Journal of traumatic stress最新文献

{"title":"The central importance of expressive suppression to posttraumatic stress symptoms: A network analysis","authors":"Anna C. Cole,&nbsp;Mikael Rubin,&nbsp;Cynthia L. Lancaster","doi":"10.1002/jts.70063","DOIUrl":"10.1002/jts.70063","url":null,"abstract":"<p>Emotion regulation plays a role in the development of posttraumatic stress symptoms (PTSS). Most research in this area has focused on how people regulate their emotions, a process called <i>self–emotion regulation</i> (self-ER). Self-ER strategies are well-established predictors of PTSS. However, people also regulate their emotions with the help of others, a process called <i>social emotion regulation</i> (social ER). Relative to self-ER, social ER is understudied, and its associations with PTSS and self-ER are unclear. Therefore, we used network analysis to examine the associations among self-ER, social ER, and PTSS. Adults with a history of direct trauma exposure (<i>N</i> = 1,061) reported their use of four social ER strategies (soothing, social modeling, perspective taking, and enhancing positive affect), two self-ER strategies (cognitive reappraisal and expressive suppression), and PTSS. We identified ER nodes that had the largest bridge expected influence (EI) centrality with PTSS. Expressive suppression, a self-ER strategy, had the strongest bridge EI centrality in the network, followed by soothing and social modeling, both of which are social ER strategies. Although longitudinal research is needed to establish the direction of effects, these findings underscore the importance of evaluating the roles of both self and social ER in the development and maintenance of PTSS.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 3","pages":"492-504"},"PeriodicalIF":2.3,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147654395","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":"Moral injury among journalists: A scoping review","authors":"Lucca Randazzo,&nbsp;Madison Cassady,&nbsp;Fay Anderson,&nbsp;Deb Anderson,&nbsp;Stephanie Brookes,&nbsp;Laura Jobson","doi":"10.1002/jts.70071","DOIUrl":"10.1002/jts.70071","url":null,"abstract":"<p>Moral injury refers to the psychological, social, functional, and spiritual impacts of experiencing an event that transgresses one's deeply held moral beliefs. Recent research has documented the relevance of moral injury among various occupations. This may be of particular applicability to journalists, who operate within ethically complex landscapes and often cover morally reprehensible events. This scoping review aimed to synthesize the existing literature concerning moral injury among journalists to explore (a) the extent to which research has been undertaken, (b) what potentially morally injurious events are experienced by journalists, and (c) how moral injury is measured and defined. Online databases were used to identify sources reporting on moral injury among journalists. A total of 20 articles met the inclusion criteria, with only 10 instances of empirical data on moral injury, highlighting a lack of empirical work in this field. Occupational support, mental health literacy, and avoiding potentially morally injurious events were highlighted as key protective and preventative factors. Future research would benefit from clearly conceptualizing moral injury in alignment with current theoretical frameworks and selecting measures that provide information about psychological experiences. Overall, these findings provide a foundation for improving understanding, awareness, intervention, and preventative strategies to support the mental health of journalists.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 3","pages":"364-375"},"PeriodicalIF":2.3,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.70071","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775228","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":"Early life abuse and neglect in breast cancer survivors: Associations with physical and psychological health throughout diagnosis and survivorship","authors":"Sonal K. Johal,&nbsp;M. Rosie Shrout,&nbsp;Annelise A. Madison,&nbsp;Stephanie J. Wilson,&nbsp;Stephen P. Povoski,&nbsp;William E. Carson III,&nbsp;Janice K. Kiecolt-Glaser,&nbsp;Megan E. Renna","doi":"10.1002/jts.70057","DOIUrl":"10.1002/jts.70057","url":null,"abstract":"<p>Childhood abuse and neglect worsen physical and mental health through adulthood. This study examined how childhood adversity affected physical and psychological symptoms associated with breast cancer treatment and survivorship at three points within the cancer trajectory. Breast cancer survivors (<i>N</i> = 209) were recruited following diagnosis and completed three visits at pretreatment, 6 months posttreatment, and 18 months posttreatment. All survivors completed the Childhood Trauma Questionnaire to assess abuse and neglect exposure prior to 18 years of age. At each visit, participants completed self-report measures of depressive symptoms, anxiety symptoms, pain, fatigue, and sleep quality. When controlling for disease-related variables, sexual abuse significantly interacted with study visit to predict pain, <i>p</i> = .002. No other significant interactions emerged. Analyses of main effects revealed