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Unseen burden: A gender-based study of trauma reactions in university students in Pakistan 看不见的负担:巴基斯坦大学生创伤反应的性别研究
IF 1.9 Q3 PSYCHIATRY Pub Date : 2026-01-15 DOI: 10.1016/j.ejtd.2026.100637
Samia Rani , Sadia Saleem

Background

A survey on trauma reactions was carried out among 830 university students from private and government sector universities.

Aim

The indigenous Trauma Reactions Scale developed by Rani and Saleem (2025) was used to collect data. 45 items were designed to determine the prevalence of mental health issues associated with traumatic life events in university students.

Method

This scale consists of four subscales emotion dysregulation, social withdrawal, depersonalization, and intolerance. For demonstration of overall results, the authors suggest that scores falling above one SD should be considered as indicative of severe problems, whereas scores about 2 SD represent very severe problems.

Results

The findings revealed that most men were experiencing a moderate (20 %) level of trauma reactions, followed by severe (14 %), mild (9 %), and very severe (6 %). Furthermore, the women fall into the following categories 7 % mild, 15 % moderate, 19 % severe, and 9 % very severe. The results revealed that men fell into a mild to moderate, and women fell into the severe to very severe psychosocial stress reaction to trauma. Ordinal logistic regression reveals that the gender is statistically significant predictor of trauma reaction, but the symptoms of trauma reactions are almost similar in across gender.

