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

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Migration-related trauma and PTSD among Latinx parents in the southeast during COVID-19. COVID-19 期间东南部拉美裔父母与移民有关的创伤和创伤后应激障碍。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-08-01 DOI: 10.1037/tra0001511
Yesnely Anacari Flores, Emily Lemon, Carla Santiago, Belisa Urbina, Briana Woods-Jaeger
{"title":"Migration-related trauma and PTSD among Latinx parents in the southeast during COVID-19.","authors":"Yesnely Anacari Flores, Emily Lemon, Carla Santiago, Belisa Urbina, Briana Woods-Jaeger","doi":"10.1037/tra0001511","DOIUrl":"10.1037/tra0001511","url":null,"abstract":"<p><strong>Objective: </strong>Latinx immigrants are at risk for migration-related trauma that can lead to posttraumatic stress disorder (PTSD). Among parents in immigrant families with undocumented family member(s) (i.e., mixed-status), risk for PTSD may be exacerbated by policies that threaten family separation and exclude immigrants from systems of support. Understanding these relationships in context is important to equip practitioners to address traumatic stress in this population.</p><p><strong>Method: </strong>Our community-based participatory research (CBPR), mixed-methods study explored migration-related trauma and PTSD among Latinx immigrant parents in a restrictive immigration climate during the COVID-19 pandemic. We conducted 145 surveys with Latinx parents in mixed-status families and conducted multivariable linear analyses to test if immigration policy vulnerability strengthened the relationship between migration-related trauma and PTSD symptoms. Then, we conducted 15 interviews with frontline workers serving Latinx immigrant families to contextualize the relationships between migration-related trauma, immigration-related policies, and PTSD during the COVID-19 pandemic.</p><p><strong>Results: </strong>Parent surveys revealed was no observed relationship between premigration-related trauma and PTSD symptoms (β = 0.12, p = .15). However, increases in policy vulnerability was associated with PTSD symptoms (β = 0.25, p < .01) and strengthened the relationship between postmigration trauma and PTSD symptoms (β = 0.19, p = .03). Frontline workers described how social isolation due to immigration-related policies worsened under the COVID-19 pandemic and deportation fears remained a constant stressor.</p><p><strong>Conclusions: </strong>Results from our CBPR study highlight the need for policies and practices that address compounding effects of migration-related trauma, policy vulnerability, and the COVID-19 pandemic to promote mental health equity among Latinx immigrant families. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":"16 Suppl 2","pages":"S446-S455"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141748993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When silence feels safer: Challenges and successes of delivering a school-based cognitive behavioral intervention to Central American unaccompanied immigrant youth. 沉默更安全:为中美洲孤身移民青年提供校本认知行为干预的挑战与成功。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-08-01 Epub Date: 2022-12-19 DOI: 10.1037/tra0001414
Naomi A Schapiro, Ellen Moore, Ericberto Garcia, Erica Gomes, Mariane Stimbra-Mora, Whitney Greswold
{"title":"When silence feels safer: Challenges and successes of delivering a school-based cognitive behavioral intervention to Central American unaccompanied immigrant youth.","authors":"Naomi A Schapiro, Ellen Moore, Ericberto Garcia, Erica Gomes, Mariane Stimbra-Mora, Whitney Greswold","doi":"10.1037/tra0001414","DOIUrl":"10.1037/tra0001414","url":null,"abstract":"<p><strong>Objective: </strong>To explore cultural and immigration-related factors, among Central American unaccompanied immigrant youth (UIY), affecting the safety and acceptability of Cognitive Behavioral Intervention for Trauma in Schools (CBITS), a group intervention designed to treat trauma symptoms.</p><p><strong>Method: </strong>Thematic analysis of data from grounded theory study of group interventions to support resilience in UIY, consisting of interviews with 10 key stakeholders (5 CBITS facilitators) and 16 UIY (6 CBITS participants) from El Salvador, Guatemala, or Honduras, interviews conducted in Spanish, English, or Mam.</p><p><strong>Results: </strong>Five themes emerged from interviews with CBITS facilitators and UIY: (a) <i>Todo está bién</i>: self-protective silence about trauma and symptom denial, (b) <i>Chisme</i> goes around: personal risks of disclosure, (c) marginalizing the language and world view of indigenous youth, (d) \"CBITS didn't really quite land for them\": adapting the curriculum and delivery, and (e) \"I learn to appreciate things\": benefits of the CBITS group. CBITS facilitators endorsed skill-building aspects of the groups and expressed concerns about a curriculum relying on written homework and parental support for youth with limited home country schooling, currently living with distant relatives. CBITS participants endorsed hearing about other youths' stories and learning coping skills.</p><p><strong>Conclusions: </strong>Models for group intervention that emphasize coping skill development and group support, while de-emphasizing the trauma narrative, should be explored and tested. Group intervention leaders should consider the impact of differences in gender, country of origin, and native language on group dynamics. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"S400-S408"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10731522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
