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. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) is a widely used, well-validated structured interview for posttraumatic stress disorder (PTSD). It was recently revised to improve various aspects of administration and scoring. We conducted a psychometric evaluation of the revised version, known as the CAPS-5-R. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Here, we introduce the use of “clinical checks” within an existing self-report measure. These are brief supplementary questions intended to clarify and confirm initial responses, similar to what occurs in a clinical interview. Open access article - no login required
We worked alongside services to understand barriers and facilitators of the implementation of cognitive therapy for PTSD (a type of tf-CBT) to CEYP. Open access article - no login required
The present study examined the associations between PTSD symptom severity and distress tolerance across three assessment points over 12 weeks among 212 patients receiving outpatient psychotherapy services. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This study examined the impact of age on the association between emotion regulation and critical social outcomes relevant to refugee resettlement, such as social engagement and functional impairment. Open access article - no login required
The present sample included 80 trauma-exposed community members (PTSD: n = 39, no PTSD: n = 41) who completed up to 17 prompts per day for 3 days (2,158 total completed surveys). Open access article - no login required
Study showed that PTSD has a big impact on the partners of people with PTSD (as well as the individuals with PTSD). Described as 'a continual journey of losses and gains'
Characterized by symptoms such as intrusive memories, heightened reactivity, and emotional numbing, PTSD can profoundly impact an individual’s daily functioning and quality of life. However, PTSD does not affect everyone equally... To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This overview summarizes and updates the core knowledge of the genetic, molecular, and neural circuit features of the neurobiology of PTSD and advances in evidence-based psychotherapy, pharmacotherapy, neuromodulation, and digital treatments. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Evaluates previous reviews and reports a meta-analysis of the effectiveness of arts therapy following trauma for reducing symptoms of PTSD, enhancing positive outcomes (e.g., quality of life) and decreasing negative outcomes (e.g., depression). Open access article - no login required.
This scoping review assesses evidence for prolonged exposure as a feasible treatment programme for posttraumatic stress disorder in patients with psychotic symptoms. Open access article - no login required.
The aim of this study was to explore the contribution of cognitions and metacognitive beliefs to trauma symptoms and investigate what predicts symptom burden in traumatized patients. Open access article - no login required.
...little is known about the experience of intrusive cognitions in adolescents, particularly in adolescents with major depressive disorder (MDD) and post-traumatic stress disorder (PTSD). The present study sought to gather fundamental data on these phenomena (i.e., frequency, characteristics and appraisals of intrusive cognitions) in adolescents with MDD and PTSD. Open access article - no login required
Clinical practice guidelines for the treatment of PTSD/SUD are discussed, along with evidence-based psychotherapies and emerging interventions. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
We conducted a systematic review to provide a comprehensive overview of the empirical research on the bidirectional temporal associations between prolonged grief symptoms and symptoms of depression, posttraumatic stress, and anxiety. Open access article - no login required
This conceptual review describes the concept of a personalized model of therapy that leverages a case formulation approach to implementing an evidence-based treatment for PTSD. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
In this review, we delineate the literature establishing strong support for remote delivery of prolonged exposure (PE) and cognitive processing therapy (CPT); there is also promising support for written exposure therapy (WET) and trauma-focused cognitive behavioral therapy (TF-CBT). We also mention adjunctive and integrative modifications to better serve patients with PTSD. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The authors sought to estimate the genetic and environmental contributions to PTSD, and to formally test for sex differences, in the largest sample to date of both sexes, among twins and siblings. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
'The findings can inform the approach adopted by frontline clinicians working with refugee and asylum seeker communities both in assessment and treatment stages.'
The present paper reviews key barriers to accessing and engaging in EBPs for PTSD, discusses current applications of AI in PTSD treatment and provides recommendations for future AI integrations aimed at reducing barriers to access and engagement. Open access article - no login required.
