Conceptualizing disparities and differences in the psychobiology of traumatic stress

IF 2.4 3区 医学 Q2 PSYCHIATRY Journal of traumatic stress Pub Date : 2024-07-17 DOI:10.1002/jts.23081
Kelly A. Correa, Vasiliki Michopoulos, Jennifer S. Stevens, Nathaniel G. Harnett
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Abstract

Understanding biological pathways that mediate trauma-related psychopathology is a major goal for traumatic stress studies. There is growing interest in studying differences in neural, physiological, and behavioral correlates of traumatic stress across demographic groups (e.g., sex/gender, race/ethnicity). However, challenges remain in how to appropriately conceptualize the source, mechanisms, and practical utility of between-group variation. The present brief conceptual review discusses ethnicity, race, and sex/gender-related variability relevant to understanding the psychobiology of traumatic stress in the context of traumatic stress studies. We discuss recent evidence related to socioenvironmental influences on ethnoracial variability in the brain and behavior relevant to traumatic stress, as well as sex/gender associations in neurophysiology that may contribute to the development of adverse posttraumatic sequelae. We further synthesize these findings by discussing intersectional influences of sex/gender- and race/ethnicity-related factors on trauma-related physical and mental health outcomes. The present review provides an important foundation for future research on disparities and individual differences in traumatic stress to move the field toward more effective assessment and treatment approaches.

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将创伤压力心理生物学中的差异和不同概念化。
了解介导创伤相关精神病理学的生物学途径是创伤应激研究的一个主要目标。人们对研究不同人口群体(如性/性别、种族/民族)在创伤应激的神经、生理和行为相关性方面的差异越来越感兴趣。然而,如何恰当地概念化群体间差异的来源、机制和实际效用仍然是一个挑战。本简要概念综述讨论了在创伤应激研究中与理解创伤应激心理生物学相关的民族、种族和性别/性别相关变异。我们讨论了社会环境对创伤应激相关的大脑和行为的人种变异性的影响,以及神经生理学中可能导致创伤后不良后遗症发展的性/性别关联的最新证据。通过讨论与性/性别和种族/人种相关的因素对创伤相关身心健康结果的交叉影响,我们进一步综合了这些发现。本综述为今后研究创伤应激的差异和个体差异奠定了重要基础,从而推动该领域朝着更有效的评估和治疗方法迈进。
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来源期刊
CiteScore
5.80
自引率
6.10%
发文量
125
期刊介绍: Journal of Traumatic Stress (JTS) is published for the International Society for Traumatic Stress Studies. Journal of Traumatic Stress , the official publication for the International Society for Traumatic Stress Studies, is an interdisciplinary forum for the publication of peer-reviewed original papers on biopsychosocial aspects of trauma. Papers focus on theoretical formulations, research, treatment, prevention education/training, and legal and policy concerns. Journal of Traumatic Stress serves as a primary reference for professionals who study and treat people exposed to highly stressful and traumatic events (directly or through their occupational roles), such as war, disaster, accident, violence or abuse (criminal or familial), hostage-taking, or life-threatening illness. The journal publishes original articles, brief reports, review papers, commentaries, and, from time to time, special issues devoted to a single topic.
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