La Linterna: Clinical model for trauma-exposed, migrant children. La Linterna:针对遭受创伤的移民儿童的临床模式。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-08-01 Epub Date: 2023-02-16 DOI: 10.1037/tra0001415
John Harlow, Natalie C Cruz, Teresa Celada-Dalton, Julie A Cederbaum
{"title":"La Linterna: Clinical model for trauma-exposed, migrant children.","authors":"John Harlow, Natalie C Cruz, Teresa Celada-Dalton, Julie A Cederbaum","doi":"10.1037/tra0001415","DOIUrl":"10.1037/tra0001415","url":null,"abstract":"<p><strong>Objective: </strong>Exposure to childhood adversity is increasingly recognized as an important topic in pediatric medicine and a powerful driver of adult disease burden. While significant evidence exists that early intervention is critical for children exposed to adversities, few models have been established for addressing the complex medical, psychological, and social needs of these patients in a holistic manner.</p><p><strong>Method: </strong>La Linterna is an interdisciplinary clinical initiative providing trauma-informed primary care, mental health treatment, immigration legal counsel, and comprehensive case management to children (and their families) exposed to adversities throughout the migration process. Started in 2019, the clinic serves immigrant families throughout the city of Los Angeles. Described as the process of implementing an interdisciplinary, trauma-informed practice to meet the medical, mental health, social care needs of this uniquely vulnerable patient population.</p><p><strong>Results: </strong>Strong evidence exists in the medical literature arguing for the implementation of a holistic, trauma-informed model of patient care. We describe \"principles\" and \"lessons learned\" during implementation, as well as detail an approach to improving services to immigrant families who have experienced adversities via an interactive, patient-centered process.</p><p><strong>Conclusions: </strong>Trauma-informed care is critical for meeting the needs of vulnerable children and their families. La Linterna represents an innovative and effective way to enhance care for one of the most vulnerable United States populations, immigrant and refugee families. Implementation of all or some of the program's components is possible throughout the United States and would mark an improvement over current practice. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"S340-S348"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9130198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trauma-informed care for unaccompanied children: Lessons learned for practice and policy development. 无人陪伴儿童的创伤知情护理:实践和政策制定的经验教训。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-08-01 Epub Date: 2023-09-21 DOI: 10.1037/tra0001565
Diane Elmore Borbon, Elizabeth Tant Blackmon, Nctsn Unaccompanied Children Task Force, John A Fairbank
{"title":"Trauma-informed care for unaccompanied children: Lessons learned for practice and policy development.","authors":"Diane Elmore Borbon, Elizabeth Tant Blackmon, Nctsn Unaccompanied Children Task Force, John A Fairbank","doi":"10.1037/tra0001565","DOIUrl":"10.1037/tra0001565","url":null,"abstract":"<p><strong>Introduction: </strong>The number of unaccompanied children (UC) arriving in the United States has increased significantly in recent years. UC often encounter traumatic events in their home country, during their migration journey, and upon resettlement. This article describes a congressionally-funded initiative to provide trauma-informed mental health services to UC and children separated from their parents upon arrival in the United States. It also identifies facilitators and barriers to working with UC and offers lessons learned to help inform future practice and policy development aimed at assisting this vulnerable population.</p><p><strong>Method: </strong>Data were derived from qualitative interviews and a survey administered to grantees.</p><p><strong>Results: </strong>In total, grantees served 1,195 youth and families across 11 states, including UC, asylees, and new immigrants during the period of December 2018 through September 2019. Youth and families served spoke 16 languages and originated from diverse nations. Services provided included direct services to youth and families; training for providers and community members; partnerships and collaborations; and resource/product development or adaptations.</p><p><strong>Discussion: </strong>Lessons learned and recommendations derived from this initiative can assist others interested in promoting trauma-informed practice and policies for migrant children and their families. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"S456-S459"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41165563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trauma in the American asylum process: Experiences of immigrant families under the migrant protection protocols. 美国庇护程序中的创伤:移民家庭在移民保护协议下的经历。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-08-01 Epub Date: 2022-10-10 DOI: 10.1037/tra0001368
