Journal of traumatic stress最新文献

{"title":"The dialectics of trauma and political conscientization: A psychosocial study of activism for supporting sexual and gender minoritized communities in Brazil","authors":"Gab C. Siqueira,&nbsp;Luisa F. Velásquez Vallejo,&nbsp;Antonio Euzebios Filho","doi":"10.1002/jts.70054","DOIUrl":"10.1002/jts.70054","url":null,"abstract":"<p>This qualitative study examined the dialectical association between psychosocial trauma and political conscientization in the lives of activists advocating for persons with marginalized sexual orientations and gender identities (2SLGBTQIA+) in São José dos Campos, Brazil. Drawing on participatory research and grounded in liberation psychology and intersectionality, the study involved collaboration with 10 activists through participation in advocacy activities, semistructured interviews, and collective reflection. Our reflexive thematic analysis indicated four main themes: (a) <i>addressing psychosocial harm and trauma in the realm of sexual orientation and gender identity</i>, highlighting how activists navigate the effects of historical violence and activist work and employ strategies of self- and collective care; (b) <i>decoding and confronting intersecting power structures</i>, capturing how activists interpret and resist institutional and everyday oppression; (c) <i>reclaiming and preserving collective memory</i>, describing activists’ efforts to resignify and document 2SLGBTQIA+ histories through art, research, and the transformation of cultural traditions; and (d) <i>cultivating citizenship and political consciousness</i>, reflecting the pursuit of rights and recognition by pressuring state institutions and creating autonomous spaces for community support. These interwoven themes illustrate how activism is lived as a dialectical process, both a site of conflict exposure and a space for resignifying suffering, fostering critical awareness, and enacting collective agency. The analysis highlights that responses to psychosocial trauma and resistance are deeply interconnected and continually negotiated through conscientization and collective engagement. Findings indicate that social movements, health professionals, and researchers should support intersectional, community-led initiatives centering psychosocial care, critical reflection, and the dialectical reinterpretation of collective memory.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 4","pages":"730-740"},"PeriodicalIF":3.4,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.70054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147284349","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}

{"title":"Intersectional discrimination, identity conflict, and posttraumatic stress symptoms among bisexual+ people of color","authors":"Roberto Rentería,&nbsp;Jacquie Mitzner,&nbsp;Diana Kaziyev,&nbsp;Nicholas A. Livingston,&nbsp;Emily Bettin,&nbsp;Brian A. Feinstein","doi":"10.1002/jts.70061","DOIUrl":"10.1002/jts.70061","url":null,"abstract":"<p>Bisexual and other multigender-attracted (e.g., pansexual, queer) people (bi+) report disproportionately high posttraumatic stress symptoms (PTSS) linked to a high frequency of discrimination and general trauma exposure. Bi+ people of color (POC) may be particularly vulnerable to PTSS given exposure to intersectional discrimination (e.g., LGBTQ+ racism, racial/ethnic heterosexism). Identity conflict (i.e., perceived incongruence between one's sexual and racial/ethnic identities) may link intersectional discrimination to PTSS. Using cross-sectional survey data from 295 bi+ POC (<i>M</i>_age = 27.6 years), we estimated three structural equation models to test associations between intersectional discrimination and PTSS severity (Model 1), provisional posttraumatic stress disorder (PTSD) diagnosis (Model 2), and PTSD symptom domains (intrusions, avoidance, negative alterations in cognitions and mood [NACM], arousal/reactivity; Model 3). Each model adjusted for exposure to potentially traumatic events (PTEs) and estimated indirect effects via identity conflict. Accounting for PTEs, intersectional discrimination was associated with higher PTSS severity, β = .21, <i>p</i> = .003, and all PTSD symptom domains, βs = .15–.21, <i>p</i>s = .005–.025, but not provisional PTSD diagnosis, β = .15, <i>p</i> = .071. Discrimination direct effects were nonsignificant (accounting for identity conflict); however, indirect effects via identity conflict were significant for PTSS severity, β = .11, <i>p</i> &lt; .013 (Model 1), and avoidance, β = .13, <i>p</i> = .007, and NACM symptoms, β = .12, <i>p</i> = .005 (Model 3). Other indirect effects were nonsignificant. Findings highlight intersectional minority stressors as risk factors for PTSS among bi+ POC, above and beyond trauma exposure, which may inform trauma-focused treatments.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 4","pages":"643-654"},"PeriodicalIF":3.4,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.70061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147491329","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}

