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

{"title":"ICD-11 PTSD, complex PTSD, and substance use disorder: Associations and clinical correlates.","authors":"Logan R Harvey, Tim Slade, Christina Marel, Katherine L Mills","doi":"10.1037/tra0001957","DOIUrl":"https://doi.org/10.1037/tra0001957","url":null,"abstract":"<p><strong>Objective: </strong>Trauma- and substance-related disorders are highly comorbid. The co-occurrence of these conditions is associated with a more severe clinical profile in patients, and this remains a significant challenge for treatment providers. Previous research examining this comorbidity has focused on <i>Diagnostic and Statistical Manual of Mental Disorders,</i> Fifth Edition, posttraumatic stress disorder (PTSD), resulting in a significant lack of research examining other formulations of trauma-related disorders, in particular complex posttraumatic stress disorder (CPTSD). It remains unclear whether CPTSD requires additional treatment approaches in substance use treatment settings. The present study sought to expand previous research by examining the <i>International Classification of Diseases 11th revision</i> PTSD and Complex PTSD (CPTSD) diagnoses in a substance use treatment setting, and to explore the associations between symptoms of PTSD/CPTSD and characteristics of substance use disorder.</p><p><strong>Method: </strong>The study utilized data collected from individuals commencing substance use treatment (<i>n</i> = 72). Assessments included trauma exposure, trauma-related symptoms, primary substance of concern, psychological dependence, and recent substance use.</p><p><strong>Results: </strong>Forty percent of the sample screened positive for a trauma-related disorder, with CPTSD more prevalent (34.8%) than PTSD (5.8%). There was limited evidence of associations between trauma-related symptoms and substance use characteristics. Severity of each CPTSD symptom cluster (affect dysregulation, negative self-concept, disturbances in relationships) was significantly, positively associated with psychological dependence, a pattern not found for PTSD symptoms.</p><p><strong>Conclusions: </strong>Given that CPTSD is more prevalent and demonstrates differential relationships to substance use characteristics, future research should examine whether individuals with comorbid CPTSD would benefit from adjusted treatment approaches. (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":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moderated mediation of gender on the relationship between resilience, mentalizing, and mental health outcomes in cumulative trauma survivors: The case of the 2020 Lebanese port explosion.","authors":"Pia Tohme, Wissam Kheir, Rudy Abi-Habib","doi":"10.1037/tra0001963","DOIUrl":"https://doi.org/10.1037/tra0001963","url":null,"abstract":"<p><strong>Objectives: </strong>This study addresses a critical gap in trauma research by examining the moderated mediation effects of gender on the relationship between resilience, mentalizing, and mental health outcomes among Lebanese trauma survivors following the Beirut port explosion in 2020 as well as the earthquakes in 2023.</p><p><strong>Method: </strong>With a significant sample of 546 participants, the research used robust psychological scales, such as the Connor-Davidson Resilience Scale and the Reflective Functioning Questionnaire, to examine how resilience affects mental health through mentalizing processes and how these effects differ between genders.</p><p><strong>Results: </strong>Findings revealed that mentalizing significantly mediates the relationship between resilience and mental health, with stronger effects observed in females. This study highlights the vital role of gender-sensitive interventions in mental health, advocating for the integration of mentalizing-focused therapies in trauma recovery programs to enhance resilience and mitigate mental health difficulties effectively.</p><p><strong>Conclusion: </strong>The implications of this research are particularly crucial for regions with high exposure to traumatic events, emphasizing the need for tailored, gender-aware psychological support strategies. (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":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond trauma: The influence of spiritual struggles on suicide risk in post-9/11 veterans.","authors":"Esther Kim, Sarah Salcone, Paola E Fernandez, Joseph M Currier","doi":"10.1037/tra0001970","DOIUrl":"https://doi.org/10.1037/tra0001970","url":null,"abstract":"<p><strong>Objective: </strong>Veterans with posttraumatic stress disorder (PTSD) and moral injury often struggle with their spirituality and/or religion (S/R) in ways that hinder recovery from these conditions and perpetuate risk for suicide over time. Focusing on veterans who were engaged in a peer-led spiritual intervention program with a Veteran Service Organization, this brief report examined prospective roles of common forms of spiritual struggles (divine, doubt, interpersonal, moral, meaning) in risk for suicidal behavior (ideation, attempt probability) over a 1-year period.</p><p><strong>Method: </strong>Participants completed self-report assessments of PTSD symptoms, moral injury outcomes, spiritual struggles, and suicidality at three points (baseline and 6-month and 12-month follow-ups).