Alexander J Rice, Christin M Ogle, Sierra L Martin, Stephen J Cozza
{"title":"The Impact of Wartime Child Casualties on Adult Professionals.","authors":"Alexander J Rice, Christin M Ogle, Sierra L Martin, Stephen J Cozza","doi":"10.1080/00332747.2025.2530318","DOIUrl":"10.1080/00332747.2025.2530318","url":null,"abstract":"<p><p><i>Objective:</i> Between 2005 and 2022, more than 315,000 grave violations were verified against children in wartime, including killing, physical maiming, exploitation, and forced displacement. While the resulting harm to children is widely recognized, the profound toll on professionals who witness and respond to these tragedies remains under examined. This article explores the psychological and occupational impacts of exposure to child casualties during wartime on healthcare providers, military personnel, journalists, and mortuary affairs workers. <i>Method:</i> Google Scholar, PsycINFO, PsychNET, and PubMed were searched for literature examining the impact of pediatric death and injury on healthcare professionals, service members, journalists, and mortuary affairs workers in wartime settings. Supplementary searches were conducted to identify supportive evidence from literature addressing impacts in non-conflict contexts. <i>Results:</i> Evidence varied across professions, but impacts examined included moral injury, secondary traumatic stress, heightened emotions, including guilt, anger, helplessness, and grief, as well as professional challenges such as self-questioning, and burnout. Potential mechanisms exacerbating distress include loss of trust in the goodness of the world, cynicism, and hopelessness, personal identification with children, and perceived lack of adequate skills or a sense of professional failure. <i>Conclusions:</i> Findings underscore the urgent need for tailored strategies to sustain the well-being and effectiveness of professionals confronted with child casualties in war. In response, the article highlights promising individual-level and organization-level strategies for building resilience and growth, and promising interventions for professionals requiring clinical care.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"88 3","pages":"308-327"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christopher M Layne, Gesenia Sloan-Pena, Kelly Dixon, Lolita Bell, Blake Barrientos, Stevie Schapiro, Akhila Nalluri, Rohit Mandadi, Iniobong Etuk
{"title":"Bereavement, Loss, and Grief in War-Exposed Children and Adolescents: A Review and Implications for Assessment, Intervention, and Policy.","authors":"Christopher M Layne, Gesenia Sloan-Pena, Kelly Dixon, Lolita Bell, Blake Barrientos, Stevie Schapiro, Akhila Nalluri, Rohit Mandadi, Iniobong Etuk","doi":"10.1080/00332747.2025.2530315","DOIUrl":"10.1080/00332747.2025.2530315","url":null,"abstract":"<p><p><i>Objective</i>: This literature review summarizes findings regarding the effects of war-related bereavement and other losses in children and adolescents-including both negative consequences and protective factors that may mitigate their effects. This review also explores strategies for improving mental health and developmental outcomes among youth experiencing war-related losses. <i>Method</i>: This literature review synthesizes research studies examining psychological and developmental consequences of war-related bereavement. These include studies assessing mental health risks, protective factors, and effective interventions for children and adolescents bereaved by the loss of family members due to war. <i>Results</i>: The literature consistently shows that children and adolescents who experience war-related bereavement are at a significantly higher risk for developing psychological disorders, including posttraumatic stress disorder (PTSD), depression, anxiety, prolonged grief disorder, and suicidal ideation. The findings also highlight individual, family, and community factors-including self-esteem, self-efficacy, adaptive coping skills, social support, and cultural values-that may buffer these risks and enhance resilience. <i>Conclusions</i>: To mitigate the negative impact of war-related bereavement, early identification of grief reactions is critical. A developmentally-informed approach to assessment and intervention, involving mental health professionals, paraprofessionals, school personnel, and policymakers, is essential to support resilience and foster developmental recovery in bereaved youth. Research and intervention efforts should focus on enhancing protective factors and implementing flexibly-tailored strategies (including group, school-based, and telehealth) to aid children affected by war-related bereavement and other losses.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"88 3","pages":"220-239"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adam K Walsh, Joshua C Morganstein, Brooke Heintz Morrissey, Aaron B Weingrad, Dori B Reissman, James C West, James A Naifeh, Carol S Fullerton, Robert J Ursano