Conclusion

These findings are consistent with other similar studies on the mental health of university students. The role of variables such as sample characteristics, the measure used, and cultural and contextual factors is discussed in determining rates, as well as their implications for student counseling services in prevention and intervention.
本研究对830名来自私立和公立大学的大学生进行了创伤反应调查。目的采用Rani和Saleem(2025)编制的本土创伤反应量表收集数据。设计了45个项目来确定大学生中与创伤性生活事件相关的心理健康问题的流行程度。方法该量表由情绪失调、社交退缩、人格解体和不容忍四个分量表组成。为了证明整体结果,作者建议,分数低于1个标准差应被认为是严重问题的指示,而分数约为2个标准差则代表非常严重的问题。结果研究结果显示,大多数男性经历中度(20%)的创伤反应,其次是严重(14%)、轻度(9%)和非常严重(6%)。此外,这些妇女分为以下几类:7%轻度,15%中度,19%严重,9%非常严重。结果显示,男性对创伤的心理社会压力反应为轻度到中度,而女性则为严重到非常严重。序贯逻辑回归显示,性别是创伤反应的显著预测因子,但创伤反应的症状在性别间几乎相似。结论本研究结果与其他有关大学生心理健康的研究结果一致。变量的作用,如样本特征,所使用的测量,文化和背景因素,在确定率,以及他们对学生咨询服务在预防和干预的影响进行了讨论。
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引用次数: 0
Association between interoceptive awareness and symptoms of post-traumatic stress disorder: a meta-analysis 内感受性意识与创伤后应激障碍症状的关系:一项荟萃分析
IF 1.9 Q3 PSYCHIATRY Pub Date : 2026-01-15 DOI: 10.1016/j.ejtd.2026.100638
Minke M. van de Kamp , Joana Machorrinho
Interoceptive awareness (IA) is increasingly recognized as relevant in trauma-related psychopathology, yet empirical findings on its relationship with posttraumatic stress disorder (PTSD) symptoms remain inconsistent. This systematic review and meta-analysis aimed to synthesize evidence on associations between IA subdomains and PTSD symptom clusters. We included peer-reviewed studies with adult participants, published in six languages, using validated measures for PTSD and IA. Databases searched: Scopus, Embase, PsycINFO, Web of Science, Medline. Risk of bias was assessed using the Joanna Briggs Institute tool for cross-sectional studies. Correlational data were pooled using a random-effects model with Hartung-Knapp adjustment and REML estimator for τ². Eight studies were included in the review, and seven in the meta-analyses (k = 1,239). Using validated measures of PTSD (based on DSM-5 symptom clusters) and IA (nine subdomains from the MAIA and SBC), we performed 35 separate meta-analyses to examine their interrelations, of which ten yielded significant pooled correlations. The strongest observed association was a positive correlation between hyperarousal and Body Dissociation (r = 0.51). Other significant findings included small positive correlations between Noticing and re-experiencing (r = 0.18), avoidance (r = 0.15), and hyperarousal (r = 0.17), and negative correlations between Trusting and re-experiencing (r = –0.11) and hyperarousal (r = –0.18). Findings tentatively suggest IA in PTSD is not uniformly impaired but imbalanced across subdomains, potentially reinforcing trauma-related distress. Limitations include small number of included studies, high risk of bias in most studies, limited subgroup analyses, and incomplete data availability. These findings contribute to a nuanced understanding of PTSD and IA. PROSPERO, CRD42025641337.
内感受性意识(IA)越来越被认为与创伤相关的精神病理学有关,但其与创伤后应激障碍(PTSD)症状的关系的实证研究结果仍不一致。本系统综述和荟萃分析旨在综合IA子域与PTSD症状群之间关联的证据。我们纳入了同行评议的成人研究,以六种语言发表,使用经过验证的PTSD和IA测量方法。检索数据库:Scopus, Embase, PsycINFO, Web of Science, Medline。使用横截面研究的乔安娜布里格斯研究所工具评估偏倚风险。使用随机效应模型合并相关数据,该模型具有Hartung-Knapp平差和τ²的REML估计量。8项研究纳入综述,7项纳入荟萃分析(k = 1,239)。使用经过验证的PTSD(基于DSM-5症状集群)和IA(来自MAIA和SBC的9个子域)的测量方法,我们进行了35个独立的荟萃分析来检查它们的相互关系,其中10个产生了显著的综合相关性。观察到的最强关联是高度觉醒和身体分离之间的正相关(r = 0.51)。其他重要的发现包括注意和再体验(r = 0.18)、回避(r = 0.15)和过度觉醒(r = 0.17)之间的小正相关,信任和再体验(r = -0.11)和过度觉醒(r = -0.18)之间的负相关。研究结果初步表明,创伤后应激障碍中的IA并不是均匀受损,而是在各个子域之间不平衡,潜在地加强了创伤相关的痛苦。局限性包括纳入的研究数量少,大多数研究偏倚风险高,亚组分析有限,数据可用性不完整。这些发现有助于对PTSD和IA进行细致入微的理解。普洛斯彼罗,CRD42025641337。
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引用次数: 0
Silenced screams: Unveiling the unseen trauma of technology-facilitated child sexual abuse (TF-CSA) through Turkish educators’ perspectives 无声的尖叫:通过土耳其教育工作者的视角揭示技术促进的儿童性虐待(TF-CSA)的无形创伤