</p><p><strong>Results: </strong>Initial analyses revealed baseline levels of all spiritual struggles were weakly to moderately concurrently associated (<i>r</i>s = .215-.491) with suicidality factors at this baseline assessment. However, ultimate meaning struggles at baseline emerged as the only salient predictor of future suicide ideation and perceived likelihood of attempting suicide across the bivariate and multivariate analyses. Specifically, veterans who were concerned their lives or existence in general may not have a deeper purpose or underlying meaning at the start of the intervention program were more uniquely likely to be thinking about suicide and perceiving a greater likelihood of attempting suicide in the future over the 1-year period.</p><p><strong>Conclusion: </strong>Overall, these findings affirm the need for clinicians and researchers to attend to ultimate meaning struggles in their work with veterans and other trauma-exposed groups who might be at risk for suicide. (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":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences and regulation of posttraumatic shame among women with interpersonal trauma histories: An ecological momentary assessment study.","authors":"Jordyn M Tipsword, Alyssa C Jones, Matthew W Southward, Christal L Badour","doi":"10.1037/tra0001955","DOIUrl":"https://doi.org/10.1037/tra0001955","url":null,"abstract":"<p><strong>Objective: </strong>Posttraumatic shame-an emotion stemming from harsh attitudes about the self after trauma-is central to posttraumatic stress disorder for many women following physical or sexual assault or abuse (interpersonal trauma [IPT]). However, knowledge of how shame is experienced in daily life post-IPT (e.g., frequency, intensity, and stability) is lacking. Additionally, though some research has explored shame-specific emotion regulation (ER) or processes aimed at changing emotional responses to shame, it remains unclear which ER strategies are effective in reducing shame.</p><p><strong>Method: </strong>We explored momentary experiences and regulation of posttraumatic shame via a secondary analysis of ecological momentary assessment data. Sixty women post-IPT completed assessments of shame and their use of six ER strategies (reflection, rumination, reappraisal, emotion sharing, emotion suppression, and distraction) five times per day for 14 days.</p><p><strong>Results: </strong>Women experiencing more severe baseline posttraumatic stress disorder symptoms reported more intense momentary shame. Experiencing more intense shame than typical was associated with greater next-assessment use of rumination, emotion sharing, and reappraisal. Higher than typical use of rumination, emotion suppression, and distraction was associated with more intense next-assessment shame, and higher than typical use of emotion sharing was associated with more severe next-assessment shame among women with low or moderate posttraumatic stress disorder symptoms.</p><p><strong>Conclusions: </strong>Findings suggest that women may use both avoidance- and approach-oriented ER strategies at times when shame is more intense. Future researchers should consider contextual factors that may shape the daily experience and regulation of posttraumatic shame post-IPT. (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":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childhood emotional and physical bullying in affective and nonaffective psychotic disorders.","authors":"Caitlin Ridgewell, Marguerite D Sears, Lena M D Stone, Ann K Shinn","doi":"10.1037/tra0001953","DOIUrl":"10.1037/tra0001953","url":null,"abstract":"<p><strong>Objective: </strong>Bullying is common in childhood. Identifying developmental periods most sensitive to bullying may improve understanding of the link between bullying and psychotic disorders.</p><p><strong>Method: </strong>Forty-six individuals with schizophrenia spectrum disorders (schizophrenia or schizoaffective disorder; SZ), 53 with psychotic bipolar disorder (BP), and 51 healthy control (HC) participants completed the Maltreatment and Abuse Chronology of Exposures questionnaire. We tested for differences in the rates and severity of emotional and physical bullying across diagnostic groups, and also calculated odds ratios (<i>OR</i>'s) for emotional and physical bullying in SZ and BP versus HC. As a primary goal of the study, we also examined associations between diagnosis, the timing of bullying in childhood, and bullying severity using nonlinear mixed effects models.</p><p><strong>Results: </strong>Patients with SZ (<i>OR</i> range = 3.41-21.88) and BP (<i>OR</i> range = 2.48-11.63) reported both emotional and physical bullying at higher rates than HC. In general, emotional bullying severity increased between ages 5-11 years, peaked at age 11, then decreased between ages 11-17. Notably, there was a Timing × Diagnosis interaction for both SZ (β = 0.09, <i>p</i>_FDR < .01) and BP (β = 0.09, <i>p</i>_FDR < .01) for the interval spanning ages 5-11. For physical bullying severity, only SZ patients showed a Timing × Diagnosis interaction for the period spanning 5-11 compared with HC (β = 0.05, <i>p</i>_FDR < .01).</p><p><strong>Conclusions: </strong>Retrospective reports of childhood bullying suggest that the developmental period spanning ages 5-11 years may be a vulnerable period when emotional and physical bullying are most severe for people with psychotic disorders. (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":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uncovering key predictors to posttraumatic growth: How do Turkish university students overcome traumatic experiences.","authors":"Hamide Merve Doğançay, Türkan Doğan","doi":"10.1037/tra0001960","DOIUrl":"https://doi.org/10.1037/tra0001960","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to identify predictors of posttraumatic growth (PTG) among Turkish university students with a history of trauma based on the theoretical model. The research focused on three primary predictors, core belief disruption, coping strategies, event centrality, and demographic factors. Additionally, the study explored the relationship between event centrality, PTG, and posttraumatic stress symptoms (PTSS) within the Turkish cultural context.