{"title":"\"Do not make us feel crazy\": From otherness to social responsibility toward those who experienced childhood sexual abuse.","authors":"Agat Sold, Carmit Katz","doi":"10.1037/ort0000975","DOIUrl":"https://doi.org/10.1037/ort0000975","url":null,"abstract":"<p><p>Childhood sexual abuse (CSA) has been extensively examined as an individual traumatic experience. However, growing evidence suggests that social responses play a central role in shaping how abuse is experienced, interpreted, and addressed. This qualitative study explored how women who experienced CSA make sense of societal reactions to their abuse. Thematic analysis of 28 written testimonies from Jewish and Arab women (aged 21-31) revealed two primary themes. First, participants described a transition from personal to social harm, characterized by pervasive silence, stigmatization, and denial of CSA. These social reactions were found to be particularly intensified among Arab women. Second, the study highlights the women's call for collective social responsibility through concrete actions, specifically broad public awareness and professional training programs that validate the expertise of those who experienced CSA. Participants emphasized that repositioning their lived experience as knowledge is essential for providing children with the language to identify abuse and for ensuring that educational systems respond with recognition. Based on these findings, the study proposes a critical framework that conceptualizes the social experience of CSA through the lens of \"othering.\" This perspective illuminates how societal exclusion produces double harm and identifies how shifting toward knowledge produced by those who experienced CSA can transform social injury into collective accountability. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149277446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ethnocultural disparities in participation in higher education among care leavers and their matched peers: A quasi-experimental design.","authors":"Netta Achdut, Rami Benbenishty, Anat Zeira","doi":"10.1037/ort0000976","DOIUrl":"https://doi.org/10.1037/ort0000976","url":null,"abstract":"<p><p>While disparities in higher education (HE) participation between care leavers and their peers are well documented, ethnocultural differences within these groups remain underexplored, and existing evidence-within and across countries-remains inconclusive. Drawing on longitudinal administrative data of 16 consecutive birth cohorts of alumni from educational (<i>n</i> = 21,654) and therapeutic (<i>n</i> = 3,765) residential care settings in Israel, alongside double-sized matched comparison groups (<i>n</i> = 43,308 and <i>n</i> = 7,530, respectively), this study (1) examines HE enrollment and completion among Israeli-born, Former Soviet Union immigrant, and Ethiopian immigrant care leavers, compared to same-ethnic matched peers without out-of-home care experience, and (2) predicts HE outcomes by (a) study group (care leavers vs. matched peers), (b) ethnicity, and (c) the interaction between study group and ethnicity. Bivariate and multinomial logistic analyses reveal that care leavers are less likely than their matched peers to enroll in and complete HE, with disparities more pronounced among those from therapeutic facilities. Ethiopian care leavers were far less likely than Israeli-born and Former Soviet Union immigrant care leavers to enroll in and complete HE. However, they exhibited the smallest gaps relative to their same-ethnic peers. Whereas a complex pattern of interaction between study group and ethnicity emerged in educational settings, the magnitude of ethnocultural disparities between care leavers from therapeutic settings and their matched peers was comparable. Widening participation initiatives should prioritize care leavers, recognizing care experience as a structural disadvantage. Embedding care experience awareness within institutional equity, diversity, and inclusion frameworks alongside ethnicity can improve HE outcomes for this vulnerable population. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ben C L Yu, Shirley X Peng, Mingjun Yang, Floria H N Chio, Sylvia Xiaohua Chen, Ella Zoe Tsang, Winnie W S Mak
{"title":"Enhancing the effects of public education on stigma reduction and advocacy promotion through interconnected elements: Experimental evidence.","authors":"Ben C L Yu, Shirley X Peng, Mingjun Yang, Floria H N Chio, Sylvia Xiaohua Chen, Ella Zoe Tsang, Winnie W S Mak","doi":"10.1037/ort0000967","DOIUrl":"https://doi.org/10.1037/ort0000967","url":null,"abstract":"<p><p>Stigma has severely affected various aspects of life for people with schizophrenia. Public education about the causes and solutions to the symptoms of schizophrenia has been proposed as an effective way to achieve stigma reduction and promote advocacy for this group. While a sense of separation has been considered an important factor that fuels the stigmatization process, such approaches do not explicitly highlight the connection between people with schizophrenia and the socially dominant group, which could limit their effectiveness in reducing stigma. The present experimental study aimed to investigate the incremental value of incorporating interconnected elements into the diverse-explanation-solution model (biomedical, psychosocial, and sociocultural explanations and solutions to symptoms of schizophrenia), which is commonly used in public educational antistigma campaigns, for reducing stigma and promoting advocacy for people with schizophrenia. A total of 480 