Journal of traumatic stress最新文献_第9页

Examining bias in the award of Veterans Affairs (VA) disability benefits for posttraumatic stress disorder in women veterans: Analysis of evaluation reports and VA decisions 研究退伍军人事务局（VA）在向女性退伍军人发放创伤后应激障碍残疾津贴时存在的偏差：对评估报告和退伍军人事务部决定的分析。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-03-10 DOI: 10.1002/jts.23034

Mayumi O. Gianoli, Andrew W. Meisler, Rebecca Gordon

{"title":"Examining bias in the award of Veterans Affairs (VA) disability benefits for posttraumatic stress disorder in women veterans: Analysis of evaluation reports and VA decisions","authors":"Mayumi O. Gianoli, Andrew W. Meisler, Rebecca Gordon","doi":"10.1002/jts.23034","DOIUrl":"10.1002/jts.23034","url":null,"abstract":"Studies have raised concerns about possible inequities in the U.S. Department of Veterans Affairs (VA)’s awards of disability for posttraumatic stress disorder (PTSD) to women. However, the diagnoses and opinions made by disability examiners have not been studied. A sample of 270 initial PTSD examination reports and corresponding VA decisions were studied. Compared to men, women veterans were as likely to be diagnosed with a service-related mental disorder, χ2(1, N = 270) = 2.31, p = .129, odds ratio (OR) = 1.79, 95% CI [0.84, 3.80], and be granted service-connection, χ2(1, N = 270) = 0.49, p = .483, OR = 1.28, 95% CI [0.65, 2.51]. Women veterans were considered to have more psychiatric symptoms, Z = −2.05, p = .041, r = .16, and more psychiatric impairment, Z = −2.48, p = .013, r = .20, but the percentage of disability awarded by the VA did not differ, χ2(1, N = 270) = 0.49, p = .483; OR = 1.28, 95% CI [0.65, 2.51]. Secondary analyses implicate the role of military sexual trauma and premilitary trauma in explaining sex differences in symptoms and impairment. The findings indicate that neither opinions by examiners nor corresponding decisions by the VA regarding service connection reflect a negative bias toward women veterans. Results indicate that unbiased examinations lead to equitable VA claims decisions for women veterans. Future studies of the VA PTSD disability program nationally, including examination procedures and VA policies and implementation, will promote equity for women veterans in the PTSD claims process.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 4","pages":"586-593"},"PeriodicalIF":2.4,"publicationDate":"2024-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140094334","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

Improving access to evidence-based interventions for trauma-exposed adults in low- and middle-income countries 在低收入和中等收入国家，为遭受创伤的成年人提供更多循证干预措施。

IF 2.4 3区医学

Journal of traumatic stress Pub Date : 2024-03-08 DOI: 10.1002/jts.23031

Debra Kaminer, Duane Booysen, Kate Ellis, Christian Haag Kristensen, Anushka R. Patel, Katy Robjant, Srishti Sardana

{"title":"Improving access to evidence-based interventions for trauma-exposed adults in low- and middle-income countries","authors":"Debra Kaminer, Duane Booysen, Kate Ellis, Christian Haag Kristensen, Anushka R. Patel, Katy Robjant, Srishti Sardana","doi":"10.1002/jts.23031","DOIUrl":"10.1002/jts.23031","url":null,"abstract":"In low- and middle-income countries (LMICs), the mental health consequences of trauma exposure pose a substantial personal, societal, and economic burden. Yet, the significant need for evidence-based mental health treatment remains largely unmet. To unlock the potential for mental health care for trauma survivors in lower-resource contexts, it is critical to map treatment barriers and identify strategies to improve access to evidence-based, culturally appropriate, and scalable interventions. This review, based on an International Society for Traumatic Stress (ISTSS) briefing paper, describes the treatment gap facing adults with traumatic stress in LMICs and identifies the barriers that contribute to this gap. We then highlight strategies for enhancing access to effective treatments for these populations, including task-sharing, the use of culturally adapted and multiproblem interventions, and digital tools to scale access to appropriate care. Finally, we offer recommendations for policymakers, researchers, and service providers to guide an agenda for action to close the treatment gap for trauma survivors in LMICs.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 4","pages":"563-573"},"PeriodicalIF":2.4,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140065332","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

Emotional reactivity linking assaultive trauma and risky behavior: Evidence of differences between cisgender women and men 将攻击性创伤与危险行为联系起来的情绪反应性：顺性别女性与男性之间存在差异的证据。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-03-07 DOI: 10.1002/jts.23028

