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

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Gender differences in reported potentially morally injurious events among post-9/11 U.S. combat veterans, using two measures. 9/11 事件后美国参战退伍军人报告的潜在道德伤害事件的性别差异,采用两种测量方法。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-11-07 DOI: 10.1037/tra0001782
Morgan N Myers, A Solomon Kurz, Jasmyn Paul, Marcus G Wild, Sheila Frankfurt O'Brien
{"title":"Gender differences in reported potentially morally injurious events among post-9/11 U.S. combat veterans, using two measures.","authors":"Morgan N Myers, A Solomon Kurz, Jasmyn Paul, Marcus G Wild, Sheila Frankfurt O'Brien","doi":"10.1037/tra0001782","DOIUrl":"https://doi.org/10.1037/tra0001782","url":null,"abstract":"<p><strong>Objective: </strong>Military experiences that violate one's sense of right and wrong (i.e., potentially morally injurious events [PMIEs]) may result in moral injury, characterized by shame, guilt, demoralization, self-condemnation, and social withdrawal. The objective of this study was to examine gender-related differences in the rate of reporting PMIEs.</p><p><strong>Method: </strong>Secondary analyses were conducted on a previously collected longitudinal cohort study of postdeployment functioning among U.S. post-9/11 combat veterans in Central Texas (<i>N</i> = 406). As part of the parent study, participants completed two measures of PMIEs-the Moral Injury Events Scale (MIES; Nash et al., 2013) and the Moral Injury Questionnaire-Military Version (MIQ-M; Currier et al., 2015). Gender differences at the item response level were analyzed in a series of Bayesian multilevel item response theory models.</p><p><strong>Results: </strong>The most frequently endorsed responses on both the MIES and MIQ-M for both men and women were never or strongly disagree. On the MIQ-M, more veteran men endorsed experiencing PMIEs to some degree. On the MIES, more veteran women endorsed <i>strongly agree</i> to betrayal items.</p><p><strong>Conclusions: </strong>Veteran men and women reported any PMIE occurring at relatively high rates. Gender differences at the item response level were found for most items on both the MIES and MIQ-M, albeit of small magnitude. Awareness of gender differences in the likelihood of experiencing a given PMIE may help inform clinical assessments and case conceptualizations. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606157","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
Prospective stability of memory for peritraumatic dissociation and anxiety: Replication and extension examining PTSD treatment modality and response. 创伤周围解离和焦虑记忆的前瞻性稳定性:创伤后应激障碍治疗模式和反应的复制和扩展研究。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-11-07 DOI: 10.1037/tra0001790
Gabrielle M Gauthier, Emma K PeConga, Jenna L Mohr, Norah C Feeny, Lori A Zoellner
{"title":"Prospective stability of memory for peritraumatic dissociation and anxiety: Replication and extension examining PTSD treatment modality and response.","authors":"Gabrielle M Gauthier, Emma K PeConga, Jenna L Mohr, Norah C Feeny, Lori A Zoellner","doi":"10.1037/tra0001790","DOIUrl":"https://doi.org/10.1037/tra0001790","url":null,"abstract":"<p><strong>Objective: </strong>Retrospective memory for peritraumatic reactions occurring during or immediately after trauma exposure may decrease in intensity for some over treatment. This may be due to psychotherapy-specific memory processes, such as repeated accessing of the trauma memory. Additionally, it may be that recovery drives changes in memory for these experiences. Critical to examining these hypotheses is an effective control treatment that reduces symptoms but does not directly involve repeated retrieval of the trauma memory, such as pharmacotherapy.</p><p><strong>Method: </strong>In a sample of 200 individuals with posttraumatic stress disorder, retrospective memory for dissociation and anxiety occurring around the index traumatic event (Peritraumatic Dissociative Experiences Questionnaire, Marmar et al., 1997; Stanford Acute Stress Reaction Questionnaire, Cardeña et al., 2000) was assessed before and after treatment in a randomized clinical trial (NCT00127673) comparing prolonged exposure and sertraline.</p><p><strong>Results: </strong>Participants reported that their memory for dissociation and anxiety at the time of the trauma was less intense at posttreatment (<i>d</i> = 0.26-0.64). There was no difference between prolonged exposure and sertraline on these memory indices. However, treatment responders, using a clinically meaningful change cutoff score, remembered their reactions at the time of the trauma as less dissociative (<i>d</i> = 0.66) and less anxious (<i>d</i> = 1.19) at posttreatment than nonresponders.</p><p><strong>Conclusions: </strong>Retrospective memory for the intensity of reactions experienced at the time of the traumatic event decreased from pre- to posttreatment, with effects most pronounced for those who made clinically meaningful gains in treatment. Inclusion of a nonpsychotherapy intervention control argues that recovery processes may explain these shifts and point to potential mood-dependent memory effects. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606162","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
