Journal of traumatic stress最新文献_第4页

Military sexual trauma and mental health counseling: Effects on resilience over time among recent-era U.S. veterans. 军事性创伤和心理健康咨询：对近期美国退伍军人恢复力的影响。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-03-06 DOI: 10.1002/jts.23137

Mary M Mitchel, Ryan P Chesnut, Keith R Aronson, Daniel F Perkins

{"title":"Military sexual trauma and mental health counseling: Effects on resilience over time among recent-era U.S. veterans.","authors":"Mary M Mitchel, Ryan P Chesnut, Keith R Aronson, Daniel F Perkins","doi":"10.1002/jts.23137","DOIUrl":"https://doi.org/10.1002/jts.23137","url":null,"abstract":"Military sexual trauma (MST) is prevalent and causes numerous deleterious effects on survivors. This study investigated the association between mental health counseling (MHC) and resilience among a large cohort of U.S. veterans who served in support of military operations in Iraq and Afghanistan following the September 11, 2001, terrorist attacks. Data were collected over 6.5 years (Wave 1: n = 9,566, Wave 8: n = 2,970). Female veterans who experienced sexual harassment, β = -.12, and both sexual harassment and unwanted sexual contact, β = -.21, had lower baseline resilience scores. For male veterans, sexual harassment, β = -.08; unwanted sexual contact, β = -.09; and both sexual harassment and unwanted sexual contact, β = -.12, were related to lower baseline resilience scores. For both female, β = -.46, and male veterans, β = -.57, MHC was negatively associated with baseline resilience; however, MHC was positively associated with resilience scores over time for female, β = .17, and male veterans, β = .29. In the full mediation models tested, MHC mediated the path between all types of MST and resilience among male and female veterans. The findings suggest that engaging in MHC during the transition from active duty to civilian life may effectively increase resilience for veteran survivors of MST.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573305","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

Changes in pain and related health outcomes after cognitive processing therapy in an active duty military sample. 现役军人认知加工治疗后疼痛和相关健康结果的变化。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-03-05 DOI: 10.1002/jts.23143

Norah C Hass, Jennifer Schuster Wachen, Casey L Straud, Erica Checko, Donald D McGeary, Cindy A McGeary, Jim Mintz, Brett T Litz, Stacey Young-McCaughan, Jeffrey S Yarvis, Alan L Peterson, Patricia A Resick

{"title":"Changes in pain and related health outcomes after cognitive processing therapy in an active duty military sample.","authors":"Norah C Hass, Jennifer Schuster Wachen, Casey L Straud, Erica Checko, Donald D McGeary, Cindy A McGeary, Jim Mintz, Brett T Litz, Stacey Young-McCaughan, Jeffrey S Yarvis, Alan L Peterson, Patricia A Resick","doi":"10.1002/jts.23143","DOIUrl":"https://doi.org/10.1002/jts.23143","url":null,"abstract":"This study explored the association between changes in pain and related health outcomes and posttraumatic stress disorder (PTSD) symptoms following cognitive processing therapy (CPT) in an active duty military sample. Based on the mutual maintenance model, we hypothesized that PTSD symptom reductions would be associated with improvements in pain and health symptoms following CPT. This secondary, intent-to-treat analysis included data from a parent trial of 127 active duty U.S. Army soldiers diagnosed with PTSD who were receiving variable-length CPT. We used mixed-effect regression models with repeated measures to examine whether treatment responders (i.e., individuals with a reduction of 11 points or more on the PCL-5) demonstrated improvements in pain and health outcomes posttreatment. Models included fixed effects of visit (baseline and 1-month follow-up), clinically significant PTSD improvement classification (present or absent), and the respective interaction. There were significant interactions on pain interference, F(1, 75.92) = 6.32, p = .014; perceived life control, F(1, 95.59) = 5.17, p = .025; affective distress, F(1, 83.15) = 9.77 p = .002; mental health, F(1, 96.27) = 20.75, p < .001; physical health, F(1, 84.97) = 3.98, p = .049; and somatic symptoms, F(1, 80.64) = 6.08, p = .016. These interactions revealed that participants with clinically significant PTSD improvement following CPT also demonstrated certain better pain and health outcomes compared to nonresponders. Service members with pain and health issues in addition to PTSD who respond to CPT may also report improvements in these issues posttreatment, increasing the value of connecting them to treatment.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143567478","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

