis, and had ACT as at least one treatment arm. The PTSD Trials Standardized Data Repository (PTSD-Repository) and additional databases were searched to identify PTSD RCTs published through May 2024. Seven studies met the inclusion criteria (N = 407). The effect size for ACT versus a comparison condition on PTSD symptoms was large, but the confidence interval (CI) overlapped with 0, g = 0.75, 95% CI [-0.63, 2.12]. The same pattern was observed for attention bias variability, g = 1.04, 95% CI [-0.90, 2.98]. There was a significant within-group effect of ACT on self-reported PTSD symptoms, g = -1.43, 95% CI [-2.83, -0.03]. Risk of bias varied, with high risk of bias being primarily due to bias in the measurement of the outcome. These effects should be interpreted cautiously given the significant heterogeneity and wide confidence intervals observed. It remains unclear for whom and under what conditions ACT may be most effective. Future studies should move beyond response time measures, employ an inactive comparator, and examine the mechanism of action to determine whether ACT could be a viable intervention for PTSD.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372205","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
Examining the impact of brief couples-based posttraumatic stress disorder treatments on anger and psychological aggression in veterans and their partners. 研究基于简短夫妻关系的创伤后应激障碍治疗对退伍军人及其伴侣的愤怒和心理攻击的影响。
IF 2.4 3区 医学
Journal of traumatic stress Pub Date : 2024-09-24 DOI: 10.1002/jts.23099
Stephanie Y Wells, Kayla Knopp, Tamara R Wachsman, Kirsten H Dillon, Hannah E Walker, Lauren Sippel, Leslie Morland, Lisa H Glassman
{"title":"Examining the impact of brief couples-based posttraumatic stress disorder treatments on anger and psychological aggression in veterans and their partners.","authors":"Stephanie Y Wells, Kayla Knopp, Tamara R Wachsman, Kirsten H Dillon, Hannah E Walker, Lauren Sippel, Leslie Morland, Lisa H Glassman","doi":"10.1002/jts.23099","DOIUrl":"10.1002/jts.23099","url":null,"abstract":"<p><p>Anger can adversely impact functioning in veterans. Psychological aggression, which is related to but distinct from anger, is particularly detrimental to veterans' mental health. Research examining anger and psychological aggression following individual therapy for posttraumatic stress disorder (PTSD) has demonstrated small effect sizes. Treatments that directly target conflict management and interpersonal functioning, both regarding content and delivery to veterans and their loved ones (e.g., couples-based PTSD treatments), may be more effective in alleviating anger symptoms. This study examined whether larger reductions in anger and psychological aggression would be observed in a couples-based intervention compared to an active comparator at posttreatment and follow-up. Data were derived from a randomized trial comparing brief cognitive-behavioral conjoint therapy for PTSD (bCBCT) and PTSD family education (PFE). Participants were 137 veterans and their intimate partners (bCBCT: n = 92, PFE: n = 45). We observed within-condition significant reductions in angry temperament, d = -0.47, p < .001, and angry reaction, d = -0.26, p = .004, among veterans in bCBCT but not PFE, |d|s = 0.13-0.17, ps = .166-.268. Veterans and partners in both conditions reported reductions in psychological aggression, |d|s = 1.09-1.46, ps < .001. There were no significant differences between the treatment conditions on any outcome, ps = .103-.443, and there were no significant changes in anger between posttreatment and follow-up, |d|s = 0.07-0.24, ps = .052-.582. Couples-based interventions for PTSD, including bCBCT and PFE, can be effective in improving aspects of anger among veterans and their intimate partners.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349244","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 impact of item order on the factor structure of the PTSD Checklist for DSM-5. 项目顺序对 DSM-5 PTSD 核对表因子结构的影响。
IF 2.4 3区 医学
Journal of traumatic stress Pub Date : 2024-09-20 DOI: 10.1002/jts.23103
C Laurel Franklin, Amanda M Raines, Kate E Clauss, Brandon Koscinski, Kevin Saulnier, Nicholas P Allan, Margo C Villarosa-Hurlocker, Jessica L Chambliss, Jessica L Walton, Michael McCormick
{"title":"The impact of item order on the factor structure of the PTSD Checklist for DSM-5.","authors":"C Laurel Franklin, Amanda M Raines, Kate E Clauss, Brandon Koscinski, Kevin Saulnier, Nicholas P Allan, Margo C Villarosa-Hurlocker, Jessica L Chambliss, Jessica L Walton, Michael McCormick","doi":"10.1002/jts.23103","DOIUrl":"10.1002/jts.23103","url":null,"abstract":"<p><p>The PTSD Checklist for DSM-5 (PCL-5) is the most widely used self-report measure of posttraumatic stress disorder (PTSD) and is frequently modeled as having four correlated factors consistent with the DSM-5 symptom structure. Some researchers have argued that item order may influence factor structure. Although two studies have examined this, they were both based on DSM-IV criteria, and neither utilized a randomized design. Thus, this study aimed to determine whether item order impacts the factor structure of the PCL-5, using two independent samples of community participants (N = 347, 67.7% female, 85.3% White) and veterans (N = 409, 83.6% male, 61.9% Black/African American). Approximately half of each sample was randomized to receive the PCL-5 in the original fixed order, whereas the other half received a uniquely randomized version. We compared the DSM-5 four-factor model to several theoretically relevant models and found improved model fit in the seven-factor hybrid model, community sample: ∆χ<sup>2</sup> = 153.87, p < .001; veterans: ∆χ<sup>2</sup> = 152.61, p < . 