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

{"title":"Patterns and correlates of traumatic stress, depression, anxiety, and moral injury in U.S. health care providers late in the COVID-19 pandemic.","authors":"Anthony Papa, Andrea H Okun, John P Barile, Haomiao Jia, William W Thompson, Rebecca J Guerin","doi":"10.1037/tra0001780","DOIUrl":"10.1037/tra0001780","url":null,"abstract":"<p><strong>Objective: </strong>Providing health care during the COVID-19 pandemic has been associated with a high mental health burden for health care providers. This study examined patterns of responses and correlates of class membership across commonly assessed mental health symptoms, psychosocial functioning, and moral injury for providers in the United States in Fall 2022.</p><p><strong>Method: </strong>A convenience sample of 1,504 primary care physicians, pediatricians, nurse practitioners, and physician assistants who had been in practice for three or more years (<i>M</i>_age = 46.1 years, <i>SD</i>_age = 11.3, 58% male) completed self-report measures in an online, opt-in panel survey from September to November 2022.</p><p><strong>Results: </strong>Using latent class analysis, three classes were identified: No/Low Symptoms (64.8%), High Moral Injury (19.9%), and Elevated Symptoms (15.2%). Several factors were correlated with class membership including age, sex, social support, personal risk of COVID-19, pandemic-related work stressors, proportion of COVID-19 patients seen at the height of the pandemic, and death of a patient due to COVID-19.</p><p><strong>Conclusions: </strong>This study found high levels of mental health symptoms, and problems with psychosocial functioning and moral injury in health care providers well past the pandemic's peak. The results also demonstrated the importance of considering the unique contribution of moral injury to psychosocial functional difficulties experienced by health care providers during the pandemic given their defined role as essential workers. These findings have implications for preventing and managing mental health problems and burnout among providers postpandemic as well as for future pandemics at both the organizational and individual levels. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1240-1248"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142111357","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}

{"title":"Is trauma isolating, or does isolation traumatize? Loneliness and posttraumatic stress mutually reinforce one another in the aftermath of environmental disaster.","authors":"Tegan Cruwys, Emily Macleod, Sonia Curll, Iain Walker, Tim Kurz, Kate Western, Alison L Calear, Timothy Heffernan, Olivia Evans, Samantha K Stanley, Lisa-Marie Greenwood","doi":"10.1037/tra0001895","DOIUrl":"10.1037/tra0001895","url":null,"abstract":"<p><strong>Objective: </strong>While loneliness has been robustly linked to many health outcomes, limited research has considered its relationship with posttraumatic stress. The evidence that does exist points to a complex and bidirectional relationship between loneliness and posttraumatic stress disorder (PTSD) in the aftermath of trauma.</p><p><strong>Method: </strong>We conducted a longitudinal study of 209 Australian adults who had experienced bushfire disaster, with three timepoints of data across 3 years. A path analytic model was used to assess the unfolding relationship between loneliness and PTSD symptoms over time, with covariates of age, gender, education, and household income.</p><p><strong>Results: </strong>We found that loneliness was a key risk factor for worsening PTSD symptoms, which, in turn, predicted increasing loneliness. Specifically, those whose trauma exposure was more severe or who had background mental health risk reported worse loneliness and posttraumatic stress 12-18 months after the disaster (T1). Loneliness at T1 predicted greater PTSD symptoms at T2 (∼3 years postdisaster). Furthermore, T2 PTSD symptoms predicted greater loneliness at T3 (∼4 years postdisaster). The model explained 39% of the variance in T2 PTSD symptoms and 41% of the variance in T3 loneliness.</p><p><strong>Conclusions: </strong>These results speak to the importance of early response efforts that encourage collective recovery and community engagement in disaster management. This may support the long-term goal of preventing the onset of harmful cycles of loneliness and PTSD in the wake of traumatic experiences. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1364-1372"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568023","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":"Unlocking resilience in the face of user aggression: Preliminary psychometric evaluation of the Italian Trauma-related Coping Self-Efficacy Scale among hospital health care professionals.","authors":"Valentina Sommovigo, Elena Cavallari, Ilaria Setti","doi":"10.1037/tra0001976","DOIUrl":"10.1037/tra0001976","url":null,"abstract":"<p><strong>Objective: </strong>Aggression toward health care workers is a growing global concern, contributing to psychological distress and posttraumatic stress symptoms. Trauma-related coping self-efficacy (CSE) is critical in mitigating such effects and promoting psychological resilience after traumatic events. However, Italian health care settings lack a validated tool to measure CSE. This study aimed to preliminarily validate an Italian version of the Trauma-Related CSE Scale, adapted to measure health care workers' responses to verbal and physical aggression from patients or clients.