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

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Existential distress among individuals with co-occurring chronic pain and PTSD. 慢性疼痛和创伤后应激障碍共存个体的存在焦虑。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-07-10 DOI: 10.1037/tra0001985
David E Reed, Kenneth E Vail, Briana A Cobos, Paul S Nabity, Donald D McGeary
{"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":"https://doi.org/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) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-10","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}
引用次数: 0
Lebanese civil war intergenerational trauma: Modes of transmission and impacts on second-generation descendants. 黎巴嫩内战代际创伤:传播方式及其对第二代后代的影响。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-07-10 DOI: 10.1037/tra0001987
Charlotte El-Khalil, Fahd Hassan, Cătălin Nedelcea
{"title":"Lebanese civil war intergenerational trauma: Modes of transmission and impacts on second-generation descendants.","authors":"Charlotte El-Khalil, Fahd Hassan, Cătălin Nedelcea","doi":"10.1037/tra0001987","DOIUrl":"https://doi.org/10.1037/tra0001987","url":null,"abstract":"<p><strong>Objective: </strong>Despite the growing research on intergenerational trauma, empirical studies on its transmission modes and impacts on second-generation descendants remain largely focused on events such as the Holocaust, genocide, the colonization of Indigenous peoples, and war invasions, while studies on civil wars are scarce. The main objective of this study is to investigate the modes of transmission of the Lebanese Civil War (1975-1990) to second-generation descendants born after its end (i.e., post-1991) and to examine the impact of this trauma on these descendants.</p><p><strong>Method: </strong>The study utilized in-depth interviews with 14 second-generation descendants and 14 key informants, including two psychologists, two social workers, two politicians, two researchers, two journalists, and four activists. Additionally, four focus group discussions were conducted with 25 parents who survived the Lebanese Civil War. Thematic analysis, guided by Braun and Clarke's six-phase framework, was employed to systematically identify and refine themes, ensuring a comprehensive interpretation of findings.</p><p><strong>Results: </strong>Thematic analysis identified two themes: \"From Generation to Generation: The Passing of a Nation's Scars,\" highlighting the war's continuity and the transmission of its legacy through parents, community members, media, and war remnants, and \"Carrying the Burden of an Unlived War,\" detailing its impact on the psychological well-being, social identity, political identity, and educational and career aspirations of second-generation descendants.</p><p><strong>Conclusions: </strong>The multidimensional impacts of intergenerational trauma highlight the need for targeted interventions to help descendants process inherited trauma and promote social healing and reconciliation through community-driven initiatives. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609255","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
Dissociation-informed assessment: Process-related guidance. 分离知情评估:与过程相关的指导。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-07-10 DOI: 10.1037/tra0001997
Nicholas A Pierorazio, Bethany L Brand, Julie Goldenson
{"title":"Dissociation-informed assessment: Process-related guidance.","authors":"Nicholas A Pierorazio, Bethany L Brand, Julie Goldenson","doi":"10.1037/tra0001997","DOIUrl":"https://doi.org/10.1037/tra0001997","url":null,"abstract":"<p><strong>Objective: </strong>There is a lack of training about how to recognize, assess, and treat trauma-related dissociation-a phenomenon that is prevalent in individuals with histories of complex trauma. This lack of training can cause mental health professionals to overlook dissociation, which can lead to underdetection, misdiagnosis, and possible prolonged suffering and misdirected treatment. Professionals seeking to improve their capacity to work effectively with clients with dissociation may face a paucity of training opportunities, particularly with respect to assessing trauma-related dissociation.</p><p><strong>Method: </strong>This article provides process-level guidance for helpfully engaging clients who experience trauma-related dissociation, recognizing persistent dissociation, and noticing and managing dissociation as it arises during assessment.