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

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The lingering effect of prior critical incidents on today's operational work among ambulance workers: A longitudinal study. 先前的严重事件对救护人员今天的业务工作的影响:一项纵向研究。
IF 2.8 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2026-08-13 DOI: 10.1037/tra0002260
Nanna Lindekilde, Pernille Melander-Nyboe, Maria L Vang, Ask Elklit, Lars Peter S Andersen, Jesper Pihl-Thingvad
{"title":"The lingering effect of prior critical incidents on today's operational work among ambulance workers: A longitudinal study.","authors":"Nanna Lindekilde, Pernille Melander-Nyboe, Maria L Vang, Ask Elklit, Lars Peter S Andersen, Jesper Pihl-Thingvad","doi":"10.1037/tra0002260","DOIUrl":"https://doi.org/10.1037/tra0002260","url":null,"abstract":"<p><strong>Objective: </strong>Accumulation of multiple trauma exposure has been linked to sensitization toward developing posttraumatic stress symptoms (PTSS). However, it remains unknown whether the frequency of critical incidents in the past continues to affect ambulance personnel over time. This study investigates whether the frequency of exposure to critical incidents in the past year is associated with higher PTSS levels at baseline, whether this effect persists at 12-month follow-up, and whether the emotional intensity of the most severe incident moderates the association.</p><p><strong>Method: </strong>A longitudinal survey study was conducted with 451 ambulance workers. Linear mixed models were utilized to analyze the associations between exposure to critical incidents in the past year and PTSS levels at baseline and at 3-, 6-, 9-, and 12-month follow-up.</p><p><strong>Results: </strong>There was a positive association between frequency of critical incidents and PTSS levels, showing a dose-response pattern. PTSS declined across all groups over time, though less markedly among those with high exposure. An interaction between frequency and emotional intensity was found; the association between frequency and PTSS persisted only in those reporting high emotional intensity during the worst incident.</p><p><strong>Conclusions: </strong>There was a significant association between frequency of exposure and PTSS over 12 months but only for those experiencing high emotional intensity. This association remained significant when adjusting for covariates and new exposures. To understand posttraumatic stress disorder development in ambulance work, it is important to acknowledge past exposure with a focus on the interaction between a high frequency of critical incidents and the emotional intensity experienced. (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":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761481","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}
引用次数: 0
The contribution of combat exposure; depression, anxiety, and PTSD symptoms; and psychological strengths to posttraumatic growth in the Israel-Hamas War among reserve veterans. 战斗暴露的贡献;抑郁、焦虑和创伤后应激障碍症状;以及退伍军人在以色列-哈马斯战争中创伤后成长的心理优势。
IF 2.8 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2026-08-13 DOI: 10.1037/tra0002277
Gadi Zerach
{"title":"The contribution of combat exposure; depression, anxiety, and PTSD symptoms; and psychological strengths to posttraumatic growth in the Israel-Hamas War among reserve veterans.","authors":"Gadi Zerach","doi":"10.1037/tra0002277","DOIUrl":"10.1037/tra0002277","url":null,"abstract":"<p><strong>Objective: </strong>While extensive research has documented the negative psychological consequences of military service, less is known about the factors that support posttraumatic growth (PTG) among reserve combatants during active war. This study examined the relative contribution of combat exposure, psychological distress (posttraumatic stress, depression, and anxiety symptoms), and psychological resources (self-compassion, psychological flexibility, unit support, sense of purpose, hope, meaning prioritizing, and nature-self connection) to PTG among Israeli reserve combatants during the \"Iron Swords\" War.</p><p><strong>Method: </strong>A cross-sectional study was conducted with Israeli reserve combatants, who actively participated in the war and completed online self-report measures.</p><p><strong>Results: </strong>At the item level, 56.5% of responses reflected positive change, though primarily of low-to-moderate magnitude. Combat exposure and psychological distress variables were not significantly associated with PTG in the final model. By contrast, psychological resources accounted for a substantial proportion of variance, beyond demographic factors, exposure, and distress (<i>R</i>² = 23.9%). Specifically, hope, meaning prioritizing, unit support, and nature-self connection were significantly associated with higher PTG.</p><p><strong>Conclusions: </strong>These findings highlight the central role of psychological resources-particularly those related to meaning, interpersonal connection, and environmental engagement-in shaping PTG among reserve combatants during active war. PTG appears to be less strongly associated with exposure severity or psychological distress and more by the availability of adaptive strengths. Strength-based interventions targeting hope, meaning making, and social connectedness may enhance positive adaptation following military trauma. (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":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758923","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}