Assessing veteran perceptions of trauma-informed care in a U.S. Department of Veterans Affairs skilled nursing setting. 评估退伍军人对创伤知情护理的看法在美国退伍军人事务部熟练护理设置。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-02-26 DOI: 10.1002/jts.23144

Kelly O'Malley, Melissa Meynadasy, Stella Park, Hannah M Bashian, Marcus Ruopp, Jane Driver, Jennifer Moye

{"title":"Assessing veteran perceptions of trauma-informed care in a U.S. Department of Veterans Affairs skilled nursing setting.","authors":"Kelly O'Malley, Melissa Meynadasy, Stella Park, Hannah M Bashian, Marcus Ruopp, Jane Driver, Jennifer Moye","doi":"10.1002/jts.23144","DOIUrl":"https://doi.org/10.1002/jts.23144","url":null,"abstract":"Older veterans have an increased risk of lifetime trauma exposure compared to older civilians. Though few individuals develop posttraumatic stress disorder (PTSD), they may experience a reemergence of trauma symptoms or reengagement with past trauma as they age. This process may be exacerbated while in skilled nursing settings. Trauma-informed care (TIC) may alleviate or prevent the reemergence of symptoms or reengagement with past trauma; however, little is known about veterans' trauma-related experiences and needs in skilled nursing facilities within the Veterans Affairs Healthcare System (i.e., community living centers; CLCs). This quality improvement project aimed to explore PTSD symptoms, how reengagement may occur, and perceptions of TIC during CLC admission. Older veterans (N = 31, Mage = 73 years) in a CLC completed measures of trauma-related symptoms, trauma reengagement, and TIC. Veterans with a trauma history experienced at least one PTSD symptom, and participants reported reengaging with positive and challenging aspects of their service. Veterans reported positive perceptions of TIC practices of promoting autonomy (M = 2.50, SD = 0.70) and recognizing strengths (M = 2.21, SD = 0.92). Ratings were less favorable for promoting connection among residents (M = 1.80, SD = 0.88) and providing information about the effects of trauma on cognition, memory, and relationships (M = 1.66, SD = 0.90). During CLC admission, veterans experienced trauma-related symptoms, reengaged with past experiences, and reported on elements of TIC.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516105","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

Linking pathological narcissism to posttraumatic stress disorder in veterans. 将病态自恋与退伍军人创伤后应激障碍联系起来。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-02-22 DOI: 10.1002/jts.23142

Sterling Nenninger, Brian R Van Buren, Ashley L Greene, Kevin B Meehan

{"title":"Linking pathological narcissism to posttraumatic stress disorder in veterans.","authors":"Sterling Nenninger, Brian R Van Buren, Ashley L Greene, Kevin B Meehan","doi":"10.1002/jts.23142","DOIUrl":"https://doi.org/10.1002/jts.23142","url":null,"abstract":"Combat deployments are stressful life events that confer risk for posttraumatic stress disorder (PTSD) in veterans. Typically, PTSD is conceptualized as being caused by traumatic experiences, leading research to focus predominantly on events while excluding other contributors, such as personality features. Narcissism may contribute to the deleterious effects of trauma exposure because of vulnerabilities in the sense of self, as demonstrated in research on narcissism and the development and maintenance of PTSD in civilians. However, the strength of the association between pathological narcissism features and PTSD has yet to be examined in a veteran sample. The present study sought to address this gap by comparing how narcissism contributes to variance in PTSD symptoms relative to the contribution of combat experience. In a sample of veterans deployed in support of recent operations in Afghanistan and Iraq (N = 179), regression analysis showed that higher pathological narcissism features accounted for variance beyond combat experience alone in PTSD symptoms, ∆R2 = .13, p < .001. When dimensions of narcissism were examined as separate predictors of PTSD, vulnerable, β = .45, p < .001, but not grandiose, β = -.09, p = .293, features had a significant effect on PTSD. Our results align with recent work demonstrating that personality pathology is an important factor in the study of PTSD in veterans. Further research incorporating a larger variety of variables related to personality functioning, personality traits, and life events is needed to understand the role of pathological narcissism features in the development of PTSD.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476794","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

