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Gender differences in posttraumatic stress symptoms, marital satisfaction, and parenting behaviors in adults following typhoon Lekima. 台风 "勒基玛 "过后,成年人在创伤后应激症状、婚姻满意度和养育行为方面的性别差异。
IF 2.7 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-09-01 Epub Date: 2023-08-10 DOI: 10.1037/tra0001563
Jia-Li Huang, Yafit Levin, Rahel Bachem, Xiao Zhou

Objective: Belsky's parenting model provides insight into the relationship between parental psychological status and parenting behaviors. However, little is known about the unique associations of posttraumatic stress disorder (PTSD) symptoms with specific parenting behaviors. This study aimed to assess the associations of PTSD symptoms and three types of parenting behaviors (rejection, emotional warmth, and overprotection) with marital satisfaction, and to examine gender differences in these associations.

Method: Self-report questionnaires were used to survey 4,570 parents 3 months after Typhoon Lekima in China.

Results: The results showed that intrusion and avoidance symptoms had positively indirect associations with emotional warmth and negatively indirect associations with rejection and overprotection via marital satisfaction. However, negative cognitive and emotional alterations (NCEA) and hyperarousal symptoms had opposite relationships with three types of parenting behavior. A gender-moderated mediation relationship was found in the associations of PTSD symptoms and parenting behaviors via marital satisfaction. Marital satisfaction played a mediating role in the relationships between four PTSD symptom clusters and three types of parenting behavior in mothers, whereas in fathers, marital satisfaction mediated only the relationships of NCEA and hyperarousal symptoms with three types of parenting behavior.

Conclusions: Marital satisfaction mediated the associations between four distinct PTSD symptom clusters and three types of parenting behavior, and a gender difference was found to be in these indirect relationships. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目的贝尔斯基的养育模式提供了父母心理状态与养育行为之间关系的洞察力。然而,人们对创伤后应激障碍(PTSD)症状与特定养育行为之间的独特关联知之甚少。本研究旨在评估创伤后应激障碍症状和三种养育行为(拒绝、情感温暖和过度保护)与婚姻满意度之间的关联,并研究这些关联中的性别差异:方法:在台风 "莱基玛 "过后 3 个月,对中国的 4570 名父母进行了自我报告问卷调查:结果表明,入侵和回避症状与情感温暖有正向间接关系,而通过婚姻满意度与拒绝和过度保护有负向间接关系。然而,负性认知和情绪改变(NCEA)和过度焦虑症状与三种类型的养育行为有着相反的关系。在创伤后应激障碍症状与通过婚姻满意度进行的养育行为的关联中,发现了一种性别中介关系。在母亲的四种创伤后应激障碍症状群与三种养育行为之间的关系中,婚姻满意度起到了中介作用,而在父亲的三种养育行为中,婚姻满意度只中介了NCEA和过度焦虑症状之间的关系:结论:婚姻满意度介导了四种不同的创伤后应激障碍症状群与三种养育行为之间的关系,并且在这些间接关系中发现了性别差异。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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引用次数: 0
"The light after the storm": Psychosocial correlates of adversarial growth among nurses in Hong Kong amid the fifth wave of the COVID-19 pandemic. "暴风雨后的曙光COVID-19第五波大流行中香港护士逆境成长的心理社会相关因素。
IF 2.7 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-09-01 Epub Date: 2023-06-26 DOI: 10.1037/tra0001535
Nelson C Y Yeung, Jeremy L T Tang, Kam Hei Hui, Stephanie T Y Lau, Annie W L Cheung, Eliza L Y Wong

Objective: Healthcare professionals are highly susceptible to adverse psychological outcomes amid the COVID-19 pandemic due to their job duties. As the largest part of the healthcare workforce, growing attention has been paid to nurses' adjustments to the pandemic. Despite the distress, recent studies found that nurses could still experience positive changes (i.e., adversarial growth, AG) during the pandemic. Research on the general populations has indicated that individuals' stress responses, coping resources, and coping strategies are associated with their AG during the pandemic. This study examined how sociodemographic characteristics, secondary traumatic and posttraumatic stress, coping resources, and coping strategies were associated with AG among nurses in Hong Kong amid the fifth wave (i.e., the most disastrous wave) of the COVID-19 pandemic.

Method: Recruited through local nursing associations between May 24 and June 13, 2022, 209 nurses in Hong Kong completed an online questionnaire measuring the abovementioned variables.

Results: Hierarchical regression results found that those affiliating with a religion, having participated in mental health-related workshops, higher levels of secondary traumatic stress (STS), social support, job satisfaction, plus more frequent emotional processing were associated with higher AG (βs ranging from 0.15 to 0.31, ps < .01).

