Psychological trauma : theory, research, practice and policy最新文献

Objective: Psychological trauma can affect health and well-being across the lifespan but may be significantly impactful, with intergenerational consequences, during pregnancy. However, there appears to be no uniform agreement on the operationalization of psychological trauma in pregnancy. Such agreement is critical for the translation of research findings into clinical care. The purpose of this article was to provide narrative insight into the characterization of psychological trauma during pregnancy.

Method: A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Literature searches were completed between July 2021 and September 2023 using Ovid MEDLINE, Ovid Embase, Scopus, Web of Science, APA PsycINFO, and Cochrane. Two independent reviewers screened abstracts, relevant full-text articles, and extracted data.

Results: Five hundred seventy-six studies were identified that examined psychological trauma during pregnancy. Most assessments of psychological trauma used differing questionnaire-based approaches (79.7%), with variability in the timing of assessments administered and the type of psychological trauma measured. Only 15.8% of studies examined pregnancy-specific psychological trauma. Finally, just 24% of studies evidenced a comprehensive assessment of psychological trauma, with only 28.8% of studies assessing posttraumatic stress disorder.

Conclusions: Findings indicate significant variability in the conceptualization of psychological trauma during pregnancy. A more comprehensive assessment of psychological trauma beginning in the first trimester and repeated across the prenatal period is needed. Such an approach will be critical to the implementation of trauma-informed care to optimize the health and well-being of pregnant women and other perinatal individuals and their developing child and family. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Reports an error in "Uncovering key predictors to posttraumatic growth: How do Turkish university students overcome traumatic experiences" by Hamide Merve Doğançay and Türkan Doğan (Psychological Trauma: Theory, Research, Practice, and Policy, 2025[Sep], Vol 17[6], 1330-1339; see record 2026-26651-001). In the article "Uncovering Key Predictors to Posttraumatic Growth: How Do Turkish University Students Overcome Traumatic Experiences," by Hamide Merve Doğançay and Türkan Doğan (Psychological Trauma: Theory, Research, Practice, and Policy, 2025, Vol. 17, No. 6, pp. 1330-1339, https://doi.org/10.1037/tra0001960), the following information should have been included in the author note: "This study is part of Hamide Merve Doğançay's master of science thesis submitted to the Department of Educational Sciences, Hacettepe University, under the supervision of Türkan Doğan. A part of this thesis was presented as an oral presentation at the 2023 European Conference of Educational Research. This oral presentation was supported by TÜBİTAK under the 2224-A Grant Program for Participation in Scientific Meetings Abroad." (The following abstract of the original article appeared in record 2026-26651-001).

Objective: This study aimed to identify predictors of posttraumatic growth (PTG) among Turkish university students with a history of trauma based on the theoretical model. The research focused on three primary predictors, core belief disruption, coping strategies, event centrality, and demographic factors. Additionally, the study explored the relationship between event centrality, PTG, and posttraumatic stress symptoms (PTSS) within the Turkish cultural context.

Method: A total of 462 participants, all of whom had experienced at least one traumatic event, were recruited through online surveys. A Pearson correlation and hierarchical regression were used to test the hypotheses.

Results: Core belief disruption about oneself and coping strategies were significant predictors of PTG. Moreover, event centrality was significantly associated with PTG and PTSS, including all PTSS and PTG subdimensions, except for "relating to others."

Conclusion: These findings highlight the importance of core beliefs and coping strategies in fostering PTG. Moreover, it underscores the double role of event centrality in the formation of both positive and negative outcomes in the posttraumatic recovery process. The results have implications for future research and clinical practice, suggesting that specific psychological factors such as coping strategies are critical in promoting PTG, and event centrality about the traumatic experience should be considered carefully due to the potential to produce either outcome within the Turkish cultural context. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

This letter to the editor discusses sexual assault as one of the most pervasive violations of human rights globally. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: Dissociation is thought to be traumagenic, though this conceptualization is not without misunderstanding and stigma. There is little research regarding people's conceptualizations of their dissociative experiences and client-clinician discrepancies in understanding dissociation.

Method: An online survey assessed 208 self-reported dissociative participants' understandings of their dissociation and their beliefs about their clinicians' understanding of dissociation via two open-ended questions. Template analysis, a codebook thematic analysis approach, was employed to explore and compare the ways people understand their dissociation and their perceptions of their clinicians' conceptualizations.