Virtual support group initiative for mental health professionals in the COVID-19 pandemic. 针对 COVID-19 大流行病中精神卫生专业人员的虚拟支持小组倡议。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-11-07 DOI: 10.1037/tra0001791
Melissa Wasserman, Julian D Ford, Arlene Lu Steinberg
{"title":"Virtual support group initiative for mental health professionals in the COVID-19 pandemic.","authors":"Melissa Wasserman, Julian D Ford, Arlene Lu Steinberg","doi":"10.1037/tra0001791","DOIUrl":"https://doi.org/10.1037/tra0001791","url":null,"abstract":"<p><strong>Objective: </strong>As a result of the coronavirus pandemic, mental health professionals have faced the challenge of helping their clients cope with pandemic-related distress on top of ongoing therapeutic issues. This article describes a telehealth-delivered peer/mutual support program for mental health professionals during the pandemic and the key themes identified by participants.</p><p><strong>Method: </strong>An interdivisional American Psychological Association task force formed a working group to identify practical ways to provide mental health professionals with direct support during the pandemic. A mutual support program, the Clinician Support Collaborative, was initiated using virtual video technology. This article describes the program and themes that emerged, including the challenges and benefits of using virtual video technology to host mutual support meetings.</p><p><strong>Results: </strong>Mutual support meetings were conducted on a weekly basis in 2020 and 2021, with mental health professionals and trainees in the Americas, Australasia, and India participating. Key themes identified included the logistical, therapeutic, and privacy concerns participants faced when shifting to telehealth, professional isolation, compassion fatigue, moral injury, burnout, stigma, disparities, and the intersection of personal/family stressors and work stressors.</p><p><strong>Conclusions: </strong>Recommendations for future use of virtual video technology to provide mutual support by and for mental health professionals are provided. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606166","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 influence of betrayal trauma on complex posttraumatic stress disorder symptoms. 背叛创伤对复杂的创伤后应激障碍症状的影响。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-11-01 Epub Date: 2024-01-15 DOI: 10.1037/tra0001649
Christine Hujing, Matthew M Yalch
{"title":"The influence of betrayal trauma on complex posttraumatic stress disorder symptoms.","authors":"Christine Hujing, Matthew M Yalch","doi":"10.1037/tra0001649","DOIUrl":"10.1037/tra0001649","url":null,"abstract":"<p><strong>Objective: </strong>Complex posttraumatic stress disorder (complex PTSD) is characterized by symptoms of PTSD combined with disturbance in self-organization and is distressing for many people who have experienced chronic and repetitive interpersonal trauma. Studies on the precursors to complex PTSD have thus far focused on the forms of trauma perpetrated rather than who perpetrated the trauma. Traumas that are associated with complex PTSD (i.e., chronic and repetitive interpersonal traumas) are often perpetrated by someone that is close to the victim and thus involve an element of betrayal. However, there is little research on whether traumas high in betrayal are more associated with complex PTSD symptoms than traumas lower in betrayal. The aim of this study is to examine the association between traumas with varying degrees of betrayal and complex PTSD symptoms.</p><p><strong>Method: </strong>We examined this association in a sample of adults (<i>N</i> = 364) recruited using Amazon's Mechanical Turk using a Bayesian approach to multiple regression.</p><p><strong>Results: </strong>Results suggest that interpersonal traumas both with and without a component of betrayal were associated with complex PTSD symptoms for both women and men. We further found that for men, noninterpersonal trauma was also associated with complex PTSD symptoms.</p><p><strong>Conclusion: </strong>Study findings highlight the role of interpersonal trauma on complex PTSD symptoms, especially for women. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1276-1280"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139472652","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 symptom patterns in a large sample of military personnel outpatients: Differential relations to trauma exposure, depression, and anxiety symptoms. 大样本军事人员门诊患者的创伤症状模式:与创伤暴露、抑郁和焦虑症状的差异关系。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-11-01 Epub Date: 2023-10-05 DOI: 10.1037/tra0001597