participants (63.5% women; <i>M</i><sub>age</sub> = 31.25 years, <i>SD</i> = 8.3) recruited online provided valid responses at baseline and were randomly assigned to one of four conditions: (a) diverse (control condition), (b) interconnected-explanation, (c) interconnected-solution, and (d) dual-interconnected. Participants completed preexperiment, postexperiment, and 1-week follow-up assessments and viewed a 4-min video manipulating the type of explanations and solutions for schizophrenia. The results showed that, compared to the control condition, the interconnected-solution condition and dual-interconnected condition had a greater effect on various outcomes related to stigma and advocacy. It was also observed that individual and group efficacy were potential mediators underlying these effects. This study highlights the value of adding interconnected elements to public education about the causes and solutions to the symptoms of schizophrenia. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paul Lanier, Jake Hyman, Melissa Sandahl, Neil Kamdar, Samantha Schilling, Danielle Roubinov, Gabrielle Hodgins, Daniel Gibbs, Roderick A Rose
{"title":"Readmission of children in foster care to psychiatric residential treatment facilities.","authors":"Paul Lanier, Jake Hyman, Melissa Sandahl, Neil Kamdar, Samantha Schilling, Danielle Roubinov, Gabrielle Hodgins, Daniel Gibbs, Roderick A Rose","doi":"10.1037/ort0000973","DOIUrl":"https://doi.org/10.1037/ort0000973","url":null,"abstract":"<p><p>Psychiatric residential treatment facilities (PRTFs) serve as nonhospital inpatient treatment environments for Medicaid beneficiaries under the age of 21. Children in foster care, as a group, exhibit a heightened need for mental health services and are disproportionately represented in residential treatment settings. Despite their high cost and restrictive nature, PRTFs offer a comprehensive approach that facilitates assessment, treatment, discharge planning, and aftercare. Readmission to PRTFs is an unfavorable utilization outcome that may reflect multiple mechanisms, including unmet clinical need, placement instability, and system-level factors. Although there are concerns about the overuse of PRTFs for youth in foster care, few studies have explored readmission rates and whether youth in foster care face a different risk of readmission compared to those not in the foster care system. This study conducted a secondary analysis of Medicaid claims data (2018-2021) for youth in one southeastern state who exited PRTFs (N = 2,434), 34% of whom were also in foster care. Multivariable landmark Cox regression models were used to assess the risk of readmission, calculated as a hazard ratio (HR). Foster care status was linked to a higher risk of PRTF readmission across all landmark time periods (0-180 days: HR = 1.36; 95% CI [1.10, 1.69]; 181-360 days: HR = 2.05; 95% CI [1.44, 2.93]; 361+ days: HR = 1.56; 95% CI [1.06, 2.29]), after adjusting for demographic characteristics, diagnoses, and prescription history. The findings indicate that youth in foster care are at an elevated risk of PRTF readmission, necessitating targeted strategies to address the unique clinical, psychosocial, and system-level factors associated with child welfare involvement. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149221177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jane E Hereth, Lexy Lunger, Rachel C Garthe, Angie C Kennedy
{"title":"\"Looking back, I didn't feel even a little bit safe\": A mixed methods examination of transgender women's help-seeking and attainment following interpersonal victimization.","authors":"Jane E Hereth, Lexy Lunger, Rachel C Garthe, Angie C Kennedy","doi":"10.1037/ort0000964","DOIUrl":"10.1037/ort0000964","url":null,"abstract":"<p><p>Transgender women experience high rates of victimization across the life course, yet little is known about their experiences of help-seeking and attainment. Existing research has largely overlooked the cumulative and contextual nature of these experiences. This study addresses these gaps by using a mixed methods design and the life history calendar method to explore transgender women's experiences of help-seeking and attainment following victimization. We employed an explanatory sequential mixed methods design. In the quantitative phase, we conducted life history calendar interviews with 103 transgender women ages 18-35 in Milwaukee and Chicago to document experiences of victimization and help-seeking across the life course. Informed by these findings, we conducted in-depth qualitative interviews with 25 participants to further explore barriers and facilitators to help-seeking and attainment. Quantitative findings revealed low levels of formal help-seeking for victimization-related needs and mixed reports of experiences attaining help. Qualitative data identified barriers to help-seeking such as stigma, social location, fear, and lack of information. Findings also illuminated how cultural beliefs, systemic discrimination, and cumulative trauma shaped participants' experiences of help attainment. Informal networks, including chosen families and community groups, emerged as critical sources of support. Findings underscore the need for affirming and culturally responsive services. The life history calendar proved a valuable tool for capturing trajectories of victimization and help-seeking and attainment and may be useful in future research with marginalized populations. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13651592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149139518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joelle T Taknint, Kathryn Price, Nuha Alshabani, Jessica Chicco, Carmen Rosa Noroña, Resham Gellatly, Linda Piwowarczyk, Jacqueline Kelley