The authors sought to estimate the genetic and environmental contributions to PTSD, and to formally test for sex differences, in the largest sample to date of both sexes, among twins and siblings. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This article summarizes the growing literature on resilience in the face of aversive and potentially traumatic events (PTEs) in three basic axioms: (a) resilience is a common outcome, 2) there are no “key” traits to resilience (resilience is not a type), and (c) resilient outcomes occur through flexible self-regulation. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Individuals with posttraumatic stress symptoms (PTSS) report difficulties engaging with positive autobiographical memories. Extending this line of research, we examined daily-level concurrent and lagged associations between PTSS severity and positive memory characteristics (vividness, coherence, accessibility, time perspective, sensory details, visual perspective, emotional intensity, sharing, distancing, and valence). To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The present study examined how PTSS and risky drinking may function through the associations between maladaptive individual and interpersonal coping strategies and relationship distress among trauma-exposed individuals. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The current study reports findings from a randomized controlled feasibility trial (N = 33; Mage = 11.79 years, SD = 3.08; 63.6% White; 66.7% female) that measured youths’ resting RSA, RSA reactivity, and RSA recovery in response to a pretreatment laboratory challenge. Open access article - no login required.
Commentary on Expert international trauma clinicians’ views on the definition, composition and delivery of reintegration interventions for complex PTSD. European Journal of Psychotraumatology, 2023
Our goal was to leverage mental health and functional measures to identify clinically meaningful and functionally impairing moral injury using the Moral Injury and Distress Scale (MIDS). To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
...the objective of the current study was to examine the acceptability, feasibility, and preliminary effectiveness of massed WET among veterans with a trauma- and stressor-related disorder receiving care on an acute inpatient mental health unit. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
We discuss the efficacy of PE on associated psychopathology and in the presence of the most commonly comorbid conditions, either alone or integrated with other treatments. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
We assessed posttraumatic stress disorder (PTSD), postdeployment experiences, social functioning, and psychological strengths at baseline, midpoint, and 12-week discharge using the PTSD Checklist for DSM-5 (PCL-5), Deployment Risk and Resilience Inventory–2, Social Adaptation Self-evaluation Scale, and Values in Action Survey. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Using ICD-11 criteria, this study aimed to determine the prevalence of PTSD and DSO symptoms, diagnostic rates of PTSD and CPTSD, and childhood trauma exposure in eating disorder treatment-seekers. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
We aimed to conduct a systematic literature review of randomized controlled trials (RCTs) examining the impact of digital health–based exposure therapies in treating patients with PTSD. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
There is a need to improve the training and supervision of specialist and non-specialist professionals working with trafficking survivors. Further training for non-specialist stakeholders and professionals who are in frequent and close contact with survivors, for example in camps or government accommodations, is also required. Survivors of trafficking are in contact with many organisations and sectors, and they may not disclose their experiences outright; therefore providing training which improves understanding of modern slavery should be a priority for all major psychological, housing, employment, welfare, and immigration support networks and organisations (among others).
The study findings imply dedicated interventions for specific needs at each stage of recovery are required.
This study is an update of the meta-analysis we published in 2019 on the effectiveness of body- and movement-oriented interventions (BMOIs) for adults with posttraumatic stress disorder (PTSD) in decreasing PTSD symptoms and secondary outcomes of depressive symptoms, sleep disturbance, and interoceptive awareness.
Mental contamination refers to feelings of dirtiness in response to thoughts, images, or memories. Mental contamination is frequently reported after sexual trauma and is associated with symptoms of posttraumatic stress disorder (PTSD). To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Effective pharmacologic treatments for comorbid alcohol use disorder (AUD) and post-traumatic stress disorder (PTSD) are lacking. Kappa (κ) opioid receptor antagonists may address this unmet need. Buprenorphine is a κ-opioid antagonist and a partial agonist of mu (μ) opioid receptors, and naltrexone blocks all μ-mediated effects, thus, yielding a pharmacological net effect of a κ-opioid receptor antagonist. This combination was tested in this proof-of-concept study since no specific κ-opioid receptor antagonist was available. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Physical activity and exercise can reduce depression, so helping people be more active improves mental health, which is also pertinent for when people face challenges in life. In general, exercise should be advised in public mental health guidelines. Support to be physically active should be a fundamental service in a society that values the wellbeing and productivity of its citizens, particularly for people experiencing vulnerability or marginalisation.