Conclusions: Nurses did report AG during the fifth wave of the COVID-19 pandemic in Hong Kong. To promote AG among those nurses, future interventions should enhance nurses' understanding about the potential impact of STS on their well-being, solicit their interpersonal and work-related coping resources, plus facilitate their use of effective coping strategies. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目的:在 COVID-19 大流行期间,医护人员因其工作职责而极易受到不良心理影响。作为医护人员中最大的一部分,人们越来越关注护士对大流行病的适应情况。最近的研究发现,尽管护士们感到痛苦,但他们在大流行病期间仍能经历积极的变化(即逆境成长、AG)。对普通人群的研究表明,个人的压力反应、应对资源和应对策略与大流行期间的 AG 相关。本研究探讨了在 COVID-19 大流行的第五波(即最灾难性的一波)中,香港护士的社会人口特征、二次创伤和创伤后压力、应对资源和应对策略与 AG 的关系:方法:2022 年 5 月 24 日至 6 月 13 日期间,通过本地护理协会招募了 209 名香港护士,他们填写了一份在线问卷,测量了上述变量:分层回归结果发现,有宗教信仰、参加过心理健康相关工作坊、二次创伤压力(STS)水平较高、社会支持、工作满意度以及情绪处理频率较高的护士与较高的AG相关(β值介于0.15至0.31之间,PS < .01):结论:在 COVID-19 在香港的第五次流行期间,护士确实报告了 AG。为促进这些护士的AG,未来的干预措施应加强护士对STS对其福祉的潜在影响的了解,寻求其人际关系和工作相关的应对资源,并促进其使用有效的应对策略。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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引用次数: 0
Clinical correlates of irritability, anger, hostility, and aggression in posttraumatic stress disorder. 创伤后应激障碍患者易怒、愤怒、敌意和攻击性的临床相关性。
IF 2.7 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-09-01 Epub Date: 2023-04-27 DOI: 10.1037/tra0001498
Nalan Zhan, Lan Zhang, Mingliang Gong, Fulei Geng

Objective: Although irritability, anger, and aggression are diagnostic symptoms of posttraumatic stress disorder (PTSD), their clinical significance and associations with psychopathology remain unclear.

Method: In a sample of community adults with probable PTSD (n = 151), we measured irritability, physical aggression, verbal aggression, anger, and hostility with the Brief Irritability Test and the Brief Aggression Questionnaire. Participants' psychopathology, including depression, attention deficit and hyperactivity disorder (ADHD), psychotic-like experiences, insomnia, as well as suicidal behaviors were also assessed.

Results: Correlation analysis showed that irritability and anger were modestly related to all PTSD dimensions; physical aggression was related to avoidance, negative alterations in cognitions and mood (NACM), and hyperarousal; hostility was related to reexperiencing, NACM, and hyperarousal; while verbal aggression was not significantly related to any PTSD dimensions. After adjustment for trauma exposure and PTSD symptoms, irritability was associated with almost all psychopathology and suicidal behaviors, however, anger, hostility, and aggression were sparsely related to some psychopathology or suicidal behaviors. Particularly, anger was only related to ADHD and insomnia. Latent profile analysis based on PTSD, irritability, anger, hostility, and aggression indicated two discrete subgroups: the high severity group (33.8%) and the low severity group (66.2%), with high severity group reporting higher rates of comorbidity and suicidal behaviors.

Conclusions: The findings support irritability, aggression, anger, and hostility as separate constructs; moreover, irritability, anger, and aggression should be independently measured in PTSD. Our findings also suggest the significance of irritability as a separate hallmark of PTSD and the need to incorporate PTSD dimensions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目的尽管易怒、愤怒和攻击性是创伤后应激障碍(PTSD)的诊断症状,但它们的临床意义以及与精神病理学的关系仍不清楚:我们以可能患有创伤后应激障碍的社区成年人为样本(n = 151),通过简易易怒测试和简易攻击性问卷测量了易怒、肢体攻击性、言语攻击性、愤怒和敌意。我们还评估了参与者的精神病理学,包括抑郁、注意力缺陷和多动症(ADHD)、精神病样体验、失眠以及自杀行为:相关性分析表明,易怒和愤怒与创伤后应激障碍的所有方面都有一定关系;肢体攻击与回避、认知和情绪的负面改变(NACM)和过度焦虑有关;敌意与再体验、NACM和过度焦虑有关;而言语攻击与创伤后应激障碍的任何方面都没有显著关系。在对创伤暴露和创伤后应激障碍症状进行调整后,易怒几乎与所有的精神病理学和自杀行为相关,然而,愤怒、敌意和攻击性则与某些精神病理学或自杀行为关系不大。尤其是,愤怒只与多动症和失眠有关。基于创伤后应激障碍、易激惹、愤怒、敌意和攻击性的潜在特征分析显示出两个不同的亚组:严重程度高的组别(33.8%)和严重程度低的组别(66.2%),其中严重程度高的组别报告的合并症和自杀行为发生率较高:研究结果支持将易怒、攻击性、愤怒和敌意作为独立的概念;此外,应独立测量创伤后应激障碍患者的易怒、愤怒和攻击性。我们的研究结果还表明,易怒是创伤后应激障碍的一个独立特征,具有重要意义,而且有必要纳入创伤后应激障碍的维度。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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引用次数: 0
The role of prior trauma exposure and subsequent posttraumatic stress disorder in reactions to the COVID-19 pandemic: A qualitative study. 在 COVID-19 大流行的反应中,先前的创伤暴露和随后的创伤后应激障碍所起的作用:定性研究。
IF 2.7 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-09-01 Epub Date: 2023-08-03 DOI: 10.1037/tra0001541
Sydney T Johnson, Dunia Dadi, Jessica K Friedman, Stephanie Hanson, Rebecca L Emery Tavernier, Susan M Mason

