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

{"title":"Race-related differences in protective effects of emotion regulation against GrimAge acceleration are driven by assaultive trauma.","authors":"Aishwarya Chowdhary, Terrell Holloway, Ke Xu, Rajita Sinha, Zachary M Harvanek","doi":"10.1037/tra0001888","DOIUrl":"https://doi.org/10.1037/tra0001888","url":null,"abstract":"<p><strong>Objective: </strong>Age-adjusted mortality analyses consistently show increased mortality in non-Hispanic Black adults compared to other racial/ethnic groups. While the underlying causes are multifaceted, the potential role for psychological resilience aspects such as emotion regulation has not been explored. Here, we examine (a) racial differences in emotion regulation among White and Black adults, (b) the potential links between these differences and adversity, and (c) the relationship between emotion regulation, adversity, and biological aging.</p><p><strong>Method: </strong>Four hundred fifty-nine healthy volunteers (21.1% Black) were enrolled in a cross-sectional study where we assessed emotion regulation with the Difficulties with Emotion Regulation Scale, lifetime adversity using the Cumulative Adversity Inventory, and biological age using GrimAge.</p><p><strong>Results: </strong>Black participants had better emotion regulation than White participants with difficulty in regulating emotions being associated with greater lifetime adversity throughout the sample. However, the interaction between race and emotion regulation difficulties was significant for both lifetime adversity and traumatic events, with Black participants showing a stronger association between more adversity (specifically assaultive trauma) and worse emotion regulation. Remarkably, we found a significant three-way interaction between adversity, emotion regulation, and race, with emotion regulation protecting against the effects of adversity on GrimAge acceleration specifically in Black participants.</p><p><strong>Conclusions: </strong>Our findings highlight a potential protective role of emotion regulation against accelerated aging in Black adults, specifically at the intersection of adversity and epigenetic aging. Further research to understand racial differences in adversity and specific facets of resilience is required to gain a deeper understanding of race-related disparities in healthy aging. (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":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009642","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":"Preliminary efficacy of the Public Safety Employees Treatment Court (PSETC): The first justice-involved program in the United States for first responders.","authors":"Warren N Ponder, Jeanine M Galusha, Ian Lértora, Samantha L Tjaden, Jose Carbajal, Courtney D Young","doi":"10.1037/tra0001915","DOIUrl":"https://doi.org/10.1037/tra0001915","url":null,"abstract":"<p><strong>Objective: </strong>Veteran Treatment Courts (VTCs) were established in response to veterans' increased involvement in the criminal justice system, which was caused in part by comorbid mental health disorders after returning from combat. First responders, similar to their veteran colleagues, are more likely to develop posttraumatic stress disorder (PTSD), depression, and generalized anxiety compared to the general population, which can subsequently lead to choices that might contribute to them becoming involved in the criminal justice system. To address this, Tarrant County, Texas, created the first Public Safety Employees Treatment Court (PSETC) in the United States, with authority from the Texas state legislature.</p><p><strong>Method: </strong>For this initial evaluation of the PSETC, there were (<i>N</i> = 22) participants who completed the program. We included measures of trauma exposure, attachment, resilience, depression, generalized anxiety, PTSD, and suicidality to evaluate constructs that may prove important to future jurisdictions that wish to start a similar program. Also, a qualitative component was developed to garner additional information not captured by the standardized assessments.</p><p><strong>Results: </strong>The qualitative findings suggested that surveyed participants acknowledged the program's successful features while noting improvements needed regarding program access, program content, and frequency of required supplementary meetings. Since the program has clinical requirements, we calculated the reliable change index (RCI), which revealed that half (<i>n</i> = 11) of the participants had clinically significant reductions in PTSD.