{"title":"Posttraumatic stress symptom reduction after gender-affirming medical interventions: A longitudinal study","authors":"James Michael Brennan,&nbsp;Nadra E. Lisha,&nbsp;Nguyen Khai Tran,&nbsp;Kelly Davis,&nbsp;Juno Obedin-Maliver,&nbsp;Mitchell R. Lunn,&nbsp;Annesa Flentje","doi":"10.1002/jts.70065","DOIUrl":"10.1002/jts.70065","url":null,"abstract":"<div>\u0000 \u0000 <p>Transgender and gender expansive (TGE) people experience high levels of posttraumatic stress disorder (PTSD). Gender-affirming medical interventions (GAMIs) may be helpful in reducing PTSD symptoms. This study examined whether GAMIs were associated with reduced PTSD symptom severity longitudinally and whether the association was mediated by gender minority stress (GMS) and depressive symptoms. TGE participants (<i>N</i> = 2,514) from a national cohort study were included if they attained at least one GAMI at one or more points during 2019–2022. Two longitudinal models were run, adjusted for time and baseline covariates: (a) an interrupted time series analysis (ITSA) examining changes in PTSD scores after receiving at least one GAMI (GAMI indicator) at each annual time point and (b) a mixed-effects longitudinal model examining the association between GAMI count and PTSD scores. Structural equation modeling tested whether latent GMS and depressive symptoms mediated these longitudinal associations. Unadjusted and minimally adjusted models demonstrated significant PTSD score reductions (a) immediately after the third GAMI indicator (ITSA model), <i>B</i>_unadjusted = -0.70, <i>p</i> = .017; <i>B</i>_{min. adjusted} = -0.61, <i>p</i> = .037, and (b) as GAMIs accumulated, mixed-effects: <i>B</i>_unadjusted = -0.09, <i>p</i> = .001; <i>B</i>_{min. adjusted} = -0.06, <i>p</i> = .033, with support for depression and GMS mediating these effects. These findings suggest that cumulative GAMIs may be linked to meaningful reductions in PTSD symptoms among TGE individuals. This effect appears to be influenced by improvements in GMS and depression. The results highlight the potential benefits of GAMIs in reducing PTSD burden in TGE populations.</p>\u0000 </div>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 4","pages":"702-715"},"PeriodicalIF":3.4,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645573","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}

{"title":"Trauma and posttraumatic stress among 2SLGBTQIA+ populations: Introduction to the special issue","authors":"Edward J. Alessi,&nbsp;Leisha Beardmore,&nbsp;Sarah Benuska,&nbsp;Phillip W. Schnarrs","doi":"10.1002/jts.70101","DOIUrl":"10.1002/jts.70101","url":null,"abstract":"<p>The special issue on trauma and posttraumatic stress among two-spirit, lesbian, gay, bisexual, trans, queer, intersex, asexual, and people with other diverse gender identities and sexual orientations (2SLGBTQIA+) populations comes amid heightened public health concerns driven by increased stigma and discrimination. In our introduction, we present the articles in the issue, which highlight the complexity of trauma and its effects as experienced by 2SLGBTQIA+ populations. These contributions, which advance science and inform public health research, employ quantitative, qualitative, or longitudinal methods. Areas of focus include: the impacts of non–<i>DSM-5</i> Criterion A1 events, bisexual and transgender individuals, intersectional discrimination, geographic location, and interventions that respond to traumatic stress among this group. Additionally, the articles emphasize healing and strength through identity, community, and activism. Our introduction to this special issue concludes by highlighting four specific areas that need further attention to improve understanding of trauma and posttraumatic stress among 2SLGBTQIA+ populations: commitment to epistemic justice, research, intervention development, and training and education.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 4","pages":"609-615"},"PeriodicalIF":3.4,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148360830","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}