</p><p><strong>Method: </strong>The study involved 1,999 health care professionals who faced verbal aggression (92.6%) or physical aggression (7.4%) from patients or clients. The sample was primarily consisting of female nurses, with an average age of 46.95 years and a mean job tenure of 20 years. Participants were randomly divided into two groups: one for exploratory factor analysis (EFA; <i>n</i> = 996) and another for confirmatory factor analysis (CFA; <i>n</i> = 1,003). The scale's factorial structure was evaluated through EFA and CFA, with additional analyses for reliability, measurement invariance, and both nomological and concurrent validity.</p><p><strong>Results: </strong>EFA supported a unidimensional six-item structure, which was confirmed by CFA and demonstrated strong reliability. Full residual invariance was observed across health care professionals aged below and above 50 years. Higher CSE was negatively correlated with burnout and posttraumatic stress symptoms while positively associated with job satisfaction and emotional regulatory self-efficacy. Nurses reported lower CSE than doctors.</p><p><strong>Conclusions: </strong>This study offers a context-specific tool for assessing CSE in hospital health care settings, which can aid organizations in implementing practices to strengthen workers' resilience. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1214-1223"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508029","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":"Treatment outcomes of sexual minority women (SMW) veterans with military sexual trauma (MST).","authors":"Katerine Rashkovsky, Danielle M Morabito, Bettye Chargin, Cindy J Chang, Leslie A Morland, Marylene Cloitre","doi":"10.1037/tra0002077","DOIUrl":"10.1037/tra0002077","url":null,"abstract":"<p><strong>Objective: </strong>Although sexual minority women (SMW) veterans are disproportionately impacted by military sexual trauma and its negative consequences, little research has examined effective treatments in this population. This secondary analysis aims to address this gap by reporting outcomes of SMW veterans participating in a clinical trial of skills training in affective and interpersonal regulation (STAIR) compared with present-centered therapy (PCT) for the treatment of posttraumatic stress disorder.</p><p><strong>Method: </strong>Women veterans who experienced military sexual trauma (<i>N</i> = 161) were randomly assigned to individual STAIR or PCT. Forty-two participants were SMW (<i>M</i>_age = 45.45, <i>SD</i> = 14.05; 69.0% White) and 119 were heterosexual (<i>M</i>_age = 44.19, <i>SD</i> = 12.53; 54.6% White). Participants completed baseline, posttreatment, and follow-up assessments that included self-report measures of posttraumatic stress disorder symptoms (Posttraumatic Stress Checklist for <i>Diagnostic and Statistical Manual of Mental Disorders</i>, 5th edition), social support (Interpersonal Support Evaluation List), emotion regulation (Difficulties with Emotion Regulation Scale), posttraumatic maladaptive beliefs (Posttraumatic Maladaptive Beliefs Scale), depression symptoms (Beck Depression Inventory, Revised), and working alliance (Working Alliance Inventory-Patient Version). Independent samples <i>t</i> tests and piecewise mixed-effects regression models were conducted to evaluate SMW veterans' outcomes.</p><p><strong>Results: </strong>Both groups (sexual minority and heterosexual women) improved on posttraumatic stress disorder symptoms. SMW started off with comparable symptoms to heterosexual women but improved more on emotion regulation (<i>p</i> = .002), maladaptive beliefs (<i>p</i> = .002), and depression symptoms (<i>p</i> = .002) than heterosexual participants. Regardless of sexual orientation, participants had greater benefits in STAIR. Therapeutic alliance and treatment satisfaction were high in both STAIR and PCT with no difference between groups.</p><p><strong>Conclusions: </strong>SMW veterans may particularly benefit from therapies that focus on emotion regulation, interpersonal skills, and/or provide strategies that address day-to-day stressors (e.g., STAIR, PCT). (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1338-1345"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12716378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774171","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}