Data-informed selection of evidence-based treatments for posttraumatic stress disorder and co-occurring symptoms. 基于数据的创伤后应激障碍和共存症状的循证治疗选择

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-02-17 DOI: 10.1002/jts.23133

Victoria Alicia Torres, Elizabeth Coe, Jalisa Jackson, Kiara Leonard, Jessica Rostockyj, Kira Swensen, Eric Meyer, Suzy Bird Gulliver, Stephanie Jones

{"title":"Data-informed selection of evidence-based treatments for posttraumatic stress disorder and co-occurring symptoms.","authors":"Victoria Alicia Torres, Elizabeth Coe, Jalisa Jackson, Kiara Leonard, Jessica Rostockyj, Kira Swensen, Eric Meyer, Suzy Bird Gulliver, Stephanie Jones","doi":"10.1002/jts.23133","DOIUrl":"https://doi.org/10.1002/jts.23133","url":null,"abstract":"Posttraumatic stress disorder (PTSD) commonly co-occurs with other disorders. Although there are several evidence-based treatments available for PTSD and co-occurring disorders, including cognitive processing therapy (CPT), prolonged exposure (PE), acceptance and commitment therapy (ACT), and the unified protocol for transdiagnostic treatment of emotional disorders (UP), limited findings clarify the use of baseline symptom data to help providers and patients choose among treatments. To address this, the current study examined baseline symptoms and treatment trajectories among 90 veterans and veteran family members with probable PTSD (based on PCL-5) receiving either trauma-focused (CPT, PE) or transdiagnostic (ACT, UP) treatment via telehealth, with the aim of assisting providers in recognizing patterns to inform data-driven treatment selection. Overall, there was no difference in the likelihood of clinically meaningful improvement in PTSD symptoms between transdiagnostic and trauma-focused treatments, relative risk (RR) = 0.92, 95% confidence interval (CI) [0.63, 1.34]. When stratified by probable substance use disorder (SUD) and major depressive disorder (MDD) status, the results revealed a pattern suggesting that transdiagnostic treatment may be more effective for reducing PTSD symptoms among individuals with probable co-occurring SUD and MDD, RR = 1.50, 95% CI [0.27, 8.34], whereas trauma-focused treatment may be more effective for those without probable co-occurring SUD or MDD, RR = 0.56, 95% CI [0.31, 1.00]. Studies with larger samples and randomization are needed to confirm patterns. This work could be extended by comparing outcomes from other treatments and by assessing functional outcomes such as posttraumatic growth and quality of life.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440873","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 among sleep quality, cognitive processing therapy, and posttraumatic stress disorder symptoms in a primary care setting. 初级保健环境中睡眠质量、认知加工治疗和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 : 2025-02-11 DOI: 10.1002/jts.23132

Nicola Park, Julien Rouvere, Erin Chase, Brittany E Blanchard, Debra L Kaysen, Rebecca C Hendrickson, John C Fortney, Joseph M Cerimele