{"title":"Psychosocial contributions of discrimination to traumatic stress adaptation among transgender and nonbinary adults: A longitudinal examination","authors":"Danielle S. Berke,&nbsp;Madalyn M. Liautaud,&nbsp;Yikai Xu","doi":"10.1002/jts.70064","DOIUrl":"10.1002/jts.70064","url":null,"abstract":"<p>Transgender and nonbinary individuals (TNBI) face disproportionate exposure to identity-based discrimination and violence, yet limited research has examined how discrimination prospectively influences trauma adaptation. This longitudinal study examined predictors of posttraumatic stress disorder (PTSD) symptom adaptation among TNBI (<i>N</i> = 75, <i>M</i>_age = 30.6 years, 48.0% White, 44.0% nonbinary, 77.3% met PTSD criteria) with past-year <i>DSM-5</i> Criterion A trauma exposure who completed structured diagnostic interviews and daily diary assessments at baseline and 3-, 6-, and 12-month follow-ups. Mixed linear modeling was used to estimate PTSD adaptation as a function of trauma characteristics and gender minority stress/resilience. A small, significant PTSD symptom reduction was observed over time, <i>B</i> = -0.44, <i>p</i> &lt; .001. Average PTSD symptoms over time were significantly higher for participants with greater gender nonaffirmation exposure, <i>B</i> = 0.43, <i>p</i> = .039, and those who met the criteria for a mood disorder, <i>B</i> = 10.70, <i>p</i> &lt; .001, at baseline. Participants whose “worst” trauma exposure entailed interpersonal violence, <i>B</i> = 9.26, <i>p</i> = .009; were revictimized, <i>B</i> = 7.83, <i>p</i> = .006; and experienced higher exposure to daily discrimination during the follow-up period, <i>B</i> = 0.52, <i>p</i> &lt; .001, demonstrated significantly higher average PTSD symptom severity over time. Unexpectedly, identity pride was associated with significantly higher PTSD symptoms over time, <i>B</i> = 0.36, <i>p</i> = .031, whereas community connectedness was marginally associated with lower symptoms, <i>B</i> = -0.57, <i>p</i> = .054. Findings underscore the roles of identity affirmation, discrimination, and revictimization in shaping TNBI trauma adaptation.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 4","pages":"629-642"},"PeriodicalIF":3.4,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645499","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}

{"title":"Digital and computational innovations for posttraumatic stress disorder: How digital technologies can improve diagnosis, risk stratification, and individualized treatment.","authors":"Charlotte E Hilberdink, Megan E Huibregtse, Cecilia A Hinojosa, Grace S Dean, Mirjam van Zuiden, Katharina Schultebraucks","doi":"10.1002/jts.70108","DOIUrl":"https://doi.org/10.1002/jts.70108","url":null,"abstract":"<p><p>Understanding trauma-related psychopathology increasingly requires tools capable of capturing how symptoms and underlying mechanisms unfold across real-world contexts. Traditional assessments, which depend on retrospective recall and intermittent clinical contact, are limited in their ability to reflect the dynamic and context-sensitive processes that shape trauma-related mental health outcomes. Emerging digital health technologies and computational approaches address this gap by enabling the continuous measurement of behavior and physiology, whereas biological markers provide mechanistic insights into processes such as stress-related neuroendocrine, autonomic, immune, and sleep-wake functioning that reflect the biological embedding of trauma over time. This review integrates recent advances in digital and biological measurement in posttraumatic stress disorder (PTSD) and outlines principles for combining these approaches within computational frameworks. We emphasize the importance of grounding digital proxies in established biological theory; modeling intraindividual dynamics rather than relying solely on cross-sectional group differences; and integrating multimodal behavioral, physiological, and contextual data. We further highlight essential considerations for ethical, inclusive, and methodologically rigorous implementation, including privacy-by-design, data quality, and clinical interpretability. Together, these approaches support a more mechanistic, dynamic, and personalized understanding of trauma-related risk and recovery, with the potential to enhance early risk stratification and guide preventive and individualized models of care.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430711","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}

{"title":"The mental health impacts of climate change across diverse global settings.","authors":"Dana Rose Garfin, Tiffany Junchen Tao, Larysa Zasiekina, Sarah R Lowe","doi":"10.1002/jts.70095","DOIUrl":"https://doi.org/10.1002/jts.70095","url":null,"abstract":"<p><p>Climate change represents a growing threat to global mental health, generating traumatic stress exposures directly through climate-related disasters and indirectly through social networks and pervasive media coverage. This paper provides an overview of the symposium \"The Mental Health Effects of Climate Change Across Diverse Global Settings,\" presented at the 41st Annual Meeting of the International Society for Traumatic Stress Studies, which examined psychological responses to climate change across varied sociocultural and geopolitical contexts. The symposium presented findings from four studies. First, research conducted in a representative sample of Lake County, California, residents (N = 813) exposed to catastrophic wildfires investigated associations among climate change anxiety, anticipatory climate disaster stress, and disaster preparedness. Second, a probability-based representative U.S. sample (N = 4,356) was leveraged to examine the association between climate change worry and mental health within the context of concurrent cascading collective stressors, with constructs from social and health psychology evaluated as moderating factors. Third, a community-based study in Samoa estimated how rising temperatures and extreme heat influenced mental health symptoms among children over time (N = 429, age 10-13 years). Fourth, survey data from young adults in Ukraine (N = 235) explored the interrelationships among climate change anxiety, war-related fears, and perceived ecological catastrophe threats, highlighting the importance of evaluating climate-related distress within conditions of ongoing trauma. These studies are used to illustrate broader themes within the current field of climate change and mental health literature. We discuss methodological considerations, clinical implications, and key directions for future inquiry.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148422170","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}

