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

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Factor structure and factorial invariance of the PTSD checklist for DSM-5 in public safety personnel: Results from a large and diverse sample. 公共安全人员DSM-5 PTSD检查表的因子结构和因子不变性:来自大量不同样本的结果。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-03-01 Epub Date: 2023-11-02 DOI: 10.1037/tra0001601
Blake A E Boehme, Robyn E Shields, R Nicholas Carleton, Gordon J G Asmundson
{"title":"Factor structure and factorial invariance of the PTSD checklist for DSM-5 in public safety personnel: Results from a large and diverse sample.","authors":"Blake A E Boehme, Robyn E Shields, R Nicholas Carleton, Gordon J G Asmundson","doi":"10.1037/tra0001601","DOIUrl":"10.1037/tra0001601","url":null,"abstract":"<p><strong>Objective: </strong>Public safety personnel (PSP; e.g., correctional workers, firefighters, paramedics, and police officers) are frequently exposed to potentially psychologically traumatic events (PPTEs) and report posttraumatic stress disorder (PTSD) difficulties more frequently than the general population. The PTSD checklist for DSM-5 (PCL-5) is a commonly used measure to screen PSP for PTSD. A single previous study assessed PCL-5 factorial invariance among PSP but used a small homogenous sample. The current study evaluated factorial invariance with a large (<i>n</i> = 5,855) and diverse PSP sample.</p><p><strong>Method: </strong>Multigroup confirmatory factor analyses (mCFAs; <i>n</i> = 98) were conducted using six competing factor models of the PCL-5 across seven PSP sectors, five age groups, and two gender groups.</p><p><strong>Results: </strong>The seven-factor hybrid model of PTSD (i.e., reexperiencing, avoidance, negative alterations in cognitions and mood, hyperarousal, intrusion, emotional numbing, dysphoria, dysphoric arousal, anxious arousal, anhedonia, negative affect) produced consistently superior fit across all sectors assessed and produced marginally better absolute values than the six-factor anhedonia model, supporting PCL-5 factorial invariance among PSP.</p><p><strong>Conclusions: </strong>The current study is the first to use a large and diverse PSP sample to assess PCL-5 factorial invariance. The results support the PCL-5 as invariant across PSP sectors, age groups, and men and women. Consistent with other studies, the seven-factor hybrid model of PTSD produced the best fit, followed closely by the six-factor anhedonia model. Future research could use structured clinical interviews to further investigate the factorial structure and invariance of PTSD symptoms among PSPs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"576-582"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71426401","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
Risk for posttraumatic stress disorder symptoms by trauma type: The role of self-compassion. 按创伤类型划分的创伤后应激障碍症状风险:自我同情的作用
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-03-01 Epub Date: 2024-07-11 DOI: 10.1037/tra0001707
Emma C Lathan, Elizabeth E McAfee, Briana N Spivey, Violet Garcia, Nadine Kaslow, Abigail Powers
{"title":"Risk for posttraumatic stress disorder symptoms by trauma type: The role of self-compassion.","authors":"Emma C Lathan, Elizabeth E McAfee, Briana N Spivey, Violet Garcia, Nadine Kaslow, Abigail Powers","doi":"10.1037/tra0001707","DOIUrl":"10.1037/tra0001707","url":null,"abstract":"<p><strong>Objective: </strong>Public health systems need evidence-based, feasible, and acceptable preventive interventions for trauma-exposed Black Americans. Self-compassion often serves as a protective factor following trauma exposure, but whether it alleviates risk for posttraumatic stress disorder (PTSD) symptoms and the extent to which it buffers against the deleterious effects of particular trauma types in a high-risk, community sample remains unknown. The present study examined whether the association between various trauma types (noninterpersonal vs. physical vs. sexual) and PTSD symptom severity was moderated by self-compassion in a sample of trauma-exposed Black Americans seeking primary care.</p><p><strong>Method: </strong>Participants (<i>n</i> = 77; 87.5% female; <i>M</i><sub>age</sub> = 45.3 years; <i>SD</i><sub>age</sub> = 12.8) were recruited from a large, publicly funded health care system. Participants completed self-report measures assessing trauma history and self-compassion and a structured clinical interview administered by a trained clinician.</p><p><strong>Results: </strong>Cumulative sexual violence, <i>r</i>(77) = .32, <i>p</i> < .01, was positively associated with PTSD symptom severity, whereas cumulative noninterpersonal trauma was not; the relation between cumulative physical violence and PTSD symptom severity was trending toward significance, <i>r</i> = .22, <i>p</i> = .06. The interactions between noninterpersonal trauma/sexual violence, self-compassion, and PTSD symptom severity were trending toward significance, and a significant interaction between physical violence and self-compassion was observed, <i>B</i> = 1.94, <i>SE</i> = .67, <i>p</i> < .01, at high, <i>t</i> = 3.21, <i>p</i> < .01, levels of self-compassion.</p><p><strong>Conclusions: </strong>Implementing brief, mindfulness-based psychotherapies that enhance self-compassion in the primary care setting may help mitigate PTSD risk among Black Americans with lower levels of physical violence and noninterpersonal trauma exposure and those with higher levels of sexual violence exposure. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"603-611"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591168","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
