European Journal of Trauma & Dissociation最新文献

{"title":"Direct and indirect traumatization in first responders: An exploratory qualitative study with firefighters and humanitarian workers","authors":"Baptiste Alleaume ,&nbsp;Damien Fouques ,&nbsp;Marie-Carmen Castillo ,&nbsp;Nelly Goutaudier","doi":"10.1016/j.ejtd.2025.100521","DOIUrl":"10.1016/j.ejtd.2025.100521","url":null,"abstract":"<div><h3>Objective</h3><div>First responders are exposed to traumatic events.These professions share common characteristics, both in traumatic exposure and in recovery or growth processes. The aim of this exploratory study is to qualitatively analyze these parameters in a sample of firefighters and humanitarian aid workers.</div></div><div><h3>Method</h3><div>Fifteen firefighters and 15 humanitarian workers participated to the study. After completing a LEC-5, each participant participated to a semi-structured interview. Lexicometric discourse analysis was performed.</div></div><div><h3>Results</h3><div>The sample of 30 first responders had a huge proportion of occupational exposures (234 on 605 total traumatic events). Discourse analysis identified three semantic classes: (1) Factors shared by both populations (37.98%); (2) A class specific to firefighters (33.77%); and (3) A class specific to humanitarian aid workers (28.34%). The results tend to converge on 3 strong similarities among first responders: (1) a significant and sustained exposure to traumatic events; (2) the presence of a complex and dynamic set of phenomena for coping with adversity; (3) institutional and organizational factors, leading a strong entitativity.</div></div><div><h3>Conclusions</h3><div>It is important to systematically include impacts of internal resources and external resources to prevention and psychotherapy. The results tend to reinforce the idea that professional adversive events and multifactorial resources can be considered as part of an constantly changing equilibrium in this type of population.</div></div><div><h3>Public relevance</h3><div>By gaining a better, qualitative understanding of the adversities and resource mechanisms of the first responders, it is possible to develop a model of post-traumatic growth in these particular populations, and a fortiori, to propose appropriate lines of therapy and prevention.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 2","pages":"Article 100521"},"PeriodicalIF":2.0,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143465545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beneath the surface: A latent class analysis of stalking tactics and their psychological impact in a population of Danish help-seeking victims","authors":"Didde Hauch ,&nbsp;Ask Elklit ,&nbsp;Maria Louison Vang","doi":"10.1016/j.ejtd.2025.100522","DOIUrl":"10.1016/j.ejtd.2025.100522","url":null,"abstract":"<div><h3>Introduction</h3><div>This study investigated stalking victimization profiles among 476 help-seeking individuals in Denmark to identify distinct behavior patterns and associated psychological effects. It was hypothesized that multiple stalking behavior patterns would emerge, each linked to different mental health impairments.</div></div><div><h3>Methods</h3><div>Data were collected through the Danish Stalking Center from 2020 to 2023. Latent class analysis was used to identify stalking behavior patterns. Multinomial logistic regression examined predictors of class membership, while multivariate analysis explored associations between class membership and mental health outcomes.</div></div><div><h3>Results</h3><div>Four distinct classes of stalking behavior were identified: 1) ``High intensity stalking with gifts and moderate risk of physical aggression,'' 2) ``High intensity stalking with physical aggression,'' 3) ``Stalking with no gifts or physical aggression,'' and 4) ``Stalking with gifts and low risk of invasion and aggression.'' Victim demographics were minimal predictors of class membership, with intimate partner relationships and having children associated with specific class memberships. Mental health outcomes varied significantly across classes, revealing a dose-response pattern where higher intensity stalking behaviors corresponded to more severe mental health impacts. The ``High intensity stalking with gifts and moderate risk of physical aggression'' class reported the highest levels of post-traumatic stress disorder (PTSD) symptoms, disturbances in self-organization (DSO) symptoms, anxiety, and social life impairment. The ``High intensity stalking with physical aggression'' class showed the highest depression scores and greatest impairment in family life. There were no class-differences in risk of endorsing criteria for a probable diagnosis of PTSD or Complex PTSD.</div></div><div><h3>Conclusion</h3><div>The study reveals diverse manifestations of stalking behavior and their differential impacts on victim's mental health. The findings suggest that the presence of gifts or physical aggression is associated with more significant psychological and functional impairments. These insights can inform targeted interventions and support strategies for stalking victims.