</p><p><strong>Results: </strong>We emphasize the mental health professional's stance. We also review a variety of methods to detect and assess trauma-related dissociation, including behavioral observations and process-oriented questions and reflections, highlighting the complexity of dissociation-informed assessments, not only in treatment settings but also when these assessments are required for third-party evaluations.</p><p><strong>Conclusions: </strong>We make a case for the vital importance of considering process-related issues not only in the treatment of dissociation but also in assessment. We argue that for best clinical assessment and treatment, training should emphasize collaborative rapport-building, professional reflexivity, and cultural responsiveness. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609175","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
Recurrent evacuation in a shared continuous wartime situation: The parental perspective. 在共同的持续战争情况下的反复疏散:父母的观点。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-07-10 DOI: 10.1037/tra0001981
Yael Hochman, Orit Nuttman-Shwartz
{"title":"Recurrent evacuation in a shared continuous wartime situation: The parental perspective.","authors":"Yael Hochman, Orit Nuttman-Shwartz","doi":"10.1037/tra0001981","DOIUrl":"https://doi.org/10.1037/tra0001981","url":null,"abstract":"<p><strong>Objective: </strong>Although the mental health impacts of continuous traumatic situations (CTS) on parents and their children are well-documented, and the essential role parents play in helping their children cope with trauma is recognized, there is limited understanding of parental coping strategies in the context of war-related shared CTS. This study addresses this gap by exploring parents' subjective perceptions of coping and the strategies they employ to manage their family lives amid ongoing rocket attacks and related evacuations.</p><p><strong>Method: </strong>Thematic analysis of responses to an online qualitative survey of 71 parents of young children (ages 0-12) in rural communities along Israel's border with Gaza was employed. The survey was administered shortly after a brief military conflict. All participants reported evacuating their homes during the conflict.</p><p><strong>Results: </strong>Coping with war-related shared CTS was complex and unsettling. The main challenges involved managing life amid frequent transitions between emergency situations and routine. Parental coping experiences included (a) a strong focus on creating and maintaining routines, (b) dissonance between their inner thoughts and feelings and the external reality, and (c) parental strategies for managing the family in an emergency.</p><p><strong>Conclusions: </strong>The findings can guide clinicians and policymakers in providing trauma-informed targeted support to parents in war-related shared CTS. Such support should facilitate transitions in three critical phases: intensified hostilities, evacuation, and returning home. By recognizing the distinct challenges faced by families during these phases, interventions can be tailored to strengthen family bonds, mitigate trauma, and enhance resilience. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609256","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
Intergenerational aspects of the experiences of Israeli mothers to young children during the Israel-Hamas war. 在以色列-哈马斯战争期间,以色列母亲对幼儿的代际经验。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-07-10 DOI: 10.1037/tra0001977
Esther Joffe, Reut Ben-Kimhy, Elad Mijalevich-Soker, Lia Ring, Maram Awad-Yassin, Orit Taubman-Ben-Ari
{"title":"Intergenerational aspects of the experiences of Israeli mothers to young children during the Israel-Hamas war.","authors":"Esther Joffe, Reut Ben-Kimhy, Elad Mijalevich-Soker, Lia Ring, Maram Awad-Yassin, Orit Taubman-Ben-Ari","doi":"10.1037/tra0001977","DOIUrl":"https://doi.org/10.1037/tra0001977","url":null,"abstract":"<p><strong>Objective: </strong>On October 7, 2023, the Hamas terror organization launched a massive attack on Israel, killing over 1,000 Israelis, which initiated a war. Among many groups affected, young mothers were placed in a particularly vulnerable situation. Daycares and schools were closed, and they had to care for and protect young children, often without their spouses who were called up to reserve military duty. This unique qualitative study examined the experiences of these mothers in the first month of the war, while the traumatic period was still ongoing.</p><p><strong>Method: </strong>Semistructured in-depth interviews were conducted with 18 mothers and thematic analysis was performed.</p><p><strong>Results: </strong>Four themes were identified relating to intergenerational (mother and family of origin) aspects of mothers' experiences: (a) regression to the child role, (b) being a parent and a child simultaneously, (c) carrying a new burden, and (d) the chain of generations.