IF 1.9 Q3 PSYCHIATRY Pub Date : 2026-01-14 DOI: 10.1016/j.ejtd.2026.100639
Ömer Gökhan Ulum
This study explores Turkish educators' awareness, preparedness, and intervention strategies regarding TF-CSA through a rigorously developed and validated survey administered to 346 educators across different fields and grade levels. The instrument underwent factor analysis (KMO = 0.81, Bartlett's test p < .001) and demonstrated high reliability (Cronbach's α = .9734 for the total scale, with subscale reliabilities ranging from .7224 to .9261). Findings reveal that while educators acknowledge the psychological and academic consequences of TF-CSA, their capacity to intervene is limited by insufficient training (M = 2.13, SD = 1.11) and unclear institutional policies. Female (M = 2.25, SD = 0.56) and mid-career educators (36–40 years) exhibited significantly higher awareness and preparedness levels (p < .01). The study underscores the urgent need for structured TF-CSA training, standardised intervention protocols, and policy reforms to enhance educators' ability to safeguard children from digital exploitation.
本研究通过对不同领域和年级的346名教育工作者进行严格开发和验证的调查,探讨了土耳其教育工作者对TF-CSA的认识、准备和干预策略。本量表经因子分析(KMO = 0.81, Bartlett's检验p <; .001),具有较高的信度(总量表Cronbach's α = .9734,子量表信度范围为。7224到0.9261)。研究结果显示,虽然教育工作者承认TF-CSA的心理和学业后果,但他们的干预能力受到培训不足(M = 2.13, SD = 1.11)和机构政策不明确的限制。女性(M = 2.25, SD = 0.56)和职业中期教育者(36-40岁)的意识和准备水平显著高于女性(p < 0.01)。该研究强调,迫切需要结构化的TF-CSA培训、标准化的干预协议和政策改革,以提高教育工作者保护儿童免受数字剥削的能力。
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引用次数: 0
Use of broadband assessments of personality and psychopathology in the assessment of psychological trauma 运用宽频人格及精神病理学评估心理创伤
IF 1.9 Q3 PSYCHIATRY Pub Date : 2026-01-13 DOI: 10.1016/j.ejtd.2026.100640
Matthew M. Yalch, Alana R. Gallagher
In the assessment of the sequelae of psychological trauma, there has long been an overwhelming focus on the diagnostic symptoms of posttraumatic stress disorder (PTSD). This has led to a proliferation of scales designed to measure PTSD and, to a lesser extent, scales for measuring the primary traumatic experience linked to PTSD symptoms (as is required by the diagnostic criteria for PTSD). This approach to assessment rests on two assumptions – (a) that the clinical assessor is aware of trauma, and (b) that PTSD is the only (or at least the most distressing) problem associated with this trauma – that may in many cases not be accurate. The potential inaccuracy of these assumptions raises the question of what other possible methods of assessment might be useful in the context of trauma. One answer to this question is broadband psychological assessments, which provide both holistic pictures of psychological functioning and potential clues to the experience of trauma in cases in which the patient may not have disclosed it. In this paper we review two sets of broadband assessments (omnibus inventories of personality and psychopathology, and dimensional assessments of psychopathology), highlighting their utility in the assessment of trauma survivors and how they might be used in trauma-focused (and/or trauma-informed) interventions. We also contrast use of these instruments with others more or less commonly used in the assessment of psychological trauma. Our general conclusion is that broadband assessments of psychological functioning are a useful complement to traditional trauma-focused assessment.
在心理创伤后遗症的评估中,创伤后应激障碍(PTSD)的诊断症状一直是一个压倒性的焦点。这导致了设计用于测量PTSD的量表的激增,在较小程度上,用于测量与PTSD症状相关的主要创伤经历的量表(这是PTSD诊断标准所要求的)。这种评估方法基于两个假设——(a)临床评估者意识到创伤,(b)创伤后应激障碍是与创伤相关的唯一(或至少是最痛苦的)问题——这在很多情况下可能是不准确的。这些假设的潜在不准确性提出了一个问题,即在创伤的背景下,还有什么其他可能的评估方法可能有用。这个问题的一个答案是宽频心理评估,它既能提供心理功能的整体图景,也能在病人可能没有透露创伤的情况下提供创伤经历的潜在线索。在本文中,我们回顾了两套宽频评估(人格和精神病理学的综合清单,以及精神病理学的维度评估),强调了它们在评估创伤幸存者中的效用,以及它们如何在创伤集中(和/或创伤知情)干预中使用。我们还将这些工具与其他或多或少用于心理创伤评估的工具进行了对比。我们的总体结论是,对心理功能的广泛评估是对传统的以创伤为重点的评估的有益补充。
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引用次数: 0