001. Consequently, the DSM-5 four-factor and seven-factor hybrid models were retained for invariance testing. Across both samples, measurement invariance was examined between the randomized and fixed-order groups. Configural invariance, partial metric invariance, and partial scalar invariance were achieved in both samples, ps = .054-.822, suggesting that the fit of the DSM-5 four-factor structure and the seven-factor hybrid model, as measured using the PCL-5, are not due to order effects. These findings support the continued use of the PCL-5 in a fixed fashion.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142290064","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
Bisexual minority stress as a risk factor for sexual violence‐related posttraumatic stress disorder symptoms among bisexual+ women: A multilevel analysis 双性恋少数群体压力是双性恋以上女性出现性暴力相关创伤后应激障碍症状的风险因素:多层次分析
IF 3.3 3区 医学
Journal of traumatic stress Pub Date : 2024-09-18 DOI: 10.1002/jts.23102
Selime R. Salim, Kelly L. Harper, Nicholas A. Livingston, Brian A. Feinstein, Terri L. Messman
{"title":"Bisexual minority stress as a risk factor for sexual violence‐related posttraumatic stress disorder symptoms among bisexual+ women: A multilevel analysis","authors":"Selime R. Salim, Kelly L. Harper, Nicholas A. Livingston, Brian A. Feinstein, Terri L. Messman","doi":"10.1002/jts.23102","DOIUrl":"https://doi.org/10.1002/jts.23102","url":null,"abstract":"Bisexual+ (e.g., bisexual, pansexual, queer) women experience higher rates of sexual violence (SV) and posttraumatic stress disorder (PTSD) than heterosexual and lesbian women, as well as unique identity‐related minority stress. We examined between‐ and within‐person associations between bisexual minority stress and PTSD symptoms related to SV in a sample of young bisexual+ women (<jats:italic>N</jats:italic> = 133) who reported adult SV (<jats:italic>M</jats:italic><jats:sub>age</jats:sub> = 22.0 years, range: 18–25 years; 85.0% White; 99.3% cisgender). We analyzed data from four waves of data collection (baseline to 3‐month follow‐up) using multilevel models. Controlling for SV severity, there was a significant within‐person effect of antibisexual stigma from lesbian/gay people on PTSD, β = .17, <jats:italic>p</jats:italic> = .010, suggesting that at waves when women experienced more stigma, they also reported higher PTSD symptom levels. At the between‐person level, women who reported higher levels of antibisexual stigma from heterosexual people, β = .26, <jats:italic>p</jats:italic> = .043, and anticipated binegativity, β = .29, <jats:italic>p</jats:italic> = .005, on average across study waves also reported higher average levels of PTSD. Additionally, anticipated binegativity explained the association between average antibisexual stigma and PTSD, β = .15, <jats:italic>p</jats:italic> = .014, 95% CI [0.45, 4.61]. Bisexual minority stress may be associated with higher PTSD symptom severity following SV among young bisexual+ women, and the anticipation of binegativity may be a target mechanism in this association. Study findings highlight the importance of examining the joint contributions of SV and minority stress to identify novel targets for future research and practice to address PTSD symptoms.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"16 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142253135","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 predictive association between social support, communal mastery, and response to culturally adapted cognitive processing therapy among Native American women 美国原住民妇女中社会支持、社区掌握和对文化适应性认知处理疗法的反应之间的预测关联
IF 3.3 3区 医学
Journal of traumatic stress Pub Date : 2024-09-17 DOI: 10.1002/jts.23101
Katherine van Stolk‐Cooke, Zoe M. F. Brier, Cynthia Pearson, Matthew Price, Debra Kaysen
{"title":"The predictive association between social support, communal mastery, and response to culturally adapted cognitive processing therapy among Native American women","authors":"Katherine van Stolk‐Cooke, Zoe M. F. Brier, Cynthia Pearson, Matthew Price, Debra Kaysen","doi":"10.1002/jts.23101","DOIUrl":"https://doi.org/10.1002/jts.23101","url":null,"abstract":"Though social support (SS) and communal mastery (CM) are resilience factors among American Indian and Alaska Natives (AIAN), they have not been examined as trauma treatment predictors in this at‐risk group. This study evaluated whether SS and CM were associated with improved treatment response in a sample of 73 AIAN women with posttraumatic stress disorder (PTSD) symptoms. Participants received culturally adapted CPT and were assessed for PTSD, CM, and SS. Data were analyzed using linear mixed‐effects models. SS predicted improved PTSD, β = −.16, <jats:italic>SE</jats:italic> = .05, <jats:italic>p</jats:italic> = .003, and mental health, β = .16, <jats:italic>SE</jats:italic> = .05, <jats:italic>p</jats:italic> = .005, but not physical health. CM predicted improved PTSD, β = −.93, <jats:italic>SE</jats:italic> = .34, <jats:italic>p</jats:italic> = .008; mental health, β = .90, <jats:italic>SE</jats:italic> = .36, <jats:italic>p</jats:italic> = .013; and physical health, β = .95, <jats:italic>SE</jats:italic> = .31, <jats:italic>p</jats:italic> = .003. In a combined model, SS predicted improvements in PTSD, β = −.15, <jats:italic>SE</jats:italic> = .04, <jats:italic>p</jats:italic> &lt; .001, and mental health, β = .12, <jats:italic>SE</jats:italic> = .06, <jats:italic>p</jats:italic> = .037, whereas CM did not. CM predicted improved physical health, β = 1.04, <jats:italic>SE</jats:italic> = .33, <jats:italic>p</jats:italic> = .003, whereas SS did not. Results highlight the benefits of SS and CM in trauma treatment outcomes for AIAN women, consistent with prior work, and further underscore the differential role of SS versus CM on mental versus physical health. Future work should explore how orientation to close and communal‐level relationships may inform the protective benefits of social resources among AIAN.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"15 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142253193","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
What I was thinking/what I would do differently: Clinical research 我在想什么/我会采取什么不同的做法:临床研究
IF 2.4 3区 医学
Journal of traumatic stress Pub Date : 2024-09-01 DOI: 10.1002/jts.23084
Terence M. Keane, Sheila A. M. Rauch, Richard A. Bryant
{"title":"What I was thinking/what I would do differently: Clinical research","authors":"Terence M. Keane,&nbsp;Sheila A. M. Rauch,&nbsp;Richard A. Bryant","doi":"10.1002/jts.23084","DOIUrl":"10.1002/jts.23084","url":null,"abstract":"<p>At the 2023 International Society for Traumatic Stress Studies annual meeting, a panel of three distinguished investigators and clinicians convened to reflect on their careers, their contributions to the field of traumatic stress disorders, and the lessons learned over the years. Dr. Terence M. Keane has guided the development and deployment of evidence-based care, shaping evaluation guidelines and best treatment practices for traumatic stress pathology. Dr. Sheila Rauch, a pioneer in the development of prolonged exposure therapy, has significantly contributed to the treatment of posttraumatic stress disorder (PTSD) and other traumatic stress disorders. Dr. Richard Bryant has developed targeted psychological treatments for traumatic stress and prolonged grief, adapting to the diverse needs, mechanisms, and cultural contexts of patients. These individuals’ collective experiences span from the establishment of the PTSD diagnosis to the current proliferation of scientific knowledge on its epidemiology, assessment, and treatment. Their unique yet overlapping contributions have provided invaluable guidelines for the next generation of clinicians and investigators. This panel discussion offers a retrospective look at their careers and a forward-looking perspective on the future of traumatic stress treatment.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 5","pages":"724-730"},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142108790","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
What I was thinking/what I would do differently: Biological markers and mechanisms of mental health 我在想什么/我会采取什么不同的做法:心理健康的生物标志和机制。
IF 2.4 3区 医学
Journal of traumatic stress Pub Date : 2024-08-28 DOI: 10.1002/jts.23083
Raül Andero, Tanja Jovanovic, Murray B. Stein, Arieh Y. Shalev
{"title":"What I was thinking/what I would do differently: Biological markers and mechanisms of mental health","authors":"Raül Andero,&nbsp;Tanja Jovanovic,&nbsp;Murray B. Stein,&nbsp;Arieh Y. Shalev","doi":"10.1002/jts.23083","DOIUrl":"10.1002/jts.23083","url":null,"abstract":"<p>At the 39th meeting of the International Society of Traumatic Stress Studies, four leading scientists and clinicians were invited to reflect on their careers, focusing on the biological mechanisms and markers of traumatic stress. Dr. Raul Andero has contributed to understanding how stress alters memory networks in the brain, influencing the development of novel treatments. Dr. Tanja Jovanovic has pioneered the measurement and mechanistic understanding of fear learning, bridging basic and clinical research. Dr. Murray B. Stein has scaled up clinical and lab observations to large populations, refining the field's understanding of traumatic stress. Dr. Arieh Y Shalev has shaped the definition of traumatic stress, pioneering the longitudinal investigation of stress and integrating advanced computational methods to identify individuals at risk. These panelists were asked to reflect on their initial problems, ambitions, concerns, and unexpected challenges, as well as the influence of their work, on new research trajectories. Their insights provide valuable lessons about the process and content of their work, and their pioneering efforts have significantly advanced our understanding of the biological mechanisms and markers of traumatic stress.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 5","pages":"731-738"},"PeriodicalIF":2.4,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.23083","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142108789","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
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