that breast cancer survivors who experienced higher rates of each abuse or neglect type experienced poorer sleep quality, <i>B</i>s = 0.20–0.39, <i>p</i> &lt; .001–<i>p</i> = .002; higher fatigue, <i>B</i>s = 0.81–1.4, <i>p</i>s &lt; .001–<i>p</i> = .020; more depressive symptoms, <i>B</i>s = 0.55–0.56, <i>p</i>s <span></span><math>\u0000 <semantics>\u0000 <mo>≤</mo>\u0000 <annotation>$ le $</annotation>\u0000 </semantics></math> .001; and higher anxiety symptoms, <i>B</i>s = 0.35–0.54, <i>p</i> &lt; .001–<i>p =</i>  .002. Only physical neglect was significantly associated with pain, <i>B</i> = 0.12, <i>p</i> = .041. Results suggest that breast cancer survivors who experienced abuse and neglect earlier in life are at increased risk of adverse physical and psychological symptoms throughout survivorship. Providers should consider screening for early life trauma to understand unique risks associated with navigating breast cancer treatment and survivorship.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 3","pages":"453-463"},"PeriodicalIF":2.3,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.70057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147513193","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":"Potentially morally injurious events and posttraumatic stress symptom change across the military-to-civilian transition: A prospective study","authors":"Walter J. Sowden,&nbsp;Roland Hart,&nbsp;George A. Bonanno","doi":"10.1002/jts.70049","DOIUrl":"10.1002/jts.70049","url":null,"abstract":"<p>This prospective study examined whether exposure to potentially morally injurious events (PMIEs), specifically self-attributed transgressions, other-attributed transgressions, and experiences of betrayal, predicted change in posttraumatic stress symptoms (PTSS) and reintegration difficulty during the military-to-civilian transition (MCT). U.S. Army soldiers (<i>N</i> = 815) completed surveys approximately 6 months before separation (Time 1 [T1]) and 6 months after separation (Time 2 [T2]). PMIEs were assessed at T1, PTSS was assessed at both points, and reintegration difficulty was assessed at T2. Analyses used hierarchical linear regression and moderation models, adjusting for demographic and service-related covariates. Betrayal-related PMIEs uniquely predicted higher PTSS at T2, β = .09, <i>p</i> = .014, after controlling for baseline PTSS, whereas self- and other-attributed transgressions were nonsignificant. Betrayal-related PMIEs also predicted higher levels of reintegration difficulty above and beyond the contributions of PTSS and combat exposure, β = .13, <i>p</i> = .003. Interaction effects by gender and relationship status were statistically significant but small, <i>ΔR</i>² = .015. Across models, effect sizes for betrayal-related PMIEs were modest, βs = .09–.15. Because the PTSD Checklist–Military Version was administered without anchoring responses to a specific traumatic event, the findings reflect general stress-related distress rather than <i>DSM</i>-defined PTSD. Overall, the results indicate that betrayal-based PMIEs represent a modest yet consistent risk factor for psychological and functional difficulties during the MCT, underscoring the value of differentiating PMIE subtypes in screening and intervention.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 3","pages":"401-412"},"PeriodicalIF":2.3,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jts.70049","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148143758","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":"From therapeutic promise to evidentiary discipline: Reassessing MDMA-assisted psychotherapy for posttraumatic stress disorder.","authors":"Kadek Suhardita, Veno Dwi Krisnanda, Rikas Saputra, Andika Ari Saputra, Agung Slamet Kusmanto","doi":"10.1002/jts.70094","DOIUrl":"10.1002/jts.70094","url":null,"abstract":"<p><p>In this commentary on Morland et al. (2026)'s recent State of the Science article on 3,4-methylenedioxymethamphetamine (MDMA)-assisted psychotherapy for posttraumatic stress disorder (PTSD), we aim to emphasize both MDMA's therapeutic promise and its unresolved scientific challenges. Although recent trials on MDMA-assisted interventions have reported encouraging reductions in PTSD symptoms, the current evidence base remains constrained by several major limitations, including difficulties in blinding, expectancy effects, the absence of robust active comparator conditions, limited mechanistic clarity, and concerns regarding safety monitoring and sample generalizability. This letter argues that these issues are not peripheral but central to the interpretation and future translation of MDMA-assisted psychotherapy. It further highlights the need to move beyond symptom reduction as the primary outcome and incorporate broader indicators of recovery, such as functioning, quality of life, relational restoration, and long-term durability of treatment gains. In addition, we call for stronger attention to equity, scalability, therapist training, and ethical safeguards, particularly if MDMA-assisted psychotherapy is to be considered within a global mental health framework. The discussion aims to stimulate deeper debate on how innovation in trauma treatment should be evaluated before widespread clinical adoption.