Le trouble de stress post-traumatique complexe chez un sujet d’âge mûr: De la complexité clinique aux enjeux diagnostiques et thérapeutiques 老年人的复杂创伤后应激障碍:从临床复杂性到诊断和治疗挑战
IF 1.9 Q3 PSYCHIATRY Pub Date : 2026-01-09 DOI: 10.1016/j.ejtd.2026.100633
Madiyiri Karim Pouabizan , Serigne Modou Ndiaye , Diambéré Séga Dembélé , Serigne Souaïbou Ba , Natalie Barba
Le trouble de stress post-traumatique (TSPT) complexe résulte d’expositions prolongées ou répétées à des événements traumatiques. Il associe les symptômes du TSPT classique (reviviscences, évitement, hypervigilance) à des perturbations durables de la régulation émotionnelle, de l’image de soi et des relations interpersonnelles. Le TSPT complexe se caractérise par une grande hétérogénéité clinique et partage de nombreux symptômes avec d’autres troubles psychiatriques, fréquemment comorbides. Les violences, répétées, sont reconnues comme des facteurs de risque majeurs de TSPT complexe. L’évolution prolongée des symptômes de cette pathologie pourrait constituer un modèle clinique pertinent pour le repérage tardif du TSPT complexe. L’objectif de notre travail était de montrer, à travers une observation clinique, comment l’hétérogénéité symptomatique, l’anamnèse traumatique et le parcours thérapeutique peuvent contribuer à des confusions diagnostiques prolongées et une prise en charge inadaptée. La problématique guidant ce travail était la suivante: comment un diagnostic de TSPT complexe peut-il émerger après des années de souffrance psychique polymorphe ?
Notre patient était hospitalisé pour une aggravation d’un tableau anxieux, une insomnie, une tristesse de l’humeur et des hallucinations acoustico-verbales stéréotypées, associés à une clinophilie et un retrait social. L’anamnèse révélait une exposition répétée à des violences scolaires à l’adolescence, sur un terrain familial marqué par un divorce parental précoce et des déménagements multiples. Au décours, sa souffrance s’était traduite par diverses manifestations cliniques atypiques du trouble de stress post traumatique, incluant un tableau dépressif, anxieux, des symptômes psychotiques, des conduites addictives et des difficultés relationnelles et socio-professionnelles. Les antécédents psychiatriques comportaient plusieurs hospitalisations pour des motifs parfois différents et les antécédents médicaux incluaient le diagnostic d’un syndrome d’apnée du sommeil. Sa souffrance était explicite mais n’avait pas conduit à une prise en charge adaptée pendant plusieurs années. Les comorbidités psychiatriques masquaient le TSPT complexe sous-jacent. La réévaluation thérapeutique avec une révision des traitements médicamenteux et l’instauration d’une psychothérapie adaptée avaient permis une amélioration clinique notable.
复杂的创伤后应激障碍(PTSD)是长期或反复暴露于创伤事件的结果。它将典型的创伤后应激障碍症状(复发、回避、高警惕性)与情绪调节、自我形象和人际关系的持续中断联系起来。复杂创伤后应激障碍的特点是具有高度的临床异质性,并与其他精神障碍有许多共同症状,通常是并发的。反复的暴力被认为是复杂创伤后应激障碍的主要风险因素。这种疾病症状的长期演变可能为复杂创伤后应激障碍的晚期检测提供一个相关的临床模型。我们工作的目的是通过临床观察表明,症状异质性、创伤性历史和治疗过程如何导致长期的诊断混淆和不适当的护理。指导这项工作的问题是:在多年的多态精神痛苦之后,复杂的创伤后应激障碍诊断是如何产生的?我们的病人因焦虑症恶化、失眠、情绪悲伤和刻板的听觉-语言幻觉而住院,这些都与临床恐惧症和社会退缩有关。历史记录显示,她在青少年时期反复暴露于学校暴力,家庭环境以父母提前离婚和多次搬家为特征。随着时间的推移,她的痛苦导致了各种非典型的创伤后应激障碍的临床表现,包括抑郁、焦虑、精神病症状、成瘾行为、人际关系和社会职业困难。精神病史包括多次住院,有时原因不同,病史包括诊断睡眠呼吸暂停综合征。她的痛苦是显而易见的,但多年来都没有得到适当的照顾。精神上的共病掩盖了潜在的复杂的创伤后应激障碍。治疗的重新评估,包括药物治疗的审查和适当的心理治疗的引入,导致了显著的临床改善。