Objective: A growing body of literature suggests that the COVID-19 pandemic is a traumatic stressor capable of causing posttraumatic stress symptoms. People with a history of trauma, particularly those with posttraumatic stress disorder (PTSD), may be particularly vulnerable to the negative mental health impacts of the pandemic. However, qualitative research exploring potential differences in the lived experiences of and reactions to COVID-19 between people with and without PTSD is lacking.

Method: Semistructured interviews were conducted with 31 women (n = 15 women with probable PTSD, n = 16 women without probable PTSD) recruited from an ongoing U.S.-based cohort study. Themes were identified using inductive thematic analysis.

Results: The majority of women with PTSD described their level of fear or perceived safety related to COVID-19 as a major factor influencing their mental health during the pandemic. In contrast, women without PTSD indicated that their level of distress was largely driven by pandemic-related restrictions on normal activities and family events. Many women with PTSD also described feeling anger or frustration toward people they perceived as not taking the COVID-19 pandemic seriously. Only one participant without PTSD expressed similar feelings.

Conclusions: This study found notable differences in reactions to the COVID-19 pandemic between people with and without PTSD, with findings that are likely relevant to future disasters. These findings can inform the development of preparedness policies for future disasters, pandemics, or other collective traumas to prevent distress and improve mental health, particularly for vulnerable populations such as individuals with preexisting PTSD. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目的:越来越多的文献表明,COVID-19 大流行是一种创伤性应激源,可导致创伤后应激症状。有创伤史的人,尤其是有创伤后应激障碍(PTSD)的人,可能特别容易受到大流行病对心理健康的负面影响。然而,目前还缺乏定性研究来探讨创伤后应激障碍患者与非创伤后应激障碍患者在生活经历和对 COVID-19 的反应方面可能存在的差异:我们对从一项正在进行的美国队列研究中招募的 31 名女性(n = 15 名可能患有创伤后应激障碍的女性,n = 16 名没有创伤后应激障碍的女性)进行了半结构式访谈。研究采用归纳式主题分析法确定主题:结果:大多数患有创伤后应激障碍的妇女将与 COVID-19 相关的恐惧程度或安全感描述为大流行期间影响其心理健康的主要因素。相比之下,没有创伤后应激障碍的妇女则表示,她们的痛苦程度主要是由于大流行对正常活动和家庭活动的限制造成的。许多患有创伤后应激障碍的女性还描述说,她们对那些认为没有认真对待 COVID-19 大流行的人感到愤怒或沮丧。只有一名没有创伤后应激障碍的参与者表达了类似的感受:本研究发现,创伤后应激障碍患者和非创伤后应激障碍患者对 COVID-19 大流行的反应存在明显差异,这些发现很可能与未来的灾难相关。这些发现可以为未来灾难、大流行病或其他集体创伤的防备政策的制定提供参考,以防止痛苦并改善心理健康,尤其是对于弱势群体,如已有创伤后应激障碍的人。(PsycInfo Database Record (c) 2023 APA,保留所有权利)。
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引用次数: 0
Valenced dual tasking in patients with posttraumatic stress disorder. 创伤后应激障碍患者的有价值双重任务。
IF 2.7 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-09-01 Epub Date: 2023-03-30 DOI: 10.1037/tra0001470
Tom IJdema, Odilia M Laceulle, Kathleen Thomaes, Kees Korrelboom

Objective: Dual-tasking studies show that emotionality and vividness of aversive memory decrease by engaging in a working memory task and simultaneous recall of that memory. Adding positive valence to a dual task might be a promising innovation in the amelioration of lab-induced memory. However, studies aiming to translate these findings into autobiographical memory of a posttraumatic stress disorder (PTSD) population find conflicting results or show methodological flaws. The current study assesses the benefit of adding positive valence to a dual-tasking procedure in PTSD patients.