{"title":"Influence of trauma on longitudinal association between depressive symptoms and use of alcohol and cannabis among young people.","authors":"Matthew M Yalch, Elizabeth Mayfield Arnold, Joan Christodoulou, Dallas T Swendeman, Tara Kerin, Karin Nielsen-Saines, Mary Jane Rotheram-Borus","doi":"10.1037/tra0001749","DOIUrl":"10.1037/tra0001749","url":null,"abstract":"<p><strong>Objective: </strong>Trauma, depressive symptoms, and the use of alcohol and drugs are common among youth, especially those with marginalized racial/ethnic identities, sexual and gender minority youth (SGMY), and those with low socioeconomic status, homelessness, and HIV-positive status. However, most research on trauma, depression, and substance use among such youth is cross-sectional. This article examines these patterns over time.</p><p><strong>Method: </strong>Participants were youth with multiple life challenges (<i>N</i> = 1,728) recruited from 13 community-based agencies and health centers in Los Angeles, CA, and New Orleans, LA, and reassessed twice at 4-month intervals over 8 months (follow-up > 70%). Youth were predominantly Black, Latiné, and SGMY, with an average age of 21 years (range 12-24). We analyzed the association between trauma, depression, and substance use using a Bayesian approach to latent growth curve modeling.</p><p><strong>Results: </strong>Trauma had a robust, positive association with depressive symptoms and substance use, although this association differed depending on whether alcohol or cannabis use was examined. Higher levels of trauma were also associated with a slower decline in depressive symptoms over time.</p><p><strong>Conclusion: </strong>Study findings highlight the longitudinal association between trauma and both depression and substance use. This suggests the potential utility of trauma-focused interventions among vulnerable youth with one or both of these issues. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1249-1257"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352857","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}

{"title":"Gender as moderator of the relations between interpersonal and noninterpersonal trauma exposure and mental health problems in conflict-affected children and adolescents.","authors":"Florian Scharpf, Lars Dumke, Claudia Catani, Anselm Crombach, Hawkar Ibrahim, Frank Neuner, Vathsalan Rajan, Laura Saupe, Tobias Hecker","doi":"10.1037/tra0001886","DOIUrl":"10.1037/tra0001886","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the moderating role of gender in the associations between cumulative exposure to interpersonal trauma (IPT) and noninterpersonal trauma (NIPT) and mental health outcomes in children and adolescents in conflict-affected areas.</p><p><strong>Method: </strong>Based on a sample of 980 children (rangeage = 6-12, <i>M</i>_age = 9.60, 471 girls) and 472 adolescents (range_age = 13-18, <i>M</i>_age = 15.26, 218 girls) living in or near conflict-affected regions (Burundi, Northern Uganda, Iraq, Syria, and Sri Lanka), multigroup path analyses were conducted to examine whether cumulative exposure to IPT and NIPT was differentially associated with mental health problems (posttraumatic stress disorder symptoms, internalizing and externalizing problems) in girls and boys.</p><p><strong>Results: </strong>Among adolescents, higher cumulative exposure to IPT was significantly more strongly associated with posttraumatic stress disorder symptoms in girls than in boys, and higher cumulative exposure to NIPT was significantly associated with externalizing problems in girls only. Among children, all independent associations between types of trauma exposure and mental health problems were significant and did not differ between girls and boys.</p><p><strong>Conclusions: </strong>The findings suggest that female vulnerability to traumatic stress after IPT exposure occurs in adolescence. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1298-1308"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543120","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":"Cognitive appraisal as a mediator of the relations between war experiences and PTSD in the formerly abducted youth in Northern Uganda: Findings from the WAYS study.","authors":"Jane Namusoke, Nathaniel Mayengo, Carol Chosen Nakanwagi, Bernard Omech, Henry Kibedi, Joseph Ssenyonga, Kennedy Amone-P'Olak, Richard Meiser-Stedman","doi":"10.1037/tra0001944","DOIUrl":"10.1037/tra0001944","url":null,"abstract":"<p><strong>Objective: </strong>Exploring risk factors for posttraumatic stress disorder (PTSD) in war-affected populations is critical for the refinement and adaptation of therapies for this condition. However, few studies have examined this link, particularly the roles that cognitive appraisal processes play.</p><p><strong>Method: </strong>We explored the degree to which various types of cognitive appraisal mediate the connections between prior war experiences and PTSD symptoms in formerly abducted youths. A sample of 476 (<i>M</i>_age = 23.83; ± 9.58; range = 19-27 years) formerly abducted youths in Northern Uganda were included in the study. The postwar screening survey, the revised Impact of Events Scale, and the Trauma Appraisal Questionnaire were used to obtain information on war experiences, PTSD symptoms, and trauma appraisal, respectively.</p><p><strong>Results: </strong>War experiences significantly predicted PTSD symptoms (β = 0.47, 95% CI [0.37, 0.57]). The coefficients for the link between war experiences and PTSD symptoms decreased by between 44.7% (95% CI [29.7%, 59.7%]) and 57.4% (95% CI [33.4%, 71.4%]) for all trauma appraisal subscales, indicating partial mediation. The associations between war experiences and PTSD symptoms were attenuated but remained significant.