{"title":"Le trouble de stress post-traumatique complexe chez un sujet d’âge mûr: De la complexité clinique aux enjeux diagnostiques et thérapeutiques","authors":"Madiyiri Karim Pouabizan ,&nbsp;Serigne Modou Ndiaye ,&nbsp;Diambéré Séga Dembélé ,&nbsp;Serigne Souaïbou Ba ,&nbsp;Natalie Barba","doi":"10.1016/j.ejtd.2026.100633","DOIUrl":"10.1016/j.ejtd.2026.100633","url":null,"abstract":"<div><div>Le trouble de stress post-traumatique (TSPT) complexe résulte d’expositions prolongées ou répétées à des événements traumatiques. Il associe les symptômes du TSPT classique (reviviscences, évitement, hypervigilance) à des perturbations durables de la régulation émotionnelle, de l’image de soi et des relations interpersonnelles. Le TSPT complexe se caractérise par une grande hétérogénéité clinique et partage de nombreux symptômes avec d’autres troubles psychiatriques, fréquemment comorbides. Les violences, répétées, sont reconnues comme des facteurs de risque majeurs de TSPT complexe. L’évolution prolongée des symptômes de cette pathologie pourrait constituer un modèle clinique pertinent pour le repérage tardif du TSPT complexe. L’objectif de notre travail était de montrer, à travers une observation clinique, comment l’hétérogénéité symptomatique, l’anamnèse traumatique et le parcours thérapeutique peuvent contribuer à des confusions diagnostiques prolongées et une prise en charge inadaptée. La problématique guidant ce travail était la suivante: comment un diagnostic de TSPT complexe peut-il émerger après des années de souffrance psychique polymorphe ?</div><div>Notre patient était hospitalisé pour une aggravation d’un tableau anxieux, une insomnie, une tristesse de l’humeur et des hallucinations acoustico-verbales stéréotypées, associés à une clinophilie et un retrait social. L’anamnèse révélait une exposition répétée à des violences scolaires à l’adolescence, sur un terrain familial marqué par un divorce parental précoce et des déménagements multiples. Au décours, sa souffrance s’était traduite par diverses manifestations cliniques atypiques du trouble de stress post traumatique, incluant un tableau dépressif, anxieux, des symptômes psychotiques, des conduites addictives et des difficultés relationnelles et socio-professionnelles. Les antécédents psychiatriques comportaient plusieurs hospitalisations pour des motifs parfois différents et les antécédents médicaux incluaient le diagnostic d’un syndrome d’apnée du sommeil. Sa souffrance était explicite mais n’avait pas conduit à une prise en charge adaptée pendant plusieurs années. Les comorbidités psychiatriques masquaient le TSPT complexe sous-jacent. La réévaluation thérapeutique avec une révision des traitements médicamenteux et l’instauration d’une psychothérapie adaptée avaient permis une amélioration clinique notable.</div></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"10 1","pages":"Article 100633"},"PeriodicalIF":1.9,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Healing collective trauma through the arts: A predominantly online, multimodal trial in Ukraine 通过艺术治愈集体创伤:在乌克兰进行的一项以在线为主的多模式试验
IF 1.9 Q3 PSYCHIATRY Pub Date : 2026-01-07 DOI: 10.1016/j.ejtd.2026.100635
Maryna Teslenko, Viktoriia Shevchuk, Lesia Klevaka
Ukraine’s ongoing war has caused deep and widespread collective trauma, reflected not only in individual PTSD but also in moral distress, loss of shared dignity, and weakened social bonds. Arts therapy provides culturally familiar and non-verbal ways to support emotional regulation, but scientific evidence of its effectiveness in wartime settings is still limited. This article aims to substantiate and empirically verify a predominantly online, multimodal arts therapy program for treating collective trauma in Ukrainian communities. This study evaluated a 12-session multimodal arts therapy program for 192 adults across Ukraine using a pragmatic, predominantly online stepped-wedge cluster randomized trial. Primary outcomes were PTSD symptoms (PCL-5) and moral injury (MISS-M-SF); secondary measures included resilience (CD-RISC-10) and collective self-esteem subscales (CSES). A war-contextualized psychosemantic differential was analyzed with a Bayesian hierarchical mixture of factor analyzers (BH-MFA) to estimate probabilities of four latent response styles to collective trauma. Assessments were conducted at baseline, mid- and post-intervention, and at 3- and 6-month follow-ups. Compared with control periods, the intervention produced small to moderate reductions in PTSD and moral injury, increases in resilience, and selective gains in collective self-esteem. BH-MFA analyses indicated a reliable shift toward a normalizing-progressive (sublimating) response style without heightened aggression. A culturally adapted, online arts-therapy model is thus feasible and beneficial under wartime conditions, improving psychological symptoms and fostering adaptive collective coping.
