Trajectories of posttraumatic stress symptoms following collective violence: A systematic review and meta-analyses

IF 2.4 3区 医学 Q2 PSYCHIATRY Journal of traumatic stress Pub Date : 2024-08-23 DOI:10.1002/jts.23090
Annalisa Oppo, Barbara Forresi, Alice Barbieri, Karestan C. Koenen
{"title":"Trajectories of posttraumatic stress symptoms following collective violence: A systematic review and meta-analyses","authors":"Annalisa Oppo,&nbsp;Barbara Forresi,&nbsp;Alice Barbieri,&nbsp;Karestan C. Koenen","doi":"10.1002/jts.23090","DOIUrl":null,"url":null,"abstract":"<p>Although collective violence represents a significant public health concern, a limited number of longitudinal studies have addressed this topic, with no systematic reviews focusing on posttraumatic stress symptom (PTSS) trajectories. The present systematic review and meta-analyses examined PTSS prevalence and trajectories after exposure to collective violence. A systematic literature search across six databases (APA PsycInfo, APA PsycArticles, PSYINDEX, MEDLINE, ERIC, and PubMed) identified 771 studies that were screened for the following eligibility criteria: exposure to collective violence, adult sample, longitudinal design, PTSS assessment using validated measures, PTSS trajectories estimated using latent growth modeling, and report sample prevalence rate for each trajectory. Ten studies met the criteria, and five meta-analyses were performed to assess the overall prevalence of each trajectory. Most included studies (63.6%) identified four trajectories, characterized as <i>low-stable</i>, <i>high</i>-<i>stable</i>, <i>decreasing</i>, and <i>delayed</i>-<i>worsening</i>. The low-stable trajectory was the modal response, with a pooled prevalence of 58.0%, 95% CI [51.0, 65.0]. The high-stable prevalence was 7.0%, 95% CI [4.0, 19.0]; the decreasing trajectory was 13%, 95% CI [9.0, 17.0]; and the delayed-worsening trajectory was 8.0%, 95% CI [5.0, 10.0]. A fifth trajectory, <i>moderately stable</i>, had a prevalence of 19.0%, 95% CI [9.0, 29.0]. The trajectory models robustly identified clinically relevant patterns of response to collective violence, offering a contribution to the literature and a starting point for future research. Further studies are needed, as a better comprehension of symptom trajectories after collective violence events has important clinical and public health implications.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":"37 6","pages":"837-849"},"PeriodicalIF":2.4000,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of traumatic stress","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/jts.23090","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0

Abstract

Although collective violence represents a significant public health concern, a limited number of longitudinal studies have addressed this topic, with no systematic reviews focusing on posttraumatic stress symptom (PTSS) trajectories. The present systematic review and meta-analyses examined PTSS prevalence and trajectories after exposure to collective violence. A systematic literature search across six databases (APA PsycInfo, APA PsycArticles, PSYINDEX, MEDLINE, ERIC, and PubMed) identified 771 studies that were screened for the following eligibility criteria: exposure to collective violence, adult sample, longitudinal design, PTSS assessment using validated measures, PTSS trajectories estimated using latent growth modeling, and report sample prevalence rate for each trajectory. Ten studies met the criteria, and five meta-analyses were performed to assess the overall prevalence of each trajectory. Most included studies (63.6%) identified four trajectories, characterized as low-stable, high-stable, decreasing, and delayed-worsening. The low-stable trajectory was the modal response, with a pooled prevalence of 58.0%, 95% CI [51.0, 65.0]. The high-stable prevalence was 7.0%, 95% CI [4.0, 19.0]; the decreasing trajectory was 13%, 95% CI [9.0, 17.0]; and the delayed-worsening trajectory was 8.0%, 95% CI [5.0, 10.0]. A fifth trajectory, moderately stable, had a prevalence of 19.0%, 95% CI [9.0, 29.0]. The trajectory models robustly identified clinically relevant patterns of response to collective violence, offering a contribution to the literature and a starting point for future research. Further studies are needed, as a better comprehension of symptom trajectories after collective violence events has important clinical and public health implications.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
集体暴力事件后的创伤后应激症状轨迹:系统回顾和荟萃分析。
尽管集体暴力是一个重大的公共卫生问题,但针对这一主题的纵向研究数量有限,而且没有系统性综述关注创伤后应激症状(PTSS)的发展轨迹。本系统综述和荟萃分析研究了遭受集体暴力后 PTSS 的患病率和发展轨迹。我们在六个数据库(APA PsycInfo、APA PsycArticles、PSYINDEX、MEDLINE、ERIC 和 PubMed)中进行了系统性文献检索,确定了 771 项研究,这些研究均通过了以下资格标准的筛选:暴露于集体暴力、成人样本、纵向设计、使用有效测量方法进行 PTSS 评估、使用潜在增长模型估计 PTSS 轨迹以及报告每种轨迹的样本患病率。有 10 项研究符合标准,并进行了 5 次元分析,以评估每种轨迹的总体流行率。大多数纳入的研究(63.6%)确定了四种轨迹,分别为低稳定、高稳定、递减和延迟恶化。低稳定轨迹是最常见的反应,综合流行率为 58.0%,95% CI [51.0, 65.0]。高稳定流行率为 7.0%,95% CI [4.0,19.0];下降轨迹为 13%,95% CI [9.0,17.0];延迟恶化轨迹为 8.0%,95% CI [5.0,10.0]。第五种轨迹为中度稳定,患病率为 19.0%,95% CI [9.0,29.0]。轨迹模型有力地确定了与临床相关的对集体暴力的反应模式,为相关文献做出了贡献,也为未来的研究提供了一个起点。由于更好地理解集体暴力事件后的症状轨迹具有重要的临床和公共卫生意义,因此还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
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.
期刊最新文献
Royal Canadian Mounted Police cadets' exposure to potentially psychologically traumatic events during the Cadet Training Program. Exploring the association between moral injury and posttraumatic stress symptoms among Canadian public safety personnel. Identifying transdiagnostic traumatic stress reactions in U.S. military veterans: A nationally representative study. Issue Information - TOC Correction to Posttraumatic Growth fter MDMA-Assisted Psychotherapy for Posttraumatic Stress Disorder.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1