Addressing public stigma in PTSD: Insights and implications from a recent study and the Chi-Chi earthquake experience. 解决创伤后应激障碍中的公众耻辱感:来自最近一项研究和集集地震经验的见解和启示。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-03-01 DOI: 10.1037/tra0001700
Lien-Chung Wei
{"title":"Addressing public stigma in PTSD: Insights and implications from a recent study and the Chi-Chi earthquake experience.","authors":"Lien-Chung Wei","doi":"10.1037/tra0001700","DOIUrl":"10.1037/tra0001700","url":null,"abstract":"<p><p>This letter comments on the study by M. Weinberg et al. (see record 2023-64744-001), which explores the intricate relationships between public stigma attached to posttraumatic stress disorder (PTSD) and various personal characteristics like self-esteem, spirituality, and well-being. The study provides a framework for future research and public health strategies, especially in postdisaster scenarios like the one experienced in Taiwan. As we continue to explore the multifaceted nature of PTSD, integrating findings from diverse cultural and societal contexts will be crucial for developing effective, empathetic, and inclusive treatment approaches. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":"17 3","pages":"467"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731505","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 trauma and psychopathy: The moderating role of resilience. 童年创伤与心理变态:复原力的调节作用。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-03-01 Epub Date: 2024-03-28 DOI: 10.1037/tra0001687
Carlo Garofalo, Elisa Delvecchio, Stefan Bogaerts, Martin Sellbom, Claudia Mazzeschi
{"title":"Childhood trauma and psychopathy: The moderating role of resilience.","authors":"Carlo Garofalo, Elisa Delvecchio, Stefan Bogaerts, Martin Sellbom, Claudia Mazzeschi","doi":"10.1037/tra0001687","DOIUrl":"10.1037/tra0001687","url":null,"abstract":"<p><strong>Objective: </strong>Despite accumulating evidence of significant albeit moderate associations between childhood trauma and psychopathy, little is known about the potential moderators of these associations. To advance knowledge in this area, the present study investigated the moderating role of resilience in the childhood trauma-psychopathy link.</p><p><strong>Method: </strong>A community sample of 521 adult participants from the Netherlands (40.1% men; <i>M</i><sub>age</sub> = 35.27 years, <i>SD</i> = 15.99) completed two self-report questionnaires measuring psychopathic personality traits: a self-report measure of resilience and a retrospective measure of childhood traumatic experiences. Correlation analyses were employed to investigate bivariate associations among study variables. Moderated multiple regression analyses with bootstrapping followed by simple slope analyses were employed to examine Childhood Trauma × Resilience interactions in predicting scores of psychopathy subscales.</p><p><strong>Results: </strong>Childhood trauma had small positive associations with psychopathic traits across the board, with the exception of a small negative association with boldness traits, as well as a small negative association with resilience. Resilience was strongly and positively related to boldness, and negatively related to affective (callousness, meanness) and behavioral (antisocial, disinhibition) traits of psychopathy. Resilience moderated six out of seven associations between childhood trauma and psychopathic traits.</p><p><strong>Conclusions: </strong>Resilience appeared to represent a significant buffer in the associations between childhood traumatic experiences and psychopathic traits, such that these associations became weaker and nonsignificant (and even negative for boldness) at higher levels compared to lower levels of resilience. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"511-519"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140306663","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 similarities and differences of network structures of posttraumatic stress symptoms among Chinese adolescents exposed to three different types of trauma. 遭受三种不同类型创伤的中国青少年创伤后应激症状网络结构的异同。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-03-01 Epub Date: 2024-06-24 DOI: 10.1037/tra0001705
Fan Yang, Ning Huang, Jingfeng Mu, Jing Guo