Anna Stumps, Nadia Bounoua, Naomi Sadeh

{"title":"Emotional reactivity linking assaultive trauma and risky behavior: Evidence of differences between cisgender women and men","authors":"Anna Stumps, Nadia Bounoua, Naomi Sadeh","doi":"10.1002/jts.23028","DOIUrl":"10.1002/jts.23028","url":null,"abstract":"Accumulating evidence suggests that trauma exposure is positively associated with future engagement in risky behavior, such as substance misuse, aggression, risky sex, and self-harm. However, the psychological factors driving this association and their relevance across gender groups require further clarification. In a community sample of 375 adults with a high rate of trauma exposure (age range: 18–55 years, M = 32.98 years, SD = 10.64; 76.3% assaultive trauma exposure), we examined whether emotional reactivity linked lifetime assaultive trauma exposure with past–month risky behavior. We also explored whether this model differed for cisgender women (n = 178, 47.6%) and men (n = 197, 52.5%). As hypothesized, assaultive trauma was positively related to emotional reactivity, β = .20, SE = 0.03, t(369) = 3.65, p < .001, which, in turn, partially accounted for the association between assaultive trauma and past-month risky behavior, indirect effect: β = .03, SE = 0.01, 95% bootstrapped CI [0.01, 0.06]. Gender moderated this association such that assaultive trauma was indirectly associated with risky behavior via emotional reactivity for women but not for men, index moderation: B = -0.03, SE = 0.02, 95% bootstrapped CI [-0.07, -0.01]. Cross-sectional results suggest that emotional reactivity may be a proximal target for clinical intervention to aid in the reduction of risky behavior among women.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 3","pages":"492-503"},"PeriodicalIF":3.3,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140059702","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 transdiagnostic traits of psychopathology and hybrid posttraumatic stress disorder factors in a trauma-exposed community sample 创伤暴露社区样本中精神病理学跨诊断特征与创伤后应激障碍混合因素之间的关联。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-03-01 DOI: 10.1002/jts.23023

Joel G. Sprunger, Jeffrey M. Girard, Kathleen M. Chard

{"title":"Associations between transdiagnostic traits of psychopathology and hybrid posttraumatic stress disorder factors in a trauma-exposed community sample","authors":"Joel G. Sprunger, Jeffrey M. Girard, Kathleen M. Chard","doi":"10.1002/jts.23023","DOIUrl":"10.1002/jts.23023","url":null,"abstract":"Dimensional conceptualizations of psychopathology hold promise for understanding the high rates of comorbidity with posttraumatic stress disorder (PTSD). Linking PTSD symptoms to transdiagnostic dimensions of psychopathology may enable researchers and clinicians to understand the patterns and breadth of behavioral sequelae following traumatic experiences that may be shared with other psychiatric disorders. To explore this premise, we recruited a trauma-exposed online community sample (N = 462) and measured dimensional transdiagnostic traits of psychopathology using parceled facets derived from the Personality Inventory for DSM-5 Faceted–Short Form. PTSD symptom factors were measured using the PTSD Checklist for DSM-5 and derived using confirmatory factor analysis according to the seven-factor hybrid model (i.e., Intrusions, Avoidance, Negative Affect, Anhedonia, Externalizing Behaviors, Anxious Arousal, And Dysphoric Arousal). We observed hypothesized associations between PTSD factors and transdiagnostic traits indicating that some transdiagnostic dimensions were associated with nearly all PTSD symptom factors (e.g., emotional lability: rmean = .35), whereas others showed more unique relationships (e.g., hostility–Externalizing Behavior: r = .60; hostility with other PTSD factors: rs = .12–.31). All PTSD factors were correlated with traits beyond those that would appear to be construct-relevant, suggesting the possibility of indirect associations that should be explicated in future research. The results indicate the breadth of trait-like consequences associated with PTSD symptom exacerbation, with implications for case conceptualization and treatment planning. Although PTSD is not a personality disorder, the findings indicate that increased PTSD factor severity is moderately associated with different patterns of trait-like disruptions in many areas of functioning.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 3","pages":"384-396"},"PeriodicalIF":3.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.23023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139996588","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

Posttraumatic stress disorder, Veterans Health Administration use, and care-seeking among recent-era U.S. veterans 美国近代退伍军人中的创伤后应激障碍、退伍军人健康管理局的使用情况以及寻求护理的情况。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-02-29 DOI: 10.1002/jts.23019

Ben Porter, Mary E. Dozier, Amber D. Seelig, Yunnuo Zhu, Michaela S. Patoilo, Edward J. Boyko, Rudolph P. Rull