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 1","pages":"Article 100522"},"PeriodicalIF":2.0,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traumatismes relationnels précoces, capacité de mentalisation et caractéristiques du jeu chez les enfants ayant vécu de la maltraitance et issus de la population générale Flore Villacrés Décarie, Miguel M. Terradas et Maxime Labonté","authors":"Flore Villacrés-Décarie ,&nbsp;Miguel M. Terradas ,&nbsp;Maxime Labonté","doi":"10.1016/j.ejtd.2025.100519","DOIUrl":"10.1016/j.ejtd.2025.100519","url":null,"abstract":"<div><h3>Introduction</h3><div>Children housed in Child and Youth Protection Centers (CYPCs) are likely to have experienced early relational traumas (ERTs). ERTs would hinder the development of mentalizing capacity (MC) and lead to the presence of traumatic play. MC and play are related and complementary skills, but their links have never been empirically tested.</div></div><div><h3>Objective</h3><div>The study aims to explore the relationship between MC and manifestations of traumatic and symbolic play in school-age children who have experienced ERTs housed in CYPCs in Quebec and compare them with children from the general population (GP).</div></div><div><h3>Method</h3><div>Two groups of 15 children aged 7 to 12 participated in a free play period and an interview to assess their MC.</div></div><div><h3>Results</h3><div>Children housed in CYPCs have lower MC and more traumatic play than children from the PG, but they did not present less symbolic play. No significant link has been demonstrated between the MC and the presence of traumatic or symbolic play.</div></div><div><h3>Conclusion</h3><div>The present study confirms the associations between ERT, low MC, and traumatic play. It also leads to important questions concerning the links between the MC and the play characteristics of children who have experienced ERTs. The authors emphasize the importance of conducting more studies with larger samples to verify the associations between MC and play.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 1","pages":"Article 100519"},"PeriodicalIF":2.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143471413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the threshold: Considering and exploring subthreshold PTSD and co-morbid mental health in a clinical military sample","authors":"Natasha Biscoe ,&nbsp;Gavin M. Campbell ,&nbsp;Dominic Murphy","doi":"10.1016/j.ejtd.2025.100520","DOIUrl":"10.1016/j.ejtd.2025.100520","url":null,"abstract":"<div><div>Subthreshold posttraumatic stress disorder (PTSD) refers to sub-clinical PTSD which may entail functional impairment and distress associated with symptoms of PTSD, without meeting criteria for threshold PTSD. The current study explored the prevalence and mental health associations of subthreshold PTSD in a clinical sample of UK veterans seeking support for mental health difficulties<em>,</em> for whom subthreshold PTSD may be of particular relevance. The sample was drawn from a clinical database of a UK national charity. In total 881 veteran records were extracted which included participants’ available demographic data, and PTSD, anxiety, depression and alcohol use measures routinely collected as part of treatment. Overall, those with subthreshold PTSD appeared to have less severe symptoms of PTSD than PTSD. However, only definitions of subthreshold PTSD which required meeting DSM-5 criterion D (negative alterations in mood associated with index trauma) and criterion E (hyperarousal associated with index trauma) were associated with greater symptom severity than those without PTSD. These findings indicate possible clinical utility of a subthreshold definition requiring endorsement of these symptoms in clinical veteran services. Future research might further explore these definitions of subthreshold PTSD and how individuals who meet these criteria might be supported.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 1","pages":"Article 100520"},"PeriodicalIF":2.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Le trouble neurologique fonctionnel : Une élaboration de l'atteinte traumatique ?","authors":"Sandra Misdrahi ,&nbsp;Estelle Louët ,&nbsp;Marcela Gargiulo ,&nbsp;Manuella De Luca","doi":"10.1016/j.ejtd.2025.100518","DOIUrl":"10.1016/j.ejtd.2025.100518","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Context&lt;/h3&gt;&lt;div&gt;Functional neurological disorders (FND) are characterized by neurological symptoms without detectable organic abnormalities. They often manifest alongside various symptoms, such as motor, sensory, swallowing, speech, and non-epileptic psychogenic seizures. These disorders are frequently associated with traumatic life events, particularly during childhood, yet their etiology remains complex and multifactorial. While FNDs are prevalent, with estimates ranging from 10 to 18% of neurology consultations, the understanding of the underlying mechanisms and the different responses to trauma within this population remains limited and warrants further exploration.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This study aims to explore the intricate links between FND and trauma, focusing on the diverse modalities of trauma processing that emerge through FND manifestations. By examining two clinical cases, the study seeks to elucidate how FND can serve as a means of processing traumatic experiences, highlighting the variability in patient responses and the impact of these processes on the chronicity and nature of FND symptoms.