乌克兰正在进行的战争造成了深刻而广泛的集体创伤,不仅反映在个人的创伤后应激障碍上,还反映在道德困境、共同尊严的丧失和社会纽带的削弱上。艺术疗法提供了文化上熟悉的非语言方式来支持情绪调节,但其在战时环境中的有效性的科学证据仍然有限。本文旨在证实和实证验证一个主要在线,多模式的艺术治疗方案,以治疗乌克兰社区的集体创伤。本研究评估了乌克兰192名成年人的12期多模式艺术治疗方案,采用实用的、主要是在线的楔形聚类随机试验。主要结局为PTSD症状(PCL-5)和道德损伤(MISS-M-SF);二级测量包括心理弹性(CD-RISC-10)和集体自尊量表(CSES)。用贝叶斯层次混合因子分析法(BH-MFA)分析了战争情境化心理语义差异,以估计四种潜在的集体创伤反应风格的概率。在基线、干预中期和干预后以及3个月和6个月随访时进行评估。与对照组相比,干预产生了轻微到中度的创伤后应激障碍和道德伤害的减少,恢复力的增加,集体自尊的选择性增益。BH-MFA分析表明,在不增加攻击性的情况下,向正常化-渐进(升华)反应风格转变是可靠的。因此,适应文化的在线艺术治疗模式在战时条件下是可行和有益的,可以改善心理症状并促进适应性集体应对。
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引用次数: 0
Preliminary treatment outcomes of transition-aged youth receiving cognitive processing therapy for PTSD: A brief report 过渡年龄青年接受创伤后应激障碍认知加工治疗的初步治疗结果:简要报告
IF 1.9 Q3 PSYCHIATRY Pub Date : 2026-01-07 DOI: 10.1016/j.ejtd.2026.100636
Talia Tissera , Emily E. Levitt , Jenna E. Boyd , Jennifer Hewitt , Jennifer Ip , Fan Rosenau , Taylor Hatchard
Despite posttraumatic stress disorder (PTSD) being prevalent among transition-aged youth (aged 17–25), they face barriers to accessing treatment and have few therapy options tailored to their needs. Therefore, the purpose of this preliminary pilot feasibility study was to investigate the feasibility and effectiveness of a 12-session Cognitive Processing Therapy (CPT) group for 25 transition-aged youth (aged 18–25) with PTSD. Participants completed measures of PTSD symptoms, secondary mental health outcomes (e.g., depression), and substance use and impulsivity at baseline, post-intervention, and 4-week follow-up. Group engagement was measured at post-intervention, and dropout rates were recorded. Generalized Estimating Equations were used to model the effects of the intervention on outcomes between Each timepoint. Results indicated significant decreases in PTSD symptoms χ2 (1) = 17.90, p <.001 and key secondary outcomes, such as depression χ2 (1) = 8.78, p = .012. Group engagement was moderate M = 3.4 out of 6, SD = 1.6 and dropout (48%) was higher than in other CPT interventions but comparable to youth mental health interventions broadly. Youth who did not complete the group had significantly higher PTSD symptoms at baseline t(23) = 2.16, p = .041 and were significantly younger than youth who completed the group t(23) = 2.43, p = .024. These preliminary findings indicate that group-based CPT may be an effective low-barrier intervention for transition-aged youth with low-severity PTSD. Further research with larger samples and a control condition is warranted.
尽管创伤后应激障碍(PTSD)在过渡年龄的青年(17-25岁)中很普遍,但他们在获得治疗方面面临障碍,而且很少有适合他们需求的治疗选择。因此,本初步试点可行性研究的目的是探讨12期认知加工治疗(CPT)组治疗25名过渡年龄青年(18-25岁)PTSD的可行性和有效性。参与者在基线、干预后和4周随访时完成PTSD症状、继发性心理健康结果(如抑郁)、物质使用和冲动的测量。在干预后测量小组参与度,并记录辍学率。使用广义估计方程来模拟干预对每个时间点之间结果的影响。结果显示,创伤后应激障碍症状χ2 (1) = 17.90, p < 001,抑郁等关键次要结局χ2 (1) = 8.78, p = 0.012。小组参与程度中等,M = 3.4 / 6, SD = 1.6,辍学率(48%)高于其他CPT干预措施,但与青少年心理健康干预措施大致相当。未完成该组的青年在基线时PTSD症状显著高于t(23) = 2.16, p = 0.041,且明显比完成该组的青年年轻t(23) = 2.43, p = 0.024。这些初步研究结果表明,基于群体的CPT可能是一种有效的低障碍干预过渡年龄青年低严重PTSD。进一步的研究需要更大的样本和控制条件。
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引用次数: 0
Childhood trauma and emotion regulation as predictors of dissociative experiences in schizophrenia and major depressive disorder: A comparative study 童年创伤和情绪调节作为精神分裂症和重度抑郁症分离体验的预测因素:一项比较研究
IF 1.9 Q3 PSYCHIATRY Pub Date : 2026-01-07 DOI: 10.1016/j.ejtd.2026.100632
Ali Mohammadzadeh, Fariba Shahnazi, Somayeh Gholizadeh