</p><p><strong>Conclusions: </strong>This study provides a unique test case to spotlight intergenerational relationships during a time of crisis, as in many cases, these relationships had to replace the \"normal\" or routine spousal relationship due to fathers' mobilization for reserve military duty. The findings contribute to the growing body of knowledge regarding intergenerational relationships during crises, demonstrating how extended families function as a unit and shed light on the importance of providing support to extended families as opposed to focusing on the separate needs of the different generations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609254","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
Sexual orientation-related victimization and posttrauma reckless and self-destructive behaviors in trauma-exposed sexual minority adults. 暴露于创伤的性少数成年人中与性取向相关的受害和创伤后鲁莽和自我毁灭行为。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-07-10 DOI: 10.1037/tra0001983
Benjamin W Katz, Noam G Newberger, Stephen Coutu, Brian A Feinstein, Nicole H Weiss
{"title":"Sexual orientation-related victimization and posttrauma reckless and self-destructive behaviors in trauma-exposed sexual minority adults.","authors":"Benjamin W Katz, Noam G Newberger, Stephen Coutu, Brian A Feinstein, Nicole H Weiss","doi":"10.1037/tra0001983","DOIUrl":"https://doi.org/10.1037/tra0001983","url":null,"abstract":"<p><strong>Objective: </strong>Sexual minority adults report disproportionately higher rates of trauma exposure (including exposure to sexual minority-specific traumatic events) and frequent engagement in posttrauma reckless and self-destructive behaviors (RSDBs). However, research has yet to examine factors that may help explain the association between sexual minority-specific trauma exposure (i.e., sexual orientation-related victimization) and posttrauma RSDBs. The present study examined the roles of trauma symptoms due to discrimination (e.g., uncontrollable arousal, feelings of alienation) and emotion dysregulation in the association between sexual orientation-related victimization and posttrauma RSDBs.</p><p><strong>Method: </strong>Participants were 139 trauma-exposed sexual minority adults (<i>M</i><sub>age</sub> = 32.70) recruited from the community.</p><p><strong>Results: </strong>A serial mediation model examined lifetime occurrences of sexual orientation-related victimization, trauma symptoms due to discrimination, emotion dysregulation, and posttrauma RSDBs. Results indicated that lifetime occurrences of sexual orientation-related victimization were associated with greater past-month posttrauma RSDBs. A significant indirect effect further indicated that greater trauma symptoms due to discrimination and emotion dysregulation were found to serially underlie this association.</p><p><strong>Conclusion: </strong>Trauma symptoms due to discrimination and emotion dysregulation may be important explanatory factors underlying the association between sexual orientation-related victimization and posttrauma RSDBs, suggesting their potential utility as targets in prevention and intervention efforts with trauma-exposed sexual minority adults. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609257","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 impact of trauma-focused psychotherapies on anger: A systematic review and meta-analysis. 以创伤为重点的心理疗法对愤怒的影响:系统回顾与荟萃分析。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-07-01 Epub Date: 2024-03-28 DOI: 10.1037/tra0001697
Stephanie Y Wells, Tapan A Patel, Tate F Halverson, Stefanie T LoSavio, Leslie Morland, Tamara Wachsman, Gabriella T Ponzini, Katherine Kelton, Margaret-Anne Mackintosh, Ashlyn Powell, Samantha Kaplan, Kirsten H Dillon
{"title":"The impact of trauma-focused psychotherapies on anger: A systematic review and meta-analysis.","authors":"Stephanie Y Wells, Tapan A Patel, Tate F Halverson, Stefanie T LoSavio, Leslie Morland, Tamara Wachsman, Gabriella T Ponzini, Katherine Kelton, Margaret-Anne Mackintosh, Ashlyn Powell, Samantha Kaplan, Kirsten H Dillon","doi":"10.1037/tra0001697","DOIUrl":"10.1037/tra0001697","url":null,"abstract":"<p><strong>Objective: </strong>Anger is one of the most prevalent concerns among individuals with posttraumatic stress disorder (PTSD) and is often a residual symptom following PTSD treatment. The purpose of this systematic review and meta-analysis was to determine how effective trauma-focused PTSD psychotherapies are in reducing anger.