Method: In a cross-over design PTSD patients (N = 33) recalled their traumatic memory and received the following three conditions in randomized order: rating positive pictures + exposure, rating neutral pictures + exposure, and exposure only. Each of the three conditions consisted of four sets of 1 min. In the first cycle, participants were exposed to each condition in a randomized order, which was then repeated in a second cycle. Before and after each condition, emotionality and vividness were rated on a visual analog scale (VAS), resulting in seven measurement timepoints in total.

Results: Firstly, repeated measures ANOVAs showed a time effect: memories were less emotional and vivid after our summed (three) interventions. Secondly, repeated measures ANCOVAs indicated no evidence for differences between the conditions.

Conclusions: We did not find evidence for a benefit of adding positive valence to a dual-task procedure in PTSD patients. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

研究目的双重任务研究表明,通过参与工作记忆任务和同时回忆该记忆,会降低厌恶记忆的情绪性和生动性。在双重任务中加入积极情绪可能是改善实验室诱发记忆的一种有前途的创新。然而,旨在将这些发现转化为创伤后应激障碍(PTSD)人群自传体记忆的研究却发现了相互矛盾的结果或方法上的缺陷。本研究评估了在创伤后应激障碍患者的双重任务程序中加入积极情绪的益处:在交叉设计中,创伤后应激障碍患者(N = 33)回忆起他们的创伤记忆,并按随机顺序接受以下三种条件:评定积极图片+暴露、评定中性图片+暴露和仅暴露。这三个条件中的每个条件都包含四组,每组 1 分钟。在第一个循环中,受试者按随机顺序接触每个条件,然后在第二个循环中重复接触。在每个条件之前和之后,用视觉模拟量表(VAS)对情绪和生动性进行评分,总共有七个测量时间点:结果:首先,重复测量方差分析显示出时间效应:在我们的总和(三次)干预后,记忆的情感性和生动性都有所降低。其次,重复测量方差分析显示,没有证据表明不同条件之间存在差异:结论:我们没有发现在创伤后应激障碍患者的双任务程序中添加积极情绪有益的证据。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
{"title":"Valenced dual tasking in patients with posttraumatic stress disorder.","authors":"Tom IJdema, Odilia M Laceulle, Kathleen Thomaes, Kees Korrelboom","doi":"10.1037/tra0001470","DOIUrl":"10.1037/tra0001470","url":null,"abstract":"<p><strong>Objective: </strong>Dual-tasking studies show that emotionality and vividness of aversive memory decrease by engaging in a working memory task and simultaneous recall of that memory. Adding positive valence to a dual task might be a promising innovation in the amelioration of lab-induced memory. However, studies aiming to translate these findings into autobiographical memory of a posttraumatic stress disorder (PTSD) population find conflicting results or show methodological flaws. The current study assesses the benefit of adding positive valence to a dual-tasking procedure in PTSD patients.</p><p><strong>Method: </strong>In a cross-over design PTSD patients (<i>N</i> = 33) recalled their traumatic memory and received the following three conditions in randomized order: rating positive pictures + exposure, rating neutral pictures + exposure, and exposure only. Each of the three conditions consisted of four sets of 1 min. In the first cycle, participants were exposed to each condition in a randomized order, which was then repeated in a second cycle. Before and after each condition, emotionality and vividness were rated on a visual analog scale (VAS), resulting in seven measurement timepoints in total.</p><p><strong>Results: </strong>Firstly, repeated measures ANOVAs showed a time effect: memories were less emotional and vivid after our summed (three) interventions. Secondly, repeated measures ANCOVAs indicated no evidence for differences between the conditions.</p><p><strong>Conclusions: </strong>We did not find evidence for a benefit of adding positive valence to a dual-task procedure in PTSD patients. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"892-902"},"PeriodicalIF":2.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9590263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A network analysis of posttraumatic stress symptoms and quality of relationship with deceased in COVID-19 bereaved adults. 对 COVID-19 丧亲成年人的创伤后应激症状和与逝者关系质量的网络分析。
IF 2.7 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-09-01 Epub Date: 2023-09-07 DOI: 10.1037/tra0001585
Chuqian Chen, Suqin Tang, Liping Wu

Objective: Network analyses showed that the posttraumatic stress disorder (PTSD) symptom structures may vary across traumatic events and types of survivors. However, the structure of PTSD symptoms in COVID-19 bereavement remains unknown. This study aimed to depict the structure of the PTSD symptom network and illuminate how the quality of the predeath relationship between the bereaved and the deceased links to the PTSD symptom network.