引用次数: 0
Childhood betrayal trauma, psychopathic traits, and PTSD symptomology: The role of ambiguity tolerance, distress tolerance, and impulse control difficulties. 童年背叛创伤、精神病态特征与创伤后应激障碍症状:模糊容忍、痛苦容忍和冲动控制困难的作用。
IF 2.8 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2026-08-06 DOI: 10.1037/tra0002237
Surabhi Swaminath, Raluca M Simons, Mason L Hatwan, Mahsa Mojallal, Jeffrey S Simons
{"title":"Childhood betrayal trauma, psychopathic traits, and PTSD symptomology: The role of ambiguity tolerance, distress tolerance, and impulse control difficulties.","authors":"Surabhi Swaminath, Raluca M Simons, Mason L Hatwan, Mahsa Mojallal, Jeffrey S Simons","doi":"10.1037/tra0002237","DOIUrl":"10.1037/tra0002237","url":null,"abstract":"<p><strong>Objective: </strong>Childhood betrayal trauma has been linked to divergent outcomes such as posttraumatic stress disorder (PTSD) and psychopathic traits. Although these outcomes are often conceptualized as functional opposites, their co-occurrence suggests common underlying mechanisms. This study examined whether distress tolerance, ambiguity tolerance, and impulse control difficulties explain direct and indirect associations between childhood betrayal trauma, PTSD symptoms, and psychopathic traits.</p><p><strong>Method: </strong>A cross-sectional design was used with a sample of young adults (<i>N</i> = 753). Structural models tested hypothesized direct paths from childhood betrayal trauma to PTSD and psychopathic traits, as well as indirect effects through distress tolerance and ambiguity tolerance. Distress and ambiguity tolerance were further examined as indirect pathways through impulse control difficulties. Ambiguity tolerance was also tested as a moderator of the association between betrayal trauma and psychopathic traits.</p><p><strong>Results: </strong>Childhood betrayal trauma demonstrated significant direct effects on both PTSD symptoms and psychopathic traits. Indirect effects emerged through distress tolerance, as well as through distress tolerance combined with impulse control difficulties. All indirect pathways via ambiguity tolerance were nonsignificant, and ambiguity tolerance did not moderate the association between betrayal trauma and psychopathic traits.</p><p><strong>Conclusions: </strong>Findings underscore the importance of distress tolerance and impulse control difficulties as shared mechanisms linking childhood betrayal trauma to both PTSD and psychopathic traits. These results highlight transdiagnostic processes that may serve as intervention targets for addressing divergent but functionally related trauma outcomes. (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":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148685721","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}
引用次数: 0
Bidirectional associations between psychological symptoms and event centrality in ongoing conflict: A longitudinal study. 持续冲突中心理症状与事件中心性的双向关联:一项纵向研究。
IF 2.8 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2026-08-06 DOI: 10.1037/tra0002264
Dan E Hay, Roey Peleg, Sun Bleicher, Yogev Kivity, David Roe, Yuval Neria, Kim T Mueser, Eva Gilboa-Schechtman
{"title":"Bidirectional associations between psychological symptoms and event centrality in ongoing conflict: A longitudinal study.","authors":"Dan E Hay, Roey Peleg, Sun Bleicher, Yogev Kivity, David Roe, Yuval Neria, Kim T Mueser, Eva Gilboa-Schechtman","doi":"10.1037/tra0002264","DOIUrl":"10.1037/tra0002264","url":null,"abstract":"<p><strong>Objective: </strong>Traumatic events can evoke significant distress and shape personal and collective identities. In the context of single-event traumas, the relationship between posttraumatic symptoms (PTS) and event centrality (EC) has been found to be reciprocal. However, this dynamic remains unexplored in the context of ongoing conflicts. We examined the temporal dynamics between PTS and EC among Israeli civilians following the events of October 7, 2023.</p><p><strong>Method: </strong>We explored the bidirectional relationship between PTS and EC at 3, 7, 12, and 17 months after the conflict began. Participants (<i>N</i> = 464) completed measures of PTS and EC at each time point. Using the cross-lagged panel model and the random intercept cross-lagged panel model, we examined the cross-lagged associations between PTS and EC.</p><p><strong>Results: </strong>Our findings revealed a bidirectional and phase-sensitive association between PTS and EC. During the early phase (3-7 months), EC was associated with an increase in PTS, suggesting that the centrality of the event can exacerbate distress. In contrast, PTS was associated with an increase in EC during the midphase (7-12 months), suggesting that trauma-related distress may shape the degree to which individuals integrate trauma into their sense of self.</p><p><strong>Conclusions: </strong>These results underscore a dynamic, time-sensitive interplay between distress and meaning-shaping processes. The ascription of centrality to traumatic events in an ongoing conflict may both reflect and amplify PTS. Incorporating identity and meaning-making processes into trauma models may enhance our understanding of coping mechanisms in protracted stress situations. (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":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148685651","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}
