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

{"title":"Mapping network connection of comorbidity of depression and anxiety symptoms among firefighters exposed to traumatic events: Insights from a network analysis.","authors":"Yanqiang Tao, Wenxin Hou, Liang Zhang, Xiangping Liu","doi":"10.1037/tra0001560","DOIUrl":"10.1037/tra0001560","url":null,"abstract":"<p><strong>Objective: </strong>Firefighters are prone to mental disorders such as anxiety and depression because they are frequently exposed to trauma, including injury and death. Network analysis is an approach used to depict a holistic view of mental disorders, which is a symptom-oriented method, and argues that the mental structure is likely to arise from the interaction among observable symptoms. Hence, the present study aims to reveal the characteristics of depressive and anxiety symptoms for Chinese firefighters via a network approach.</p><p><strong>Method: </strong>We recruited 715 male firefighters (<i>M</i>_age = 26.29, <i>SD</i>_age = 5.93) and asked them to complete the Self-rating Anxiety Scale and Self-rating Depression Scale to measure their levels of anxiety and depression.</p><p><strong>Results: </strong>Faintness had the highest symptom strength in the anxiety network, while irritability had the highest symptom strength in the depression network. The strongest edge (i.e., the connection among symptoms) in the anxiety network was apprehension-restlessness, and in the depression network was confusion-psychomotor retardation. In the bridge network, which contained both anxiety and depression, the strongest edge was confusion-psychomotor retardation, and the highest centrality symptoms (<i>Z</i> score above 1) were panic, easy fatiguability, palpitations, crying spells, and tachycardia. Bayesian network analysis revealed that fear was the most influential trigger symptom in the anxiety-depression network structure of firefighters.</p><p><strong>Conclusions: </strong>Clinicians could focus on treating the related bridge and trigger symptoms, such as panic, easy fatiguability, palpitations, crying spells, tachycardia, and fear, to alleviate the comorbidity of anxiety and depression in firefighters. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1119-1128"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9958387","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":"Long-COVID stress symptoms: Mental health, anxiety, depression, or posttraumatic stress.","authors":"Leia Y Saltzman, Michele Longo, Tonya C Hansel","doi":"10.1037/tra0001567","DOIUrl":"10.1037/tra0001567","url":null,"abstract":"<p><strong>Objective: </strong>Currently, there is no single profile of mental health sequela in long-coronavirus disease (COVID) patients, impacting identification, treatment, and exacerbating stigma among this population. This article highlights the rationale for mental health professionals to consider a summary of mental health symptoms in long-COVID patients.</p><p><strong>Method: </strong>This article provides an overview of the existing literature regarding the health and mental health impact of long COVID on patients and proposes an approach to conceptualizing mental health symptoms in individuals living with long COVID. This article summarizes the health and mental health impacts of long COVID and underscores the limitations of the current approach to measuring and screening mental health symptoms in long-COVID patients.</p><p><strong>Results: </strong>Long-COVID patients have reported new and worsening mental health symptoms; most frequently reported are depression, anxiety, posttraumatic stress disorder (PTSD), and insomnia. The article concludes by proposing the notion of <i>long-COVID stress symptoms</i> and calls for mental health researchers to identify the unique and complex mental health profiles emerging among this patient population.</p><p><strong>Conclusions: </strong>Though some long-COVID patients survived life-threatening illnesses and may, therefore, meet the formal criteria for PTSD, many will present with posttraumatic symptomology that mimics PTSD but may not arise from life-threatening medical trauma. A better understanding of the mental health burden of long-COVID stress symptoms is essential to providing efficient and effective mental health treatment, supporting physicians treating long-COVID patients, and enhancing access to and utilization of medical services. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1169-1178"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10054203","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":"Affective arousal temporally precedes dissociation in patients with borderline personality disorder: A preliminary experience sampling study.","authors":"Johannes Bodo Heekerens, Lars Schulze, Juliane Enge, Babette Renneberg, Stefan Roepke","doi":"10.1037/tra0001516","DOIUrl":"10.1037/tra0001516","url":null,"abstract":"<p><strong>Objective: </strong>Affective dysregulation is a core feature of borderline personality disorder (BPD), and some patients report dissociative symptoms. The present study investigated temporal dynamic relations between affective states and current experiences of depersonalization and derealization in daily life to test key theoretical premises of trauma models of dissociation.