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;The study is based on a detailed examination of two female patients suffering from FND, selected from a cohort of 20 adult patients aged between 20 and 65 years. These patients were evaluated using a combination of standardized psychological assessments, in-depth clinical interview, and projective tests (Rorschach and Thematic Apperception Test). The selected cases, Assia and Héloïse, both have a history of significant trauma but display markedly different modalities of trauma processing. Assia, aged 43, presented with functional symptoms manifesting as severe muscle tension and sensations of suffocation, while Héloïse, aged 49, exhibited severe motor impairments requiring a wheelchair, along with chronic pain and respiratory issues.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The findings indicate that for the first patient, FND works as a means to express the unthinkable through somatic representations, allowing her to manage and partially process her traumatic experiences. Her engagement with her internal world, albeit fragile, enables a certain level of psychological elaboration of trauma. On the other hand, for the second patient, FND allows her to avoid psychic effraction and struggle against depression. Her defensive structure, which includes rigid psychological defenses and a tendency to externalize, prevents effective processing of traumatic events. The Rorschach and TAT results further reveal the fragility of her psychic containment and the impoverishment of her associative resources, which contrasts with the first patient's more dynamic internal world. Her responses indicate a struggle with depressive positions, often marked by themes of persecution and identification with the aggressor, reflecting a complex interaction between trauma and narcissistic vulnerability.&lt;/div&gt;&lt;/div","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 1","pages":"Article 100518"},"PeriodicalIF":2.0,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The cost of pharmacological treatments for post-traumatic stress disorder in a French patient sample: A health economic cohort study","authors":"Andrew Laurin ,&nbsp;Pascal Artarit ,&nbsp;Jean-Louis Vanhille ,&nbsp;Samuel Bulteau ,&nbsp;Anne Sauvaget ,&nbsp;Laurent Fanton ,&nbsp;Ludivine Nohales","doi":"10.1016/j.ejtd.2025.100517","DOIUrl":"10.1016/j.ejtd.2025.100517","url":null,"abstract":"<div><h3>Introduction</h3><div>Post-traumatic stress disorder (PTSD) is a potentially severe mental disorder with many psychiatric and physical complications. As a result, some patients may be hospitalized in medical-surgical-obstetric (MSO) or psychiatric units. Considering the hypothesis that hospitalisation induces changes in the pharmacological management of PTSD, our primary objective was to study psychotropics before hospitalisation. From this baseline, our secondary objectives were to analysed their course and annual cost.</div></div><div><h3>Methods</h3><div>Using data from the Pays de la Loire (France) SNDS (National Health Data System) to identified patients with PTSD, we conducted a retrospective health-economic study in 389 patients hospitalized for the first time with a main diagnosis of PTSD between 2018 and 2020. We studied the psychotropic medications delivery during the month prior to hospitalization (M0) and then at 1 month (M1) and 12 months (M12) of follow-up before analyzing their cost.</div></div><div><h3>Results</h3><div>At baseline, 184 patients (184/389, 48%) took psychotropics, mainly antidepressants (127/184, 70%) and benzodiazepines (113/184, 61%). Over the three study periods, the three most psychotropic delivery were antidepressants (251/389, 65%), benzodiazepines (196/389, 50%), and sedative antipsychotics (121/389, 31%). Hospitalisations (M1) were characterized by a significant increase in the number of monthly boxes dispensed per patient and the proportion of patients taking psychotropic. The mean annual cost of pharmacological treatments was €531.04 per patient: €353.08 for non-psychotropics and €207.06 for psychotropics.</div></div><div><h3>Conclusion</h3><div>PTSD management could be more efficient. Training healthcare professionals, including general practitioners and psychiatrists, in the early detection and management of PTSD seems essential.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 1","pages":"Article 100517"},"PeriodicalIF":2.