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

{"title":"Examination of posttraumatic stress symptoms and posttraumatic growth after high-magnitude earthquakes in Kahramanmaras.","authors":"Ebru Başkaya, Zümra Ülker Dörttepe, Sevcan Sevimli, Halime Durkut","doi":"10.1037/tra0002053","DOIUrl":"10.1037/tra0002053","url":null,"abstract":"<p><strong>Objective: </strong>Major earthquakes often cause extensive physical, emotional, and social disruptions, potentially triggering posttraumatic stress symptoms (PTSS) as well as posttraumatic growth (PTG). This study examined PTSS and PTG among adults affected by two high-magnitude earthquakes (Mw 7.7 and 7.6) that struck the Kahramanmaras region of Türkiye, a seismically active area located along a major fault line.</p><p><strong>Method: </strong>This cross-sectional and correlational study was conducted from April to July 2023 and involved 178 participants living in temporary dormitory shelters. Data collection included a personal information form, the Posttraumatic Stress Symptoms Scale, and the Posttraumatic Growth Inventory.</p><p><strong>Results: </strong>More than half the participants reported severe fear (53.1%), loss of relatives (50.3%), relatives who were injured (53.1%), or financial loss due to the earthquake (50.8%). The most commonly reported PTSS symptom cluster was hyperarousal. Mean PTSS and PTG scores were 84.51 ± 22.24 and 60.73 ± 22.19, respectively. Regression analysis showed that intense fear during the earthquake significantly predicted higher PTSS scores, while a history of preexisting mental illness was associated with lower PTSS. No significant correlation was found between PTSS and PTG, suggesting these outcomes may develop independently in the early stages of disaster recovery.</p><p><strong>Conclusions: </strong>These findings underscore the need for psychosocial support tailored to postearthquake circumstances, particularly given the reported high PTSS levels. Larger scale research is recommended to refine these insights and to guide targeted interventions. Mental health professionals (i.e., psychiatrists, psychiatric nurses, and psychologists) play pivotal roles in delivering comprehensive care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"691-700"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145708999","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":"Recent intimate partner violence is associated with worse sexual function among women veterans.","authors":"Whitney S Livingston, Rebecca K Blais, Katherine M Iverson","doi":"10.1037/tra0001877","DOIUrl":"10.1037/tra0001877","url":null,"abstract":"<p><strong>Objective: </strong>Research on the sequelae of intimate partner violence (IPV) among women predominantly focuses on overall physical and mental health. A better understanding of IPV's implications for sexual health is needed, especially among women veterans who experience high risk for IPV. This brief report examines the associations between recent and lifetime IPV, including physical, psychological, and sexual IPV, and sexual health among women veterans.</p><p><strong>Method: </strong>Women veterans (<i>n</i> = 141) drawn from a larger national web-based longitudinal study completed surveys at several timepoints that assessed lifetime IPV and recent IPV (i.e., past 9-10 months) and sexual health concerns. Various forms of sexual function, including sexual desire, arousal, lubrication, orgasm, satisfaction, and pain, were regressed on (a) any recent IPV and (b) recent physical, psychological, and sexual IPV, while accounting for lifetime IPV, military sexual trauma, and age.</p><p><strong>Results: </strong>Recent, but not lifetime, IPV was negatively associated with all forms of sexual function (<i>B</i> = -0.02 to -0.11, <i>p</i>s < .05) and remained significant (<i>B</i>s = -0.03 to -0.13, <i>p</i>s < .05) after accounting for covariates. Recent psychological IPV was specifically related to all forms of worse sexual function (<i>B</i>s = -0.03 to -0.13, <i>p</i>s < .05), whereas physical and sexual IPV were not after adjusting for lifetime IPV, military sexual trauma, and age.</p><p><strong>Conclusions: </strong>Recent psychological IPV is detrimental to women's sexual function. Clinicians should assist these individuals with improving their sexual function after ensuring safety. The nonsignificant association of physical and sexual IPV with sexual function may be due to low frequency of endorsement. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"527-531"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364836","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":"Identifying transdiagnostic and multidimensional prognostic indicators among veterans with PTSD symptoms in brief integrated care settings.","authors":"Shane W Adams, Kyle Possemato, Eric Kuhn","doi":"10.1037/tra0001809","DOIUrl":"10.1037/tra0001809","url":null,"abstract":"<p><strong>Objective: </strong>Brief integrated care settings hold promise for accessible and effective trauma-informed interventions. However, clinicians often have difficulty efficiently forecasting who is most appropriate for interventions in such settings and how to target individualized care. Multidimensional and transdiagnostic evaluations may provide valuable information to improve stepped-care and treatment practices for veterans.</p><p><strong>Method: </strong>A middle-out approach was used to concurrently evaluate self-reported posttraumatic stress disorder (PTSD) symptoms, depressive symptoms, and physical health problems using cross-sectional (latent profile analysis) and longitudinal (latent growth mixture modeling) analyses that identified unique symptom profiles, trajectories of traumatic stress reactions, and correlates of these health outcomes. Data from 234 veterans who participated in a randomized controlled trial of primary care PTSD intervention were analyzed at 0, 8, 16, and 24 weeks.</p><p><strong>Results: </strong>Latent profile analysis identified two homogenous baseline profiles: global symptoms (33.8%); low dysphoria-lower negative cognitions, mood, and depressive symptoms (66.2%). Low dysphoria participants reported more social relationships (<i>OR</i> = 1.32) and fewer environmental (<i>OR</i> = 0.89) and financial (<i>OR</i> = 0.23-0.35) stressors. Latent growth mixture modeling identified three trajectories: (a) reducing symptoms (\"responders\"; 21.3%) and chronic symptoms of (b) moderate (59.6%) and (c) high (19.1%) severity. Low dysphoria participants were 4.35 times more likely to be responders over time compared to participants with moderate severity symptoms.</p><p><strong>Conclusions: </strong>Findings indicated that veterans with moderate PTSD symptoms and physical health problems but low dysphoria may respond best to trauma-informed intervention in brief integrated care settings, while others may require further individualized stepped care. Findings demonstrate unique traumatic stress reactions that support individualized stepped care and may offer greater treatment utilization, retention, and efficacy. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"568-576"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547101","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":"PTSD symptoms and indices of suicide attempt seriousness among military service members psychiatrically hospitalized for a suicide attempt.","authors":"David J Balistreri, Torey Averick, Ricardo I Villarreal, Peter M Gutierrez, Thomas E Joiner, Ian F Eisenhauer, Ian H Stanley","doi":"10.1037/tra0001890","DOIUrl":"10.1037/tra0001890","url":null,"abstract":"<p><strong>Objective: </strong>Prior studies have demonstrated a robust link between posttraumatic stress disorder (PTSD) symptoms and suicide attempts among military personnel; however, to our knowledge, no study has examined PTSD in relation to indices of suicide attempt seriousness. Accounting for the multifaceted nature of suicide attempts is especially important for service members who often face unique stressors and are at increased risk for severe outcomes, including death.</p><p><strong>Method: </strong>Using secondary analyses of data collected for a large assessment study, we examined the connection between PTSD symptoms and seriousness of suicide attempts in psychiatrically hospitalized service members referred to inpatient care following a suicide attempt (<i>N</i> = 121). We used a modified version of the PTSD Checklist-Military Version and the Suicide Intent Scale to assess PTSD symptoms and suicide attempt seriousness, respectively.</p><p><strong>Results: </strong>Our findings demonstrated that higher PTSD symptom total and cluster scores were associated with an increased seriousness of suicide attempts.