Method: Using self-reported data from 408 COVID-19 bereaved adults (225 male and 183 female) collected within 9-month postbereavement, we constructed two graphical lasso networks of PTSD symptoms.

Results: Symptoms with the highest centrality were exaggerated startle, negative emotional states, and reckless/self-destructive behavior, with exaggerated startle having relatively low predictability. The strongest connections were found between exaggerated starkness and detachment, and between psychological cue response and thoughts of avoidance. Moreover, closeness to and conflict with the deceased were linked to the PTSD symptom network through nightmares and physiological cue reactivity, respectively.

Conclusions: This study extends our understanding of what PTSD is for people who are bereaved due to the COVID-19 pandemic by unveiling the structure of the PTSD symptom network. It also helps to distinguish the symptom-level links between quality of relationship with deceased and PTSD among the bereaved. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目的:网络分析显示,创伤后应激障碍(PTSD)症状结构可能因创伤事件和幸存者类型而异。然而,COVID-19 丧亲创伤后应激障碍症状的结构仍然未知。本研究旨在描绘创伤后应激障碍症状网络的结构,并阐明丧亲者与逝者之间逝世前关系的质量如何与创伤后应激障碍症状网络相关联:通过收集408名COVID-19丧亲成年人(225名男性和183名女性)在丧亲后9个月内的自我报告数据,我们构建了两个创伤后应激障碍症状拉索网络图:中心度最高的症状是夸张性惊吓、负面情绪状态和鲁莽/自毁行为,其中夸张性惊吓的可预测性相对较低。夸张惊恐与疏离之间、心理暗示反应与回避想法之间的联系最强。此外,与逝者的亲密关系和冲突分别通过噩梦和生理线索反应与创伤后应激障碍症状网络相关联:本研究通过揭示创伤后应激障碍症状网络的结构,扩展了我们对因 COVID-19 大流行而失去亲人者的创伤后应激障碍的理解。它还有助于区分丧亲者与逝者关系的质量与创伤后应激障碍之间在症状层面的联系。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
{"title":"A network analysis of posttraumatic stress symptoms and quality of relationship with deceased in COVID-19 bereaved adults.","authors":"Chuqian Chen, Suqin Tang, Liping Wu","doi":"10.1037/tra0001585","DOIUrl":"10.1037/tra0001585","url":null,"abstract":"<p><strong>Objective: </strong>Network analyses showed that the posttraumatic stress disorder (PTSD) symptom structures may vary across traumatic events and types of survivors. However, the structure of PTSD symptoms in COVID-19 bereavement remains unknown. This study aimed to depict the structure of the PTSD symptom network and illuminate how the quality of the predeath relationship between the bereaved and the deceased links to the PTSD symptom network.</p><p><strong>Method: </strong>Using self-reported data from 408 COVID-19 bereaved adults (225 male and 183 female) collected within 9-month postbereavement, we constructed two graphical lasso networks of PTSD symptoms.</p><p><strong>Results: </strong>Symptoms with the highest centrality were exaggerated startle, negative emotional states, and reckless/self-destructive behavior, with exaggerated startle having relatively low predictability. The strongest connections were found between exaggerated starkness and detachment, and between psychological cue response and thoughts of avoidance. Moreover, closeness to and conflict with the deceased were linked to the PTSD symptom network through nightmares and physiological cue reactivity, respectively.</p><p><strong>Conclusions: </strong>This study extends our understanding of what PTSD is for people who are bereaved due to the COVID-19 pandemic by unveiling the structure of the PTSD symptom network. It also helps to distinguish the symptom-level links between quality of relationship with deceased and PTSD among the bereaved. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"930-941"},"PeriodicalIF":2.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10227500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining the impact of daily discrimination on alcohol use among racially diverse, trauma-exposed sexually minoritized adults: A pilot study. 研究日常歧视对不同种族、遭受创伤的性少数群体成年人饮酒的影响:试点研究。
IF 2.7 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-09-01 Epub Date: 2023-09-04 DOI: 10.1037/tra0001577
Madalyn M Liautaud, H Jonathon Rendina, Danielle S Berke

Objective: Identity-based stress and trauma are key drivers of alcohol use-related health inequities among minoritized people. Research on intersectional experiences of identity-based stress and alcohol use among trauma-exposed minoritized people is scant. This pilot study used a 30-day diary design to examine the effect of identity-based discrimination exposure on alcohol use in a racially diverse sample of trauma-exposed sexual minoritized (SM) adults (N = 47; 63.8% cisgender female; 65.2% Black, Indigenous, and People of Color [BIPOC]).