引用次数: 0
Burnout, compassion fatigue, secondary traumatic stress, and affecting factors among midwives in Türkiye. 职业倦怠、同情疲劳、继发性创伤压力及影响因素在<s:1> rkiye助产士中的作用。
IF 2.8 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2026-08-06 DOI: 10.1037/tra0002246
Bihter Akın, Hülya Türkmen, Yasemin Erkal Aksoy
{"title":"Burnout, compassion fatigue, secondary traumatic stress, and affecting factors among midwives in Türkiye.","authors":"Bihter Akın, Hülya Türkmen, Yasemin Erkal Aksoy","doi":"10.1037/tra0002246","DOIUrl":"https://doi.org/10.1037/tra0002246","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess burnout, compassion fatigue, secondary traumatic stress levels, and associated factors among midwives in Türkiye.</p><p><strong>Method: </strong>This descriptive and cross-sectional study was conducted with 233 midwives actively working in Türkiye between January 2022 and December 2023. Data were collected using the personal information form, Maslach Burnout Inventory, Compassion Fatigue-Short Scale, and Secondary Traumatic Stress Scale. Data were analyzed using descriptive statistics, <i>t</i> tests, analysis of variance, correlation, and multiple regression analyses.</p><p><strong>Results: </strong>Midwives who worked overtime, experienced traumatic births, reported job dissatisfaction, or considered leaving the profession had significantly higher burnout, compassion fatigue, and secondary traumatic stress scores (<i>p</i> < .05). Burnout was positively correlated with compassion fatigue and secondary traumatic stress. Regression analyses indicated that overtime work, professional dissatisfaction, traumatic experiences, and secondary traumatic stress significantly predicted burnout levels.</p><p><strong>Conclusions: </strong>Heavy workloads and repeated exposure to traumatic events negatively affect midwives' psychological well-being. Institutional interventions aimed at reducing workplace stress, improving working conditions, and providing psychological support may help decrease burnout, compassion fatigue, and secondary traumatic stress among midwives. (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":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148685682","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}
引用次数: 0
A qualitative, test-replicate approach to understanding trauma in late adolescence and early emerging adulthood. 一种定性的,测试重复的方法来理解青春期晚期和成年早期的创伤。
IF 2.8 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2026-08-06 DOI: 10.1037/tra0002252
Diana R Samek, Aisha Qazi, Alyssa Carlota, Olivia New, Halei Adkins, Lauren Santaella, Kaitlyn Berry, Maddy McDaniel
{"title":"A qualitative, test-replicate approach to understanding trauma in late adolescence and early emerging adulthood.","authors":"Diana R Samek, Aisha Qazi, Alyssa Carlota, Olivia New, Halei Adkins, Lauren Santaella, Kaitlyn Berry, Maddy McDaniel","doi":"10.1037/tra0002252","DOIUrl":"10.1037/tra0002252","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate how racially diverse, late-adolescent/early emerging adult college students in the American Southeast would describe past-year traumatic events.</p><p><strong>Method: </strong>In Study 1, 165 first-year students provided an open-ended response describing their past-year traumatic experiences (78.8% Black, Indigenous, or Other People of Color, 49.7% women, <i>M</i><sub>age</sub> = 19.1 years, 19.4% lesbian, gay, bisexual, transgender, queer/questionning). Deductive and inductive thematic analysis was used to categorize responses (all cases were team- or dyad-coded with excellent agreement). Thematic analysis on a second independent study of mostly third-year students (<i>N</i> = 98, 67.3% Black, Indigenous, or Other People of Color, 50.0% women, <i>M</i><sub>age</sub> = 21.1 years, 11.2% lesbian, gay, bisexual, transgender, queer/questionning) emphasized descriptive consistency of themes.</p><p><strong>Results: </strong>Twenty-six codes were generated under an umbrella that included direct trauma (<i>n</i> = 13), indirect trauma (i.e., experienced through someone close, <i>n</i> = 3), or collective trauma (i.e., experienced through the larger community, <i>n</i> = 10). In both studies, the most common experiences were in reference to collective trauma (49.1%-52.0%), especially exposure to school/mass shootings (22.4% in Study 1) and other international traumatic events (e.g., Israel-Hamas/Gaza war; 16.3% in Study 2). Students often reported learning about national/international traumatic events via social media. Direct and indirect trauma, especially death or illness/injury of a loved one, were also relevant.</p><p><strong>Conclusion: </strong>Multiple forms of direct and indirect trauma are relevant to late adolescent/early emerging adults in college, though collective trauma may be especially meaningful. Further research is needed to understand its relevance to increasingly common internalizing symptoms among young people. (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":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148685680","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}