</p><p><strong>Method: </strong>Patients with BPD (<i>n</i> = 42) or depressive disorders (<i>n</i> = 40), and nonclinical controls (<i>n</i> = 39) were assessed every 15 min for 13 hr within a single day using smartphone-based diaries.</p><p><strong>Results: </strong>As expected, dynamic structural equation modeling results show the highest levels of average daily affective arousal, negative affective valence, and dissociation in the BPD group. As hypothesized, arousal and subsequent dissociation were significantly linked only in the BPD group, implying that momentary arousal above a person's daily average is followed by higher dissociation in the next measurement (∼15 min later). In addition, some patients with BPD reported less negative affective valence following dissociation.</p><p><strong>Conclusions: </strong>Our findings suggest that changes in affective states play an important role at the onset of dissociation in patients with BPD. Subsequent relief from distress may explain maintenance. We recommend that clinicians provide means to regulate affect when dealing with dissociation. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1129-1138"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9374015","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":"Risk and protective factors associated with posttraumatic stress disorder among layperson responders to opioid overdose incidents.","authors":"Brendan P Jacka, Nelson Lin, Reina Kiefer, Shannon R Forkus, Alexa M Raudales, Emmanuel D Thomas, Elizabeth A Samuels, Brandon D L Marshall, Nicole H Weiss","doi":"10.1037/tra0001781","DOIUrl":"https://doi.org/10.1037/tra0001781","url":null,"abstract":"<p><strong>Objective: </strong>Fatal and nonfatal overdoses involving opioids have increased to crisis levels in recent years. Laypersons have been increasingly tasked with responding to these events by administering naloxone, performing rescue breaths/cardiopulmonary resuscitation, and calling for medical assistance. However, little is known about the development of posttraumatic stress disorder (PTSD) related to opioid overdose responding among laypersons. To this end, we sought to determine the factors associated with PTSD stemming from responding to an opioid overdose event.</p><p><strong>Method: </strong>From April 2021 to October 2021, structured interviews were conducted with layperson responders who had responded to an opioid overdose. Participants were administered structured diagnostic interviews, Clinician-Administered PTSD Scale for <i>Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5</i>), and completed validated self-report measures.</p><p><strong>Results: </strong>In total, 101 layperson adults who responded to an opioid overdose were recruited for the present study (<i>M</i>_age: 34, 65% identified as women, 79% as White, and 11% as Hispanic/Latino). Of the 80 participants who completed the Clinician-Administered PTSD Scale for DSM-5, 100% met Criteria A for PTSD related to overdose responding, and over one quarter (27.5%) met current PTSD diagnosis criteria related to overdose responding. Current PTSD related to overdose responding was associated with depression symptoms, generalized anxiety symptoms, and presence of law enforcement or professional first responders during the most distressing overdose responding event.</p><p><strong>Conclusions: </strong>Responding to opioid overdoses is traumatizing for many and results in a considerable burden of PTSD among layperson responders. As such, we call for trauma-informed interventions that cater to the unique experiences of layperson opioid overdose responders. (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":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352859","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":"\"We had to care about ourselves\": Distress and coping among gay, bisexual, and queer (GBQ+) Latinx men after the Pulse Nightclub shooting.","authors":"José R Rosario, Ebra Elsharnouby, Esteban V Cardemil","doi":"10.1037/tra0001799","DOIUrl":"https://doi.org/10.1037/tra0001799","url":null,"abstract":"<p><strong>Objective: </strong>The Pulse Nightclub shooting is the deadliest act of violence against the lesbian, gay, bisexual, transgender, and queer community in U.S.</p><p><strong>History: </strong>After the shooting, communities came together to process the violence and grieve the victims. Conceptualizing the Pulse Nightclub shooting as a cultural trauma, this article examines the impact of the shooting on gay, bisexual, and queer (GBQ+) Latinx men and how these men coped following the Pulse Nightclub shooting.</p><p><strong>Method: </strong>Semistructured qualitative interviews were conducted with Latinx gay, bisexual, and queer men in the United States. Transcripts were analyzed with thematic analysis.</p><p><strong>Results: </strong>The interviews (<i>n</i> = 10) revealed five main themes related to distress, coping, and belonging.