</p><p><strong>Method: </strong>The study was reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. This study conducted a systematic review of studies that reported the effect of trauma-focused treatments on anger outcomes. Additionally, a meta-analysis was conducted with a subset of studies that used randomized controlled trials (RCTs) methodologies to compare trauma-focused PTSD treatments to nontrauma-focused and control conditions.</p><p><strong>Results: </strong>The systematic review included 16 studies with a total of 1,846 participants. In 11 of the studies, there was a significant decrease in an anger dimension following treatment. Eight studies with 417 total participants met inclusion criteria for the meta-analysis. The meta-analysis yielded a pooled effect size of PTSD treatment on anger of Hedges's <i>g</i> = 0.33.</p><p><strong>Conclusion: </strong>Overall, trauma-focused treatments for PTSD significantly improve anger, but the magnitude of change is small-to-medium. Additional research is needed to determine how best to maximize anger outcomes following trauma-focused treatment or determine if and when targeted anger treatment is needed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1140-1152"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11436488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140306666","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
Childhood traumatic experiences and complex posttraumatic stress disorder in Chinese adolescents: The mediating role of attachment. 中国青少年的童年创伤经历与复杂的创伤后应激障碍:依恋的中介作用
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-07-01 Epub Date: 2024-07-11 DOI: 10.1037/tra0001719
Yuxin Tian, Wenqi Li, Xinchun Wu, Xiaochun Cheng
{"title":"Childhood traumatic experiences and complex posttraumatic stress disorder in Chinese adolescents: The mediating role of attachment.","authors":"Yuxin Tian, Wenqi Li, Xinchun Wu, Xiaochun Cheng","doi":"10.1037/tra0001719","DOIUrl":"10.1037/tra0001719","url":null,"abstract":"<p><strong>Objective: </strong>The prevalence of child maltreatment is high in China. Child maltreatment damages children's developing abilities (e.g., emotional functions, self-perception) and is highly associated with a new diagnostic disorder, namely, complex posttraumatic stress disorder (CPTSD). The mechanism of CPTSD is not clear, and attachment might be a crucial factor in the development of CPTSD symptoms. The prevalence of child maltreatment is high in China. Child maltreatment damages children's developing abilities (e.g., emotional functions, self-perception) and is highly associated with a new diagnostic disorder, namely, complex posttraumatic stress disorder (CPTSD). The mechanism of CPTSD is not clear and attachment might be a crucial factor in the development of CPTSD symptoms. To explore the mediating roles of attachment anxiety and attachment avoidance in the relationship between five forms of childhood trauma (i.e., physical abuse, physical neglect, emotional abuse, emotional neglect, sexual abuse) and CPTSD symptoms.</p><p><strong>Method: </strong>The present study included 395 adolescents who had experienced at least one type of traumatic childhood experience.</p><p><strong>Results: </strong>Our findings showed that emotional abuse could predict posttraumatic stress disorder and disturbances of self-organization (DSO) symptoms via attachment anxiety. In addition, childhood neglect experiences (i.e., physical and emotional neglect) could predict DSO symptoms via attachment avoidance.</p><p><strong>Conclusions: </strong>Attachment is an important framework for understanding individuals' CPTSD symptoms following childhood traumatic experiences. Parents and educators should learn effective parenting styles that promote secure attachment, while researchers and clinical practitioners should further explore attachment-based trauma intervention approaches. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1049-1056"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591167","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
Positive associations between potentially morally injurious experiences and alcohol outcomes in college students: Results from a dominance analysis. 大学生的潜在道德伤害经历与酗酒结果之间存在正相关:优势分析的结果。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-07-01 Epub Date: 2024-03-28 DOI: 10.1037/tra0001696
Nicole A Hall, Clayton Neighbors