</p><p><strong>Conclusions: </strong>This initial study of the PSETC demonstrates that it is efficacious and provides a template for other jurisdictions seeking to start their own program. (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":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991145","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 path from extrafamilial childhood adversities to self-directed violence mediated by recent exposure to violence among male prisoners in Tunisia.","authors":"Emna Hariz, Imen Mlouki, Marwa Boussaid, Ahlem Silini, Aya Ajmi Blout, Mariam Triki, Abir Aissaoui, Sana El Mhamdi","doi":"10.1037/tra0001920","DOIUrl":"https://doi.org/10.1037/tra0001920","url":null,"abstract":"<p><strong>Objective: </strong>We sought to investigate the impact of recent violence exposure on the relationship between extrafamilial adverse childhood experiences (ACEs) and self-inflicted violence in male Tunisian prisoners.</p><p><strong>Method: </strong>We performed a cross-sectional study among adult male prisoners during April 2023. We used the validated Arabic versions of the World Health Organization ACE questionnaire and the Hospital Anxiety and Depression Scale. We assessed exposure to violence during the incarceration. Self-directed violence was subdivided into suicidal behaviors and self-harm. The participation was anonymous and voluntary, and the questionnaire was self-administered.</p><p><strong>Results: </strong>A total of 540 prisoners were recruited with a response rate of 74.6%. Exposure to at least one extrafamilial ACE was reported by 96.8% of them. Anxiety and depression were screened in 83.2% and 79.6% of cases, respectively. Approximately the half (51.5%) reported recent violence exposure mainly psychological (45.8%). About 35% of prisoners had suicidal thoughts and 45.9% reported self-harming. We found that the risk of self-directed violence was significantly higher when the number of extrafamilial ACEs increased. After adjusting for anxiety and depression, our study revealed that childhood collective and peer violence predict self-directed violence through recent exposure to violence (%mediated = 41.6 and %mediated = 30.8, respectively).</p><p><strong>Conclusions: </strong>This survey underscores the urgent need for targeted interventions to break the vicious cycle of violence in jails. (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":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014710","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":"Dynamics of PTSD and autonomic symptoms in a longitudinal U.S. population-based sample.","authors":"Jacek Kolacz, Jeffrey V Tabares, Olivia K Roath, Emily Rooney, Austin Secor, Evan J Nix, Camie A Tomlinson, Craig J Bryan","doi":"10.1037/tra0001918","DOIUrl":"https://doi.org/10.1037/tra0001918","url":null,"abstract":"<p><strong>Objective: </strong>Posttraumatic stress disorder (PTSD) symptoms can co-occur with somatic symptoms, associations which may be partly due to threat-responsive changes in the autonomic nervous system. Prior studies support between-person associations of elevated autonomic symptoms with higher PTSD severity. However, there is a need to distinguish between- and within-person variation in symptoms over time.</p><p><strong>Method: </strong>This study used a latent growth model with structured residuals to examine the dynamics of PTSD and autonomic symptoms in a U.S. population-based sample. Participants were 475 adults with an exposure to a potentially traumatic stressor (<i>M</i>_age = 47.89 ± 17.46; 62.9% female; 64.0% Caucasian, 14.3% Black or African American, 13.5% Hispanic, 2.3% Asian, 5.9% mixed race or ethnicity). Data were collected over four time points spaced approximately 1.5 months apart between July 2020 and January 2021 during the COVID-19 pandemic. PTSD and autonomic symptoms were measured using the Abbreviated Post-Traumatic Stress Disorder Checklist and the supradiaphragmatic symptoms subscale of the Body Perception Questionnaire-Short Form.</p><p><strong>Results: </strong>Latent PTSD and autonomic symptoms were positively associated (β = .499, <i>SE</i> = .048). At each wave, within-individual elevations in PTSD symptoms co-occurred with elevations in autonomic symptoms (β range: .221-.317). At several time points, elevated PTSD symptoms also predicted future elevations in autonomic symptoms (β range: .215-.304, <i>p</i> < .05). A history of childhood maltreatment was associated with higher PTSD (β = .309, <i>p</i> < .001) and autonomic symptom intercepts (β = .335; <i>p</i> < .001).