</p><p><strong>Conclusions: </strong>Cultural trauma events impact community members who share identities with the direct victims. Our findings suggest that after experiences of cultural trauma, lesbian, gay, bisexual, transgender, and queer Latinx individuals may seek collective-level coping strategies, even when they are not directly targeted. (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":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352855","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":"Between mourning and hope: A mixed-methods study of ambiguous loss and posttraumatic stress symptoms among partners of Israel defence force veterans.","authors":"Amit Danon, Rachel Dekel, Danny Horesh","doi":"10.1037/tra0001794","DOIUrl":"https://doi.org/10.1037/tra0001794","url":null,"abstract":"<p><strong>Objective: </strong>Spouses of military combatants often experience adverse outcomes, including posttraumatic stress symptoms (PTSS) in the event of ambiguous loss (AL). AL refers to an uncertain situation regarding a person's status as alive or as cognitively present. The former ambiguity is categorized by the term physical AL (PAL), which refers to the continued psychological presence of a person, despite their physical absence. The latter ambiguity, categorized by the term psychological AL or ambiguous presence, refers to when a person is emotionally absent, despite their physical presence. Though AL has been widely researched, there are still gaps around the AL-posttraumatic stress disorder (PTSD) relationship, especially regarding dyadic variables that can moderate this relationship. Also, most of the AL military-related studies are qualitative, with only a few that combine qualitative and quantitative research methods. We address these gaps in an innovative mixed-methods study examining the emotional experience of Israeli veterans' spouses with a focus on the relationship between AL, PTSS, and dyadic adjustment (DA).</p><p><strong>Method: </strong>The study included 63 participants, all spouses of Israeli veterans. We used self-report questionnaires (AL, Dyadic Adjustment Scale, and PTSD Checklist for <i>Diagnostic and Statistical Manual of Mental Disorders, fifth edition</i>) and a semistructured narrative interview.</p><p><strong>Results: </strong>Our results revealed positive correlations between AL-PTSS and PAL-PTSS. Also, an interaction effect was found in which the lower the DA level, the stronger the PAL-PTSS correlation. Conversely, the higher the DA level, the stronger the ambiguous presence-PTSS correlation. Qualitative findings identified themes in the experience of these situations, including uncertainty and ambivalence.</p><p><strong>Conclusions: </strong>Our qualitative and quantitative results combined suggest that the way military couples deal with AL may be an important emotional experience requiring specific attention from mental health professionals. (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":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352856","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":"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":"https://doi.org/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) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"They thought I was just making it up\": Dissociative individuals' understandings of their dissociation, perceptions of their clinicians' conceptualizations of dissociation, and discrepancies between them.","authors":"Nicholas A Pierorazio, Jerrica L Robertson, M Shae Nester, Bethany L Brand","doi":"10.1037/tra0001800","DOIUrl":"https://doi.org/10.1037/tra0001800","url":null,"abstract":"<p><strong>Objective: </strong>Dissociation is thought to be traumagenic, though this conceptualization is not without misunderstanding and stigma. There is little research regarding people's conceptualizations of their dissociative experiences and client-clinician discrepancies in understanding dissociation.</p><p><strong>Method: </strong>An online survey assessed 208 self-reported dissociative participants' understandings of their dissociation and their beliefs about their clinicians' understanding of dissociation via two open-ended questions. Template analysis, a codebook thematic analysis approach, was employed to explore and compare the ways people understand their dissociation and their perceptions of their clinicians' conceptualizations.</p><p><strong>Results: </strong>Four themes were developed to capture participants' perspectives: (1) Dissociation as Stigmatized and Underexplored (<i>n</i> = 83; 39.90%); (2) Dissociation as Individualized and Normalized Lived Experience (<i>n</i> = 173; 83.17%); (3) Dissociation as Clinical and/or Pathological (<i>n</i> = 112; 53.85%); and (4) Dissociation Through Etiological Frameworks (<i>n</i> = 67; 32.21%). Overall, 73.48% of participants indicated discrepancies between their understandings of their dissociation and those of their clinicians. Participants understood their dissociation through a lens of individualized and normalized lived experiences (100.00%) more often than their clinicians (23.12%). They believed their clinicians held more clinical understandings of dissociation (81.25%) than themselves (69.64%).