Alfonso Mercado, Amanda Venta, Frances Morales, Amanda Palomin, Luz Garcini, Michelle Silva, Melanie M Domenech Rodríguez
{"title":"Trauma in the American asylum process: Experiences of immigrant families under the migrant protection protocols.","authors":"Alfonso Mercado, Amanda Venta, Frances Morales, Amanda Palomin, Luz Garcini, Michelle Silva, Melanie M Domenech Rodríguez","doi":"10.1037/tra0001368","DOIUrl":"10.1037/tra0001368","url":null,"abstract":"<p><strong>Objective: </strong>Latinx asylum-seeking families report posttraumatic distress that is 161-204% higher than in nonimmigrants, with adverse consequences for health and well-being. Recent U.S. policies have further embedded trauma in the asylum-seeking process by forcing families to remain in Mexico, enduring dire living conditions in tent encampments near the border while awaiting processing. These families are now entering the United States in large numbers. This article sheds light on their recent experiences and mental health needs, using a mixed methods-grounded theory design, presenting quantitative and qualitative data to describe the experiences of six asylum-seeking families who waited for 1-2 years in the refugee camp in Mexico.</p><p><strong>Method: </strong>Quantitative data was obtained from the Brief Symptom Inventory-18 and the Harvard Trauma Questionnaire while qualitative interviews provided insight into reasons for migration and trauma at different stages of the migration process.</p><p><strong>Results: </strong>All participants experienced multiple traumas and endorsed trauma related symptoms. Important themes of psychological distress and trauma emerged, including unending suffering, hunger, and worry for the safety of their children while living in the refugee camp. Asylum-seeking families experienced substantial distress and trauma secondary to their stay in Mexico and COVID-19.</p><p><strong>Conclusion: </strong>Families arriving to the United States have experienced significant trauma, separation, and loss before and during their journey. Interactions with an unprepared and overwhelmed immigration system further compromises their psychological well-being. It is imperative that first-person narratives inform policy that addresses their complex needs and protects their human rights. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"S379-S388"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10083184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9279537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Posttraumatic growth and psychopathological symptoms as predictors in the integration of North Korean adolescent refugees: Latent profile analysis. 创伤后成长和精神病理症状是北朝鲜青少年难民融入社会的预测因素:Latent profile analysis.
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-08-01 Epub Date: 2023-01-19 DOI: 10.1037/tra0001438
Wonjung Ryu, Yongho Chon, Hyun Lee
{"title":"Posttraumatic growth and psychopathological symptoms as predictors in the integration of North Korean adolescent refugees: Latent profile analysis.","authors":"Wonjung Ryu, Yongho Chon, Hyun Lee","doi":"10.1037/tra0001438","DOIUrl":"10.1037/tra0001438","url":null,"abstract":"<p><strong>Objective: </strong>This study is to explore identifiable psychological differences and predictors for the subgroup of refugees who at a very early age moved from a totalitarian country to a westernized democracy, ultimately to improve policies and reduce the maladaptation of refugees to a new society. More specifically, it is to fill in significant gaps in understanding and predicting refugee tendencies toward depression, social withdrawal, aggression, and posttraumatic growth.</p><p><strong>Method: </strong>Latent class analysis was conducted to identify subgroups based on symptom profiles within a sample of 201 North Korean adolescent refugees residing in South Korea.</p><p><strong>Results: </strong>Four subgroups were identified: (a) High growth, (b) Low trauma with high adaptive aggression, (c) Low trauma with high social withdrawal/depression, and (d) High trauma with high comorbidity. Predictors were physical health, self-esteem, peer support, teacher support, and school adjustment.</p><p><strong>Conclusion: </strong>Current refugee policies in South Korea would benefit from refining services to allow customization to the specific needs and characteristics of each adolescent rather than continue the current model of homogeneity. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"S360-S366"},"PeriodicalIF":2.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10543399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inpatient outcomes following admission to stabilization-focused complex trauma- and dissociation-specific unit. 入住以稳定为重点的复杂创伤和解离专科病房后的住院效果。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-07-29 DOI: 10.1037/tra0001748
Charles A Benincasa, Seini O'Connor, Nicholas A Pierorazio, Sarah Swenson Wentling, Bethany L Brand, Benjamin S Israel, Hygge J Schielke