{"title":"Lessons learned regarding challenges and facilitators of implementing written exposure therapy across different community settings.","authors":"Joan M Cook, Vanessa Simiola, Stefanie T LoSavio, Amanda Devane, Lisa Meredith, Katherine A Dondanville, Denise M Sloan","doi":"10.1002/jts.70084","DOIUrl":"https://doi.org/10.1002/jts.70084","url":null,"abstract":"<p><p>This paper describes training models and lessons learned from four programs to implement written exposure therapy (WET) for the treatment of posttraumatic stress disorder (PTSD) in community practice settings across the United States. Four separate training endeavors with common training elements are briefly presented. Common implementation facilitators observed across efforts include organizational support for training, therapist interest, openness to learning a structured trauma-focused intervention, and flexible training plans responsive to therapists' needs. Common observed challenges include program schedules that did not allow ample time for consultation; a lack of weekly therapy appointment slots; and therapists' concerns that a brief, exposure-based treatment for PTSD may not be a good fit for patients. Many of the observed barriers were related to issues with implementing an evidence-based psychotherapy (EBP) in community clinics that have high patient demands, high therapist turnover, and limited therapist training time, rather than issues specific to WET. The results of these training and implementation endeavors underscore factors that may impact success and subsequent reach of an EBP for PTSD.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148422188","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}

{"title":"Medical trauma in context: Recognizing and addressing medically induced posttraumatic stress disorder in adults.","authors":"Reneé El-Gabalawy, Sarah A Stoycos, Nicholas Schumann, Keisha-Gaye N O'Garo, Sacha McBain","doi":"10.1002/jts.70107","DOIUrl":"10.1002/jts.70107","url":null,"abstract":"<p><p>Potentially traumatic medical events (PTMEs) occur across acute and chronic illness trajectories, such as invasive procedures, intensive care, and life-threatening diagnoses. Emerging evidence suggests that approximately 20% of individuals exposed to PTMEs develop posttraumatic stress disorder (PTSD). Despite this burden, medically induced PTSD (mPTSD) remains underrecognized and underresearched relative to its scope and impact. Underidentification may stem from distinctive features of mPTSD that challenge traditional PTSD frameworks, including features of the index trauma and symptom presentation. These factors can complicate assessment and contribute to diagnostic ambiguity within existing nomenclature. In this narrative review, stemming from the authors' panel presentation at the 41st annual meeting of the International Society for Traumatic Stress Studies, we synthesize current evidence on mPTSD, including prevalence estimates and distinctions in clinical presentation. We examine unique assessment considerations and discuss adaptations to gold-standard evidence-based interventions when symptoms arise from PTMEs. We argue that advancing conceptual and empirical work on mPTSD as a distinct clinical presentation has important implications for diagnostic refinement, treatment optimization, and trauma-informed health care delivery.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391102","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}

{"title":"Addressing limitations in current measurement practices of trauma assessment in minoritized populations.","authors":"Krithika Prakash, Selime R Salim, Colin T Mahoney, Phillip W Schnarrs, Antonio A Morgan-López","doi":"10.1002/jts.70097","DOIUrl":"https://doi.org/10.1002/jts.70097","url":null,"abstract":"<p><p>Standardized trauma assessment frameworks often fail to account for the unique experiences and symptom presentations of minoritized populations, including Black, Indigenous, and people of color (BIPOC) and sexual and gender minority (SGM) individuals, leading to methodological inequity. This paper addresses critical gaps in trauma assessment research practices by examining the limitations of DSM-centric definitions, which exclude systemic, structural, and identity-based trauma exposure and culturally relevant trauma-related distress. We then explore how behaviorally specific language impacts trauma disclosure and reporting discrepancies, noting that traditional labels may lead to the underreporting of sexual violence experiences in SGM and BIPOC communities. Next, we discuss the integration of community-engaged research and intersectional frameworks in developing culturally relevant assessment tools, such as the SGM Adverse Childhood Experiences (SGM‑ACEs) scale. Psychometrically, we then highlight the necessity of establishing measurement invariance to mitigate differential item functioning and measurement bias, ensuring that observed differences in posttraumatic stress disorder symptom severity reflect true clinical variation rather than instrument artifacts. The paper concludes with clinical and policy recommendations, emphasizing cultural humility, the use of validated tools for specific populations, and institutional shifts toward methodological equity to prevent iatrogenic harm and improve outcomes for minoritized individuals.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301771","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}