</p><p><strong>Conclusions: </strong>Results support the linkage between PTSD and autonomic symptoms over time and suggest that elevations in PTSD symptoms may precede future autonomic symptoms. (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":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005853","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 neglect and its effect on self-conception and attachment in adulthood: A structural equation model.","authors":"Eleonora Topino, Alessio Gori","doi":"10.1037/tra0001921","DOIUrl":"https://doi.org/10.1037/tra0001921","url":null,"abstract":"<p><strong>Objective: </strong>Neglect stands out as one of the most prevalent forms of childhood maltreatment. However, due to its less overt nature than other forms of abuse, it has received comparatively less attention in the scientific literature. To contribute in filling this gap, the present research aimed to delve deeper into the role of childhood neglect in influencing the structuring of self-image and interpersonal relationships in adulthood.</p><p><strong>Method: </strong>A total of 820 participants (<i>M</i>_age = 31.86 years; <i>SD</i> = 11.68) were included in the research. Structural equation modeling was implemented to analyze the collected data.</p><p><strong>Results: </strong>Among the participants, 27.5% fall within the range of individuals who reported experiencing emotional neglect in childhood (range from low to severe), while 18.6% fall within the range of those who reported physical neglect in childhood (range from low to severe). A significant and positive total effect in the relationship between childhood neglect and anxious attachment in adulthood was shown. Furthermore, self-concept significantly mediated this relationship. The role of age and gender as potential confounders was also controlled.</p><p><strong>Conclusions: </strong>Such data provide useful insight into the complex interplay of childhood neglect, self-concept, and attachment in adulthood, providing information that may inform and guide targeted clinical interventions. (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":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977563","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 symptom network structure of postpartum posttraumatic stress disorder among women in Shanghai, China.","authors":"Lan Zhang, Nafei Guo, Yiwen Li, Junying Li, Hui Jiang, Ying Liu","doi":"10.1037/tra0001909","DOIUrl":"https://doi.org/10.1037/tra0001909","url":null,"abstract":"<p><strong>Objective: </strong>Previous studies have investigated various factors influencing postpartum posttraumatic stress disorder (PP-PTSD). However, limited understanding exists regarding the network structure and interconnections among symptoms of PP-PTSD. This study aims to explore the complex relationship by applying network analysis among postpartum women in Shanghai, China.</p><p><strong>Method: </strong>A total of 2,552 postpartum women completed the online questionnaire using the 14-item Chinese version of the Perinatal Posttraumatic Stress Disorder Questionnaire. For network analysis, 671 individuals were meticulously chosen from the upper quartile of the Perinatal Posttraumatic Stress Disorder Questionnaire scores, representing the top 25% (cutoff score ≥ 9). Subsequently, Walktrap cluster detection, a method for identifying clusters in networks, was performed on the estimated networks. Additionally, Network Comparison Tests were conducted to examine the variations among individuals based on parity and mode of birth.</p><p><strong>Results: </strong>The symptoms \"distant\" (Item 8, felt isolated and disconnected from others) and \"numb\" (Item 9, had difficulty showing tenderness or love toward others) were found to be the most central and exhibited the strongest correlation (<i>r</i> partial = 0.373). This study identified three symptom clusters: \"reexperiencing and avoidance\" symptom cluster, \"negative alterations in cognitions and mood and arousal\" symptom cluster, and \"hyper and guilt\" symptom cluster.