{"title":"Inpatient outcomes following admission to stabilization-focused complex trauma- and dissociation-specific unit.","authors":"Charles A Benincasa, Seini O'Connor, Nicholas A Pierorazio, Sarah Swenson Wentling, Bethany L Brand, Benjamin S Israel, Hygge J Schielke","doi":"10.1037/tra0001748","DOIUrl":"https://doi.org/10.1037/tra0001748","url":null,"abstract":"<p><strong>Objective: </strong>Individuals with histories of complex psychological trauma, such as those with dissociative disorders, are often high utilizers of inpatient services and thus warrant further research attention. The present study sought to examine whether treatment on a specialized inpatient trauma unit was associated with improvements in adaptive functioning, emotion regulation, and dissociation among patients experiencing complex posttraumatic and dissociative symptoms.</p><p><strong>Method: </strong>This study used archival data collected as part of treatment provided to inpatients (<i>N</i> = 54), the majority of whom had a dissociative disorder, at a specialized trauma disorders unit to analyze differences in scores between intake and discharge on measures of adaptive functioning, emotion regulation, and dissociation.</p><p><strong>Results: </strong>Adaptive functioning and emotion regulation were significantly improved at discharge compared to intake, <i>t</i>(299) = -11.28, <i>p</i> < .001; <i>t</i>(305) = 8.54, <i>p</i> < .001, respectively, with very large effect sizes (<i>d</i> = 1.60; <i>d</i> = 1.20), and there was a significant decrease, <i>t</i>(311) = 2.15, <i>p</i> = .032, <i>d</i> = .30, in dissociative absorption.</p><p><strong>Conclusions: </strong>Our findings suggest that inpatient treatment modeled after expert consensus treatment guidelines is associated with significant improvements in adaptive functioning and emotion regulation and reduced dissociative absorption in individuals experiencing severe and acute complex posttraumatic and dissociative symptoms. Appropriate screening and symptom-specific treatment of complex posttraumatic and dissociative symptoms are recommended to improve outcomes for this population during inpatient hospital admission. (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":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pilot of a text messaging system to monitor caregivers' and children's mental health recovery after pediatric traumatic injury. 试行短信系统,监测儿科创伤后护理人员和儿童心理健康的恢复情况。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-07-29 DOI: 10.1037/tra0001795
Caitlyn O Hood, Kristen Higgins, Gabriela Becerra, Olivia Bravoco, Tatiana M Davidson, Lynne Nemeth, Rachel Houchins, Kenneth J Ruggiero, Leigh E Ridings
{"title":"Pilot of a text messaging system to monitor caregivers' and children's mental health recovery after pediatric traumatic injury.","authors":"Caitlyn O Hood, Kristen Higgins, Gabriela Becerra, Olivia Bravoco, Tatiana M Davidson, Lynne Nemeth, Rachel Houchins, Kenneth J Ruggiero, Leigh E Ridings","doi":"10.1037/tra0001795","DOIUrl":"https://doi.org/10.1037/tra0001795","url":null,"abstract":"<p><strong>Objective: </strong>Pediatric traumatic injury (PTI) is associated with a high risk for psychiatric sequelae. Most trauma centers do not adequately address the emotional needs of children and their caregivers. Technology-based programs offer a low-cost and low-burden opportunity to track and potentially enhance families' emotional recovery following PTI. This feasibility pilot project was designed to examine caregivers' usage of and feedback on a text message-based symptom monitoring service.</p><p><strong>Method: </strong>Participants included 25 caregivers of PTI patients under age 12. Caregivers received up to four texts daily for 30 days postdischarge from the automated system: one symptom-based question to capture the current mental health status of the caregiver and child, respectively, and a corresponding educational tip each time a symptom was endorsed. Data analyses describe the number of questions to which caregivers responded on behalf of themselves and their children. A semistructured qualitative interview was used to assess caregivers' reactions and suggested improvements for the service.</p><p><strong>Results: </strong>Almost all caregivers (91.1%) responded to at least one text message, and two thirds (66.6%) responded to over half of the messages. Themes from the qualitative interviews indicated that caregivers perceived the timing and content of the text messaging service facilitated their own and their child's emotional recovery following PTI. Caregivers suggested that the service could be improved by providing an option to interact directly with mental health care providers.</p><p><strong>Conclusions: </strong>Text message-based symptom monitoring services offer an opportunity to bridge the gap in mental health services during the acute recovery phase for families of traumatically injured children. (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":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Distinguishing genuine from simulated dissociative identity disorder using the Morel Emotional Numbing Test. 利用莫雷尔情感麻木测试区分真正的分离性身份识别障碍和模拟的分离性身份识别障碍。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-07-25 DOI: 10.1037/tra0001754