{"title":"Positive associations between potentially morally injurious experiences and alcohol outcomes in college students: Results from a dominance analysis.","authors":"Nicole A Hall, Clayton Neighbors","doi":"10.1037/tra0001696","DOIUrl":"10.1037/tra0001696","url":null,"abstract":"<p><strong>Objective: </strong>A novel framework for understanding college students' alcohol use is moral injury-psychological distress that stems from events that violate moral beliefs. Considering the predominantly positive associations between moral injury and alcohol use in military samples, this relationship may extend to students. The purpose of this study was to examine the association between potentially morally injurious experiences (PMIEs), alcohol use, and related consequences. Furthermore, we aimed to determine the relative importance of PMIE subtypes on alcohol outcomes.</p><p><strong>Method: </strong>Participants included 604 college students (78% female; 38% Caucasian) with a mean age of 21 years (<i>SD</i> = 4.44). We hypothesized that (a) the composite PMIE score would be positively associated with alcohol consumption and consequences and (b) Commission with Agency would have the strongest association with alcohol outcomes, followed by Betrayal, Omission, Commission under Duress, posttraumatic stress (PTS) symptoms, and Witnessing.</p><p><strong>Results: </strong>Analyses revealed that PMIEs were positively associated with alcohol-related consequences but not drinks per week when controlling for PTS symptoms. Moreover, the dominance analysis showed that Commission with Agency had the strongest association with consumption, followed by Betrayal, PTS symptoms, Commission under Duress, Witnessing, and Omission. PTS symptoms had the strongest association with alcohol-related consequences, followed by Commission with Agency, Commission under Duress, Omission, Betrayal, and Witnessing.</p><p><strong>Conclusions: </strong>These findings help distinguish moral injury constructs from PTS and highlight the importance of Commission with Agency in analyzing alcohol outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1033-1039"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140306665","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
Latent profiles of social reactions to sexual assault disclosure among bisexual women. 双性恋女性对披露性侵犯的社会反应的潜在特征。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2025-07-01 Epub Date: 2024-07-08 DOI: 10.1037/tra0001722
Selime R Salim, Benjamin W Katz, Lee R Eshelman, Prachi H Bhuptani, Christine Hahn, Terri L Messman
{"title":"Latent profiles of social reactions to sexual assault disclosure among bisexual women.","authors":"Selime R Salim, Benjamin W Katz, Lee R Eshelman, Prachi H Bhuptani, Christine Hahn, Terri L Messman","doi":"10.1037/tra0001722","DOIUrl":"10.1037/tra0001722","url":null,"abstract":"<p><strong>Objective: </strong>Bisexual women experience higher rates of sexual assault (SA) and posttrauma distress compared to monosexual women. We examined the patterns of reactions to SA disclosure (positive and two types of negative) and bisexual minority stress (antibisexual stigma from heterosexual and lesbian/gay people, internalized binegativity) experienced by young bisexual women who experienced adult SA. We also examined differences in assault-related experiences, posttraumatic stress disorder and depression symptoms, and hazardous drinking based on the identified patterns.</p><p><strong>Method: </strong>The current sample was drawn from two parent samples of women and included survivors who had disclosed an adult SA: (a) <i>n</i> = 149 bisexual women (98% cisgender, ages 18-35, 87.9% White) recruited via Amazon's Mechanical Turk and (b) <i>n</i> = 81 cisgender bisexual women (ages 18-25, 84% White) recruited via online ads. Latent profile analyses and analyses of variance were conducted.</p><p><strong>Results: </strong>Analyses identified four latent profiles characterized by: (a) low stigmatizing responses, (b) high negative SA disclosure reactions, (c) high antibisexual stigma, and (d) highest stigmatizing responses. The fourth profile had higher posttraumatic stress disorder and depression symptoms and hazardous drinking compared to the other profiles.</p><p><strong>Conclusions: </strong>Results suggest women in the profile characterized by highest negative reactions to SA disclosure and highest bisexual minority stress (antibisexual stigma and internalized binegativity) may experience greatest distress postassault. Results highlight the importance for researchers, policymakers, and clinicians to consider and address both SA-related and identity-related stigma among bisexual survivors. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"957-967"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559593","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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