Psychological trauma : theory, research, practice and policy最新文献

{"title":"Trauma, time, and transformation: A comparative study of immediate and 1-year psychological outcomes in military body handlers.","authors":"Avital Laufer","doi":"10.1037/tra0002276","DOIUrl":"https://doi.org/10.1037/tra0002276","url":null,"abstract":"<p><strong>Objective: </strong>Personnel assigned to recover and identify human remains following mass violence are exposed to intense occupational trauma, yet longitudinal data on their psychological adaptation remain limited. This study compared an immediate cohort of military reservists' body handlers with a similar cohort 1-year postmission. The two groups served as body handlers following the Hamas's October 7, 2023, mass-casualty attack in southern Israel.</p><p><strong>Method: </strong>Eighty-four reservists were assessed approximately 1 year after mission completion (Cohort 2) and compared with an independent cohort assessed immediately postmission (<i>N</i> = 161; Cohort 1). Measures included posttraumatic stress symptoms (via Posttraumatic Stress Disorder Checklist for <i>Diagnostic and Statistical Manual of Mental Disorders</i>, Fifth Edition), posttraumatic growth (PTG via Posttraumatic Growth Inventory), and resilience (10-item Connor-Davidson Resilience Scale). The prevalence of probable posttraumatic stress disorder was calculated using a validated cutoff.</p><p><strong>Results: </strong>One year postmission, 33.3% of participants met the criteria for probable posttraumatic stress disorder, significantly higher than the 20.5% observed immediately after mission completion. Resilience was associated with lower posttraumatic stress symptoms and higher PTG in Cohort 2 but only with PTG in Cohort 1. Posttraumatic stress symptoms showed a significant curvilinear relationship with PTG among Cohort 2, which differed from the small positive linear association found among Cohort 1.</p><p><strong>Conclusions: </strong>Compared with the immediate postmission cohort, the 1-year postmission cohort demonstrated a higher prevalence of probable posttraumatic stress disorder. The evolving association between distress and growth suggests that early reports of growth do not necessarily indicate long-term adaptation or even genuine growth. Resilience is associated with better long-term adaptation, not immediate adaptation after a mission. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Spanish translation and validation of the Primary Care Posttraumatic Stress Disorder Screen for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PC-PTSD-5) for Mexican-origin adults.","authors":"Katie Console, Charles R Ridley, Mayra L Sánchez González, Linda G Castillo, Norma Erosa, Polet Milian, Carly E McCord, Meredith L C Williamson","doi":"10.1037/tra0002272","DOIUrl":"https://doi.org/10.1037/tra0002272","url":null,"abstract":"<p><strong>Objective: </strong>The Latinx population in the United States underutilizes mental health services, instead turning to primary care providers for mental health concerns. Therefore, primary care settings may be ideal for assessing and treating trauma. However, culturally adapted and validated Spanish-language screeners for posttraumatic stress disorder (PTSD) are still needed for this setting. The present study translated and validated the Primary Care PTSD Screen for the <i>Diagnostic and Statistical Manual of Mental Disorders</i>, Fifth Edition (PC-PTSD-5), from English into Spanish for Mexican-origin adults living in the United States.</p><p><strong>Method: </strong>The PC-PTSD-5 was translated according to gold-standard guidelines from the International Test Commission and the cultural equivalence model. For translation validation, 173 Spanish-speaking participants completed a survey that included the Spanish PC-PTSD-5; the PTSD Checklist for <i>Diagnostic and Statistical Manual of Mental Disorders</i>, Fifth Edition; and the Brief Acculturation Scale for Hispanics. For diagnostic accuracy assessment, 34 participants completed the Clinician-Administered PTSD Scale for <i>Diagnostic and Statistical Manual of Mental Disorders,</i> Fifth Edition, and the results were analyzed with a receiving operating characteristic curve.</p><p><strong>Results: </strong>The Spanish PC-PTSD-5 showed internal consistency of α = .75. The area under the curve was .885 (95% CI [0.74, 1.0]). A cutoff score of 2 optimized sensitivity and specificity (sensitivity = .83, specificity = .86, correctly classified = .85). This score also demonstrated good quality of index for sensitivity (κ₁ = .73), specificity (κ₀ = .64), and efficiency (κ.