Journal of traumatic stress最新文献_第7页

Understanding trauma as contextualized adverse life events that threaten the individual: Commentary in response to Marx et al. (2024) 将创伤理解为威胁个人的背景化不利生活事件：回应 Marx 等人（2024 年）的评论。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-04-22 DOI: 10.1002/jts.23048

Philipp Herzog

引用次数: 0

Racial discrimination increases the risk for nonremitting posttraumatic stress disorder symptoms in traumatically injured Black individuals living in the United States 种族歧视增加了在美国生活的受创伤黑人出现非缓解性创伤后应激障碍症状的风险。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-04-22 DOI: 10.1002/jts.23051

Lucas Torres, Timothy J. Geier, Carissa W. Tomas, Claire M. Bird, Sydney Timmer-Murillo, Christine L. Larson, Terri A. deRoon-Cassini

{"title":"Racial discrimination increases the risk for nonremitting posttraumatic stress disorder symptoms in traumatically injured Black individuals living in the United States","authors":"Lucas Torres, Timothy J. Geier, Carissa W. Tomas, Claire M. Bird, Sydney Timmer-Murillo, Christine L. Larson, Terri A. deRoon-Cassini","doi":"10.1002/jts.23051","DOIUrl":"10.1002/jts.23051","url":null,"abstract":"Traumatic, life-threatening events are experienced commonly among the general U.S. population, yet Black individuals in the United States (i.e., Black Americans) exhibit higher prevalence rates of posttraumatic stress disorder (PTSD) and more severe symptoms than other populations. Although empirical research has noted a range of symptom patterns that follow traumatic injury, minimal work has examined the role of racial discrimination in relation to PTSD symptom trajectories. The current study assessed racial discrimination and PTSD symptom trajectories at 6 months postinjury across two separate samples of traumatically injured Black Americans (i.e. emergency department (ED)–discharged and hospitalized). Identified PTSD symptom trajectories largely reflect those previously reported (i.e., ED: nonremitting, moderate, remitting, and resilient; hospitalized: nonremitting, delayed, and resilient), although the resilient trajectory was less represented than expected given past research (ED: 55.8%, n = 62; hospitalized: 46.9%, n = 38). Finally, higher racial discrimination was associated with nonremitting, ED: relative risk ratio (RR) = 1.32, hospitalized: RR = 1.23; moderate, ED: RR = 1.18; and delayed, hospitalized: RR = 1.26, PTSD symptom trajectories. Overall, the current findings not only emphasize the inimical effects of racial discrimination but also demonstrate the unique ways in which race-related negative events can impact PTSD symptom levels and recovery across time.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 4","pages":"697-709"},"PeriodicalIF":2.4,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140674825","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 disorder (PTSD) and complex PTSD in eating disorder treatment-seekers: Prevalence and associations with symptom severity 饮食失调症寻求治疗者中的创伤后应激障碍（PTSD）和复杂创伤后应激障碍：患病率及其与症状严重程度的关系

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-04-18 DOI: 10.1002/jts.23047

Sinead Day, Phillipa Hay, Christopher Basten, Susan Byrne, Amanda Dearden, Mandy Goldstein, Amy Hannigan, Gabriella Heruc, Catherine Houlihan, Marion Roberts, W. Kathy Tannous, Chris Thornton, Natalie Valentine, Deborah Mitchison

{"title":"Posttraumatic stress disorder (PTSD) and complex PTSD in eating disorder treatment-seekers: Prevalence and associations with symptom severity","authors":"Sinead Day, Phillipa Hay, Christopher Basten, Susan Byrne, Amanda Dearden, Mandy Goldstein, Amy Hannigan, Gabriella Heruc, Catherine Houlihan, Marion Roberts, W. Kathy Tannous, Chris Thornton, Natalie Valentine, Deborah Mitchison","doi":"10.1002/jts.23047","DOIUrl":"10.1002/jts.23047","url":null,"abstract":"Although childhood trauma and posttraumatic stress disorder (PTSD) have been well-researched in eating disorder epidemiology, prevalence rates are unavailable for complex PTSD (CPTSD). Under recently introduced ICD-11 criteria, individuals with CPTSD have both PTSD symptoms and additional disturbances in self-organization (DSO). Using ICD-11 criteria, this study aimed to determine the prevalence of PTSD and DSO symptoms, diagnostic rates of PTSD and CPTSD, and childhood trauma exposure in eating disorder treatment-seekers. Participants (N = 217) were individuals attending residential, partial hospitalization, and outpatient services who completed measures of eating disorder– and trauma-related symptoms and childhood adverse experiences. One third of participants reported PTSD symptoms, and over half reported DSO symptoms, with probable ICD-11 diagnostic rates of 3.8% for PTSD and 28.4% for CPTSD. CPTSD was significantly more prevalent than PTSD and more common in higher levels of care. Both PTSD and DSO symptom severity were positively correlated with eating disorder symptoms and impairment, rs = .285–.642. DSO symptom severity was a significant and unique explanatory factor of eating disorder severity and impairment. The findings highlight the prevalence of CPTSD in eating disorder populations and the association between DSO symptoms and eating psychopathology independent of PTSD symptoms. Implications are discussed for adjunct treatment approaches for individuals with comorbid eating disorders and PTSD or CPTSD.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 4","pages":"672-684"},"PeriodicalIF":2.4,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.23047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140623956","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