{"title":"Prolonged family separation under U.S. immigration law: Mechanisms of racialized harms to lawfully present immigrant parents.","authors":"Joelle T Taknint, Kathryn Price, Nuha Alshabani, Jessica Chicco, Carmen Rosa Noroña, Resham Gellatly, Linda Piwowarczyk, Jacqueline Kelley","doi":"10.1037/ort0000966","DOIUrl":"https://doi.org/10.1037/ort0000966","url":null,"abstract":"<p><p>Prolonged family separation in the context of immigration to the United States has largely focused on separation resulting from immigrant detention and the deportation of undocumented parents. Less visible are the ways that U.S. immigration laws and policies are constructed and implemented such that they prolong family separation for lawfully present immigrants in the United States from their families abroad. This article addresses this gap. The detrimental effects of prolonged family separation in the context of immigration are discussed. Three key immigration law mechanisms that prolong family separation are detailed, including (a) per-country limits for immediate relative and family-preference visa applications for lawful permanent residents, (b) the asylum case backlog, and (c) the lack of family reunification options for people with Temporary Protected Status (TPS). Each of the three mechanisms are situated within a historical context, drawing attention to the racialized ways in which prolonged family separation has occurred. Fourteen recommendations for ameliorating the racialized harms of prolonged family separation are offered. These include six policy recommendations at the federal level (e.g., training recommendations to address findings of bias in asylum offices, expansion of family-based parole programs, implementing changes to TPS to allow TPS holders to bring spouses and minor children to the United States for the duration of a TPS designation, and permitting lawful permanent residents to sponsor the same family members as U.S. citizens). Eight additional recommendations for clinicians, community members, schools, and professional and community-based organizations engaging with immigrant families are also detailed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alaa Shihadeh, Wisam Ben Abdullah, Kamal Abubakar, Fawaz Abdulabbas Abdulameer, Amalia Badawi, Vladan Starcevic, Abdulmonem Ali Alhelu, Omar Al Tal, David Berle
{"title":"Voices from the field: A mixed methods exploration of posttraumatic stress disorder, complex posttraumatic stress disorder, and moral injury among mass graves workers in Libya.","authors":"Alaa Shihadeh, Wisam Ben Abdullah, Kamal Abubakar, Fawaz Abdulabbas Abdulameer, Amalia Badawi, Vladan Starcevic, Abdulmonem Ali Alhelu, Omar Al Tal, David Berle","doi":"10.1037/ort0000957","DOIUrl":"https://doi.org/10.1037/ort0000957","url":null,"abstract":"<p><p>Mass graves workers play a crucial role in postconflict societies by identifying victims and providing closure to affected communities. However, little is known about the mental health consequences they face. This study examined rates of posttraumatic stress disorder (PTSD), complex PTSD (CPTSD), and moral injury among mass graves workers in Libya. First, quantitative data were collected from 101 mass graves workers using validated measures of PTSD and CPTSD (International Trauma Questionnaire) and moral injury (Moral Injury Outcome Scale). Then, qualitative focus group discussions (n = 88) were conducted to provide deeper insights into workers' lived experiences. Quantitative data were analyzed using descriptive statistics, while qualitative data were analyzed thematically. The findings showed that 27.7% of participants met the criteria for PTSD, with reexperiencing, hyperarousal, and emotional numbing among the most endorsed symptom clusters. Of the participants, 35.6% endorsed self-blame, and 31.7% reported loss of trust in others, indicating significant moral distress in this sample. Regression analyses indicated that demographic characteristics and work-related characteristics were not independent predictors of PTSD, CPTSD, or moral injury responses. The qualitative findings revealed that these psychological challenges were normalized within the occupational culture, with distress perceived as an expected consequence of the work rather than a clinical condition. Moral injury in this sample was characterized by guilt, betrayal, and procedural conflict, diverging from the shame-dominant profiles described in military populations. These findings underscore the significant psychosocial burden of mass graves work, even among workers who maintain a strong sense of occupational purpose and humanitarian identity. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chantel T Ebrahimi-Azadegan, Jordana Douglas, Pamela Lantigua Segura, Hannah Song, Lorraine Y Howard, Lillian Polanco-Roman