Background

While both childhood trauma and maladaptive emotion regulation are linked to dissociative experiences, their relative importance may vary across psychiatric disorders.

Objective

This comparative study aimed to investigate the predictive roles of childhood trauma and emotion regulation strategies on dissociative experiences in individuals diagnosed with schizophrenia and major depressive disorder.

Methods

Employing a cross-sectional, comparative design, a total of 167 participants (78 with schizophrenia and 89 with major depressive disorder) were recruited from clinical settings. Participants completed standardized self-report measures: the Dissociative Experiences Scale (DES-II), the Childhood Trauma Questionnaire (CTQ-SF), and the Emotion Regulation Questionnaire (CERQ). Data were analyzed using bivariate correlations and multiple regression analyses.

Results

Levels of dissociative experiences were significantly higher in the schizophrenia group. In both clinical groups, dissociative experiences showed significant positive correlations with childhood trauma and maladaptive emotion regulation. However, the predictive patterns differed between the groups. Multiple regression analyses revealed that in schizophrenia, maladaptive emotion regulation (β = .47) was the strongest predictor of dissociation. In contrast, for major depressive disorder, childhood trauma (β = .66) emerged as the dominant predictor. While both childhood trauma and emotion regulation deficits are significant transdiagnostic predictors of dissociation, their relative contributions differ across disorders.