</p><p><strong>Conclusions: </strong>Given the perceived discrepancies between clients' and clinicians' understandings of dissociation, clinicians should engage in discussions with their clients about their dissociation-related lived experiences with awareness that they may have been misunderstood by previous providers. Client-clinician discrepancies should be addressed, as failure to do so could lead to misunderstandings and ruptures in the therapeutic relationship. (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":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352854","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":"Relations between trauma-based subgroups and posttrauma health outcomes: A latent class analysis.","authors":"Elizabeth L Griffith, Banan Ramarushton, Kathryn P Davis, Ateka A Contractor, Adriel Boals","doi":"10.1037/tra0001787","DOIUrl":"https://doi.org/10.1037/tra0001787","url":null,"abstract":"<p><strong>Objective: </strong>In trauma research, it is common for researchers to characterize participants as either \"trauma exposed\" or \"not trauma exposed\" regardless of nuanced differences of the potentially traumatic event (PTE). To our knowledge, no study has simultaneously examined differences across both PTEs and exposure types.</p><p><strong>Method: </strong>Using latent class analysis, we investigated latent homogeneous subgroups of individuals following experiences of 16 PTEs via three exposure types (i.e., direct, indirect, and/or occupational). We further examined class differences regarding posttraumatic stress disorder (PTSD) symptom clusters, event centrality, depression, and anxiety. Our sample included 2,663 participants (<i>M</i>_age = 22.33; 56.0% female).</p><p><strong>Results: </strong>Results indicated four latent subgroups: (a) occupational trauma (OT), (b) direct interpersonal trauma (DIT), (c) indirect trauma (IT), and (d) low trauma exposure (LTE). Individuals in the OT class reported the highest levels of all symptoms except for PTSD avoidance and event centrality (which were highest in the DIT class), and individuals in the LTE class reported the lowest levels of all symptoms. Several nuanced between-class differences were found regarding posttrauma outcomes.</p><p><strong>Conclusions: </strong>Findings further support the notion that dichotomizing participants as \"trauma exposed\" or \"not trauma exposed\" is overly simplistic and ignores important variability in trauma research. (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":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352858","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":"Risk factors of PTSD and substance use disorders in clinical and counseling psychology doctoral students.","authors":"Quyen Q Tiet, Jordan Brooks, Cyrano Patton","doi":"10.1037/tra0001803","DOIUrl":"https://doi.org/10.1037/tra0001803","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the prevalence of probable alcohol use disorder (AUD), drug use disorders (DUDs), and posttraumatic stress disorder (PTSD) among psychology doctoral students. Additionally, it explored the unique relationships between risk factors (lifetime trauma, recent stressful experiences, COVID-19-related stress, general stress, financial stress) and AUD, DUD, and PTSD while accounting for demographic factors.</p><p><strong>Method: </strong>The sample included 889 clinical and counseling psychology doctoral students, and the Alcohol Use Disorders Identification Test, Screen of Drug Use, and Primary Care PTSD Screen for <i>Diagnostic and Statistical Manual of Mental Disorders</i> (5th ed.) were used to measure current probable AUD, DUD, and PTSD, respectively.</p><p><strong>Results: </strong>Approximately 43.8% had probable AUD, 23.2% had probable DUD, and 14.7% had probable PTSD. The univariate analysis results indicated a pattern of elevated risk among Black, Indigenous, and people of color, lesbian, gay, bisexual, queer, and other (LGBQ+) individuals, and women students. The results of the multivariate logistic regression analyses revealed that increased lifetime trauma and COVID-19-related stress were associated with higher adjusted odds of probable PTSD. Higher adjusted odds of probable AUD were observed among individuals experiencing elevated levels of COVID-19-related stress and among younger, women, and non-Hispanic White individuals. LGBQ+ individuals and those with no religious affiliation were found to have higher adjusted odds of probable DUD.</p><p><strong>Conclusions: </strong>These findings underscore the alarming prevalence of AUD, DUD, and PTSD in this population, raising concerns that warrant attention. Women; Black, Indigenous, and people of color; and LGBQ+ individuals face heightened risks of PTSD, AUD, and DUD, emphasizing the urgent need for mental health care for psychology doctoral students and marginalized groups. (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":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142294097","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}