</p><p><strong>Conclusions: </strong>To mitigate PP-PTSD among postpartum women, effective strategies targeting the central symptoms of \"distant\" and \"numb\" are crucial. Prioritizing interventions that address these key symptoms can enhance overall treatment and support effectiveness for individuals with PP-PTSD. (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":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043224","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 disorganized attachment by self-report: Psychometric evaluation of the Disorganized Response Scale (DRS).","authors":"Eva Flemming, Laura Lübke, Carsten Spitzer, Sascha Müller","doi":"10.1037/tra0001904","DOIUrl":"https://doi.org/10.1037/tra0001904","url":null,"abstract":"<p><strong>Objective: </strong>In the context of the Adult Attachment Interview, an \"unresolved/disorganized\" attachment status is characterized by lapses in reasoning or discourse when discussing traumatic experiences. A comprehensive body of research indicates that an unresolved/disorganized adult attachment status plays a crucial role in understanding complex mental health problems. The Disorganized Response Scale (DRS) is a novel self-report measure that mirrors the general focus of the Adult Attachment Interview in assessing disorganized verbalizations and cognitions related to attachment experiences. The scale has exhibited promising psychometric properties in a student sample, but evaluations in more diverse populations and in clinical samples are not yet available.</p><p><strong>Method: </strong>A German translation of the DRS was assessed in a general population sample (<i>N</i> = 1,101) and in a clinical sample of outpatients (<i>N</i> = 176). The psychometric properties and validity of the scale with respect to its associations with other self-report measures of attachment and psychopathology were examined.</p><p><strong>Results: </strong>Unidimensionality of the scale was overall confirmed with limitations in the clinical sample. The scale exhibited high internal consistency in both samples. There was evidence for incremental validity of the DRS over and above the standard self-report measures of organized attachment, that is, attachment anxiety and avoidance in predicting psychopathology (particularly dissociation).</p><p><strong>Conclusions: </strong>The DRS allows for measuring disorganized responses related to early attachment experiences through self-report. Although findings overall suggest that the German version of the DRS is a valid measure of disorganized responses, some aspects such as its dimensionality warrant critical discussion. (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":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044570","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":"Caregivers' perceptions of concurrent adverse childhood experiences screening and a family resilience program in the pediatric setting.","authors":"Meghan C Evans, Maryam Kia-Keating, Daniela Sarmiento Hernández, Miya Barnett","doi":"10.1037/tra0001905","DOIUrl":"https://doi.org/10.1037/tra0001905","url":null,"abstract":"<p><strong>Objective: </strong>Given the public health costs and disease burden of adverse childhood experiences (ACEs), there has been a growing movement to routinely screen for ACEs at pediatric well-child visits and increased calls for early intervention programs, particularly those that increase protective factors, such as positive, responsive, emotionally available caregiving. Latinx populations face notable prevalence of ACEs and significant barriers to access and utilization of services. Research is needed to understand their experiences with screening and early interventions. The present study examines Latinx caregivers' experiences with ACEs screening and the Honor, Educación, Respeto, Oportunidad, Esperanza, and Soluciones (HEROES) family resilience program.</p><p><strong>Method: </strong>Participants (<i>n</i> = 11, 90% Latinx) were recruited to participate in semistructured interviews from a larger randomized controlled trial of HEROES taking place in a Federally Qualified Health Center primarily serving Latinx families.</p><p><strong>Results: </strong>Reflexive thematic analysis (Braun & Clarke, 2006) was used to identify five key themes: (1) interrupting intergenerational cycles, (2) understanding the impact of ACEs, (3) feeling heard, (4) learning without stigma, and (5) applying mindfulness practices to parenting.</p><p><strong>Conclusions: </strong>Findings shed important light on how caregivers' experience of stress, self-efficacy, and support were related to ACEs screening and the HEROES intervention program. Findings have implications for dual-generation ACEs screening and increasing access to resilience-focused programs for Latinx populations. (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":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030789","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 dual nature of empathy: Exploring its role in PTSD symptoms among psychotherapists following a mass casualty event.","authors":"Dana Shamai-Leshem, Shir Porat-Butman, Einat Levy-Gigi, Simone Shamay-Tsoory","doi":"10.1037/tra0001910","DOIUrl":"https://doi.org/10.1037/tra0001910","url":null,"abstract":"<p><strong>Objective: </strong>Psychotherapists face a risk of posttraumatic stress disorder (PTSD) due to exposure to appalling details in therapy. Such risk is elevated during mass casualty events, which increase therapists' workload and ratio of trauma survivors. While therapists' empathic capacities are vital for therapy outcomes, empathy may increase their vulnerability to PTSD. We examined empathy's role in the relationship between therapy-related traumatic exposure and PTSD symptoms following the October 7, 2023, terrorist attack in Israel.