Conclusions

The findings support a dual-pathway model: in schizophrenia, dissociation may primarily reflect a breakdown in cognitive-emotional integration, whereas in major depressive disorder, it may function more as a secondary defense against trauma-related affective overload.
虽然童年创伤和适应不良情绪调节都与分离体验有关,但它们的相对重要性在精神疾病中可能有所不同。目的探讨童年创伤和情绪调节策略对精神分裂症和重度抑郁症分离体验的预测作用。方法采用横断面比较设计,共从临床环境中招募167名参与者(78名精神分裂症患者和89名重度抑郁症患者)。参与者完成了标准化的自我报告测量:分离体验量表(DES-II)、童年创伤问卷(CTQ-SF)和情绪调节问卷(CERQ)。数据分析采用双变量相关和多元回归分析。结果精神分裂症组分离体验水平明显高于精神分裂症组。在两个临床组中,分离经历与儿童创伤和情绪调节不良有显著的正相关。然而,两组之间的预测模式有所不同。多元回归分析显示,在精神分裂症中,适应不良情绪调节(β = 0.47)是分离的最强预测因子。相比之下,对于重度抑郁症,童年创伤(β = 0.66)成为主要的预测因子。虽然童年创伤和情绪调节缺陷都是解离的重要的跨诊断预测因素,但它们的相对贡献在不同的障碍中有所不同。结论:研究结果支持双重通路模型:在精神分裂症中,分离可能主要反映认知-情感整合的崩溃,而在重度抑郁症中,它可能更多地作为创伤相关情感过载的二级防御。
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引用次数: 0
Expressions of impaired mentalization and theory of mind within the therapeutic context perspectives of childhood sexual abuse survivors and their therapis 儿童期性虐待幸存者及其治疗的心理障碍和心理理论的表达
IF 1.9 Q3 PSYCHIATRY Pub Date : 2026-01-07 DOI: 10.1016/j.ejtd.2026.100634
Orit Klapisch , Keren Gueta , Inbal Shlomi
Impacts of childhood sexual abuse (CSA) are profound and long-lasting, often resulting in impairments to survivors’ mentalization and/or Theory of Mind (ToM) abilities. The current study aimed to enhance our understanding of these phenomena and explored potential for recovery via effective therapeutic interventions. The research sample consisted of 18 patients and 19 therapists residing or working in two types of facilities: live-in prisoner rehabilitation centers facilities for female parolees (PRA); and a psychiatric unit hospital ward specializing in sexual abuse survivors (PU). Data were based on semi-structured interviews analyzed using the qualitative thematic analysis approach. Findings demonstrate that survivors are vulnerable to fractured thought processes that reflect their early traumatic experience, impacting their present-day perspectives of themselves, others, and the world, and resultantly projected within the therapeutic relationship. Awareness and identification of these expressions within the therapeutic relationship can help promote mentalization-based healing for survivors.
儿童期性虐待(CSA)的影响是深远而持久的,通常会导致幸存者的精神化和/或心理理论(ToM)能力受损。目前的研究旨在加强我们对这些现象的理解,并探索通过有效的治疗干预来恢复的潜力。研究样本包括18名患者和19名治疗师,他们居住或工作在两种类型的机构:女性假释犯居住康复中心(PRA);以及专门治疗性虐待幸存者(PU)的精神病病房。数据基于半结构化访谈,采用定性专题分析方法进行分析。研究结果表明,幸存者很容易受到断裂的思维过程的影响,这反映了他们早期的创伤经历,影响了他们现在对自己、他人和世界的看法,并最终被投射到治疗关系中。在治疗关系中意识和识别这些表达可以帮助幸存者促进基于心理的治疗。
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引用次数: 0
Genetic polymorphisms associated with posttraumatic stress disorder after natural disaster exposure: a systematic review 自然灾害暴露后与创伤后应激障碍相关的遗传多态性:系统综述
IF 1.9 Q3 PSYCHIATRY Pub Date : 2025-12-24 DOI: 10.1016/j.ejtd.2025.100629
Thelma Beatriz González-Castro , Jorge Arias de Dios , Jorge Luis Hernández-Vicencio , Daina Pérez-Ramírez , Isela Esther Juárez-Rojop , Yazmín Hernández-Díaz , Alma Delia Genis-Mendoza , Carlos Alfonso Tovilla-Zárate , María Lilia López-Narváez
Posttraumatic stress disorder involves multiple genetic and environmental factors. Hurricanes, floods and earthquakes have been the most studied natural disasters over the years, due to the magnitude of the trauma they generate. It is, therefore, essential to clearly identify the risk polymorphisms which may potentially lead to PTSD among disaster survivors. We conducted a comprehensive systematic review of the literature to provide an overview of the relationship between genetic polymorphisms and PTSD risk in order to better understand post-disaster PTSD vulnerability. The literature search was conducted in PubMed, Science Direct, and Scopus databases. Eligibility review, data extraction, and quality assessment were performed by two authors. The methodological quality of the included studies was carefully assessed using the Newcastle-Ottawa Scale (NOS). Twenty-seven studies were included in this qualitative systematic review. The total number of participants across all studies was 21,213 individuals, comprising 17,799 PTSD patients and 3414 healthy controls. The majority of studies focused on earthquakes as the traumatic event. A total of 38 polymorphisms across 21 genes were reported as significantly altered in PTSD (SLC6A4, RGS2, DRD2, DRD3, DRD4, CRHR1, CRHR2, ESR1, RORA, BDNF, GHRL, HCRTR1, COMT, DBH, ADCYAP1R1, OXTR, FKBP5, GHSR, TNF-RII, NPY2R, and NPY5R). This study provides a broad and detailed overview of risk genes for post-disaster PTSD
创伤后应激障碍涉及多种遗传和环境因素。飓风、洪水和地震是多年来研究最多的自然灾害,因为它们造成的创伤很大。因此,有必要明确识别可能导致灾难幸存者患PTSD的风险多态性。为了更好地理解灾后创伤后应激障碍的易感性,我们对相关文献进行了全面系统的综述,概述了遗传多态性与创伤后应激障碍风险之间的关系。文献检索在PubMed、Science Direct和Scopus数据库中进行。资格审查、数据提取和质量评估由两位作者完成。采用纽卡斯尔-渥太华量表(NOS)仔细评估纳入研究的方法学质量。本定性系统综述纳入了27项研究。所有研究的参与者总数为21213人,其中包括17799名PTSD患者和3414名健康对照者。大多数研究都把地震作为创伤性事件。共有21个基因的38个多态性(SLC6A4、RGS2、DRD2、DRD3、DRD4、CRHR1、CRHR2、ESR1、RORA、BDNF、GHRL、HCRTR1、COMT、DBH、ADCYAP1R1、OXTR、FKBP5、GHSR、TNF-RII、NPY2R和NPY5R)在PTSD中发生显著改变。这项研究为灾后PTSD的风险基因提供了广泛而详细的概述
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引用次数: 0
期刊
European Journal of Trauma & Dissociation
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