Nina Spaegele, Tova Lewin, Anat Talmon
{"title":"Trauma symptom patterns in a large sample of military personnel outpatients: Differential relations to trauma exposure, depression, and anxiety symptoms.","authors":"Nina Spaegele, Tova Lewin, Anat Talmon","doi":"10.1037/tra0001597","DOIUrl":"10.1037/tra0001597","url":null,"abstract":"<p><strong>Objective: </strong>Posttraumatic stress disorder (PTSD) results from experiencing or witnessing a traumatic event and is the most common clinical syndrome seen in military personnel. However, each patient experiences the impact of trauma differently exhibiting individual patterns of trauma symptoms. The current study endeavors to investigate individual patterns of trauma symptoms in military personnel and specifically analyze potential linkage and/or relation between blast exposure, anxiety, and depression.</p><p><strong>Method: </strong>We employed a person-centered approach of latent class analysis (LCA) to stratify 594 military personnel outpatients based on their response patterns in the Trauma Symptom Inventory (TSI). Then, we related the resulting clusters to the number of blasts to which they were exposed, as well as to depression (Zung Self-Rating Depression Scale) and anxiety symptom severity (Beck Anxiety Inventory) using one-way analyses of variance with Bonferroni pairwise comparisons.</p><p><strong>Results: </strong>We found three distinct clusters of traumatic symptoms: (a) Atypical response with low overall symptom burden, (b) increased response level and arousal, and (c) severe trauma symptom burden with tension-reduction behaviors. Individuals in Cluster 2 were exposed to significantly more blasts than in Cluster 1. Moreover, individuals in Cluster 3 reported the highest depression and anxiety symptom severities, followed by Cluster 2, followed by Cluster 1.</p><p><strong>Conclusions: </strong>These results suggest heterogeneity among military personnel suffering from trauma and reveal their distinct relations to clinical comorbidities-emphasizing the role of person-centered, tailored approaches in clinical practice. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1290-1293"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41177905","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
Predictors of compassion fatigue and compassion satisfaction among Australian teachers. 澳大利亚教师同情疲劳和同情满意度的预测因素。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-11-01 Epub Date: 2023-08-10 DOI: 10.1037/tra0001573
Emily Berger, Deborah Nott
{"title":"Predictors of compassion fatigue and compassion satisfaction among Australian teachers.","authors":"Emily Berger, Deborah Nott","doi":"10.1037/tra0001573","DOIUrl":"10.1037/tra0001573","url":null,"abstract":"<p><strong>Objective: </strong>Research on factors that predict compassion satisfaction and compassion fatigue of teachers is limited. This study aimed to evaluate predictors of compassion fatigue (as defined by burnout and secondary traumatic stress) and compassion satisfaction of Australian teachers.</p><p><strong>Method: </strong>Three hundred and two teachers completed an online survey. It was hypothesized that teachers with prior experience with trauma-exposed students, a history of mental illness, and personal trauma history would show higher compassion fatigue. Older teachers, teachers previously exposed to trauma training, and teachers with higher perceived knowledge and confidence to manage student trauma were expected to show higher compassion satisfaction.</p><p><strong>Results: </strong>Teachers with exposure to student trauma, a personal history of trauma, and a history of mental illness experienced higher compassion fatigue, while older teachers and those with higher perceived knowledge and confidence to deal with student trauma experienced higher compassion satisfaction.</p><p><strong>Conclusions: </strong>Results indicate that professional development programs should include trauma-informed knowledge and skills for teachers to enhance their well-being when responding to trauma-exposed students. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1309-1318"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9964774","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
Working memory performance is related to childhood trauma but not psychotic-like experiences in a nonpsychiatric sample. 在非精神病样本中,工作记忆能力与童年创伤有关,但与类似精神病的经历无关。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-11-01 Epub Date: 2023-08-10 DOI: 10.1037/tra0001568
Arielle Ered, Charlotte A Chun, Kathleen J O'Brien, Gina M Creatura, Lauren M Ellman