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143388440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behind bars: A trauma-informed examination of mental health through importation and deprivation models in prisons","authors":"Sania Mazher,&nbsp;Takashi Arai","doi":"10.1016/j.ejtd.2025.100516","DOIUrl":"10.1016/j.ejtd.2025.100516","url":null,"abstract":"<div><div>Prisons are designed as institutions to punish criminal behavior, protect society from offenders, and rehabilitate individuals to reduce reoffending. However, research increasingly indicates that incarceration can exacerbate vulnerabilities and worsen mental health. Studies from numerous countries reveal that mental illness rates among prisoners are significantly higher than those in the general population. Evidence suggests that many inmates face considerable hardships prior to incarceration, which may contribute to their mental health challenges. Yet, other findings point to the prison environment itself as a factor that fosters mental health issues. This discussion centers on two key theories: the importation and deprivation models. The Importation Model (Irwin &amp; Cressey, 1962) posits that inmates bring their pre-existing social backgrounds, values, and behaviors into prison, which influence how they interact with the institution. In contrast, the Deprivation Model (Skyes, 1958) emphasizes that prison conditions, such as the loss of autonomy and social connections, shape inmate behavior. Contemporary research (Dye, 2010; Edgemon, 2016; Kuo et al., 2023; Zhao et al., 2020; integrates both models, recognizing that individual characteristics and institutional deprivations interact to influence behavior. This paper explores these models through the lens of trauma, recognizing that trauma frequently precedes imprisonment and is often compounded within prison walls. This systematic review explored the association between childhood maltreatment, prison environment and mental health of prisoners (importation and deprivation model) based on systematic searches of five databases. In total, 31 studies met our inclusion criteria. Results suggested that both childhood maltreatment and prison environment had positive association with various mental health problems in prisoners. The review highlights the need for more research on deprivation model as researchers found only two studies. It further highlighted the importance of addressing childhood maltreatment, prison environment, and mental health issues in prisoners through prevention programs.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 1","pages":"Article 100516"},"PeriodicalIF":2.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143163668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of post-traumatic stress disorder among general medicine residents","authors":"Sylvain Fevre Gilson ,&nbsp;Héléna Joseph Theodore ,&nbsp;Emilie Olié ,&nbsp;Hala Kerbage","doi":"10.1016/j.ejtd.2025.100511","DOIUrl":"10.1016/j.ejtd.2025.100511","url":null,"abstract":"<div><h3>Introduction</h3><div>Post-traumatic stress disorder (PTSD) has a prevalence of 0.7 % in the general population in France and significantly impairs functioning and quality of life. Medical residents are frequently exposed to traumatic events, and several studies highlight that the residency period is a source of psychological distress, including anxiety, depression, burnout, and suicidal thoughts. However, PTSD remains understudied in this population. We aimed to assess the prevalence of PTSD symptoms among general practice residents.</div></div><div><h3>Methods</h3><div>This observational, descriptive, cross-sectional, epidemiological study was conducted among residents enrolled in the Diploma of Specialized Studies in General Medicine at the Faculty of Medicine of Montpellier-Nîmes (France). Participants received a questionnaire via the university email, including the Post-traumatic Check List (PCL) -5 self-assessment scale (positivity threshold ≥33). Only responses with all questions completed were included in the analysis.</div></div><div><h3>Results</h3><div>The prevalence of PTSD symptomatology among general practice residents was 6.8 % (95 %CI: 2.9–13). Women accounted for 87.5 % of cases with a positive PCL score. The traumatic events reported occurred in both professional and personal contexts, with emergency medicine and pediatrics being the types of residency trainings where most of the traumatic professional exposure occured. Mental health problems and addictive behaviors were reported in 60 % of cases even in the absence of PTSD symptoms.</div></div><div><h3>Discussion</h3><div>PTSD symptoms prevalence among general practice residents is 6 times higher than the French general population. The residency period poses a significant risk for PTSD, particularly in high-stress trainings such as emergency medicine and pediatrics. These findings underscore the need to expand investigations to residents across all specialties and to enhance awareness, prevention, and screening efforts for PTSD, ultimately aiming to improve the mental health of future general practitioners.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 1","pages":"Article 100511"},"PeriodicalIF":2.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143163732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consequences of giving the first name of a Holocaust victim to children of Holocaust survivors","authors":"Leslie Sulimovic ,&nbsp;Bruno Halioua ,&nbsp;Maurice Corcos ,&nbsp;Patrick Bantman ,&nbsp;Muriel Vaislic ,&nbsp;Rachel Rimmer ,&nbsp;Charles Taieb ,&nbsp;Robert Ejnes ,&nbsp;Stéphanie Dassa ,&nbsp;Gerard Shadili","doi":"10.1016/j.ejtd.2025.100514","DOIUrl":"10.1016/j.ejtd.2025.100514","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;In the aftermath of the Holocaust, many Holocaust survivors (HS) chose to name one or more of their children after relatives or individuals who perished during the Shoah. While this practice was often intended as an act of remembrance, some children of Holocaust survivors (CHS) have reported emotional distress linked to carrying a name that constantly evokes the tragic legacy of the Holocaust.