Results: Four themes were developed to capture participants' perspectives: (1) Dissociation as Stigmatized and Underexplored (n = 83; 39.90%); (2) Dissociation as Individualized and Normalized Lived Experience (n = 173; 83.17%); (3) Dissociation as Clinical and/or Pathological (n = 112; 53.85%); and (4) Dissociation Through Etiological Frameworks (n = 67; 32.21%). Overall, 73.48% of participants indicated discrepancies between their understandings of their dissociation and those of their clinicians. Participants understood their dissociation through a lens of individualized and normalized lived experiences (100.00%) more often than their clinicians (23.12%). They believed their clinicians held more clinical understandings of dissociation (81.25%) than themselves (69.64%).

Conclusions: Given the perceived discrepancies between clients' and clinicians' understandings of dissociation, clinicians should engage in discussions with their clients about their dissociation-related lived experiences with awareness that they may have been misunderstood by previous providers. Client-clinician discrepancies should be addressed, as failure to do so could lead to misunderstandings and ruptures in the therapeutic relationship. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: Little is known about the interactions and causal inference between psychopathic symptoms and suicidal ideation (SI) among earthquake survivors. Using a 10-year large cohort of Chinese adolescents exposed to the Wenchuan earthquake, this study aimed to structure networks of suicidal ideation and some specific symptoms of posttraumatic symptoms and depression among survivors of the Wenchuan earthquake to clarify the interactions and causality between these symptoms.

Method: A total of 684 survivors who completed surveys at 6 months and 10 years postearthquake and had one or above psychopathic symptoms were included in the analyses. Sociodemographic, posttraumatic stress symptoms, depressive symptoms, and suicidal ideation were measured at 6 months and/or 10 years postearthquake. Network analyses were performed based on R Version 4.1.3.

Results: The Gaussian graphical model network revealed that "depressed mood" had the highest expected influence value. In addition, the directed acyclic graph network revealed that anhedonia could affect "depressed mood," which further leads to "suicidal ideation."

Conclusions: The pathway of "anhedonia → depressed mood → suicidal ideation" was a crucial psychopathic mechanism of suicidal ideation. It informs that intervening in anhedonia and depressed mood among earthquake-exposed survivors is necessary to potentially decrease the risk of future suicidal ideation. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: Exposure to trauma and subsequent posttraumatic stress symptoms (PTSS) increase the risk of poor physical health outcomes. Yet, the nuances of the paths from trauma to poor health are largely theoretical, and research regarding how trauma types relate to specific trauma-related changes to diet and exercise is needed. The present study examined the associations between noninterpersonal and interpersonal trauma and PTSS with several novel dietary and exercise changes (i.e., perceived trauma-related diet changes in intake of calories, comfort food, refined carbohydrates, and sugar as well as changes in exercise amount and intensity).

Method: Participants were 430 Midwestern University trauma-exposed students (Mage = 23.87, SD = 6.90, range = 18-63; 81.1% female; 56.9% White).

Results: Higher PTSS corresponded to increased perceived trauma-related changes in consumption of calories, comfort foods, carbohydrates, and sugar (Bs = 0.1-.02). Interpersonal trauma was not tied to dietary changes, and noninterpersonal traumas were linked to decreased sugar intake. For trauma-related exercise changes, higher PTSS was associated with both increased likelihood of lower intensity exercise (B = .02) and higher intensity exercise (B = .03), yet neither trauma types were related. Further, neither trauma exposure nor PTSS was associated with perceptions in trauma-related increases in exercise amount.

Conclusions: PTSS, as opposed to types of trauma exposure, may be the primary driver of perceived trauma-related diet and exercise changes. The identification of trauma-related health modifications may help improve health outcomes of trauma survivors, and ongoing work should examine whether trauma-focused treatment reduces maladaptive changes to diet and exercise. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: From the beginning of the COVID-19 pandemic, there has been a proliferation of anti-Asian racism. In addition to being personal targets of racism, members of the Asian American community have also been vicariously exposed to repeated news and social media stories about anti-Asian racism. Emerging research suggests that vicarious exposure to racism during the pandemic is associated with decreased well-being, although mechanisms of action are not yet clear. The present study investigates participants' narratives about the effects of observing or hearing about anti-Asian discrimination.

Method: A total of 215 Asian-identified individuals living in the United States participated in the study between September 2020 and January 2021. Conventional qualitative content analysis was used to explore themes related to the self-described experience of witnessing or learning about instances of racism and the resulting psychological consequences.