{"title":"Working memory performance is related to childhood trauma but not psychotic-like experiences in a nonpsychiatric sample.","authors":"Arielle Ered, Charlotte A Chun, Kathleen J O'Brien, Gina M Creatura, Lauren M Ellman","doi":"10.1037/tra0001568","DOIUrl":"10.1037/tra0001568","url":null,"abstract":"<p><strong>Objective: </strong>This project seeks to clarify the impact of childhood trauma and psychotic-like experiences (PLEs) on working memory (WM) and explore gender differences in these relationships. The effect of childhood trauma on WM performance has yet to be explored in individuals with PLEs, despite consistent associations between trauma, psychosis spectrum symptoms, and WM performance.</p><p><strong>Method: </strong>In 466 undergraduates, positive PLEs (Prodromal Questionnaire) and trauma (Childhood Trauma Questionnaire) were examined to determine contributions to WM performance on a spatial n-back task. We conducted hierarchical linear regressions on the total sample and stratified by gender to examine the effects of childhood trauma, positive PLEs, and their interaction on WM performance. Supplemental analyses explored attenuated negative and disorganized symptoms.</p><p><strong>Results: </strong>Controlling for age, there were no significant main effects of positive PLEs, childhood trauma, their interaction, or three-way interaction including gender in predicting WM. After stratifying by gender, childhood trauma was significantly associated with poorer WM in females only. Post hoc analyses revealed that in the full sample, physical neglect predicted WM performance and was a trend for females, while sexual abuse trended toward predicting WM in males. Supplemental analyses of attenuated negative and disorganized symptoms revealed childhood trauma significantly predicted WM in the full sample and females only for negative symptoms.</p><p><strong>Conclusions: </strong>Females who have experienced childhood trauma may be at greater risk for WM problems, irrespective of co-occurring PLEs, suggesting that cognitive difficulties may be partially attributable to history of trauma. These findings have potential implications for intervention strategies in trauma-exposed individuals. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1357-1366"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10858292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9969851","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
Cumulative trauma, posttraumatic stress, and obstetric and perinatal outcomes. 累积创伤、创伤后压力、产科和围产期结果。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-11-01 Epub Date: 2023-10-05 DOI: 10.1037/tra0001579
Rachel Wamser, Rebecca A Ferro
{"title":"Cumulative trauma, posttraumatic stress, and obstetric and perinatal outcomes.","authors":"Rachel Wamser, Rebecca A Ferro","doi":"10.1037/tra0001579","DOIUrl":"10.1037/tra0001579","url":null,"abstract":"<p><strong>Objective: </strong>Traumatic stress is associated with increased risk for physical health conditions, emotional disorders, and reproductive challenges. Significant rates of posttraumatic stress disorder are reported during pregnancy and after childbirth (Yildiz et al., 2017). However, a dearth of research has explored how traumatic stress impacts obstetric and perinatal outcomes. The aim of this study was to examine whether cumulative trauma and posttraumatic stress symptoms (PTSS) were positively associated with adverse obstetric and perinatal outcomes (i.e., pregnancy complications, nonviable pregnancies, preterm birth, and low birth weight). Abortion was also explored in relation to trauma exposure.</p><p><strong>Method: </strong>Two hundred and twenty-six trauma-exposed women (<i>M</i><sub>age</sub> = 40.54, <i>SD</i> = 13.03) who had been pregnant at least once were recruited from Amazon's Mechanical Turk (MTurk; 63.3%) or midwestern university (36.7%) to participate in the study.</p><p><strong>Results: </strong>Higher levels of PTSS were related to a greater number of nonviable pregnancies and abortions (βs = .18-.20) as well as delivering a low birth weight baby (<i>OR</i> = 1.03). Yet, these same associations were not found with cumulative trauma exposure. Conversely, greater cumulative trauma was linked with delivering a baby prematurely (<i>OR</i> = 1.16). Pregnancy complications were unrelated to both PTSS and cumulative trauma.</p><p><strong>Conclusions: </strong>Cumulative trauma exposure and PTSS may have adverse effects on obstetric and perinatal outcomes and pregnant women with PTSS may be especially vulnerable. Further research is needed to replicate these findings and examine the temporal relationship between duration of PTSS and obstetric and perinatal outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1374-1381"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41131845","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
Testing the nightmare cognitive arousal processing model. 测试噩梦认知唤醒处理模型。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-11-01 Epub Date: 2023-07-31 DOI: 10.1037/tra0001542