₅ = .68; <i>SE</i> = 0.13; 95% CI [0.43, 0.94]).</p><p><strong>Conclusion: </strong>The Spanish PC-PTSD-5 is suitable for use with Spanish speakers of Mexican origin. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dreaming through wartime: Self-compassion and the echoes of trauma.","authors":"Hilit Erel-Brodsky, Orit Taubman-Ben-Ari","doi":"10.1037/tra0002280","DOIUrl":"https://doi.org/10.1037/tra0002280","url":null,"abstract":"<p><strong>Objective: </strong>This study examines dreaming in the context of prolonged collective trauma. Specifically, it investigates whether exposure to the October 7, 2023, Hamas attacks in Israel, characteristics of dream life, and levels of self-compassion are associated with posttraumatic stress symptoms (PTSS) during the ongoing Israel-Hamas war.</p><p><strong>Method: </strong>Participants were 203 Israeli adults (79% women; age range = 21-79 years, <i>M</i> = 38.7), recruited via social media approximately 3 months after the attacks. Dream characteristics were assessed using the Mannheim Dream Questionnaire, which measures both normative dream patterns and nightmare activity. PTSS and self-compassion were assessed using validated self-report measures. Exposure to trauma related to the October 7 events was also evaluated. Data were analyzed using correlational and regression-based approaches.</p><p><strong>Results: </strong>Women reported significantly higher PTSS than men. Greater exposure to trauma, stronger perceived emotional influence of dreams on waking mood, higher nightmare frequency, and lower levels of self-compassion were each significantly associated with higher PTSS. Dream-related variables contributed uniquely to the explanation of PTSS beyond demographic factors.</p><p><strong>Conclusions: </strong>Findings highlight the central role of dream life and self-compassion in psychological responses to ongoing traumatic reality. Dreams appear not only as markers of distress but also as symbolic sites for processing traumatic mental material. These results underscore the clinical relevance of attending to dream material as an early indicator of PTSS and suggest that compassion-based interventions may support trauma adaptation in contexts of prolonged collective threat. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing trauma and development among primarily Latino immigrant children at a Pediatric Mobile Clinic: A cross-sectional study.","authors":"Carly Davis, Renae D Schmidt, Yue Pan, Kristina Conroy, Wendy De La Rua, Evette Torres, Lisa Gwynn, Anai Cuadra","doi":"10.1037/tra0002034","DOIUrl":"10.1037/tra0002034","url":null,"abstract":"<p><strong>Objective: </strong>Although other studies have linked trauma to the risk of developmental delay, few have focused on primarily Latino immigrant children. A cross-sectional survey was completed by caregivers of immigrant children (2-5 years of age) who visited the clinic during January to March 2023.</p><p><strong>Method: </strong>In addition to capturing demographic characteristics, the survey included assessments of trauma symptomatology, lifetime traumatic events, and child development and behavior using validated screening tools. Eighty-two children were eligible and included in the study.</p><p><strong>Results: </strong>Logistic regression analyses revealed associations between both lifetime traumatic events (<i>OR</i> = 3.26, 95% CI [1.33, 9.38], <i>p</i> = .029) and presence of trauma response symptoms (<i>OR</i> = 6.10, 95% CI [1.42, 26.2], <i>p</i> = .015) with a risk for developmental delay, controlling for covariates. Trauma response symptoms also were associated with behavioral/emotional problems (<i>OR</i> = 15.1, 95% CI [2.78, 82.3], <i>p</i> = .002).</p><p><strong>Conclusions: </strong>This study demonstrates an association between trauma and development among primarily Latino immigrant children and emphasizes the importance of screening for trauma, monitoring developmental milestones, and developing interventions to mitigate negative effects of trauma on young immigrants.