</p><p><strong>Method: </strong>Seventy-three Israeli therapists (88% females) who were not directly exposed to the attacks were included. PTSD symptoms, empathy, and exposure to traumatic content in therapy were examined. Empathy was assessed using the Interpersonal Reactivity Index, which evaluates four components: perspective-taking, fantasy, empathic concern, and personal distress. Moderation analyses were performed to assess moderation by the components of empathy on the relationship between therapy-related traumatic exposure and PTSD symptoms.</p><p><strong>Results: </strong>Eighteen percent of participants scored above the threshold, indicating probable PTSD. Empathic concern and fantasy each moderated the relationship between exposure in therapy and PTSD symptoms. Specifically, higher levels of empathic concern and fantasy amplified the association between exposure and PTSD symptoms, with participants showing greater empathic concern or fantasy tendencies experiencing more pronounced PTSD symptoms when exposed to trauma in therapy.</p><p><strong>Conclusions: </strong>While providing care to victims of mass casualty events, therapist's tendency for empathic concern and fantasy, which may contribute to treatment success, may also increase the therapist's vulnerability to PTSD. The results highlight the importance of adequate training and supervisory support for therapists in disaster contexts. (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":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996296","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":"Relationships between childhood maltreatment, posttraumatic stress disorder symptoms, and stressful life events: Evidence from unintended pregnancy.","authors":"Stephanie Haering, Sinha Engel, Hannah Klusmann, Meike Blecker, Caroline Meyer, Daphne Hahn, Maika Böhm, Petra Brzank, Ulrike Busch, Tilmann Knittel, Silvia Krumm, Sarah Schumacher, Christine Knaevelsrud","doi":"10.1037/tra0001906","DOIUrl":"https://doi.org/10.1037/tra0001906","url":null,"abstract":"<p><strong>Objective: </strong>Individuals who experienced childhood maltreatment show an increased sensitivity to stressful events and are at greater risk for adult psychopathology. Leveraging the natural event of unintended pregnancy, this study aimed (a) to examine heterogeneity in posttraumatic stress disorder (PTSD) trajectories in the context of a stressful life event and (b) to increase our understanding of traumatized individuals' perinatal mental health to inform mental health care integration into abortion and maternity service settings.</p><p><strong>Method: </strong>189 individuals who either terminated (41%) an unintended pregnancy or carried it to term (59%) completed a self-report questionnaire of childhood maltreatment and a clinician-administered interview to assess lifetime trauma exposure and PTSD symptoms in the month prior to and 12 months after the end of the pregnancy. Hierarchical multiple regression analysis, t-tests, and change score analysis were conducted to investigate the interrelationships among childhood maltreatment, trauma exposure, and PTSD symptoms.</p><p><strong>Results: </strong>Participants most frequently reported sexual violence (25.83%), birth trauma (18.54%), or physical assault (16.56%) as their index trauma. Individuals with childhood maltreatment showed increased lifetime trauma exposure and exhibited greater PTSD symptoms 12 months after the unintended pregnancy. Childhood maltreatment did not predict a change in PTSD symptoms from pre- to postpregnancy.</p><p><strong>Conclusions: </strong>Childhood maltreatment is linked to increased PTSD symptoms that persist up to 1 year after an unintended pregnancy. These results have clinical implications for the inclusion of trauma-informed practices into reproductive care. (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":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804000","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}