Westley A Youngren, Nancy A Hamilton, Kristopher J Preacher, Garrett R Baber
{"title":"Testing the nightmare cognitive arousal processing model.","authors":"Westley A Youngren, Nancy A Hamilton, Kristopher J Preacher, Garrett R Baber","doi":"10.1037/tra0001542","DOIUrl":"10.1037/tra0001542","url":null,"abstract":"<p><strong>Objective: </strong>Posttrauma nightmares are recurring nightmares that begin after a traumatic experience. Research has only recently begun to identify variables that predict posttrauma nightmare occurrences. Research has identified presleep arousal-cognitive (PSA-C) and presleep arousal physiological (PSA-PHYS), sleep onset latency (SOL), and sleep-disordered breathing (SDB) as potential predictors of posttrauma nightmares. However, previous research includes methodological limitations, such as a lack of physiological measures and a homogeneous sample. To replicate previous findings and increase generalizability, the current study investigated predictors of nightmare occurrences in a sample of male inpatient veterans with mixed-trauma history.</p><p><strong>Method: </strong>Participants (<i>n</i> = 15) completed an initial assessment battery and seven consecutive days of pre and postsleep diaries, including measures of posttrauma nightmare triggers and posttrauma nightmare occurrences. Portable objective measurements of sleep and presleep states were used to examine sleep quality and physical arousal.</p><p><strong>Results: </strong>Analyses revealed that PSA-C and SOL both predicted posttrauma nightmare occurrences and that PSA-PHYS was significantly higher on nights when nightmares occurred.</p><p><strong>Conclusion: </strong>Results replicate earlier research which posits that PSA and SOL play a role in triggering the occurrence of posttrauma nightmares. It should be noted that the sample was relatively small, warranting cautious interpretation of results. However, when taken together with the findings of the replicated study, results could suggest the plausibility of therapies targeting presleep cognitions, SOL, and presleep arousal in the treatment of posttrauma nightmares. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1401-1408"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9910772","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
Assessing the existence of trauma-related diagnostic overshadowing in adult populations. 评估成年人群中是否存在与创伤相关的诊断阴影。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-11-01 Epub Date: 2023-04-13 DOI: 10.1037/tra0001484
Katherine E Wislocki, Alyson K Zalta
{"title":"Assessing the existence of trauma-related diagnostic overshadowing in adult populations.","authors":"Katherine E Wislocki, Alyson K Zalta","doi":"10.1037/tra0001484","DOIUrl":"10.1037/tra0001484","url":null,"abstract":"<p><strong>Objective: </strong>Previous research with youth has shown that clinicians tend to diagnose and treat posttraumatic stress disorder (PTSD) in trauma-exposed clients, even when clinical presentations indicate that PTSD is not the primary diagnosis. The current study sought to examine this trauma-related diagnostic overshadowing bias in adult cases across different types of trauma exposure.</p><p><strong>Method: </strong>Mental health professionals (<i>N</i> = 232) reviewed two vignettes describing an adult seeking treatment for either obsessive-compulsive disorder (OCD) symptoms or substance use disorder (SUD) symptoms (target disorders). Each participant was randomly assigned to one vignette in which one client endorsed exposure to trauma (i.e., sexual trauma or physical trauma) and one vignette in which the client reported no trauma exposure. Following each vignette, participants responded to questions related to the diagnosis and treatment of the client.</p><p><strong>Results: </strong>In both cases, participants were significantly less likely to choose the target diagnosis and treatment and more likely to choose a PTSD diagnosis and trauma treatment when trauma exposure was present in the vignettes. Evidence for the bias was strongest for vignettes that contained sexual trauma compared to vignettes that contained physical trauma. Evidence for the bias was also more consistent in the OCD case compared to the SUD case.</p><p><strong>Conclusions: </strong>Results indicate evidence for the existence of trauma-related diagnostic overshadowing in adult populations, though the strength of this bias may be dependent on aspects of the trauma and overall clinical presentation. More work is needed to understand factors that may impact the presence of this bias. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1367-1373"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9298969","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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