Method: Multilevel logistic regression models were used to evaluate whether days marked by any (vs. no) identity-based discrimination were concurrently or prospectively associated with increased likelihood of reporting a higher (vs. lower) level of drinking-and whether these associations differed by race/ethnicity.

Results: Discrimination was associated with increased likelihood of reporting a higher level of same-day drinking (B = 0.91, p = .03), but did not predict next-day drinking. BIPOC (vs. White) individuals were less likely to report a higher drinking level on or following nondiscrimination days (Bs = -2.18 to -1.52, ps ≤ .005), but more likely to do so on or following discrimination days (Bs = 1.13-1.60, ps ≤ .03).

Conclusions: Results suggest that everyday discrimination may create insidious risk for coping-motivated alcohol use among SM BIPOC, a subgroup that otherwise exhibits resilience with respect to drinking. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目的:基于身份的压力和创伤是造成少数群体中与饮酒有关的健康不平等的主要原因。有关受创伤影响的少数群体中基于身份的压力和饮酒的交叉体验的研究很少。本试验性研究采用 30 天日记设计,以受创伤的未成年性行为者(SM)成人(N = 47;63.8% 为顺性性别女性;65.2% 为黑人、土著人和有色人种 [BIPOC])为种族多样性样本,研究基于身份的歧视对饮酒的影响:方法:采用多层次逻辑回归模型来评估任何(与无)基于身份的歧视是否与报告较高(与较低)饮酒水平的可能性增加同时或持续相关,以及这些相关性是否因种族/族裔而异:结果:歧视与报告当天较高饮酒水平的可能性增加有关(B = 0.91,p = .03),但不能预测第二天的饮酒水平。BIPOC(与白人相比)在非歧视日或之后报告较高饮酒水平的可能性较低(Bs = -2.18 to -1.52, ps ≤ .005),但在歧视日或之后报告较高饮酒水平的可能性较高(Bs = 1.13-1.60, ps ≤ .03):结果表明,在 SM BIPOC 中,日常歧视可能会造成应对动机型饮酒的隐性风险,而这个亚群体在饮酒方面却表现出很强的适应能力。(PsycInfo Database Record (c) 2024 APA, all rights reserved)。
{"title":"Examining the impact of daily discrimination on alcohol use among racially diverse, trauma-exposed sexually minoritized adults: A pilot study.","authors":"Madalyn M Liautaud, H Jonathon Rendina, Danielle S Berke","doi":"10.1037/tra0001577","DOIUrl":"10.1037/tra0001577","url":null,"abstract":"<p><strong>Objective: </strong>Identity-based stress and trauma are key drivers of alcohol use-related health inequities among minoritized people. Research on intersectional experiences of identity-based stress and alcohol use among trauma-exposed minoritized people is scant. This pilot study used a 30-day diary design to examine the effect of identity-based discrimination exposure on alcohol use in a racially diverse sample of trauma-exposed sexual minoritized (SM) adults (<i>N</i> = 47; 63.8% cisgender female; 65.2% Black, Indigenous, and People of Color [BIPOC]).</p><p><strong>Method: </strong>Multilevel logistic regression models were used to evaluate whether days marked by any (vs. no) identity-based discrimination were concurrently or prospectively associated with increased likelihood of reporting a higher (vs. lower) level of drinking-and whether these associations differed by race/ethnicity.</p><p><strong>Results: </strong>Discrimination was associated with increased likelihood of reporting a higher level of same-day drinking (<i>B</i> = 0.91, <i>p</i> = .03), but did not predict next-day drinking. BIPOC (vs. White) individuals were less likely to report a higher drinking level on or following nondiscrimination days (<i>B</i>s = -2.18 to -1.52, <i>p</i>s ≤ .005), but more likely to do so on or following discrimination days (<i>B</i>s = 1.13-1.60, <i>p</i>s ≤ .03).</p><p><strong>Conclusions: </strong>Results suggest that everyday discrimination may create insidious risk for coping-motivated alcohol use among SM BIPOC, a subgroup that otherwise exhibits resilience with respect to drinking. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"913-921"},"PeriodicalIF":2.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10146070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Loss during COVID-19: Moderating effects of meaning and romantic relationships on anxiety and depressive symptoms. COVID-19 期间的损失:意义和恋爱关系对焦虑和抑郁症状的调节作用。
IF 2.7 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-09-01 Epub Date: 2023-07-31 DOI: 10.1037/tra0001526
Alaina I Gold, Yana Ryjova, Geoffrey W Corner, Hannah F Rasmussen, Yehsong Kim, Gayla Margolin

Objective: The COVID-19 pandemic exacerbated experiences of loss and grief for many individuals and posed a challenging mental health crisis. Compared to studies examining a singular type of loss, the present study investigated the cumulative impacts of COVID-related losses on anxiety and depressive symptoms and examined whether meaning in life, marital status, or relationship quality offered a protective moderating role.