{"title":"The similarities and differences of network structures of posttraumatic stress symptoms among Chinese adolescents exposed to three different types of trauma.","authors":"Fan Yang, Ning Huang, Jingfeng Mu, Jing Guo","doi":"10.1037/tra0001705","DOIUrl":"10.1037/tra0001705","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to conduct network analysis to identify the posttraumatic stress disorder (PTSD) symptoms network structures in adolescents across three types of trauma events.</p><p><strong>Method: </strong>After screening 20,802 students aged 10-18 years old from 27 schools, our analysis enrolled 2,234 traumatized students who were exposed to accidents (<i>n</i> = 622), natural disasters (<i>n</i> = 211), and any severe disease (<i>n</i> = 1,401). We conducted a network analysis to compare the PTSD symptom structures across three types of trauma events.</p><p><strong>Results: </strong>Our findings reveal that negative emotional symptoms, such as trauma-related negative emotions, are central symptoms in adolescents across three exposures. Strong connections (i.e., trauma-related amnesia [D1] and blame of self or others [D3]) in the network were observed in the accident exposure group. Furthermore, the overall network structures in adolescents may be across exposures while the strength in edges varied in different traumas. Negative connections (i.e., nightmares [B2] and blame of self or others [D3]) showed up in disease and disaster exposure groups, while there was no negative connection in the accident exposure group.</p><p><strong>Conclusions: </strong>Future studies should pay more attention to central symptoms like negative trauma-related emotions, which could be a target symptom of PTSD related to accidents, natural disasters, and any severe disease among adolescents. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"583-592"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141446904","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
Does the link between posttraumatic cognitions and eating pathology depend on trauma type? The role of sexual violence. 创伤后认知与饮食病理学之间的联系取决于创伤类型吗?性暴力的作用。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-03-01 Epub Date: 2024-08-22 DOI: 10.1037/tra0001762
Alexandra N Brockdorf, Akemi E Mii, Anne M Haines, Anna E Jaffe
{"title":"Does the link between posttraumatic cognitions and eating pathology depend on trauma type? The role of sexual violence.","authors":"Alexandra N Brockdorf, Akemi E Mii, Anne M Haines, Anna E Jaffe","doi":"10.1037/tra0001762","DOIUrl":"10.1037/tra0001762","url":null,"abstract":"<p><strong>Objective: </strong>Exposure to potentially traumatic events is well-known to disrupt cognitions about the self. Among trauma-exposed college students, negative cognitions about the self can include low self-worth and heightened perception of behavioral control over outcomes (i.e., self-controllability), including overevaluation of self-control over weight, shape, and eating behaviors. Thus, posttraumatic cognitions may increase risk for eating pathology. These associations may be particularly heightened among those whose trauma was of a sexual nature, given the stigma and inaccurate rape myths that often place the blame on sexual violence survivors rather than perpetrators. Consistent with these possibilities, the present study tested whether sexual violence history moderated expected associations between lower self-worth and greater eating pathology and between greater self-controllability and eating pathology.</p><p><strong>Method: </strong>Participants were 1,303 trauma-exposed college students (71.6% cisgender women) who completed self-report measures. Two linear regression models were examined, controlling for gender identity and posttraumatic stress symptom severity.</p><p><strong>Results: </strong>As expected, more negative views toward the self were associated with greater eating pathology, and this association was stronger among college students who had experienced sexual violence compared with those who only experienced other trauma types. In contrast, beliefs about behavioral control over outcomes were unrelated to eating pathology regardless of trauma type.</p><p><strong>Conclusions: </strong>Findings point to low self-worth as a cognitive target for future research and clinical efforts aimed at addressing trauma-related distress and eating pathology concurrently, especially among individuals with a history of sexual violence. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"612-620"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142018411","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}
引用次数: 0
Challenges and reactions of families of women survived self-immolation: A qualitative study in western Iran. 自焚幸存妇女的家庭所面临的挑战和反应:伊朗西部的定性研究。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-03-01 Epub Date: 2024-02-15 DOI: 10.1037/tra0001654
Javad Yoosefi Lebni, Mandana Saki, Arash Ziapour, Ahmad Ahmadi, Niloofar Yavari Panah, Bahar Khosravi