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":"601-603"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005602","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":"Toward a precision medicine treatment model for posttraumatic stress disorder.","authors":"Joseph Wielgosz, Sonya B Norman, Brian P Marx","doi":"10.1002/jts.70058","DOIUrl":"10.1002/jts.70058","url":null,"abstract":"<p><p>Multiple evidence-based treatments for posttraumatic stress disorder (PTSD) are available, yet they do not benefit all recipients equally due to partial response, early dropout, and persistent symptoms. Despite this, clinicians and patients lack empirically grounded guidance for selecting among treatment options. This commentary argues for the timeliness and clinical promise of a precision medicine approach to treatment research, going beyond estimations of average treatment effects to model the optimal treatment for a given individual and their context. We outline three scientific priorities for progress toward clinically usable decision models: (a) prioritizing heterogeneity in studying treatment response; (b) accounting for provider-, clinic-, and system-level influences along with the patient's social and material context; and (c) increasing rigor and harmonization in outcome measurement. Advancing these priorities will require coordinated efforts to assemble larger and higher-quality PTSD treatment data sources; we highlight several actionable strategies for doing so. To better address the needs of all trauma survivors, the field must not only develop and study effective treatments but also take cohesive steps to understand how, when, and to whom those treatments are best delivered.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":"597-600"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147654397","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":"Written exposure therapy delivered to trauma-exposed veterans in primary care: A feasibility study.","authors":"Chelsea R Ennis, Amanda M Raines, Adam M Lewis, Karen Slaton, Byron A Durand, Persephanie Silverthorn, Alison Poor, Kevin G Saulnier, Jessica L Chambliss, Erin E Gleason, C Laurel Franklin","doi":"10.1002/jts.70059","DOIUrl":"10.1002/jts.70059","url":null,"abstract":"<p><p>Despite the number of empirically supported treatments for posttraumatic stress disorder (PTSD) available in U.S. Department of Veterans Affairs (VA) specialty mental health settings, many veterans decline referrals to this setting or do not follow through with recommended care. Thus, the expansion of PTSD services into primary care settings is crucial for increasing access to evidence-based treatments among veterans. To this end, the current pilot project examined the acceptability, feasibility, and preliminary effectiveness of written exposure therapy (WET) delivered to veterans with clinically significant trauma-related symptoms presenting to VA primary care. Veterans (N = 36) were assessed pretreatment, posttreatment, and 1-month follow-up. Mean satisfaction ratings assessed via the Client Satisfaction Questionnaire-8 suggest that the treatment was acceptable (M = 28.00, SD = 3.91). Recruitment and retention rates suggest that the treatment was feasible to deliver, with 88.0% of respondents who expressed interest initiating treatment and 66.0% of those who initiated treatment completing treatment. Further, the results revealed large reductions in PTSD symptom severity from pre- to posttreatment, d = 0.94, and pretreatment to 1-month follow-up, d = 0.89, as assessed using the PTSD Checklist for DSM-5. These findings provide initial support for WET when delivered to veterans presenting with trauma-related symptoms in a primary care setting.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":"589-596"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147498900","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":"Gender-specific associations among trauma type, sociodemographic conditions, and posttraumatic stress symptom severity: Evidence from a nationally representative Icelandic sample","authors":"Thora S. Einarsdottir,&nbsp;Alfgeir L. Kristjansson,&nbsp;Rannveig Sigurvinsdottir,&nbsp;Sarah E. Ullman,&nbsp;Bryndis B. Asgeirsdottir","doi":"10.1002/jts.70041","DOIUrl":"10.1002/jts.70041","url":null,"abstract":"<p>Trauma exposure is associated with a range of adverse mental health and sociodemographic factors. However, gender-specific patterns related to distinct trauma types and social variables remain underexplored. Using cross-sectional data from a nationally representative sample of 1,766 Icelandic adults randomly selected from the national population registry (<i>n</i> = 930 women, <i>n</i> = 836 men, <i>M</i>_age = 49.6 years), we examined posttraumatic stress symptom (PTSS) severity across trauma types and sociodemographic factors, focusing on gender differences. Trauma exposure was assessed using the Life Events Checklist for <i>DSM-5</i> (LEC-5) and categorized into noninterpersonal trauma, interpersonal trauma, and sexual violence (SV). PTSS severity was measured using the PTSD Checklist for <i>DSM-5</i> (PCL-5), and sociodemographic indicators included relationship status, educational