Digital health–based exposure therapies for patients with posttraumatic stress disorder: A systematic review of randomized controlled trials 针对创伤后应激障碍患者的基于数字健康的暴露疗法：随机对照试验的系统回顾

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-04-18 DOI: 10.1002/jts.23052

Mayu Yoshikawa, Zui Narita, Yoshiharu Kim

{"title":"Digital health–based exposure therapies for patients with posttraumatic stress disorder: A systematic review of randomized controlled trials","authors":"Mayu Yoshikawa, Zui Narita, Yoshiharu Kim","doi":"10.1002/jts.23052","DOIUrl":"10.1002/jts.23052","url":null,"abstract":"Although exposure therapies have established effects in treating posttraumatic stress disorder (PTSD), these therapies might be hindered by issues of cost, distance, time, and human resources, which are potentially alleviated by digital health. Despite the potential of digital health, there is currently no systematic review specifically evaluating digital health–based exposure therapies. We aimed to conduct a systematic literature review of randomized controlled trials (RCTs) examining the impact of digital health–based exposure therapies in treating patients with PTSD. A literature search was conducted from December 31, 2023, to February 22, 2024, using the PubMed, Web of Science, and PsycINFO databases. A total of 12 RCTs with 1,361 participants were included in the systematic review. These RCTs were conducted mainly in the United States and primarily enrolled military samples. Overall, the utility of digital health–based exposure therapies appeared plausible and comparable to that of in-person therapies. The dropout rate was counterintuitively high, potentially due to technological issues and the absence of personal connections. The findings suggest that digital health–based exposure therapies may potentially resolve the issues of cost, distance, time, and human resources in the treatment of patients with PTSD. Future RCTs should employ larger sample sizes. Addressing technological challenges and the absence of personal connection may be important in resolving the high dropout rate.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 6","pages":"814-824"},"PeriodicalIF":2.4,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140623960","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

Impact of veteran-led peer mentorship on posttraumatic stress disorder 退伍军人领导的同伴辅导对创伤后应激障碍的影响

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-04-18 DOI: 10.1002/jts.23038

Zeno Franco, Leslie Ruffalo, Bob Curry, Martina Gollin-Graves, Sheikh Iqbal Ahamed, Otis Winstead, Katinka Hooyer, Myah Pazdera, Lisa Rein, Jose Lizarraga Mazaba, Md Fitrat Hossain, Virginia Stoffel, Mark Flower, Praveen Madiraju, Stephen Melka, Karen Berte, Jeffrey Whittle

{"title":"Impact of veteran-led peer mentorship on posttraumatic stress disorder","authors":"Zeno Franco, Leslie Ruffalo, Bob Curry, Martina Gollin-Graves, Sheikh Iqbal Ahamed, Otis Winstead, Katinka Hooyer, Myah Pazdera, Lisa Rein, Jose Lizarraga Mazaba, Md Fitrat Hossain, Virginia Stoffel, Mark Flower, Praveen Madiraju, Stephen Melka, Karen Berte, Jeffrey Whittle","doi":"10.1002/jts.23038","DOIUrl":"10.1002/jts.23038","url":null,"abstract":"Peer mentorship shows promise as a strategy to support veteran mental health. A community–academic partnership involving a veteran-led nonprofit organization and institutions of higher education evaluated a collaboratively developed peer mentor intervention. We assessed posttraumatic stress disorder (PTSD), postdeployment experiences, social functioning, and psychological strengths at baseline, midpoint, and 12-week discharge using the PTSD Checklist for DSM-5 (PCL-5), Deployment Risk and Resilience Inventory–2, Social Adaptation Self-evaluation Scale, and Values in Action Survey. Brief weekly check-in surveys reinforced mentor contact and assessed retention. The sample included 307 veterans who were served by 17 veteran peer mentors. Mixed-effects linear models found a modest effect for PTSD symptom change, with a mean PCL-5 score reduction of 4.04 points, 95% CI [−6.44, −1.64], d = 0.44. More symptomatic veterans showed a larger effect, with average reductions of 9.03 points, 95% CI [-12.11, -5.95], d = 0.77. There were no significant findings for other outcome variables. Compared to younger veterans, those aged 32–57 years were less likely to drop out by 6 weeks, aORs = 0.32–0.26. Week-by-week hazard of drop-out was lower with mentors ≥ 35 years old, aHR = 0.62, 95% CI [0.37, 1.05]. Unadjusted survival differed by mentor military branch, p = .028, but the small mentor sample reduced interpretability. Like many community research efforts, this study lacked a control group, limiting the inferences that can be drawn. Continued study of veteran peer mentorship is important as this modality is often viewed as more tolerable than therapy.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 4","pages":"617-630"},"PeriodicalIF":2.4,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140629518","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