{"title":"Challenges and reactions of families of women survived self-immolation: A qualitative study in western Iran.","authors":"Javad Yoosefi Lebni, Mandana Saki, Arash Ziapour, Ahmad Ahmadi, Niloofar Yavari Panah, Bahar Khosravi","doi":"10.1037/tra0001654","DOIUrl":"10.1037/tra0001654","url":null,"abstract":"<p><strong>Objective: </strong>Families are a key source of support for women recovering from self-immolation, a common form of suicide in many parts of the world. Yet, we know little about the challenges these families face. The present study explores the challenges and reactions of the families of women saved from self-immolation in western.</p><p><strong>Method: </strong>This qualitative research used a phenomenological approach with the families of women who survived self-immolation in western Iran. Saturation was achieved with semi-structured interviews with 31 participants who were selected through purposive sampling and snowball sampling. The Colaizzi approach was used to analyze the data, and Guba and Lincoln's four criteria were used to improve the quality of the results.</p><p><strong>Results: </strong>Two categories, 11 subcategories, and 163 primary codes were obtained from the data analysis. (a) Challenges include the cost of treatment, a lack of appropriate health and treatment centers, family stigma, fear, and worry, challenges in justifying the victim's continued treatment and counseling, unpleasant feelings, the spread of family tensions, and a lack of support. (b) Reactions include rejection of the victim, compensation for the past, tolerance of the victim, and changes in family life conditions.</p><p><strong>Conclusion: </strong>The families of women survivors of self-immolation face various challenges. It is possible to reduce their problems to some extent and improve their health through environmental, financial, social, and educational support. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"685-693"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736014","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 dyadic effects of posttraumatic stress symptoms on the regulation of respiratory sinus arrhythmia following an acute stress induction among couples. 创伤后应激症状对夫妻急性应激诱导后呼吸窦性心律失常调节的双向影响。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-03-01 Epub Date: 2024-08-05 DOI: 10.1037/tra0001765
Eileen P Barden, Binghuang A Wang, Melissa V Gates, Leanna Z Poole, Christina M Balderrama-Durbin
{"title":"The dyadic effects of posttraumatic stress symptoms on the regulation of respiratory sinus arrhythmia following an acute stress induction among couples.","authors":"Eileen P Barden, Binghuang A Wang, Melissa V Gates, Leanna Z Poole, Christina M Balderrama-Durbin","doi":"10.1037/tra0001765","DOIUrl":"10.1037/tra0001765","url":null,"abstract":"<p><strong>Objective: </strong>Posttraumatic stress symptoms (PTSS) can have detrimental influences on both individual and couple functioning, including how individuals respond to stressors and regulate emotions. Respiratory sinus arrhythmia (RSA) can serve as a key indicator of emotion regulation; however, few studies have examined psychophysiological stress reactions within a couple's context.</p><p><strong>Method: </strong>Forty-three couples (<i>N</i> = 86 individuals) with a trauma history were assessed for PTSS and RSA at baseline. One partner then completed a stressor task using a film-clip depicting sexual assault. Afterward, the couple was reunited and completed a dyadic discussion task where both partners' RSA was continuously measured while they discussed the stressed partner's thoughts and feelings about the stressful film-clip.</p><p><strong>Results: </strong>Moderated repeated measures actor-partner interdependence models were conducted, examining the self and coregulation of RSA and moderation of such regulation by PTSS. There was significant self-regulation from both partners, and a coregulation process whereby the nonstressed partner's RSA influenced the rate of change in RSA of their stressed partner. Additionally, greater PTSS in the nonstressed partner was associated with a weakening of both self and coregulation.</p><p><strong>Conclusion: </strong>Patterns of both self- and coregulation, within and between romantic partners emerged and illustrate the impact of PTSS within these dyadic physiologic processes. Findings have theoretical and clinical implications in physiological dyadic interactions and potential stress recovery, particularly emphasizing the relevance of examining biomarkers such as RSA among partners with a trauma history during recovery from stress. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"553-562"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890050","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
Introducing the integrated model of co-occurring chronic pain and posttraumatic stress disorder: Adding meaning-making and existential concepts to current theory. 介绍慢性疼痛和创伤后应激障碍并存的综合模型:在当前理论中添加意义制造和存在概念。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-03-01 Epub Date: 2023-10-19 DOI: 10.1037/tra0001591
David E Reed, Rhonda M Williams, Charles C Engel, Steven B Zeliadt