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This study aimed to assess the prevalence of Holocaust victim (HV) name attribution among CHS and to explore its associations with family history, psychological health, and reparative coping mechanisms.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Materials and Methods&lt;/h3&gt;&lt;div&gt;CHS were recruited through social networks and Jewish organizations to participate in an online survey conducted from June 1 to September 1, 2021. The inclusion criteria required that at least one parent had lived in, or was forced to leave, one of the countries occupied by or under the direct influence of the Nazi regime at any time between 1933 and 1945.. The online survey collected socio-demographic data, details on family experiences during the war, mental health history, and information regarding coping strategies related to trauma and loss.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 614 CHS participated in the study, with a mean age of 65.8 ± 8.4 years, of whom 30.8 % were men and 69.2 % were women. The prevalence of CHS with a HV first name was 46.6 %, with 286 individuals bearing the first name of a Holocaust Victim (HV). CHS with a HV first name were generally older (mean age 70.0 vs. 64.8 years, &lt;em&gt;p&lt;/em&gt; ≤ 0.05), more likely to have grandparents who were Holocaust victims (57.4 %vs. 28.2 %, &lt;em&gt;p&lt;/em&gt; ≤ 0.05), and more likely to be children of concentration camp survivors (54.9 % vs. 41.8 %, &lt;em&gt;p&lt;/em&gt; ≤ 0.05). They were also significantly more likely to name their own children after a Holocaust victim (38.8 % vs. 17.1 %, &lt;em&gt;p&lt;/em&gt; ≤ 0.05). Interestingly, no significant associations were found between a HV first name among CHS and a history of anxiety, depression or post-traumatic stress disorder. However, CHS with a HV first name were more likely to report feeling a responsibility to \"replace\" the murdered family members (46.5 % vs 27.4 %, &lt;em&gt;p&lt;/em&gt; ≤ 0.05) and expressed a deep sense of obligation to make up for the family's loss(60 % vs 41.2 %, &lt;em&gt;p&lt;/em&gt; ≤ 0.05).They also noted that their parents were more likely to openly express how much they meant to them(48.7 % vs38.8 %, &lt;em&gt;p&lt;/em&gt; ≤ 0.05).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;This study is the first to reveal that nearly half of CHS were named after a Holocaust victim. While no direct psychological disorders were associated with this naming practice, the study highlighted the emotional burden linked to being perceived as a symbolic replacement for those who perished. This sense of obligation and the weight of historical memory can create a unique emotional str","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 1","pages":"Article 100514"},"PeriodicalIF":2.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143240753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristic and frequency of childhood sexual abuse (CSA) in homosexual conscripts referred to a military Psychiatric Hospital in Tehran, Iran between 2014_2020","authors":"Mohammad Reza Ghasemzadeh ,&nbsp;Hasan Safaie ,&nbsp;Bonnie Bozorg ,&nbsp;Amir Mohsen Rahnejat ,&nbsp;Mohammad Reza Ebrahimi ,&nbsp;Hasan Shahmiri Barzoki ,&nbsp;Arash Pirali ,&nbsp;Maral Mardaneh Jobehdar","doi":"10.1016/j.ejtd.2025.100515","DOIUrl":"10.1016/j.ejtd.2025.100515","url":null,"abstract":"<div><h3>Background</h3><div>Investigation into the childhood and adolescence living conditions of homosexuals indicates that many of the problems affecting different aspects of their lives are due to conflicts between their sexual orientation and the moral and cultural norms of society. Homosexual individuals are often more prone to depression, feelings of hopelessness, repeated sexual abuse, and other psychological and emotional harm.</div></div><div><h3>Method</h3><div>The present study is a descriptive and analytical study that examines the archived files of individuals referred as homosexuals to the psychiatry hospital between the years 2014–2020<strong>.</strong> We designed the study based on the demographic information and clinical questionnaires completed by the participants and the results of the clinical interviews conducted by a psychiatrist or psychologist. Data analysis was performed using the chi-square test and one-way analysis of variance in SPSS₂₆.</div></div><div><h3>Results</h3><div>Sixty-six out of 193 subjects (34.2 %) reported a history of sexual abuse. Forty six individuals (69.7 %) were victimized during their childhood and elementary school.</div></div><div><h3>Conclusion</h3><div>The results of this study showed that the frequency of sexual abuse was significantly higher during childhood among homosexual subjects. This study emphasizes the role of community mental health professionals in educating families and other officials about the importance of preventing childhood sexual abuse.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"9 1","pages":"Article 100515"},"PeriodicalIF":2.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143163655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}