Adverse childhood experiences, individual-level risk and protective factors, and recent drug use in a community sample of Nigerian women 尼日利亚妇女社区样本中的不良童年经历、个人层面的风险和保护因素以及近期吸毒情况

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-04-15 DOI: 10.1002/jts.23043

Martin Osayande Agwogie, Wendy Kliewer, Muhammed Bashir Ibrahim

{"title":"Adverse childhood experiences, individual-level risk and protective factors, and recent drug use in a community sample of Nigerian women","authors":"Martin Osayande Agwogie, Wendy Kliewer, Muhammed Bashir Ibrahim","doi":"10.1002/jts.23043","DOIUrl":"10.1002/jts.23043","url":null,"abstract":"Adverse childhood experiences (ACEs) are associated with a wide range of health problems and health-compromising behaviors, including drug use, but are understudied in sub-Saharan Africa. Further, some data suggest that some types of ACEs are more strongly associated with outcomes than others. We investigated associations between different types of ACEs and recent drug use among 2,011 women living in Katsina State, Nigeria. This community-based survey included questions on ACE exposure, modifiable individual-level risk and promotive factors, and past-year drug use. Tobacco, cannabis, and the nonmedical use of cough syrup with codeine and tramadol were the most frequently used drugs. Logistic regressions revealed that across most drugs, ACEs reflecting abuse, neglect, and household dysfunction, but not community violence, increased the likelihood of drug use, odds ratios (ORs) = 1.30–3.10. Ease of access to drugs, ORs = 1.33–2.98, and personal religiosity, ORs = 1.19–2.27, also enhanced the risk of drug use, and higher depressive affect was associated with codeine, OR = 1.27, and tramadol use, ORs = 2.42. Practicing religious rites, ORs = 0.38–0.70; disapproval of drug use, ORs = 0.36–0.57; and perceived harm from drug use, ORs = 0.54–0.71, reduced the likelihood of drug use. Efforts to prevent abuse, neglect, and household dysfunction; reduce access to drugs; treat depression; and increase disapproval and harm associated with drug use may reduce drug use in the context of ACE exposure.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 4","pages":"652-661"},"PeriodicalIF":2.4,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.23043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140586825","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

Assessing the association between safety perceptions and communication about sex and drugs among Black adolescents exposed to adversity 评估身处逆境的黑人青少年对性和毒品的安全认知与沟通之间的关系

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-04-11 DOI: 10.1002/jts.23044

Bianca D. Smith, Bailey Holmes Spencer, Zakiyyah Nur-Singletary, Nancy Adane, Naya Moser, Terrinieka W. Powell

{"title":"Assessing the association between safety perceptions and communication about sex and drugs among Black adolescents exposed to adversity","authors":"Bianca D. Smith, Bailey Holmes Spencer, Zakiyyah Nur-Singletary, Nancy Adane, Naya Moser, Terrinieka W. Powell","doi":"10.1002/jts.23044","DOIUrl":"10.1002/jts.23044","url":null,"abstract":"The present study examined the association between safety perceptions and communication with a trusted adult about sex and drugs among Black adolescents exposed to adverse childhood experiences (ACEs) and the role of gender as a potential moderator in this association. Data were drawn from a small, randomized control pilot test of an adapted evidence-based intervention conducted from 2022 to 2023 in Baltimore, Maryland. The sample included 57 Black adolescents who had been exposed to ACEs (Mage = 15.14 years, SD = 0.81l; 47.4% female, 52.6% male). Information about safety perceptions, health communication, health behaviors, and demographic characteristics was measured using an electronic survey at baseline. Group differences by gender emerged among ACEs and substance use behaviors. Safety perceptions were significantly associated with communication with a trusted adult, B = 0.31, SE = 0.24, p = .039. As youth felt more unsafe, their communication with a trusted adult about sex and drugs increased; this association did not differ by gender. Health communication was also associated with ACEs. Black adolescents living with a parent with mental health challenges reported increased communication, B = 0.60, SE = 0.20, p = .005, whereas youth experiencing homelessness had reduced health communication, B = -0.63, SE = 0.24, p = .012. A lack of perceived safety significantly impacts health communication; however, having trusted adults outside of the home, school, and neighborhood can serve as a protective factor in reducing substance use and sexual risk-taking among this population.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 4","pages":"662-671"},"PeriodicalIF":2.4,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140586753","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