</p><p><strong>Conclusion: </strong>Each trauma appraisal subscale partially mediated the association between war experiences and PTSD symptoms. The level of mediation by the various subscales of trauma appraisal was moderately large, suggesting that interventions targeted at changing maladaptive trauma cognitions may reduce the influence of war experiences on PTSD symptoms. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1268-1276"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199941","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":"Burnout, racial trauma, and protective experiences of Black psychologists and counselors.","authors":"Eric M Brown, Jennifer M Taylor, Deanna L Burgess, Autumn L Cabell, Laura E Captari, Steven J Sandage, David C Wang, Don E Davis, Joshua N Hook","doi":"10.1037/tra0001726","DOIUrl":"10.1037/tra0001726","url":null,"abstract":"<p><strong>Objective: </strong>The present study explored rates of burnout and racial trauma among 182 Black mental health professionals (BMHPs) and utilized racial-cultural theory to explore potential protective factors against burnout and racial trauma.</p><p><strong>Method: </strong>We collected data from 182 Black psychologists and counselors who were active mental health professionals during 2020. Descriptive statistics, multivariate analyses of variance, follow-up univariate analyses of variance, bivariate correlations, and multiple regression analyses were used.</p><p><strong>Results: </strong>Both burnout and racial trauma were considerably higher among BMHPs than has been reported across general samples of helping professionals and across a sample of Black participants across the United States. Differences among rates of burnout and racial trauma existed across genders and specialties (i.e., counseling and psychology). Higher levels of social support and an external locus of control significantly predicted lower levels of burnout and racial trauma. In addition, higher levels of resilient coping predicted lower levels of burnout. Last, more frequent meetings with a mentor significantly predicted lower levels of racial trauma.</p><p><strong>Conclusions: </strong>Results from this study suggest that BMHPs may be more susceptible to burnout and race-based traumatic stress as a result of their work. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1170-1179"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634339","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":"Avoidant coping behaviors as risk factor in the relationship between heterosexism and PTSD severity among young sexual minority women.","authors":"Stephanie Balters, Zoe Morris Feldman Brier, Debra Kaysen","doi":"10.1037/tra0001990","DOIUrl":"10.1037/tra0001990","url":null,"abstract":"<p><strong>Objective: </strong>Sexual minority women (SMW) are at high risk of traumatic events and developing posttraumatic stress disorder (PTSD). The minority stress model suggests that SMW face significant mental health impacts from minority-specific discrimination (i.e., heterosexism). This study examines the impact of heterosexism on PTSD risk, controlling for trauma exposure, and tests coping strategies as potential risk and protective factors.</p><p><strong>Method: </strong>We analyzed data from 324 young bisexual and lesbian women (aged 18-25 years; all were assigned a female at birth) with trauma histories. An analysis of direct and indirect effects assessed the impact of coping behaviors (i.e., avoidant and approach) on the association between heterosexism and PTSD severity, considering total trauma exposure. A prediction model using support vector regression identified coping behaviors predicting PTSD severity.</p><p><strong>Results: </strong>The analysis revealed that heterosexism had a direct positive association with PTSD severity (<i>B</i> = 3.572, <i>p</i> < .001, 95% CI [1.487, 5.656]), with an indirect effect through avoidant coping behaviors (<i>B</i> = 2.776, 95% CI [1.387, 4.243]). Approach coping behavior did not serve as a protective factor (<i>p</i> = .091). The prediction analysis found that denial and self-blame, along with trauma and heterosexism exposure, best predicted PTSD severity (<i>r</i> = 0.65; <i>p</i> < .001).</p><p><strong>Conclusions: </strong>These findings highlight avoidant coping behaviors' role in the relationship between heterosexism and PTSD severity among SMW. Clinicians should consider interventions to reduce avoidant coping (denial and self-blame) when treating PTSD in SMW, given ongoing heterosexism exposure. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1319-1328"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12863095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776099","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}

{"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":"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>_age = 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) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1329-1337"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","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}