John-Christopher A Finley, Michelle Barth, Bethany Brand
{"title":"Distinguishing genuine from simulated dissociative identity disorder using the Morel Emotional Numbing Test.","authors":"John-Christopher A Finley, Michelle Barth, Bethany Brand","doi":"10.1037/tra0001754","DOIUrl":"https://doi.org/10.1037/tra0001754","url":null,"abstract":"<p><strong>Objective: </strong>Few studies have identified validity tests that are appropriate for use in individuals with dissociative identity disorder (DID). This study investigated whether the Morel Emotional Numbing Test (MENT) could distinguish between genuine and simulated DID.</p><p><strong>Method: </strong>Thirty-five participants with DID diagnosed via a semistructured interview were compared to 88 participants taking an abnormal psychology course who were instructed to simulate DID. Group comparison analyses were conducted to examine differences in the MENT errors. Univariate logistic regression and receiver operating characteristic curve analyses examined how well the MENT errors discriminated between groups and identified a cutoff optimizing sensitivity while maintaining high specificity.</p><p><strong>Results: </strong>Simulators had significantly more errors across all three MENT sets compared to genuine DID participants. The total number of MENT errors across sets most strongly and significantly predicted genuine versus simulated DID groups. Receiver operating characteristic curve analyses indicated that the MENT could discriminate between genuine and simulated DID with outstanding classification accuracy (area under the curve = .95). A cutoff of ≥ 10 total errors on the MENT yielded an optimal balance of sensitivity (.86) and specificity (.94). However, the previously defined cutoff of ≥ 8 total errors also demonstrated high sensitivity (.87) and specificity (.89).</p><p><strong>Conclusions: </strong>Findings provide preliminary evidence for the MENT as a validity test for DID populations. Although the commonly used cutoff of ≥ 8 errors on the MENT demonstrated excellent psychometric properties, we recommend using a cutoff of ≥ 10 errors for individuals with DID to minimize the risk of false positives while maintaining strong sensitivity. (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":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141760634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sexual victimization among Royal Canadian Mounted Police. 加拿大皇家骑警中的性受害者。
IF 2.7 2区 心理学
Psychological trauma : theory, research, practice and policy Pub Date : 2024-07-25 DOI: 10.1037/tra0001753
Juliana M B Khoury, Katie L Andrews, Amber J Fletcher, Laleh Jamshidi, Gordon J G Asmundson, Taylor A Teckchandani, R Nicholas Carleton
{"title":"Sexual victimization among Royal Canadian Mounted Police.","authors":"Juliana M B Khoury, Katie L Andrews, Amber J Fletcher, Laleh Jamshidi, Gordon J G Asmundson, Taylor A Teckchandani, R Nicholas Carleton","doi":"10.1037/tra0001753","DOIUrl":"https://doi.org/10.1037/tra0001753","url":null,"abstract":"<p><strong>Objective: </strong>The present study was designed to provide the first in-depth, academically peer-reviewed assessment of sexual victimization among Royal Canadian Mounted Police (RCMP).</p><p><strong>Method: </strong>A representative sample of RCMP (<i>n</i> = 1,324; 76.5% men) completed the self-report survey.</p><p><strong>Results: </strong>Participants reported a higher overall lifetime history of sexual assault than would be expected for the general population (<i>p</i> < .05). Women participants reported a higher prevalence of lifetime history of sexual assault (<i>p</i> < .05). Participants reported being sexually assaulted during the RCMP Cadet Training Program (CTP; <i>n</i> = 27), with comparable proportions of men and women. Participants reported being sexually assaulted while on duty (<i>n</i> = 168), with a greater proportion of women reporting being sexually assaulted than men (<i>p</i> < .05). Women more often reported being sexually assaulted while on duty by a superior, coworker or peer, or subordinate, whereas men more often reported being sexually assaulted by a civilian. Participants (<i>n</i> = 94) reported being sexually harassed during the CTP and while on duty (<i>n</i> = 282), with a greater proportion of women reporting being sexually harassed during the CTP and while on duty.</p><p><strong>Conclusions: </strong>RCMP cadets appear to be sexually assaulted and sexually harassed less frequently than Canadian university and military college students, whereas RCMP appear to be sexually assaulted more often while on duty than Canadian men and women in the general population while at work; however, direct comparisons are problematic because of differing frames for questions and time spans. The current results help quantify sexual victimization among RCMP, which can support ongoing and novel prevention and intervention strategies. (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":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141760638","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}
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