{"title":"A Suicide Haddon Matrix for Intervention and Prevention to Reduce Suicide Risk.","authors":"Adam K Walsh, Joshua C Morganstein, Brooke Heintz Morrissey, Aaron B Weingrad, Dori B Reissman, James C West, James A Naifeh, Carol S Fullerton, Robert J Ursano","doi":"10.1080/00332747.2025.2460954","DOIUrl":"10.1080/00332747.2025.2460954","url":null,"abstract":"<p><strong>Objective: </strong>Identifying the individual, environmental, and social characteristics of suicide events is central to developing a comprehensive public health strategy for intervention and prevention of suicide. The Haddon Matrix has previously been used as a tool to address this goal in various forms of injury prevention. The purpose of this paper is to apply the Haddon Matrix to suicide to inform research, prevention, and intervention.</p><p><strong>Methods: </strong>To examine the Haddon Matrix's utility for suicide, a selective literature review was performed of recent and influential papers on risk of suicide across time, identifying contributing factors, conditions, policies, theories, and prevention strategies. Second, the key factors identified were organized on the Haddon Matrix. Third, to examine the pragmatic utility of the Haddon Matrix, the Department of Defense (DoD) Suicide Prevention and Response Independent Review Committee's (SPRIRC) recommendations to prevent military suicides were placed on the Haddon Matrix, and the areas covered were examined.</p><p><strong>Results: </strong>Characteristics of suicide across pre-event, event, and post-event stages were identified at the individual (host), agent (factors related to the method used for suicide), environmental, and social domains. These were used to construct a Suicide Haddon Matrix. Placing the DoD SPRIRC recommendations on the Haddon Matrix showed a concentration of high priority recommendations in the pre-event, host, and agent domains.</p><p><strong>Conclusion: </strong>A Suicide Haddon Matrix can guide researchers, mental health practitioners, and public health officials to key host, agent, physical, and social environment factors. This can identify areas that need research and opportunities for intervention and prevention.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"88 1","pages":"1-12"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kaiser Ahmad Dar, Naved Iqbal, Andreea Scrumeda, Resham Asif, Violeta Enea, Mudassir Hassan, Carmen Manciuc
{"title":"COVID-19 Anxiety and Mental Health in Healthcare Workers: Examining the Role of Compassion Fatigue During the Last Wave of the Pandemic.","authors":"Kaiser Ahmad Dar, Naved Iqbal, Andreea Scrumeda, Resham Asif, Violeta Enea, Mudassir Hassan, Carmen Manciuc","doi":"10.1080/00332747.2024.2435204","DOIUrl":"10.1080/00332747.2024.2435204","url":null,"abstract":"<p><strong>Objective: </strong>Pandemics have been shown to affect both physical and mental health, with healthcare workers (HCWs) bearing a particularly heavy burden. During the COVID-19 pandemic, HCWs faced a high volume of cases, extended work hours, and heightened pandemic-related stressors, which placed them at increased risk for mental health issues. This study examines the effects of COVID-19-related anxiety on HCWs' mental health, specifically exploring the roles of compassion fatigue (comprising burnout and secondary traumatic stress) as potential mediators in this relationship.</p><p><strong>Method: </strong>A sample of 104 HCWs completed an online survey measuring their demographic characteristics (such as gender, age, length of service, marital status, and education), levels of COVID-19 anxiety, compassion fatigue, and mental health outcomes. Path analysis and bootstrapping procedures were used to analyze the data.</p><p><strong>Results: </strong>Results indicated that COVID-19 anxiety was positively associated with compassion fatigue, defined as the emotional strain of caring for others, which includes both burnout (emotional exhaustion from work) and secondary traumatic stress (stress from exposure to others' trauma). Compassion fatigue, particularly secondary traumatic stress, mediated the relationship between COVID-19 anxiety and various mental health indicators, including symptoms of anxiety, depression, and psychological distress. Both COVID-19 anxiety and compassion fatigue were significant predictors of these mental health outcomes.</p><p><strong>Conclusions: </strong>These findings suggest that COVID-19 anxiety alone does not fully explain mental health outcomes among HCWs, as compassion fatigue, specifically secondary traumatic stress, plays a substantial role. Recognizing the complex interplay of pandemic-related stressors and compassion fatigue may guide interventions to better support HCWs' mental health.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"142-154"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Children Associated with Armed Forces and Armed Groups: Understanding and Addressing Mental Health Needs.","authors":"Samantha R Awada, Suzan J Song","doi":"10.1080/00332747.2025.2530320","DOIUrl":"10.1080/00332747.2025.2530320","url":null,"abstract":"<p><p>ObjectiveFormer children associated with armed forces and armed groups (CAAFAG) have been affected by violence and adversity and often experience challenges when reintegrating into their communities. Many former CAAFAG demonstrate pervasive mental health concerns, which disrupt functioning and impact successful reintegration. Addressing mental health needs is imperative to ensure successful reintegration. <i>Method:</i> This report reviews risk and protective factors of mental health outcomes and evidence-based intervention