Method: A cross-sectional online survey was conducted approximately 1 year into the pandemic among 434 diverse individuals (32.0% White; 52.1% women; Mage = 34.7) in the United States. Measures included: General Anxiety Disorder-7, Patient Health Questionnaire-9, Quality of Marriage Index, and 26 loss items with corresponding grief ratings.

Results: Results using linear mixed models demonstrated strong positive links between loss and both anxiety and depressive symptoms, although the association between loss and anxiety was stronger for women. The association between loss and anxiety was attenuated at high levels of meaning in life compared to average and low levels of meaning and for married individuals compared to unmarried participants. Being married also buffered the impact of loss on depressive symptoms.

Conclusions: Findings indicate that cumulative pandemic-related loss is associated with anxiety and depressive symptoms, and that meaning in life and romantic relationships may be promising interventional targets; though, these findings may change over the course of the pandemic. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目的:COVID-19 大流行加剧了许多人的失落和悲伤体验,并带来了具有挑战性的心理健康危机。与研究单一类型的损失相比,本研究调查了 COVID 相关损失对焦虑和抑郁症状的累积影响,并研究了生活意义、婚姻状况或人际关系质量是否起到保护调节作用:在大流行大约 1 年后,我们对美国的 434 名不同人群(32.0% 为白人;52.1% 为女性;Mage = 34.7)进行了横断面在线调查。调查内容包括测量项目包括:一般焦虑症-7、患者健康问卷-9、婚姻质量指数和 26 个损失项目及相应的悲伤评分:使用线性混合模型得出的结果表明,失落感与焦虑和抑郁症状之间都有很强的正相关性,但女性的失落感与焦虑之间的相关性更强。与平均水平和低水平的生活意义相比,损失与焦虑之间的联系在高水平时有所减弱;与未婚参与者相比,已婚者的损失与焦虑之间的联系也有所减弱。已婚也能缓冲失落感对抑郁症状的影响:研究结果表明,与大流行病相关的累积损失与焦虑和抑郁症状有关,生活意义和恋爱关系可能是有希望的干预目标;不过,这些研究结果可能会随着大流行病的进程而发生变化。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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引用次数: 0
Historical trauma and polysubstance use in Black young adults: The role of contemporary racism. 黑人青少年的历史创伤与多种药物使用:当代种族主义的作用。
IF 2.7 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-09-01 Epub Date: 2024-02-01 DOI: 10.1037/tra0001652
Chantel T Ebrahimi, Lillian Polanco-Roman, Tanya C Saraiya, Alexandria G Bauer, Denise Hien

Objectives: The legacy of slavery renders Black individuals vulnerable to the harmful effects of historical trauma which may interact with contemporary racism-related experiences to increase substance use. We examined the associations between historical and contemporary racism-related experiences (i.e., historical loss thinking, major racial discrimination events, racial microaggressions, and internalized racism) and polysubstance use in a group of Black young adults.

Method: Black young adults (N = 163; 60% female) aged 18-35 years (M = 25.7, SD = 3.27) completed surveys online.

Results: Historical loss thinking (b = 0.03, 95% CI [0.01, 0.05], p = .003), racial microaggressions (b = 0.03, 95% CI [0.02, 0.04], p < .001), major racial discrimination events (b = 0.42, 95% CI [0.30, 0.53], p < .001), and internalized racism (b = 0.49, 95% CI [0.33, 0.65], p < .001) were independently associated with past 12-month polysubstance use. Major racial discrimination events showed the largest association with polysubstance use (β = 0.26, 95% CI [0.08, 0.45], p = .006). No significant interactions between historical loss thinking and contemporary racism-related experiences were observed.