{"title":"Associations among sleep quality, cognitive processing therapy, and posttraumatic stress disorder symptoms in a primary care setting.","authors":"Nicola Park, Julien Rouvere, Erin Chase, Brittany E Blanchard, Debra L Kaysen, Rebecca C Hendrickson, John C Fortney, Joseph M Cerimele","doi":"10.1002/jts.23132","DOIUrl":"https://doi.org/10.1002/jts.23132","url":null,"abstract":"Evidence describing the association between sleep quality and trauma-focused therapy is mixed. This secondary analysis of a primary care sample examined whether (a) baseline sleep quality moderated posttraumatic stress disorder (PTSD) symptom severity over time across groups receiving different doses of cognitive processing therapy (CPT) and (b) sleep quality improved over time with CPT. Participants were 227 adults who screened positive for PTSD and were participating in a clinical trial comparing two models of PTSD treatment delivery in primary care. The Pittsburgh Sleep Quality Index (PSQI) and PTSD Checklist for DSM-5 (PCL-5) were used to assess sleep disturbance and PTSD symptom severity, respectively. Multiple linear regression was used to assess whether baseline PSQI scores moderated 12-month PCL-5 scores across CPT dosage groups (0 sessions: 51.1%, 1-7 sessions: 31.7%; ≥ 8 sessions [adequate dose]: 17.2%) and whether PSQI scores differed by group at 12-month follow-up. Post hoc analyses examined changes in PCL-5 sleep disturbance items. Baseline sleep disturbance did not moderate the effect of CPT on PTSD severity among participants with an adequate CPT dose, p > .112. Sleep quality improved with adequate dose, B = -2.63, SE = 0.75, p < .001. Differences in change scores across groups for PCL-5 Item 2, F(2, 435) = 11.34, and Item 20, H(2) = 32.04, indicated that participants with an adequate CPT dose had greater reductions in trauma-related sleep symptoms than those who received 0-7 sessions, ps < .001. Residual post-CPT sleep impairment despite adequate PTSD improvement warrants further interventions.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399534","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 Predicting Posttraumatic Stress Disorder Caseness Using the PTSD Checklist for DSM-5 Among Patients Receiving Care for HIV. 使用DSM-5中的创伤后应激障碍检查表预测艾滋病患者创伤后应激障碍病例的修正。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-02-06 DOI: 10.1002/jts.23139

引用次数: 0

Differential associations between race-based traumatic stress and major, everyday, and vicarious racial discrimination among young adults of color 基于种族的创伤压力与主要的、日常的和间接的有色人种青年种族歧视之间的差异关联。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-02-05 DOI: 10.1002/jts.23130

Genevieve Alice Woolverton, Tiffany Yip, Ritika Rastogi, Hyeouk Chris Hahm, Cindy H. Liu

{"title":"Differential associations between race-based traumatic stress and major, everyday, and vicarious racial discrimination among young adults of color","authors":"Genevieve Alice Woolverton, Tiffany Yip, Ritika Rastogi, Hyeouk Chris Hahm, Cindy H. Liu","doi":"10.1002/jts.23130","DOIUrl":"10.1002/jts.23130","url":null,"abstract":"Race-based traumatic stress (RBTS) is a psychological response to racial discrimination among individuals with marginalized racial/ethnic identities, but the literature about how different forms of racial discrimination contribute to RBTS is lacking. We compared the effects of major, everyday, and vicarious racial discrimination on RBTS and evaluated the associations between ethnic–racial identity (ERI) and RBTS. Analyses used cross-sectional survey data from Black, Asian, and Latine young adults (N = 1,342, Mage = 25.9 years) collected in 2022. Demographic variables; major, everyday, and vicarious racial discrimination; ERI commitment and exploration; and RBTS were assessed. Hierarchical multiple regression was used to identify correlates of RBTS. Everyday, β = .37, p < .001; vicarious, β = .16, p < .001; and major racial discrimination, β = .16, p = .004, predicted RBTS. Neither ERI commitment nor ERI exploration was significantly associated with RBTS. Race did not moderate the associations between major, everyday, or vicarious discrimination and RBTS, highlighting that Black, Asian, and Latine young adults appear to be equally at risk. As most vicarious racial discrimination and RBTS research has focused on Black samples, we expand the literature by including Latine and Asian young adults. Our observation that vicarious racial discrimination was a similarly strong predictor of RBTS compared to everyday and major racial discrimination underscores the importance of its inclusion in research focused on discrimination and mental health. Taken together, clinical assessment should focus on questions related to diverse experiences of racial discrimination for individuals with marginalized racial identities.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"38 2","pages":"330-340"},"PeriodicalIF":2.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Posttraumatic stress and posttraumatic growth among female and male veterans: The contribution of romantic relationship and friendship functioning. 男女退伍军人的创伤后压力和创伤后成长：浪漫关系和友谊功能的贡献。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-01-29 DOI: 10.1002/jts.23134

Eileen P Barden, Shaina A Kumar, Julia C Sager, Johanna Thompson-Hollands, Daniel J Lee, Kelly Harper, Terence M Keane, Brian P Marx