引用次数: 0
Liberatory alignment: Integrating agency and self-authorship to foster healing from racial trauma. 解放的联盟:整合代理和自我作者促进愈合种族创伤。
IF 2.8 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2026-08-06 DOI: 10.1037/tra0002250
Javeed Sukhera
{"title":"Liberatory alignment: Integrating agency and self-authorship to foster healing from racial trauma.","authors":"Javeed Sukhera","doi":"10.1037/tra0002250","DOIUrl":"10.1037/tra0002250","url":null,"abstract":"<p><strong>Objective: </strong>Racial trauma poses significant and underaddressed challenges within existing health care systems, where current frameworks often fail to account for the political dimensions of healing or the ways that dominant models can reproduce the dynamics of power they seek to address. This article introduces the liberatory alignment framework, which integrates sociocultural understandings of agency with self-authorship theory to support healing from racial trauma.</p><p><strong>Method: </strong>The liberatory alignment framework integrates sociocultural understandings of agency with self-authorship theory, drawing on developmental and liberation psychology to construct a model that centers clients' internal authority and self-defined identities as mechanisms of resilience and transformation.</p><p><strong>Results: </strong>Through clinical examples, the framework illustrates how therapists can partner with clients to resist systemic harm, reclaim power, and sustain healing while also engaging in parallel processes of reflection and restoration.</p><p><strong>Conclusion: </strong>Liberatory alignment reorients therapeutic practice toward healing that is both relational and emancipatory, with implications for clinical training, supervisory relationships, and the theoretical foundations of culturally responsive care. (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":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148685724","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}
引用次数: 0
The Trauma-Informed Care Supportive Climate Scale for Forensic Services: Development and preliminary validation. 法医服务的创伤知情护理支持气候量表:开发和初步验证。
IF 2.8 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2026-08-03 DOI: 10.1037/tra0002263
Eavan McKenzie, Alethea Charlton
{"title":"The Trauma-Informed Care Supportive Climate Scale for Forensic Services: Development and preliminary validation.","authors":"Eavan McKenzie, Alethea Charlton","doi":"10.1037/tra0002263","DOIUrl":"10.1037/tra0002263","url":null,"abstract":"<p><strong>Objective: </strong>Increasingly, secure hospitals (psychiatric hospitals with locked wards) are looking to incorporate trauma-informed approaches into their work or believe that they are already doing so. However, there are currently no psychometrically valid scales available to measure the extent to which people admitted to secure hospitals experience them as trauma-informed. This study aimed to develop and validate the Trauma-Informed Care Supportive Climate Scale for Forensic Services (Forensic TICSCale).</p><p><strong>Method: </strong>A preliminary 22-item scale was generated from data derived from focus groups with patients in a low-secure service. (Secure psychiatric facilities in the United Kingdom are categorized by three levels of security: low, medium, and high, depending on how much restriction is required to manage risks to self and others. The term \"secure\" is often used interchangeably with \"forensic\" to denote that many patients are there as a result of contact with the criminal justice system.) The items were refined by expert review, and a 22-item pilot scale was formed. The scale was administered to 80 patients residing in low- and medium-secure hospitals across England. Measures of helping alliance and restrictiveness were also administered as indicators of convergent validity. The dimensionality of the scale was assessed using principal component analysis. Internal consistency and test-retest reliability were also assessed.</p><p><strong>Results: </strong>Principal component analysis revealed a unidimensional structure. Three items were removed due to low factor loadings. Thus, the final Forensic TICSCale comprised 19 items. The Forensic TICSCale significantly positively correlated with helping alliance and significantly negatively correlated with restrictiveness. Internal consistency of the Forensic TICSCale was very good, and test-retest reliability was strong.</p><p><strong>Conclusions: </strong>Further research is required to strengthen the psychometric properties of the Forensic TICSCale; however, it offers a promising first step toward developing a robust measure of trauma-informed care-supportive climates in secure services. (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":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664594","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}
引用次数: 0
From childhood experiences to adult health among Slovenian adults: The mediating roles of resilient coping and emotional support. 斯洛文尼亚成年人从童年经历到成年健康:弹性应对和情感支持的中介作用。
IF 2.8 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2026-08-03 DOI: 10.1037/tra0002261
Gaja Zager Kocjan, Metka Kuhar