</p><p><strong>Method: </strong>A total of 462 participants, all of whom had experienced at least one traumatic event, were recruited through online surveys. A Pearson correlation and hierarchical regression were used to test the hypotheses.</p><p><strong>Results: </strong>Core belief disruption about oneself and coping strategies were significant predictors of PTG. Moreover, event centrality was significantly associated with PTG and PTSS, including all PTSS and PTG subdimensions, except for \"relating to others.\"</p><p><strong>Conclusion: </strong>These findings highlight the importance of core beliefs and coping strategies in fostering PTG. Moreover, it underscores the double role of event centrality in the formation of both positive and negative outcomes in the posttraumatic recovery process. The results have implications for future research and clinical practice, suggesting that specific psychological factors such as coping strategies are critical in promoting PTG, and event centrality about the traumatic experience should be considered carefully due to the potential to produce either outcome within the Turkish cultural context. (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":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The roles of adult attachment and complex trauma in sex trafficking-related coercive bonding: Entry, entrapment, and the challenges of exiting.","authors":"Paola M Contreras, Niko Wilson, Akyla Joseph, Shay Valentine, John Minahan, Stacy Reed-Barnes, Heather Wightman, Jennifer Dockery, Jessica Stahl, Diya Kallivayalil, Nikki Kirsch, Beth Waterman, Samantha Wilson, Richard M Greenberg, Chantha Carter, Siham Eid, Maria L Ayala-Conesa, Alejandra Sanchez, Lauren Herlihy","doi":"10.1037/tra0001951","DOIUrl":"https://doi.org/10.1037/tra0001951","url":null,"abstract":"<p><strong>Objective: </strong>One theory about sex trafficking (ST) is that people who stay with or return to traffickers do so in part due to trauma coercive bonding (TCB). Attachment theory posits that children form an internal working model with caregivers, which carries into adult relationships. Previous research with victims trafficked as minors found they struggled with attachments, making them more vulnerable to commercial sex (CS). This study contributes a direct analysis of the attachment patterns in ST and CS, which adds to the theory about the possible role of attachment patterns in TCB in ST and CS.</p><p><strong>Method: </strong>This cross-sectional study included 45 participants, used a mixed method, and administered the Adult Attachment Interview.</p><p><strong>Results: </strong>Findings include the following: (a) Traumas previous to CS likely contributed to irresolution (unresolved/cannot classify) and insecure (dismissing and preoccupied) attachment; (b) qualitative analyses identified TCB was used by pimps/traffickers to exploit participants' attachment vulnerabilities; (c) pimp/trafficker use of TCB was manipulative and violent enough to ensnare even those with secure attachment; (d) findings support consideration of complex trauma presence for sex-trafficked adults; and (e) traits of participants with secure attachment can help providers identify supports for initial exit.</p><p><strong>Conclusions: </strong>Participants of all attachment patterns were vulnerable to TCB in ST, even those with attachment security. However, participants with attachment insecurity and irresolution may be more vulnerable to TCB in ST and can help providers understand the role of these attachment patterns in ST entry and entrapment; participants with attachment security can help understand desirable support for initial exit from CS and ST. (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":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moral injury exposure among offenders in Türkiye: Experiences, coping, and values.","authors":"Feyza Topçu, Oğuzhan Taşdelen","doi":"10.1037/tra0001961","DOIUrl":"https://doi.org/10.1037/tra0001961","url":null,"abstract":"<p><strong>Objective: </strong>A growing body of research on moral injury (MI) has focused on various occupational groups, particularly on military personnel and veterans. However, there is a notable gap in investigations of MI in offender populations. This study was conducted to investigate the experiences and coping strategies of MI among offenders. Researchers have also identified the specific values that have been violated in MI.</p><p><strong>Method: </strong>The phenomenological design employed semistructured interviews to examine the offenders' MI experiences. Thematic analysis techniques were used to investigate the participants' feelings, thoughts, and behaviors. We recruited 15 participants from a larger sample based on their scores obtained on the administered scales and conducted in-depth interviews along with memos.</p><p><strong>Results: </strong>Three superordinate themes were conceptualized: (a) violated values, (b) experiences of MI, and (c) strategies for coping with MI. The empirical findings suggest that offenders have various experiences. These include frequent engagement in feelings, thoughts, and behaviors related to MI. Participants also demonstrated five categories of coping strategies: emotional, cognitive, behavioral, social, and spiritual. MI involves violation of numerous values.