</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1488-1494"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing mental health equity through adapting an evidence-based traumatic stress intervention to address racial trauma.","authors":"Briana Woods-Jaeger, Amy Elder, Kristin E Knutzen, Tasfia Jahangir, Joya Hampton-Anderson, NeKisha Wheeler, Imani Belton, Nkosi Cave","doi":"10.1037/tra0002105","DOIUrl":"10.1037/tra0002105","url":null,"abstract":"<p><strong>Objective: </strong>Racial trauma-the stressful impact or emotional pain that comes from experiencing racism-is associated with risk of anxiety, depression, general psychological distress, and suicidal ideation among Black youth. We adapted and piloted an evidence-based intervention for traumatic stress to address racial trauma among Black youth ages 12-17.</p><p><strong>Method: </strong>Following the Assessment, Decision, Adaptation, Production, Topical Experts- Integration, Training, & Testing framework, we conducted focus groups, a survey, pretesting of intervention components, and engaged in consultation with topical experts to develop our adapted intervention, <i>Healing through Education Affirmation and Rising Together</i> (HEART). We then evaluated HEART through a mixed-method pilot study with Black youth ages 12-17 (<i>n</i> = 25).</p><p><strong>Results: </strong>Our pilot study suggested HEART holds promise in reducing discrimination distress, improving racial identity, and improving hope for the future among Black youth. We also observed a nonsignificant trend toward reduced depressive symptoms for HEART participants, suggesting potential benefit worth further study. Findings indicate that HEART is culturally relevant to Black youth and feasible to implement using a task-sharing approach.</p><p><strong>Conclusion: </strong>As research consistently documents the harm from racial trauma and limited access to mental health supports for Black youth, it is imperative to develop and implement accessible and relevant interventions. This study addressed a gap in existing interventions with an iterative process that centers the experiences of Black youth exposed to racial trauma. The response to the adapted intervention indicates HEART is a promising approach to reduce mental health inequities associated with racial trauma among Black youth.</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1495-1503"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145990511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlates of impaired sleep duration among adults with trauma alone and with posttraumatic stress disorder.","authors":"John L Havlik, Taeho Greg Rhee, Robert A Rosenheck","doi":"10.1037/tra0001846","DOIUrl":"10.1037/tra0001846","url":null,"abstract":"<p><strong>Objective: </strong>To elucidate the relationship between impaired sleep duration and trauma/posttraumatic stress disorder (PTSD) net of sociodemographic, behavioral, and comorbid diagnostic factors.</p><p><strong>Method: </strong>We investigated this relationship using the National Epidemiologic Survey on Alcohol and Related Conditions-III data set, analyzing a nationally representative sample of 36,309 adults. Our study identified three groups: those without trauma/PTSD, those with trauma but no PTSD, and those with PTSD. We examined the relationship of impaired sleep duration and trauma/PTSD net of demographic, diagnostic, and behavioral factors in these groups.</p><p><strong>Results: </strong>Significant differences were observed among the groups across many sociodemographic and behavioral variables. Compared to those without trauma or PTSD, higher odds of reporting impaired sleep duration were observed among those with trauma (odds ratio = 1.38, 95% confidence interval [1.30, -1.47]) and especially those with PTSD (odds ratio = 2.54, confidence interval [2.22, -2.91]). Adjusted multivariable regression revealed attenuated but still significant associations between trauma/PTSD and impaired sleep duration, with PTSD showing a small effect size (> 1.5) on odds of impaired sleep duration and trauma alone showing a less than clinically meaningful effect size (< 1.5 but > 1). Recursive feature elimination identified key predictors of impaired sleep duration, including age, body mass index, race/ethnicity, psychiatric multimorbidity, chronic pain, and medical comorbidity.