{"title":"Introducing the integrated model of co-occurring chronic pain and posttraumatic stress disorder: Adding meaning-making and existential concepts to current theory.","authors":"David E Reed, Rhonda M Williams, Charles C Engel, Steven B Zeliadt","doi":"10.1037/tra0001591","DOIUrl":"10.1037/tra0001591","url":null,"abstract":"<p><strong>Objective: </strong>Making meaning out of the experience of chronic pain and posttraumatic stress disorder (PTSD) is a core process of recovery and symptom management of the comorbidity and a key active ingredient in the treatment for these conditions. Managing the effects of chronic pain and PTSD symptoms often evokes anxieties that could be considered existential (e.g., loss of meaning in life and concerns about one's identity). However, current theoretical models of co-occurring chronic pain and PTSD do not capture core meaning-making processes involved in either condition, resulting in the potential to overlook their centrality. The objective of the current work is to integrate current theoretical models of co-occurring chronic pain and PTSD with theory and science related to meaning-making and existential anxiety.</p><p><strong>Method: </strong>A targeted literature review was used to develop a novel model of co-occurring chronic pain and PTSD.</p><p><strong>Results: </strong>The present work introduces the integrated model of co-occurring chronic pain and PTSD, which is a first attempt at integrating current theoretical perspectives of co-occurring chronic pain and PTSD with the literature on meaning-making and closely related existential perspectives. We outline model-specific hypotheses and describe model implications and future directions.</p><p><strong>Conclusions: </strong>The model provides clinicians and researchers with a more thorough conceptualization of how chronic pain and PTSD interact, which symptoms to target, and which outcomes may be important for individuals who have both chronic pain and PTSD. As a result, the model has the potential to improve pain and PTSD outcomes, and perhaps health outcomes more broadly, within this population. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"563-575"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49681722","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
Can the Phoenix still rise? Traumatic effect of Beirut port explosion on Lebanese people's experiences. 凤凰还能升起吗?贝鲁特港口爆炸对黎巴嫩人民经历的创伤性影响。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-03-01 Epub Date: 2024-07-08 DOI: 10.1037/tra0001744
Myriam El Khoury-Malhame, Dunia A Harajli, Dorota Reykowska, Malgorzata Jakubowska, Rafal Ohme
{"title":"Can the Phoenix still rise? Traumatic effect of Beirut port explosion on Lebanese people's experiences.","authors":"Myriam El Khoury-Malhame, Dunia A Harajli, Dorota Reykowska, Malgorzata Jakubowska, Rafal Ohme","doi":"10.1037/tra0001744","DOIUrl":"10.1037/tra0001744","url":null,"abstract":"<p><strong>Objective: </strong>Mental distress and decreased functionality are highly prevalent after collective traumas. Survivors' ability to function is worsened by untreated distress and unmet needs related to job security and a sense of belonging. We aim to identify groups of people using a latent class analysis based on multiple dimensions of subjective experiences after a massive urban violent event.</p><p><strong>Method: </strong>This cross-sectional internet-based study included 1,305 Lebanese adults 4 months after the Beirut Port explosion. Emotions, attitudes, and needs were assessed using the iCode software, a novel approach measuring explicit subjective answers and implicit reaction time to various statements.</p><p><strong>Results: </strong>Responses revealed alarming levels of distress with 75%-80% of participants feeling anxious. Latent class analysis differentiated three groups on initial dimensions derived from the principal component analysis. The first group included those with the most intense emotional distress and intrusive thoughts. They were younger, had higher job worries, and wanted to leave the country. The second group was equally distressed, with marked intrusion and avoidance yet with faith and community resilience buffering negative emotionality. The last group was less distressed with a marked sense of community.</p><p><strong>Conclusion: </strong>Clustering people based on emotional experiences, needs, and resources might offer additional benefits to traditional assessments that fail to detect the variability of vulnerability to mass violence within seemingly homogeneous samples. Integrating implicit and explicit responses also helps with a rapid classification, providing insight to subjective attitudes postcollective trauma. The study mostly provides suggestions for targeted outreach to at-risk subpopulations to better foster resilience in unstable environments. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"468-476"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559590","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
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