</p><p><strong>Conclusion: </strong>All offenders described in detail how they experienced and coped with moral injuries. Based on these findings, researchers suggest that mental health professionals working in penal institutions should implement programs to improve offenders' well-being, particularly when encountering morally injurious events. This intervention could involve identifying personal values in order to develop strategies. (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":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the impact of combat trauma on the severity, expression, and course of posttraumatic stress disorder in justice-involved veterans.","authors":"Mariana Ward, Nicole Baldwin, Daniel M Blonigen","doi":"10.1037/tra0001950","DOIUrl":"https://doi.org/10.1037/tra0001950","url":null,"abstract":"<p><strong>Objective: </strong>Posttraumatic stress disorder (PTSD) is associated with criminal justice involvement in veterans, but it is unclear how trauma type influences this relationship. The present study examines the impact of combat trauma on the severity and course of PTSD and the relationship with criminogenic needs in justice-involved veterans.</p><p><strong>Method: </strong>We conducted secondary analysis of data from 287 veterans with a criminal history admitted to mental health residential treatment. Participants completed interviews to assess PTSD symptom severity, criminal history, and criminogenic needs at the start of treatment and at 6 and 12 months. Bivariate analyses were conducted to determine differences between veterans with and without combat trauma on PTSD severity, criminal history, and criminogenic needs. Mixed-effect models were evaluated to assess changes in PTSD symptom severity over time based on trauma type.</p><p><strong>Results: </strong>At baseline, veterans with combat-related trauma (<i>n</i> = 70; 24.4%) had significantly higher PTSD symptom severity (<i>d</i> = .29, <i>p</i> < .05), particularly hyperarousal symptoms (<i>d</i> = .42, <i>p</i> < .001), and higher hyperarousal scores at 12 months (<i>d</i> = 0.41, <i>p</i> < .05). While PTSD severity decreased over time for both groups, hyperarousal scores for the combat trauma group increased posttreatment from 6 to 12 months. Those with combat-related trauma scored higher on antisocial personality patterns, marked by callousness and aggression but did not differ in other measures of criminogenic needs or their criminal history.</p><p><strong>Conclusions: </strong>The findings illustrate the need to consider trauma type in future research on the relationship between PTSD and justice involvement in veterans. (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":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling the intersection: Dissociative and psychotic-like experiences among a trauma-exposed clinical sample including postpartum women.","authors":"Mahogany A Monette, Kyle S Minor, Marissa J Ward, Michelle L Miller","doi":"10.1037/tra0001926","DOIUrl":"https://doi.org/10.1037/tra0001926","url":null,"abstract":"<p><strong>Objective: </strong>Trauma exposure is associated with elevated risk for psychotic-like experiences, including subthreshold hallucinations and delusions. Dissociative symptoms may link these two experiences and warrant further exploration.</p><p><strong>Method: </strong>The present study examined if dissociative symptoms accounted for additional variance in the association between posttraumatic stress disorder (PTSD) symptoms and hallucinations and delusions in a sample of patients (<i>n</i> = 63) seeking treatment for PTSD using the Dissociative Subtype of PTSD Scale; PTSD Checklist for <i>Diagnostic and Statistical Manual of Mental Disorders,</i> Fifth Edition; and Diagnostic Interview for Anxiety, Mood, and Obsessive-Compulsive Disorder and Related Neuropsychiatric Disorders hallucinations and delusions screener in a sample of predominantly White women, the majority of whom met criteria for PTSD. Exploratory analyses were conducted to examine if the postpartum subsample endorsed our variables of interest more frequently than our overall sample.</p><p><strong>Results: </strong>As hypothesized, PTSD symptoms and dissociative symptoms exhibited a small, significant correlation with psychotic-like experiences. Furthermore, dissociative symptoms accounted for additional variance in our models in psychotic-like experiences; however, the additional variance accounted for did not reach the level of significance. However, this study was limited by cross-sectional data with a predominantly White, woman sample. Future studies should examine these associations longitudinally among marginalized groups.</p><p><strong>Conclusions: </strong>Clinicians must provide thorough assessments to parse out PTSD symptoms, dissociative symptoms, and psychotic-like experiences, especially for clients seeking treatment for complex PTSD and/or a history of traumatic birth experience. Clinicians must conduct thorough assessments using validated tools like the Dissociative Experiences Scale and the Structured Interview for Psychosis-Risk Syndromes and could use interventions such as narrative exposure therapy that address maladaptive thoughts and dissociative experiences related to traumatic experiences. (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":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199944","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}