Conclusions: Findings suggest an association between substance use and historical and contemporary-related experiences among Black young adults. This may suggest that experiences with racism contextualized within historical and contemporary manifestations may impact risk for polysubstance use among Black young adults. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目标:奴隶制的遗留问题使黑人容易受到历史创伤的有害影响,而历史创伤可能会与当代种族主义相关经历相互作用,从而增加药物使用。我们研究了一组黑人青壮年的历史和当代种族主义相关经历(即历史性失落思维、重大种族歧视事件、种族微攻击和内化种族主义)与多种药物使用之间的关联:方法:18-35 岁的黑人青年(N = 163;60% 为女性)(M = 25.7,SD = 3.27)完成在线调查:结果:历史损失思维(b = 0.03,95% CI [0.01,0.05],p = .003)、种族微冒犯(b = 0.03,95% CI [0.02,0.04],p < .001)、重大种族歧视事件(b = 0.42,95% CI [0.30,0.53],p < .001)和内化的种族主义(b = 0.49,95% CI [0.33,0.65],p < .001)与过去 12 个月的多种物质使用独立相关。重大种族歧视事件与多种药物使用的关系最大(β = 0.26,95% CI [0.08,0.45],p = .006)。没有观察到历史损失思维与当代种族主义相关经历之间存在明显的相互作用:研究结果表明,在黑人青少年中,药物使用与历史和当代相关经历之间存在关联。这可能表明,以历史和当代表现为背景的种族主义经历可能会影响黑人年轻人使用多种物质的风险。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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引用次数: 0
Internalized stigma and traumatizing effects of psychiatric hospitalization in adolescents: Is there any difference between being hospitalized in adult or adolescent inpatient psychiatric services? 青少年精神科住院的内化耻辱感和创伤效应:在成人或青少年精神病院住院治疗有什么区别吗?
IF 2.7 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-08-29 DOI: 10.1037/tra0001768
Berhan Akdağ, Hilal Yazıcı Kopuz, Arif Önder, Aslı Sürer Adanır, Özge Gizli Çoban, Özlem Yıldırım, Ali Erdoğan, Serkan Turan, Şafak Eray Çamlı, Caner Mutlu

Objective: Psychiatric hospitalization serves as a critical treatment modality. However, hospitalization may pose risks of traumatization or stigma. This study primarily examined the internalized stigma and traumatizing effects of psychiatric hospitalization on adolescents. Additionally, the treatment of adolescents within adult inpatient psychiatric services may yield differing stigmatization and posttraumatic stress disorder (PTSD) symptomatology. Hence, the secondary objective was to discern the variance in stigmatization and PTSD symptoms between adolescents treated in adult inpatient psychiatric services (AIPS) and those in child and adolescent inpatient psychiatric services (CAIPS).

Method: The cohort consisted of patients from Akdeniz University's Adult Psychiatry Inpatient Service (n = 29) and Uludağ University's Child and Adolescent Psychiatry Inpatient Service (n = 28), matched for age and gender. Assessments using the Child Posttraumatic Stress Disorder-Reaction Index and the Internalized Stigma Scale for Children and Adolescents (ISSCA) were conducted 6 months after discharge.

Results: 36.8% and 10.5% of adolescents exhibited "mild" and "very severe" PTSD symptoms, respectively. Adolescents treated in CAIPS had higher Child Posttraumatic Stress Disorder-Reaction Index scores than those in AIPS. However, there was no significant difference between the AIPS and CAIPS groups regarding ISSCA-self and ISSCA-perceived scores.

Conclusions: The current findings underscore that psychiatric hospitalization can lead to traumatic experiences in adolescents, especially those treated in CAIPS. Providing informed care and emotional support during hospitalization could bolster resilience and facilitate recovery among these individuals. While adolescents are sometimes placed in AIPS, it is crucial that professionals are adequately trained and supported in managing this vulnerable population. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

目的:精神病住院是一种重要的治疗方式。然而,住院治疗可能会带来创伤或污名化的风险。本研究主要探讨了精神病住院对青少年的内在化耻辱感和创伤性影响。此外,在成人精神病住院服务中对青少年的治疗可能会产生不同的污名化和创伤后应激障碍(PTSD)症状。因此,研究的次要目标是找出在成人精神病住院服务机构(AIPS)接受治疗的青少年与在儿童和青少年精神病住院服务机构(CAIPS)接受治疗的青少年在耻辱化和创伤后应激障碍症状方面的差异:研究对象包括阿克登尼兹大学成人精神科住院病人(29 人)和乌卢达大学儿童与青少年精神科住院病人(28 人),年龄和性别均匹配。出院 6 个月后,使用儿童创伤后应激障碍反应指数和儿童与青少年内化成见量表(ISSCA)进行评估:分别有36.8%和10.5%的青少年表现出 "轻度 "和 "非常严重 "的创伤后应激障碍症状。接受 CAIPS 治疗的青少年的儿童创伤后应激障碍反应指数得分高于接受 AIPS 治疗的青少年。然而,AIPS组和CAIPS组在ISSCA-自我得分和ISSCA-感知得分方面没有明显差异:目前的研究结果表明,精神科住院治疗会给青少年,尤其是接受 CAIPS 治疗的青少年带来创伤体验。在住院期间提供知情护理和情感支持可以增强这些人的复原力,促进其康复。虽然青少年有时会被安置在AIPS,但专业人员在管理这一易受伤害的人群时,必须得到充分的培训和支持,这一点至关重要。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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引用次数: 0
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Psychological trauma : theory, research, practice and policy
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