Massed written exposure therapy delivered to veterans with posttraumatic stress symptoms on an acute inpatient mental health unit 在心理健康急诊住院病房为有创伤后应激症状的退伍军人提供大规模书面暴露疗法

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-04-07 DOI: 10.1002/jts.23042

Chelsea R. Ennis, Amanda M. Raines, Joseph W. Boffa, Mary O. Shapiro, Allison Dornbach-Bender, Mara L. Ferrie, Alana H. Fondren, Desirae N. Vidaurri, Jessica L. Walton, Jessica L. Chambliss, C. Laurel Franklin

{"title":"Massed written exposure therapy delivered to veterans with posttraumatic stress symptoms on an acute inpatient mental health unit","authors":"Chelsea R. Ennis, Amanda M. Raines, Joseph W. Boffa, Mary O. Shapiro, Allison Dornbach-Bender, Mara L. Ferrie, Alana H. Fondren, Desirae N. Vidaurri, Jessica L. Walton, Jessica L. Chambliss, C. Laurel Franklin","doi":"10.1002/jts.23042","DOIUrl":"10.1002/jts.23042","url":null,"abstract":"Written exposure therapy (WET) is a brief, manualized trauma-focused treatment typically delivered in five individual weekly sessions. Given the brevity and effectiveness of WET, researchers have begun to focus on its delivery in a massed format. However, only one case study examining massed delivery has been published to date. As such, the objective of the current study was to examine the acceptability, feasibility, and preliminary effectiveness of massed WET among veterans with a trauma- and stressor-related disorder receiving care on an acute inpatient mental health unit. Veterans (N = 26) were assessed prior to, immediately after, and 1 month following massed WET. Most veterans found massed WET to be useful and acceptable. Recruitment and retention rates suggested that the treatment was feasible. Notably, the results revealed statistically significant reductions in overall posttraumatic stress symptoms, ηp2 = .81, p < .001; depressive symptoms, ηp2 = .71, p < .001; and functional impairment, ηp2 = .42, p = .002. These findings add to a growing body of literature highlighting the preliminary effectiveness of WET across various settings, populations, and delivery formats. Limitations include the small sample size and uncontrolled design.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 4","pages":"643-651"},"PeriodicalIF":2.4,"publicationDate":"2024-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140586752","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

Erratum for “Asylee perspectives on psychotherapies for posttraumatic stress” 对 "受庇护者对创伤后应激反应心理疗法的看法 "的勘误

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-04-05 DOI: 10.1002/jts.23035

引用次数: 0

How meaning in life and vitality are associated with posttrauma outcomes: A systematic review 生命意义和生命力如何与创伤后结果相关联：系统回顾

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-04-05 DOI: 10.1002/jts.23040

Celestin Mutuyimana, Andreas Maercker

{"title":"How meaning in life and vitality are associated with posttrauma outcomes: A systematic review","authors":"Celestin Mutuyimana, Andreas Maercker","doi":"10.1002/jts.23040","DOIUrl":"10.1002/jts.23040","url":null,"abstract":"When confronted with a traumatic event, people may suffer from adverse posttraumatic outcomes, such as posttraumatic stress disorder (PTSD) or complex PTSD (CPTSD). Positive psychology research has shown that meaning in life and vitality are potentially correlated protective factors against negative developments following trauma exposure that can lead to PTSD or CPTSD. This systematic review aimed to synthesize global empirical research findings, emphasizing the impact of meaning in life and vitality on both PTSD and CPTSD. A search of empirical studies was performed within the Embase, Scopus, and Web of Science core collection databases, as well as PsycInfo, using the PRISMA checklist. A total of 29 studies were included after a systematic exclusion process. The collective findings from 22 studies examining meaning in life and five studies focusing on vitality revealed a consistent negative association with symptoms of PTSD. No study that explored the associations among meaning in life, vitality, and CPTSD was found. In contrast to vitality, meaning in life has been extensively studied in relation to traumatic stress worldwide, and few discrepancies in results were found. This systematic review identified the need to intensify scientific efforts in capitalizing on meaning in life as a possible target for psychological interventions, especially for trauma survivors globally, and to consider vitality as a protective factor that needs more empirical attention in relation to posttraumatic stress. Furthermore, there is a need for studies that encompass diverse target samples and employ longitudinal study design to examine the associations between protective factors and CPTSD.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 4","pages":"551-562"},"PeriodicalIF":2.4,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.23040","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140586761","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