{"title":"Posttraumatic stress and posttraumatic growth among female and male veterans: The contribution of romantic relationship and friendship functioning.","authors":"Eileen P Barden, Shaina A Kumar, Julia C Sager, Johanna Thompson-Hollands, Daniel J Lee, Kelly Harper, Terence M Keane, Brian P Marx","doi":"10.1002/jts.23134","DOIUrl":"https://doi.org/10.1002/jts.23134","url":null,"abstract":"Posttraumatic growth (PTG) is characterized as the experience of positive psychological change following exposure to traumatic stress. However, studies examining the association between posttraumatic stress disorder (PTSD) symptoms and PTG have demonstrated mixed results. Further, although higher levels of social support have been shown to predict higher ratings of PTG, there are limited longitudinal findings regarding how interpersonal functioning may affect the association between PTSD symptoms and PTG. In this study, we examined interpersonal functioning in romantic relationships and friendships as mediators of the relation between PTSD symptom severity and PTG and examined potential sex differences among these associations. Participants were 1,427 veterans who completed self-report questionnaires across three time points. A parallel mediation analysis indicated that romantic relationship, β = -.01, 95% CI [-.03, -.001], and friendship, β = -.02, 95% CI [-.04, -.001], functioning were both indirectly associated with PTG in the full sample. Moreover, sex-stratified models indicated that romantic relationship functioning was a significant mediator for male veterans, β = -.02, 95% CI [-.05, -.01], whereas friendship functioning was a significant mediator for female veterans, β = -.04, 95% CI [-.08, -.01]. Together, these findings suggest that interpersonal functioning is an important factor in PTG, and targeting romantic relationship and friendship functioning in the context of trauma-focused treatment may be valuable and can help build a pathway from PTSD symptoms to PTG among female and male veterans.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066714","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 death anxiety and probable posttraumatic stress disorder and clinical depression and anxiety in older Israeli adults during wartime. 战时以色列老年人的死亡焦虑与可能的创伤后应激障碍以及临床抑郁和焦虑之间的关系。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2025-01-27 DOI: 10.1002/jts.23131

Yoav S Bergman, Rotem Saar-Ashkenazy, Yifat Faran, Eyal Klonover, Yuval Palgi

{"title":"Associations between death anxiety and probable posttraumatic stress disorder and clinical depression and anxiety in older Israeli adults during wartime.","authors":"Yoav S Bergman, Rotem Saar-Ashkenazy, Yifat Faran, Eyal Klonover, Yuval Palgi","doi":"10.1002/jts.23131","DOIUrl":"https://doi.org/10.1002/jts.23131","url":null,"abstract":"The outbreak of the Israel-Hamas war on October 7, 2023, has presented unprecedented challenges to older adults' mental health, including increased posttraumatic stress, anxiety, and depression. The current study examined potential war- and age-related factors associated with probable posttraumatic stress disorder (PTSD), clinical depression (probable depression), and generalized anxiety disorder (probable anxiety) among older adults during the ongoing war. Moreover, due to the continued threat of death, we examined whether death anxiety is an additional contributing factor to older adults' probable PTSD, depression, and anxiety. Data were collected January-March 2024 from 554 community-dwelling older adults (Mage = 73.90 years, SD = 7.35, range: 61-96 years) who completed online scales assessing sociodemographic variables, war exposure (distance from the Gaza Strip, exposure to terror attacks/blasts), and age-related constructs (assistance in daily activities [ADL], cognitive decline, physical illnesses, death anxiety). Increased ADL was associated with probable depression, B = 0.62, OR = 1.87, and anxiety, B = 0.42, OR = 1.53, and cognitive decline was associated with probable depression, B = 1.52, OR = 4.56. Older adults with high levels of death anxiety were almost 3 times as likely to meet the criteria for probable PTSD, B = 1.05, OR = 2.85, and more than 1.5 as likely to meet the criteria for probable depression, B = 0.54, OR = 1.71, and anxiety, B = 0.50, OR = 1.65. The importance of death anxiety as a potential risk factor for negative psychological outcomes among older adults during war is discussed.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047222","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