Journal of traumatic stress最新文献_第5页

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":"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":"38 1","pages":"146-157"},"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":"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":"38 1","pages":"86-98"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.23106","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":"OA","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, Israel Trauma Group, 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, Israel Trauma Group, Sami Gendler, Avishai M. Tsur, Ofer Almog, Avi Benov","doi":"10.1002/jts.23110","DOIUrl":"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":"38 1","pages":"135-145"},"PeriodicalIF":2.4,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.23110","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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":"10.1002/jts.23107","url":null,"abstract":"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.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"38 1","pages":"99-111"},"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":"10.1002/jts.23109","url":null,"abstract":"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>\u0000 <semantics>\u0000 <mrow>\u0000 <mi>γ</mi>\u0000 </mrow>\u0000 <annotation>${{bm gamma }}$</annotation>\u0000 </semantics></math>pb 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.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"38 1","pages":"124-134"},"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":"10.1002/jts.23108","url":null,"abstract":"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.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"38 1","pages":"112-123"},"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":"10.1002/jts.23104","url":null,"abstract":"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.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"38 1","pages":"16-28"},"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":"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.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"38 1","pages":"165-173"},"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":"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: ∆χ2 = 153.87, p < .001; veterans: ∆χ2 = 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.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"38 1","pages":"75-85"},"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 2.4 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":"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 (N = 133) who reported adult SV (Mage = 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, p = .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, p = .043, and anticipated binegativity, β = .29, p = .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, p = .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":"38 1","pages":"63-74"},"PeriodicalIF":2.4,"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