approaches for former CAAFAG. <i>Results:</i> The mental health needs of former CAAFAG vary depending on risk and protective factors prior to, during, and after involvement in the armed forces. Effective interventions that address mental health concerns and promote resilience apply a socioecological approach, such that interventions are implemented at the individual, family, and community levels. Further, interventions should apply a community-participatory model that prioritizes community members' and consumers' input during intervention development and implementation. This includes ensuring interventions are appropriately adapted for the context. <i>Conclusion:</i> Research evidence that highlights addressing risk and protective factors and the effectiveness of intervention approaches for former CAFAAG is growing; however, additional research is needed.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"88 3","pages":"192-206"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How Can We Fill the Gaps in Suicide Intervention?","authors":"Jun Shigemura, Mie Kurosawa","doi":"10.1080/00332747.2025.2471211","DOIUrl":"https://doi.org/10.1080/00332747.2025.2471211","url":null,"abstract":"","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"88 1","pages":"27-30"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrating Population Health Science and Systems Thinking into Suicide Prevention.","authors":"Sandro Galea, Mohammed Abba-Aji","doi":"10.1080/00332747.2025.2471204","DOIUrl":"https://doi.org/10.1080/00332747.2025.2471204","url":null,"abstract":"","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"88 1","pages":"17-22"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Building an International Map of Evidence, Policy and Interventions for the Prevention of Suicide in Military Personnel and Veterans.","authors":"Ellie Lawrence-Wood, David Forbes, Nicole Sadler","doi":"10.1080/00332747.2025.2471205","DOIUrl":"https://doi.org/10.1080/00332747.2025.2471205","url":null,"abstract":"","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"88 1","pages":"23-26"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Inclusion of Ukrainian War-Exposed Children in Reparative Justice Processes.","authors":"Iryna Frankova, Nataliya Dobrova-Krol, Veronika Plotnikova","doi":"10.1080/00332747.2025.2530348","DOIUrl":"https://doi.org/10.1080/00332747.2025.2530348","url":null,"abstract":"","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":"88 3","pages":"300-307"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily K Burr, Robert D Dvorak, Ardhys N De Leon, Samantha J Klaver, Roselyn Peterson, Emma R Hayden, Madison H Maynard, Sabrina Almeyda, Alejandra Medina
{"title":"Understanding Loss of Control Eating Through the Lens of Expectancies and Reinforcement Sensitization.","authors":"Emily K Burr, Robert D Dvorak, Ardhys N De Leon, Samantha J Klaver, Roselyn Peterson, Emma R Hayden, Madison H Maynard, Sabrina Almeyda, Alejandra Medina","doi":"10.1080/00332747.2024.2403664","DOIUrl":"10.1080/00332747.2024.2403664","url":null,"abstract":"<p><strong>Objective: </strong>Prior research has indicated that outcome expectancies, sensitivity to punishment, and sensitivity to reward may predict harmful health behaviors concurrently, including disordered eating. Loss-of-control eating (LOCE), feeling unable to resist eating or stop once one has started, is associated with expectancies that eating alleviates negative affect (NA reduction expectancies) and expectancies that eating is rewarding (reward expectancies).</p><p><strong>Method: </strong>A survey battery was administered examining LOCE pathology, sensitivity to punishment, sensitivity to reward, and eating expectancies to a sample of 1660 adults in the United States (<i>M</i><sub>age</sub> = 39.24 (14.51), 73.86% assigned female at birth). It was hypothesized that sensitivity to punishment would have a potentiating effect on the relationship between NA reduction expectancies and LOCE (a two-way interactive effect). This relationship was theorized to be moderated by the effect of reward sensitivity (a three-way interactive effect), as reward sensitivity has been found to interact with punishment sensitivity. Similarly, reward expectancies on LOCE were thought to be potentiated by sensitivity to reward (a two-way interactive effect) and this relationship was also thought to be influenced by sensitivity to punishment (a three-way interactive effect).</p><p><strong>Results: </strong>Hypotheses were partially supported. Sensitivity to punishment significantly moderated a two-way interactive relationship between reward sensitivity and reward expectancies on LOCE, attenuating this two-way interaction at low sensitivity to punishment. Similarly, the interaction between sensitivity to punishment and NA reduction expectancies on LOCE was only significant when reward sensitivity was low or at its mean.</p><p><strong>Conclusion: </strong>Sensitivity to punishment and sensitivity to reward evince nuanced interactions with each other and eating expectancies to predict LOCE. Findings have treatment implications for cognitive interventions in LOCE.</p>","PeriodicalId":49656,"journal":{"name":"Psychiatry-Interpersonal and Biological Processes","volume":" ","pages":"55-70"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}