attainment, employment, disability, and perceived financial stability. Hierarchical ordinary least squares regression analyses showed that exposure to SV or interpersonal trauma, financial instability, disability, and being unpartnered were independently associated with higher PTSS severity. The final model explained 19% of the variance in PTSS scores with standardized effects |β| ≈ .08–.23. Gender differences observed in the initial model were substantially reduced after accounting for trauma type and sociodemographic factors, consistent with the interpretation that observed gender disparities in PTSS may reflect contextual rather than inherent differences. These findings highlight the importance of integrating trauma type, gender, and social context to understand vulnerability to PTSS and inform gender-sensitive, trauma-informed prevention and intervention strategies.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 2","pages":"295-306"},"PeriodicalIF":2.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146202117","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":"Validation and standardization of the Childhood Trauma Screener among Romanian children, adolescents, and college students","authors":"Oana Alexandra David,&nbsp;Cristina Teodora Tomoiagă,&nbsp;Ioana Alexandra Iuga","doi":"10.1002/jts.70038","DOIUrl":"10.1002/jts.70038","url":null,"abstract":"<p>Childhood trauma, defined as violence against individuals under 18 years of age, affects 1,000,000,000 children globally, with neglect being the most common form. Such trauma is linked to various mental health issues and poor emotional regulation. This study aimed to validate the Childhood Trauma Screener (CTS) in a sample of Romanian children, adolescents, and college students, utilizing data from two separate samples: 1,221 first-year college students and 216 children and adolescents aged 8–16 years. We assessed validity using bivariate correlations, reliability using Cronbach's alpha (.63–.75), and structure using confirmatory factor analyses. In the college student sample, higher childhood trauma scores were associated with lower self-compassion, <i>r</i>s = −.24–−.29, <i>p</i> &lt; .001, and reappraisal use, <i>r</i>s = −.10–−.22, <i>p</i> &lt; .001; higher suppression use for exposure to neglect, <i>r</i> = .16, <i>p</i> &lt; .001, and overall trauma, <i>r</i> = −.11, <i>p</i> &lt; .001; and more mental health difficulties, <i>r</i>s = .29–.31, <i>p</i> &lt; .001. In the child and adolescent sample, higher childhood trauma scores were associated with increased emotional and behavioral difficulties, <i>rs</i> = .28–.45, <i>p</i> &lt; .001, and poorer emotion regulation abilities, particularly lower emotion control and reduced emotional self-awareness, <i>r</i>s = .16–.43, <i>p</i> &lt; .001. The results from both samples supported a two-factor model of abuse and neglect.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 2","pages":"330-337"},"PeriodicalIF":2.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13044384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145933951","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":"State of the Science: MDMA-assisted psychotherapy for the treatment of posttraumatic stress disorder","authors":"Leslie A. Morland,&nbsp;Barbara O. Rothbaum,&nbsp;Lauren M. Sippel,&nbsp;Jessica Maples-Keller,&nbsp;Paula P. Schnurr","doi":"10.1002/jts.70060","DOIUrl":"10.1002/jts.70060","url":null,"abstract":"<p>There is growing interest in novel approaches to treating posttraumatic stress disorder (PTSD), including the use of psychedelic substances combined with psychotherapy, often referred to as psychedelic-assisted therapy, to better meet the needs of patients who do not prefer or respond to traditional evidence-based treatments. Among these treatments, 3,4-methylenedioxymethamphetamine (MDMA)–assisted psychotherapy (MDMA-AT) has shown promising outcomes in recent randomized controlled trials, with high response and remission rates. However, the U.S. Food and Drug Administration declined to approve MDMA-AT for marketable use in August 2024 due to concerns about insufficient evidence. This paper reviews the current state of the scientific literature on MDMA-AT for PTSD, including putative mechanisms of action; key strengths and limitations of methodologies used to date; gaps in the evidence; and clinical, ethical, and regulatory considerations. Key limitations to be addressed in future studies include challenges with blinding, a lack of active comparator conditions, a lack of head-to-head comparisons of different models, inadequate safety monitoring, and limited sample generalizability. We describe emerging research that integrates MDMA with established trauma-focused therapies, such as prolonged exposure therapy and cognitive processing therapy, to leverage MDMA's effects on known cognitive behavioral mechanisms of action and support future implementation. Future research directions for advancing knowledge and consideration for the dissemination of MDMA-AT are discussed.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"39 2","pages":"173-187"},"PeriodicalIF":2.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147444009","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}