{"title":"Posttraumatic stress disorder, Veterans Health Administration use, and care-seeking among recent-era U.S. veterans","authors":"Ben Porter, Mary E. Dozier, Amber D. Seelig, Yunnuo Zhu, Michaela S. Patoilo, Edward J. Boyko, Rudolph P. Rull","doi":"10.1002/jts.23019","DOIUrl":"10.1002/jts.23019","url":null,"abstract":"The current study investigated the associations among probable posttraumatic stress disorder (PTSD), recent Veterans Health Administration (VHA) health care use, and care-seeking for PTSD in U.S. military veterans. Analyses were conducted among 19,691 active duty military personnel enrolled in the Millennium Cohort Study who separated from the military between 2000 and 2012 and were weighted to the 1,130,103 active duty personnel who separated across this time period. VHA utilization was identified from electronic medical records in the year before survey completion, and PTSD care-seeking and PTSD symptoms were assessed through self-report on the 2014–2016 survey; thus, the observation period regarding care-seeking and VHA use encompassed 2013–2016. Veterans with probable PTSD were more likely to use VHA services than those without probable PTSD, aOR = 1.12, 95% CI [1.01, 1.24], although the strongest association with recent VHA use was a depression diagnosis, aOR = 2.47, 95% CI [2.26, 2.70]. Among veterans with probable PTSD, the strongest predictor of care-seeking was recent VHA use compared to community care, aOR = 4.01, 95% CI [3.40, 4.74); reporting a diagnosis of depression was the second strongest predictor of PTSD care-seeking, OR = 2.99, 95% CI [2.53, 3.54]. However, the absolute number of veterans with probable PTSD who were not seeking care was approximately equivalent between veterans using VHA services and those not using VHA services. Additionally, certain groups were identified as being at risk of not seeking care, namely Air Force veterans and veterans with high physical and mental functioning despite substantial PTSD symptoms.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 3","pages":"460-470"},"PeriodicalIF":3.3,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139996589","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

Psychological adaptation among health care workers who work with trauma-exposed refugees in Greece 在希腊为遭受创伤的难民提供服务的医护人员的心理适应情况。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-02-19 DOI: 10.1002/jts.23022

Bita Ghafoori, Sofia Triliva, Panagiota Chrysikopoulou, Andreas Vavvos

引用次数: 0

Associations between different forms of intimate partner violence and posttraumatic stress among women who use drugs and alcohol in Kyrgyzstan 吉尔吉斯斯坦吸毒和酗酒妇女中不同形式的亲密伴侣暴力与创伤后应激反应之间的关系。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-02-14 DOI: 10.1002/jts.23017

Tina Jiwatram-Negron, Melissa Meinhart, Malorie Ward, Lynn Michalopoulos, Qihao Zhan, Danil Nikitin, Louisa Gilbert

{"title":"Associations between different forms of intimate partner violence and posttraumatic stress among women who use drugs and alcohol in Kyrgyzstan","authors":"Tina Jiwatram-Negron, Melissa Meinhart, Malorie Ward, Lynn Michalopoulos, Qihao Zhan, Danil Nikitin, Louisa Gilbert","doi":"10.1002/jts.23017","DOIUrl":"10.1002/jts.23017","url":null,"abstract":"Survivors of intimate partner violence (IPV) have an increased risk of experiencing posttraumatic stress, and the subsequently associated symptoms can vary by form of IPV exposure (i.e., physical, sexual, or psychological IPV). Related research among socially marginalized populations, however, is limited, including among women who use and misuse substances. Drawing on baseline data from a pilot study conducted among 213 women in Kyrgyzstan who reported using drugs or engaging in hazardous alcohol use, we examined the associations between different forms of IPV and severe posttraumatic stress symptoms (PTSS). The vast majority of participants reported lifetime (93.9%, n = 200) and past 3-month (65.3%, n = 139) IPV, and two thirds of participants (65.3%, n = 139) reported experiencing PTSS in the prior month. Multivariable logistic regression analyses indicated statistically significant associations between only some forms of IPV and PTSS, including physical IPV, adjusted odds ratio (aOR) = 3.24, 95% confidence interval (CI) [1.15, 9.14], and injurious IPV, aOR = 2.71, 95% CI [1.10, 6.65]. Additionally, experiencing any form of IPV was associated with 4.95 higher odds of reporting PTSS, 95% CI [1.16, 21.15]; no other results were significant. These results not only underscore the need for future research on the mechanisms that might explain the unique associations between different forms of IPV and posttraumatic stress, but also highlight an urgent need for trauma-informed mental health and psychosocial support interventions for women who use drugs and alcohol.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 2","pages":"318-327"},"PeriodicalIF":3.3,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139735558","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