Results: We describe the types of racism observed, ranging from avoidance to murder, and targets of racial discrimination, ranging from family members to strangers. Emergent themes include (a) cognitive, behavioral, and emotional symptoms of race-based stress resulting from vicarious racism, (b) decreased sense of national identity and feeling "othered," (c) normalization and invisibility of anti-Asian racism, (d) model minority myth as perpetuating racism, (e) decreased intergroup harmony, (f) increased intragroup connections, and (g) shattered or displaced worldview.

Conclusion: Results underscore the complexity of experiences among Asian-identified individuals who were vicariously exposed to racism during the pandemic. We offer clinical implications for providers to gain a better understanding of the mental health needs of Asian American clients. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Background: Childhood maltreatment (CM) is a significant risk factor for intimate relationship and marital quality. However, there has been limited research exploring the underlying mechanisms of this link, with most studies focusing on individuals, while not considering the dyadic context and reciprocal influences within intimate relationships. Intimate relationships entail mutual processes, where each partner's abusive experiences can affect the partner's marital quality. In this study, we aimed to examine whether self-compassion is an underlying factor in the dyadic associations between CM and one's own and one's partner's marital quality.

Method: A convenience sample of 115 heterosexual couples completed self-report questionnaires.

Results: Utilizing an actor-partner interdependence model, we found partial support for our hypotheses, indicating that each partner's CM was indirectly associated with their own marital quality through their self-compassion. However, CM did not significantly impact their partner's marital quality through self-compassion.

Conclusions: These findings contribute to the existing evidence supporting the mediating role of self-compassion as a transdiagnostic protective factor associated with increased marital quality for individuals with a history of CM. Nevertheless, the results suggest that this mediating effect may be specific to one's own marital quality and may not extend to the partner's marital quality. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: The study aimed to identify distinct profiles of online racial discrimination (ORD) and exposure to race-related traumatic events online (TEO) among Black and Latine youth, explore if these profiles would be related to posttraumatic stress symptoms (PTSS), and examine how racial identity (RI) beliefs may mitigate the impact of these experiences on PTSS.

Method: Utilizing data from 769 Black and Latine youth aged 11 to 19, collected via a longitudinal online survey, measures included ORD, TEO, RI (racial centrality, private regard, and public regard), and PTSS.

Results: Latent profile analysis revealed four profiles of ORD and TEO exposure: (1) low overall exposures (46%), (2) low direct-high indirect exposures (34%), (3) moderate direct-high indirect exposures (15%), and (4) high overall exposures (15%). Youth in profiles characterized by more frequent exposures to various forms of online racism reported greater PTSS, while those in profiles with fewer exposures reported fewer symptoms. Private regard beliefs moderated the association between online racism profiles and PTSS, particularly for youth with fewer exposures to online racism.

Conclusion: These findings are among the first to illustrate the varied experiences of online racism among Black and Latine youth and the first to support that RI beliefs, particularly private regard beliefs, may serve as a protective factor against the adverse effects of online racism on PTSS, particularly for those with lower exposure levels. This has the potential to influence practice and policy interventions aimed at treating and addressing PTSS among Black and Latine youth. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Objective: Evaluating posttraumatic stress symptoms (PTSS) shortly after trauma offers a more precise understanding of interrelated variables. This study examined how cognitive control performance, assessed after a trauma recall trigger, moderates the relationship between coping self-efficacy (CSE) and PTSS over a 3-month period postmotor vehicle collision.

Method: Motor vehicle collision survivors recruited from emergency departments were assessed 1 week (N = 180), 30 days (N = 104), and 90 days (N = 84) postcollision. Cued cognitive control was assessed at Time 2 using the Wisconsin Card Sorting Test (WCST) and was completed after listening to an audio transcription of the collision. PTSS and CSE self-report measures were administered at each time point.

Results: Mixed-effects modeling showed an interaction of CSE and WCST on PTSS, with relations dependent on time. At Time 1, higher CSE was associated with lower PTSS when WCST performance was high or average. At Time 2, higher CSE was related to lower PTSS across all levels of WCST performance. At Time 3, lower CSE was associated with higher PTSS, when WCST performance was low or average.

Conclusions: Findings highlight self-evaluation processes, cognitive control in the presence of trauma recollection, and time as factors in posttrauma adaptation. Implications for intervention are offered. (PsycInfo Database Record (c) 2026 APA, all rights reserved).