</p><p><strong>Conclusions: </strong>Our results indicate the need for intervention programs targeting PTSD symptoms among service members, including interventions delivered in inpatient psychiatric settings, to reduce the risk of fatal self-harm. Implications for mental health professionals and military support systems to mitigate suicide risk through targeted interventions focused on PTSD symptoms are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"604-609"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568026","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":"Trajectories of posttraumatic stress in military peacekeepers: A longitudinal analysis over 23 years.","authors":"Christer Lunde Gjerstad, Hans Jakob Bøe, Andreas Espetvedt Nordstrand, Jon Gerhard Reichelt, June Ullevoldsæter Lystad","doi":"10.1037/tra0001913","DOIUrl":"10.1037/tra0001913","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated trajectories of posttraumatic stress in Norwegian peacekeepers over a 23-year period, focusing on the prevalence and characteristics of late-onset posttraumatic stress disorder (PTSD), where symptoms develop or intensify long after deployment.</p><p><strong>Method: </strong>We analyzed PTSD symptoms in 463 Norwegian peacekeepers who had deployed to Lebanon as part of the UN peacekeeping mission, UN Interim Force in Lebanon. PTSD symptoms were assessed using the Posttraumatic Symptom Scale-10 at two time points: a median of 7 years (T1) and 29 years (T2) postdeployment. Late-onset PTSD was defined as cases in which peacekeepers did not meet criteria for PTSD at T1 but met the criteria by T2. We used logistic regression to identify predictors of late-onset PTSD, including deployment and postdeployment factors.</p><p><strong>Results: </strong>Estimated PTSD prevalence increased from 2.8% at T1 to 8.9% at T2, with 8.0% (95% confidence interval [5.5, 10.5]) showing a late-onset trajectory. At T1, those on a late-onset path reported more symptoms than their resilient counterparts. By T2, late-onset cases constituted 90.2% of all PTSD cases. Key predictors of late-onset PTSD included causal attribution of mental health issues to service, <i>OR</i> = 3.03, <i>p</i> < .001; number of deployments, <i>OR</i> = 1.56, <i>p</i> = .039; and postdeployment stressors, <i>OR</i> = 1.30, <i>p</i> = .049.</p><p><strong>Conclusions: </strong>We found a significant rise in estimated PTSD prevalence among military peacekeepers over two decades, with causal attribution emerging as the strongest predictor of a late-onset trajectory. Interventions aimed at addressing these attributions could be important in mitigating long-term 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":"549-557"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling the intersection: Dissociative and psychotic-like experiences among a trauma-exposed clinical sample including postpartum women.","authors":"Mahogany A Monette, Kyle S Minor, Marissa J Ward, Michelle L Miller","doi":"10.1037/tra0001926","DOIUrl":"10.1037/tra0001926","url":null,"abstract":"<p><strong>Objective: </strong>Trauma exposure is associated with elevated risk for psychotic-like experiences, including subthreshold hallucinations and delusions. Dissociative symptoms may link these two experiences and warrant further exploration.</p><p><strong>Method: </strong>The present study examined if dissociative symptoms accounted for additional variance in the association between posttraumatic stress disorder (PTSD) symptoms and hallucinations and delusions in a sample of patients (<i>n</i> = 63) seeking treatment for PTSD using the Dissociative Subtype of PTSD Scale; PTSD Checklist for <i>Diagnostic and Statistical Manual of Mental Disorders,</i> Fifth Edition; and Diagnostic Interview for Anxiety, Mood, and Obsessive-Compulsive Disorder and Related Neuropsychiatric Disorders hallucinations and delusions screener in a sample of predominantly White women, the majority of whom met criteria for PTSD. Exploratory analyses were conducted to examine if the postpartum subsample endorsed our variables of interest more frequently than our overall sample.</p><p><strong>Results: </strong>As hypothesized, PTSD symptoms and dissociative symptoms exhibited a small, significant correlation with psychotic-like experiences. Furthermore, dissociative symptoms accounted for additional variance in our models in psychotic-like experiences; however, the additional variance accounted for did not reach the level of significance. However, this study was limited by cross-sectional data with a predominantly White, woman sample. Future studies should examine these associations longitudinally among marginalized groups.</p><p><strong>Conclusions: </strong>Clinicians must provide thorough assessments to parse out PTSD symptoms, dissociative symptoms, and psychotic-like experiences, especially for clients seeking treatment for complex PTSD and/or a history of traumatic birth experience. Clinicians must conduct thorough assessments using validated tools like the Dissociative Experiences Scale and the Structured Interview for Psychosis-Risk Syndromes and could use interventions such as narrative exposure therapy that address maladaptive thoughts and dissociative experiences related to traumatic experiences. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"509-516"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intimate partner distress is strongly associated with worse warfighter brain health following mild traumatic brain injury.","authors":"Tracey A Brickell, Brian J Ivins, Megan M Wright, Jamie K Sullivan, Samantha M Baschenis, Louis M French, Rael T Lange","doi":"10.1037/tra0001889","DOIUrl":"10.1037/tra0001889","url":null,"abstract":"<p><strong>Objective: </strong>To examine (a) change in chronic neurobehavioral symptoms in service members/veterans (SMVs) with an uncomplicated mild traumatic brain injury (MTBI) at two time points over 3 years and (b) the influence of intimate partner (IP) health-related quality of life (HRQOL) risk factors for chronic neurobehavioral symptoms.</p><p><strong>Method: </strong>IPs (<i>N</i> = 175) completed measures of SMV neurobehavioral adjustment symptoms and 13 IP HRQOL risk factors at Time 1 (T1) ≥ 12 months post-TBI and Time 2 (T2) 3 years later. Scores on the risk factor measures were classified into four IP HRQOL symptom trajectory categories based on clinically elevated (≥ 60 T) symptoms: (a) persistent (T1 + T2 ≥ 60T), (b) developed (T1 < 60T + T2 ≥ 60T), (c) improved (T1 ≥ 60T + T2 < 60T), and (4) asymptomatic (T1 + T2 < 60T).</p><p><strong>Results: </strong>There was little change in mean SMV adjustment scores or the percentage of clinically elevated scores from T1 to T2. The percentage of clinically elevated adjustment scores was 30% at T1 and T2; 14.3% at T1 only; and 5.7% at T2 only. The IP HRQOL symptom trajectories had a stronger effect on mean SMV adjustment than within-group change in adjustment, which was largely driven by the persistent and asymptomatic IP HRQOL categories. The strongest effects were found for caregiving and social HRQOL risk factors, followed by psychological, and then physical HRQOL risk factors.</p><p><strong>Conclusion: </strong>A range of clinically elevated IP HRQOL constructs emerged as long-term risk factors for chronic neurobehavioral symptoms in SMVs post-MTBI. More attention to the role that family distress has on poor warfighter recovery and return to duty following an MTBI is required. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"558-567"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803977","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":"Trauma exposure in adulthood and suicidal experiences in serving and ex-serving military personnel: A systematic review and meta-analysis.","authors":"Ioannis Angelakis, Josh Molina, Charis Winter, Kat Ford, Neil Kitchiner, Karen Hughes","doi":"10.1037/tra0001775","DOIUrl":"10.1037/tra0001775","url":null,"abstract":"<p><strong>Objective: </strong>To quantify the strength of the relationship between trauma exposure in adulthood and suicidal experiences in military individuals.</p><p><strong>Method: </strong>We searched three databases, namely, Medline, APA PsycINFO, and Embase, until the end of April 2022; we updated our searches twice, in October 2022 and in April 2024. We performed a systematic review and meta-analysis. We also applied univariate metaregressions whenever applicable.</p><p><strong>Results: </strong>Overall, we found that military sexual trauma was associated with an up to twofold increased likelihood for engagement in suicidal thoughts and behaviors (<i>OR</i>s ranging between 1.91 and 2.57). Our metaregressions showed that such military sexual trauma increased the likelihood of suicide attempts (<i>b</i> = -0.74, <i>p</i> = .01) in females and active military personnel (<i>b</i> = -1.08, <i>p</i> = .02). Other traumatic events, especially those that occurred prior to joining the military forces, also were associated with an increased likelihood for suicidal ideation and attempts. Exposure to combat scenes was also associated with an increased likelihood for suicidal ideation and attempts.</p><p><strong>Conclusions: </strong>This is the first study of its kind to identify and quantify traumatic events encountered in adulthood as risk factors for suicidal acts within this vulnerable population. Our findings call for an immediate attention when recruiting military personnel and suggest that all these crucial factors are assessed. We also recommend frequent follow-up assessments and the use of qualitative and mix-method approaches to understand the mechanisms underlying these relationships. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"532-541"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond trauma: The influence of spiritual struggles on suicide risk in post-9/11 veterans.","authors":"Esther Kim, Sarah Salcone, Paola E Fernandez, Joseph M Currier","doi":"10.1037/tra0001970","DOIUrl":"10.1037/tra0001970","url":null,"abstract":"<p><strong>Objective: </strong>Veterans with posttraumatic stress disorder (PTSD) and moral injury often struggle with their spirituality and/or religion (S/R) in ways that hinder recovery from these conditions and perpetuate risk for suicide over time. Focusing on veterans who were engaged in a peer-led spiritual intervention program with a Veteran Service Organization, this brief report examined prospective roles of common forms of spiritual struggles (divine, doubt, interpersonal, moral, meaning) in risk for suicidal behavior (ideation, attempt probability) over a 1-year period.</p><p><strong>Method: </strong>Participants completed self-report assessments of PTSD symptoms, moral injury outcomes, spiritual struggles, and suicidality at three points (baseline and 6-month and 12-month follow-ups).</p><p><strong>Results: </strong>Initial analyses revealed baseline levels of all spiritual struggles were weakly to moderately concurrently associated (<i>r</i>s = .215-.491) with suicidality factors at this baseline assessment. However, ultimate meaning struggles at baseline emerged as the only salient predictor of future suicide ideation and perceived likelihood of attempting suicide across the bivariate and multivariate analyses. Specifically, veterans who were concerned their lives or existence in general may not have a deeper purpose or underlying meaning at the start of the intervention program were more uniquely likely to be thinking about suicide and perceiving a greater likelihood of attempting suicide in the future over the 1-year period.</p><p><strong>Conclusion: </strong>Overall, these findings affirm the need for clinicians and researchers to attend to ultimate meaning struggles in their work with veterans and other trauma-exposed groups who might be at risk for suicide. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"587-591"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deciphering the impact of childhood trauma on schizophrenia: A qualitative case study of dialogical aspects.","authors":"Dalia Elleuch, Lena Palaniyappan","doi":"10.1037/tra0002095","DOIUrl":"10.1037/tra0002095","url":null,"abstract":"<p><strong>Objective: </strong>Grounded in a phenomenology framework, this qualitative case study interrogates the structural embedding of childhood trauma within the linguistic and phenomenological aspects of schizophrenia. It posits that traumatic experiences are not merely reflected in but actively reorganize communicative patterns, becoming grammatically and narratively encoded in psychotic discourse.</p><p><strong>Method: </strong>A multilevel discourse analysis was applied to verbatim transcripts from two historical, publicly available recordings of a clinically diagnosed male patient: a structured clinical interview and an unstructured home visit. Employing a triangulation design, the analysis integrated patient narrative, clinician assessments, and familial observations. Coding was conducted through an iterative, deductive-inductive process focused on linguistic strata: syntactic structure, lexical semantics, narrative coherence, and dialogical dynamics.</p><p><strong>Results: </strong>The analysis delineated a distinct psycholinguistic configuration indicative of trauma reorganization. Dominant themes include the following: (a) syntactic reenactment-rigid, persecutory interrogatives fossilizing victim-perpetrator frameworks; (b) lexical hypervigilance-a semantically constrained lexicon centered on violation and somatic threat; (c) narrative dissociation-abrupt thematic shifts and displaced trauma disclosures that disrupt autobiographical coherence; and (d) dialogical rupture-interlocutor-specific speech patterns reenacting attachment conflicts. These markers form a coherent, trauma-organized communicative system persistent across contexts.</p><p><strong>Conclusions: </strong>Trauma in schizophrenia may operate as a structural determinant of communication, not a comorbid overlay. Personalized, linguistically informed, trauma-focused interventions may reduce the accompanying interpersonal distress. We provide an outline for studying discursive markers to investigate therapies targeting trauma-derived syntactic and narrative frameworks. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"517-526"},"PeriodicalIF":2.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709004","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}