{"title":"Posttraumatic stress disorder (PTSD) symptoms as a potential explanatory factor in the relation between everyday racial discrimination and binge drinking among ethnoracially minoritized emerging adults.","authors":"Chantel T Ebrahimi-Azadegan, Jordana Douglas, Pamela Lantigua Segura, Hannah Song, Lorraine Y Howard, Lillian Polanco-Roman","doi":"10.1037/ort0000965","DOIUrl":"https://doi.org/10.1037/ort0000965","url":null,"abstract":"<p><p>Everyday experiences of racial discrimination are associated with negative mental health outcomes, including posttraumatic stress disorder (PTSD) symptoms and alcohol misuse among ethnoracially minoritized adults. Less is known, however, about potential pathways in the association between racial discrimination and alcohol misuse. This study examines PTSD symptoms as a potential pathway in the association between everyday racial discrimination (ERD) and past 12-month binge drinking among ethnoracially minoritized emerging adults. Participants were emerging adults (<i>N</i> = 271), aged 18-29 years (<i>M</i> = 24.2, <i>SD</i> = 3.07), who identified being from an ethnoracially minoritized group. They were recruited from crowdsourced online data collection tools (i.e., CloudResearch, MTurk) to complete online surveys on ERD, PTSD symptoms, and alcohol use. A parallel mediation model tested the direct and indirect effects of ERD on binge drinking through three PTSD symptom domains (i.e., avoidance, intrusion, and hyperarousal). Findings revealed a significant indirect effect of ERD on binge drinking via hyperarousal PTSD symptoms (β = 0.11, <i>SE</i> = 0.006, 95% CI [-0.00, 0.03], <i>p</i> = .05), indicating a partial mediation. The indirect effect via intrusion and avoidance symptoms was not statistically significant, indicating no mediative effects. Results highlight the need for future studies to delineate the explanatory pathways between racial discrimination and alcohol misuse. This research will help improve the cultural responsiveness of prevention and intervention strategies for alcohol misuse among ethnoracially minoritized emerging adults. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149119038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pau Caravaca, Gemma Nieva, Sílvia Font-Mayolas, Fran Calvo
{"title":"And what about tobacco? Considerations for managing tobacco use in residential treatment facilities for substance use disorders.","authors":"Pau Caravaca, Gemma Nieva, Sílvia Font-Mayolas, Fran Calvo","doi":"10.1037/ort0000974","DOIUrl":"https://doi.org/10.1037/ort0000974","url":null,"abstract":"<p><p>Tobacco use remains a major public health concern worldwide. In residential treatment facilities for substance use disorders, little effort is made to help individuals quit smoking, even though the primary goal of treatment is to promote the overall health through abstinence from all drugs. The aim of this study was to analyze the perceptions of professionals and individuals in treatment regarding the management of tobacco use within residential therapeutic settings. We conducted a qualitative study in treatment centers in Spain, using thematic content analysis of focus groups with 29 professionals and 53 individuals. According to participants, tobacco use during substance use disorder treatment substitutes for the use of other drugs and serves as a tool for emotional regulation. Furthermore, many participants believed that quitting smoking may increase the risk of relapse for other substances, although scientific evidence shows otherwise. These insights suggest that prevailing attitudes toward tobacco use in treatment contexts are outdated, underscoring the need for a paradigm shift in how this issue is addressed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ohad Gilbar, Diana Padilla-Medina, Galina A Portnoy, Dana Lassri, Maxine Davis
{"title":"Indirect effects of PTSD, depression, and anxiety symptoms on the association between COVID-19 cases/symptoms and intimate partner violence perpetration in the United States.","authors":"Ohad Gilbar, Diana Padilla-Medina, Galina A Portnoy, Dana Lassri, Maxine Davis","doi":"10.1037/ort0000971","DOIUrl":"https://doi.org/10.1037/ort0000971","url":null,"abstract":"<p><p>Although rates of intimate partner violence (IPV) tend to rise following natural disasters, partly via trauma-related symptoms, the trauma-specific mechanisms underlying IPV perpetration during epidemics and pandemics such as COVID-19 remain unclear. Therefore, the aim of this study was to examine the association between COVID-19 (its incidence or symptoms) and IPV and the contribution of trauma-related symptoms to such association during the first wave of the pandemic (March-April 2020). This study applied generalized linear modeling and structural equation modeling to analyze data from a demographically diverse U.S. online panel survey (<i>N</i> = 1,183). The variables included self-reported data of IPV perpetration, posttraumatic stress disorder, depression, anxiety, and COVID-19 symptoms (\"likely COVID-19\"). Additionally, we examined COVID-19 state-level data for tested and confirmed cases as reported by the Johns Hopkins University Center during March 2020 (\"tested COVID-19\"). Groups in states with higher incidence of COVID-19 had significantly higher rates of IPV perpetration than groups in states with lower incidence of COVID-19. Furthermore, the findings indicated that posttraumatic stress disorder and depression symptoms were indirectly associated with likely COVID-19 symptoms and psychological and physical IPV perpetration. These results suggested a connection between COVID-19 and IPV perpetration and indicated how trauma-related symptoms affected this association. The results underscore that trauma-related symptoms during public health crises such as pandemics are a risk factor for IPV perpetration. Trauma-informed screening and intervention can be useful in identifying and reducing IPV during the early stages of such crises. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":55531,"journal":{"name":"American Journal of Orthopsychiatry","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}