{"title":"From childhood experiences to adult health among Slovenian adults: The mediating roles of resilient coping and emotional support.","authors":"Gaja Zager Kocjan, Metka Kuhar","doi":"10.1037/tra0002261","DOIUrl":"https://doi.org/10.1037/tra0002261","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the direct and indirect effects of adverse childhood experiences and positive childhood experiences on adults' self-rated physical and mental health, focusing on the mediating roles of resilient coping and perceived emotional support, in a large Slovenian adult sample.</p><p><strong>Method: </strong>A sample of 4,940 Slovenian adults (<i>M</i><sub>age</sub> = 46.7 years, <i>SD</i> = 15.3) was recruited via quota-based online sampling. Participants completed self-report measures assessing childhood experiences, resilient coping, emotional support, and current physical and mental health. Structural equation modeling was used to examine the hypothesized mediation model.</p><p><strong>Results: </strong>Higher adverse childhood experiences were associated with poorer self-rated physical and mental health, with effects driven primarily by direct associations. Indirect effects operated in opposite directions: Adverse childhood experiences were positively associated with resilient coping but negatively associated with perceived emotional support, resulting in no net indirect association with adult health. In contrast, higher positive childhood experiences were associated with better self-rated physical and mental health primarily through indirect associations involving better resilient coping and emotional support, with emotional support showing stronger associations, particularly for mental health.</p><p><strong>Conclusions: </strong>In this cross-sectional sample, resilient coping and emotional support were associated with adult self-rated health and statistically accounted for part of the association between childhood experiences and adult health. The findings highlight the role of psychosocial resources in linking childhood experiences with adult self-rated health, with emotional support and resilient coping showing distinct patterns of association for adverse versus positive early experiences. Although causal inferences cannot be drawn, these results help clarify how early experiences are related to adult health. (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":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664574","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}
引用次数: 0
Trauma-informed weight lifting as an adjunctive intervention for posttraumatic stress among youth in residential treatment. 创伤知情举重作为一种辅助干预在青少年的创伤后应激住院治疗。
IF 2.8 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2026-08-03 DOI: 10.1037/tra0002255
Elizabeth K Lee, Nicole M Strumbel, Mikayla J Falteisek, Mariah Rooney, Leena Haas, Sophia Pellegrom, Viann N Nguyen-Feng
{"title":"Trauma-informed weight lifting as an adjunctive intervention for posttraumatic stress among youth in residential treatment.","authors":"Elizabeth K Lee, Nicole M Strumbel, Mikayla J Falteisek, Mariah Rooney, Leena Haas, Sophia Pellegrom, Viann N Nguyen-Feng","doi":"10.1037/tra0002255","DOIUrl":"10.1037/tra0002255","url":null,"abstract":"<p><strong>Objective: </strong>Youth in residential treatment are likely to have a history of complex trauma, which is linked to disruptions in interoception. Conventional talk psychotherapy may not address disruptions in interoception as keenly as movement-based interventions. Therefore, the present pilot study explored the feasibility, acceptability, and preliminary efficacy of an adjunctive movement-based intervention, trauma-informed weight lifting (TIWL).</p><p><strong>Method: </strong>Following a nonrandomized, quasiexperimental design, adolescents and young adults (<i>N</i> = 12) from two residential facilities received 8 weeks of TIWL (<i>n</i> = 7) or treatment as usual (<i>n</i> = 5). Perceived helpfulness of the intervention, attendance, posttraumatic stress symptoms, and interoception were evaluated weekly via self-report. Other psychological symptoms were assessed at pretreatment, midtreatment, posttreatment, and 4-week follow-up.</p><p><strong>Results: </strong>TIWL appeared feasible and acceptable in an adolescent residential treatment setting based on participants' high attendance rate and ratings of helpfulness. Those who participated in TIWL reported lower posttraumatic stress, depression, and stress symptoms and higher levels of interoception at posttreatment. However, these effects were not maintained at follow-up, nor were they significantly greater than those in treatment as usual.</p><p><strong>Conclusions: </strong>There is preliminary evidence for the feasibility and acceptability of TIWL delivered in residential treatment. More research is needed to identify how effects on posttraumatic stress and interoception may be maintained at follow-up and whether effects are above treatment as usual. Nonetheless, TIWL could serve as an integrative option for those who may not engage in talk therapy. Future research on movement-based interventions, such as TIWL, is warranted. (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":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664531","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}
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