Alexandra Doehrmann, Sophia A Bibb, Kayla A Kreutzer, Stephanie M Gorka
{"title":"青年创伤类型与创伤后应激症状：不确定性不耐受的中介作用。","authors":"Alexandra Doehrmann, Sophia A Bibb, Kayla A Kreutzer, Stephanie M Gorka","doi":"10.1097/NMD.0000000000001837","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Early-life trauma is associated with posttraumatic stress symptoms (PTSS) in young adulthood; although factors that contribute to PTSS are unclear, one factor may be Intolerance of uncertainty. In adults, trauma exposure may enhance IU and in turn, contribute to PTSS. Few studies have explored these associations in youth or considered the role of trauma type. This study examined these associations in a cohort of youth (ages 18-19) with varying trauma histories.</p><p><strong>Methods: </strong>Participants (N = 129) completed validated measures of lifetime trauma exposure, IU, and PTSS. The unique effects of commonly endorsed trauma types were examined: sexual violence, physical abuse, emotional abuse, witnessing domestic violence, and caregiver separation.</p><p><strong>Results: </strong>Sexual violence victimization was uniquely associated with higher IU, and IU mediated the relationship between sexual violence victimization and PTSS.</p><p><strong>Conclusions: </strong>Heightened IU may be one pathway through which exposure to sexual violence increases risk for psychopathology.</p>","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":"213 8","pages":"196-201"},"PeriodicalIF":1.3000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Trauma Type and Posttraumatic Stress Symptoms in Youth: The Mediating Role of Intolerance of Uncertainty.\",\"authors\":\"Alexandra Doehrmann, Sophia A Bibb, Kayla A Kreutzer, Stephanie M Gorka\",\"doi\":\"10.1097/NMD.0000000000001837\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Early-life trauma is associated with posttraumatic stress symptoms (PTSS) in young adulthood; although factors that contribute to PTSS are unclear, one factor may be Intolerance of uncertainty. In adults, trauma exposure may enhance IU and in turn, contribute to PTSS. Few studies have explored these associations in youth or considered the role of trauma type. This study examined these associations in a cohort of youth (ages 18-19) with varying trauma histories.</p><p><strong>Methods: </strong>Participants (N = 129) completed validated measures of lifetime trauma exposure, IU, and PTSS. The unique effects of commonly endorsed trauma types were examined: sexual violence, physical abuse, emotional abuse, witnessing domestic violence, and caregiver separation.</p><p><strong>Results: </strong>Sexual violence victimization was uniquely associated with higher IU, and IU mediated the relationship between sexual violence victimization and PTSS.</p><p><strong>Conclusions: </strong>Heightened IU may be one pathway through which exposure to sexual violence increases risk for psychopathology.</p>\",\"PeriodicalId\":16480,\"journal\":{\"name\":\"Journal of Nervous and Mental Disease\",\"volume\":\"213 8\",\"pages\":\"196-201\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nervous and Mental Disease\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/NMD.0000000000001837\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/8/12 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nervous and Mental Disease","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NMD.0000000000001837","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/12 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Trauma Type and Posttraumatic Stress Symptoms in Youth: The Mediating Role of Intolerance of Uncertainty.
Objective: Early-life trauma is associated with posttraumatic stress symptoms (PTSS) in young adulthood; although factors that contribute to PTSS are unclear, one factor may be Intolerance of uncertainty. In adults, trauma exposure may enhance IU and in turn, contribute to PTSS. Few studies have explored these associations in youth or considered the role of trauma type. This study examined these associations in a cohort of youth (ages 18-19) with varying trauma histories.
Methods: Participants (N = 129) completed validated measures of lifetime trauma exposure, IU, and PTSS. The unique effects of commonly endorsed trauma types were examined: sexual violence, physical abuse, emotional abuse, witnessing domestic violence, and caregiver separation.
Results: Sexual violence victimization was uniquely associated with higher IU, and IU mediated the relationship between sexual violence victimization and PTSS.
Conclusions: Heightened IU may be one pathway through which exposure to sexual violence increases risk for psychopathology.
期刊介绍：
The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.
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