</p><p><strong>Conclusions: </strong>Impaired sleep duration among individuals with trauma/PTSD is highly multifactorial. While trauma and PTSD contribute to sleep disturbances, other factors such as psychiatric and medical comorbidities play significant roles; impaired sleep in trauma/PTSD may be better understood through the lens of allostatic load. Addressing these comorbid factors alongside trauma/PTSD may improve treatment outcomes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1544-1553"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Explaining resilience in response to potential traumatic event: Sense of coherence and trajectories of anxiety during COVID-19.","authors":"Adi Mana, Yossi Mana, Shifra Sagy","doi":"10.1037/tra0001883","DOIUrl":"10.1037/tra0001883","url":null,"abstract":"<p><strong>Objective: </strong>Longitudinal studies have shown that most individuals can stay well in response to potential traumatic events (PTEs). However, the mechanisms underlying such resilience are still unclear.</p><p><strong>Method: </strong>This study integrates Bonanno's resilience model (Bonanno, 2004) with the salutogenic approach (Antonovsky, 1979) to investigate the association between anxiety trajectories and sense of coherence (SOC). Data were collected from 526 (279 males) Israeli adults via online questionnaires at seven time points between March 2020 and February 2022, in the context of the COVID-19 pandemic.</p><p><strong>Results: </strong>Latent profile analysis identified four anxiety trajectories: (a) resilience (consistently low symptom levels), (b) chronic (consistently elevated symptoms), (c) improving (initially elevated symptoms decreasing over time), and (d) high resilience (sustained absence of anxiety symptoms), providing partial support for Bonanno's model. As expected, SOC significantly differentiated these trajectories, with the \"high-resilience\" group exhibiting the strongest SOC, followed by the \"resilience\" and \"improving\" groups, while the chronic group displayed the weakest SOC levels.</p><p><strong>Conclusions: </strong>This research underscores SOC as a key predictor of anxiety trajectories in navigating PTEs, shedding light on the importance of individual resilience factors in managing adversity. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1373-1382"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships between prior trauma education and implementation of evidence-based trauma treatments.","authors":"Sonya Dublin, Connie Black-Pond, Karen VanDeusen, Matt Kliethermes, Christopher M Layne, Laura Katz","doi":"10.1037/tra0001907","DOIUrl":"10.1037/tra0001907","url":null,"abstract":"<p><strong>Objective: </strong>Although evidence-based trauma treatments (EBTT) are broadly disseminated, implementation remains inconsistent. Mental health providers' implementation skills are rarely assessed posttraining, and many fail to complete certification requirements. For over 10 years, the evidence-based Core Curriculum on Childhood Trauma (CCCT) has been delivered with EBTT training for graduate-level trainees, and trainers have reported benefits to EBTT mastery. This study was designed to assess whether CCCT training impacted EBTT mastery.</p><p><strong>Method: </strong>We used a quasi-experimental mixed-method design including post-EBTT training surveys, tracking completion of EBTT certification requirements, and qualitative interviews with EBTT trainers.</p><p><strong>Results: </strong>Limited statistically significant quantitative differences emerged for EBTT learning outcomes; however, some small positive effect sizes were seen. Qualitative interviews identified several areas where CCCT-trained providers excelled, including recognizing/managing secondary traumatic stress responses, increased capacity to hear trauma disclosures, reduced resistance to start the EBTT, enhanced integration of case information and case conceptualization, improved confidence, and better fidelity to the EBTT.</p><p><strong>Conclusions: </strong>Although quantitative data showed limited statistically significant impacts, qualitative findings aligned with earlier anecdotal reports by identifying benefits from CCCT training. Further refinement of quantitative measures and additional data collection may enhance the detection of measurable impacts of CCCT training on EBTT. Given the significant cost and importance of training providers to implement EBTT and improve outcomes of child trauma treatment, developing methods and strategies to improve EBTT training and evaluate its outcomes is vital. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1440-1447"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Existential distress among individuals with co-occurring chronic pain and PTSD.","authors":"David E Reed, Kenneth E Vail, Briana A Cobos, Paul S Nabity, Donald D McGeary","doi":"10.1037/tra0001985","DOIUrl":"10.1037/tra0001985","url":null,"abstract":"<p><strong>Objective: </strong>Co-occurring chronic pain and posttraumatic stress disorder (PTSD) affects mental and physical health functioning, disrupting individuals' ability to engage in activities that limit existential distress (i.e., distress associated with encountering one's limitations). While existential distress is a recognized phenomenon of chronic pain and PTSD, little empirical data are available focused on these concepts within the population. The present study objectives were to characterize and compare existential distress (death anxiety, existential isolation, true-self incongruence, inauthenticity, low self-concept clarity, and limited future time perspective) between four groups: control, chronic pain only, PTSD only, and co-occurring chronic pain and PTSD.</p><p><strong>Method: </strong>A total of 158 (average age = 40.2 years, <i>SD</i> = 13.2) individuals were included in the study. General linear models were run to assess differences in criterion variables across diagnostic groups, adjusting for covariates.</p><p><strong>Results: </strong>Individuals with co-occurring chronic pain and PTSD endorsed more severe existential distress compared with controls and chronic pain only (significant Cohen's ds ranging from 0.35 to 0.67). However, there were no differences between the PTSD only group and those with co-occurring chronic pain and PTSD.</p><p><strong>Conclusions: </strong>The present study provides evidence that existential distress may be an important factor among individuals with co-occurring chronic pain and PTSD. Moreover, PTSD may be more strongly associated with existential distress compared with chronic pain. Results show that it may be beneficial to focus on existential distress when treating co-occurring chronic pain and PTSD. More research is needed to validate these results and examine existential distress in clinical settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1565-1571"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Race-related differences in protective effects of emotion regulation against GrimAge acceleration are driven by assaultive trauma.","authors":"Aishwarya Chowdhary, Terrell Holloway, Ke Xu, Rajita Sinha, Zachary M Harvanek","doi":"10.1037/tra0001888","DOIUrl":"10.1037/tra0001888","url":null,"abstract":"<p><strong>Objective: </strong>Age-adjusted mortality analyses consistently show increased mortality in non-Hispanic Black adults compared to other racial/ethnic groups. While the underlying causes are multifaceted, the potential role for psychological resilience aspects such as emotion regulation has not been explored. Here, we examine (a) racial differences in emotion regulation among White and Black adults, (b) the potential links between these differences and adversity, and (c) the relationship between emotion regulation, adversity, and biological aging.</p><p><strong>Method: </strong>Four hundred fifty-nine healthy volunteers (21.1% Black) were enrolled in a cross-sectional study where we assessed emotion regulation with the Difficulties with Emotion Regulation Scale, lifetime adversity using the Cumulative Adversity Inventory, and biological age using GrimAge.</p><p><strong>Results: </strong>Black participants had better emotion regulation than White participants with difficulty in regulating emotions being associated with greater lifetime adversity throughout the sample. However, the interaction between race and emotion regulation difficulties was significant for both lifetime adversity and traumatic events, with Black participants showing a stronger association between more adversity (specifically assaultive trauma) and worse emotion regulation. Remarkably, we found a significant three-way interaction between adversity, emotion regulation, and race, with emotion regulation protecting against the effects of adversity on GrimAge acceleration specifically in Black participants.</p><p><strong>Conclusions: </strong>Our findings highlight a potential protective role of emotion regulation against accelerated aging in Black adults, specifically at the intersection of adversity and epigenetic aging. Further research to understand racial differences in adversity and specific facets of resilience is required to gain a deeper understanding of race-related disparities in healthy aging.</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1465-1477"},"PeriodicalIF":2.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}