A pilot randomized controlled trial of online written exposure therapy delivered by peer coaches to veterans with posttraumatic stress disorder 由同伴教练为患有创伤后应激障碍的退伍军人提供在线书面暴露疗法的试点随机对照试验。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-02-13 DOI: 10.1002/jts.23020

Carmen P. McLean, Nadia Malek, Casey L. Straud

{"title":"A pilot randomized controlled trial of online written exposure therapy delivered by peer coaches to veterans with posttraumatic stress disorder","authors":"Carmen P. McLean, Nadia Malek, Casey L. Straud","doi":"10.1002/jts.23020","DOIUrl":"10.1002/jts.23020","url":null,"abstract":"This pilot randomized clinical trial (RCT) sought to examine the preliminary efficacy of an internet-based version of written exposure therapy delivered to veterans through an online program supported by peer coaches. Veterans (N = 124) with clinically significant posttraumatic stress disorder (PTSD) symptoms were randomly assigned to imaginal exposure either via writing (written exposure) or verbal recounting (verbal exposure). The online treatment involved four to eight sessions of imaginal exposure preceded and followed by an online chat with a peer coach. Participants completed assessments at baseline, posttreatment, and 3-month follow-up. Half of the participants never started treatment; among those who started treatment, the mean number of sessions completed was 4.92. At posttreatment, participants in both conditions reported clinically meaningful improvements in PTSD symptoms, d = 1.35; depressive symptoms, d = 1.10; and functioning, d = 0.39. Although participants in both treatment conditions demonstrated significant improvements in PTSD symptom severity, equivalence results were inconclusive, as the 95% confidence interval of the change score difference exceeded the specified margin and overlapped with 0. Estimated mean change scores demonstrated that both conditions showed significant reductions at posttreatment and follow-up. Although engagement with the online program was a significant challenge, the findings suggest that written exposure therapy is effective for improving PTSD symptoms, depressive symptoms, and functioning when adapted for internet-based delivery and facilitated by peer coaches. Using technology to deliver exposure therapy and task-shifting the role of the therapist to peer coaches are promising strategies to increase access to effective PTSD care.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 3","pages":"471-482"},"PeriodicalIF":3.3,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139723124","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

Editorial: State of the Journal 社论：期刊现状。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-02-13 DOI: 10.1002/jts.23027

Denise M. Sloan

引用次数: 0

Associations among posttraumatic stress disorder symptoms, life satisfaction, and well-being comparisons: A longitudinal investigation 创伤后应激障碍症状、生活满意度和幸福感比较之间的关联：纵向调查。

IF 3.3 3区医学

Journal of traumatic stress Pub Date : 2024-02-11 DOI: 10.1002/jts.23018

Pascal Schlechter, Thole H. Hoppen, Nexhmedin Morina

{"title":"Associations among posttraumatic stress disorder symptoms, life satisfaction, and well-being comparisons: A longitudinal investigation","authors":"Pascal Schlechter, Thole H. Hoppen, Nexhmedin Morina","doi":"10.1002/jts.23018","DOIUrl":"10.1002/jts.23018","url":null,"abstract":"Many individuals who encounter potentially traumatic events go on to develop symptoms of posttraumatic stress disorder (PTSD). Research suggests that survivors of traumatic events frequently compare their current well-being to different standards; yet, knowledge regarding the role of comparative thinking in well-being is limited to a few cross-sectional studies. We therefore examined the temporal associations among aversive well-being comparisons (i.e., comparisons threatening self-motives), PTSD symptoms, and life satisfaction in individuals exposed to traumatic events. Participants (N = 518) with a trauma history completed measures of PTSD symptoms and life satisfaction, as well as the Comparison Standards Scale for Well-being (CSS-W), at assessment points 3 months apart. The CSS-W assesses the frequency, perceived discrepancy, and affective impact of aversive social, temporal, counterfactual, and criteria-based comparisons related to well-being. All participants reported having engaged in aversive well-being comparisons during the last 3 weeks. Comparison frequency emerged as a significant predictor of PTSD symptoms, β = .24, beyond baseline PTSD symptom severity. Life satisfaction contributed unique variance to the comparison process by predicting comparison frequency, β = −.18; discrepancy, β = −.24; and affective impact, β = .20. The findings suggest that frequent aversive comparisons may lead to a persistent focus on negative aspects of well-being, thereby exacerbating PTSD symptoms, and further indicate that comparison frequency, discrepancy, and affective impact are significantly influenced by life satisfaction. Taken together, the findings support the need for a thorough examination of the role of comparative thinking in clinical populations, which may ultimately help improve clinical care.","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 3","pages":"448-459"},"PeriodicalIF":3.3,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.23018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139717718","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