A group of MSc students at UCL summarise a study exploring the secondary mental health care treatment patients with comorbid PTSD and suicidality receive.
Although complex post-traumatic stress disorder and borderline personality disorder are distinct disorders, there is confusion in clinical practice regarding the similarities between the diagnostic profiles of these conditions. We summarise the differences in the diagnostic criteria that are clinically informative and we illustrate these with case studies to enable diagnostic accuracy in clinical practice. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Colorectal cancer (CRC) causes severe physical and psychological impacts on the patients as well as their spousal caregivers. To facilitate the psychological adaptation of the CRC suffered couples, a couple-based posttraumatic growth (PTG) intervention was developed based on the PTG affective-cognitive processing model. The feasibility, acceptability and preliminary effect of this intervention were tested. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
We report on two studies designed to shed light on the association between adverse childhood experiences (ACEs) and posttraumatic stress disorder (PTSD) symptom severity in military personnel. In particular, we examined the evidence for both additive and multiplicative associations between ACEs and combat exposure in predicting PTSD symptom severity.
Despite the therapeutic needs of aging Holocaust survivors, no randomized controlled trial (RCT) of psychotherapy exists for this population, with very few on older adults in general. This RCT aimed to compare the efficacy of Life Review Therapy for Holocaust survivors (LRT-HS) relative to a supportive control group.
Sudden gains, defined as large and stable improvements in symptom severity during psychological treatment, have consistently been found to be associated with better outcomes across treatments and diagnoses. Yet, insights on coherent predictors of sudden gains and on emotional changes around sudden gains in post-traumatic stress disorder (PTSD) are lacking.
Post-traumatic stress disorder is a disabling condition resulting from a range of traumas and affecting many people worldwide. This month's Cochrane Corner review systematically searched and reported findings from 66 randomised controlled trials of pharmacotherapy for PTSD, 54 of which were included in a meta-analysis. Evidence was shown for the benefit of selective serotonin reuptake inhibitors, mirtazapine and amitriptyline in treatment response. This Round the Corner commentary critically appraises the review's findings, concluding that the summative evidence was of poor quality owing to the low number of studies, the high risk of bias and significant heterogeneity. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Eye movement desensitisation and reprocessing as a treatment for PTSD, trauma, and trauma related symptoms in children with intellectual disabilities: a general review - Author: Chloe Louise Williamson, Kelly Rayner-Smith. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The objective of the present study was to systematically review the existing literature for studies examining the association between posttraumatic stress disorder (PTSD) and stroke risk and perform a meta-analysis to obtain a pooled risk estimate describing the association.
Trauma-focussed psychological interventions are the treatments of choice for post-traumatic stress disorder (PTSD). As many clinical services receive high demand for PTSD interventions, strategies to improve treatment efficiency are needed. Some people seek help in the early phase post-trauma, including as soon as the first few months. It is unclear whether all components of trauma-focussed CBT are needed in this initial stage. Providing brief intervention in this early phase without work on trauma memories may be feasible and effective. This service evaluation study describes a case series of five participants experiencing PTSD following recent traumas. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The researchers made several recommendations for policy and practice of how needs related to both homelessness and trauma can be understood and addressed together.
Asylees (i.e., asylum seekers) have a higher prevalence of mental health concerns, particularly posttraumatic distress, than the general population due to both their exposure to traumatic experiences and prolonged uncertain status in a new country. Meta-analyses of randomized controlled trials with asylees have found that culturally adapted cognitive behavioral therapy (CA-CBT), eye movement desensitization and reprocessing (EMDR), and narrative exposure therapy (NET) are efficacious in treating trauma-related symptoms and posttraumatic stress disorder (PTSD); however, treatment utilization remains low. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Previous meta-analyses of psychotherapies for children and adolescents with post-traumatic stress disorder (PTSD) did not investigate whether treatment efficacy is diminished when patients report multiple (versus single) traumas. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Concern for symptom exacerbation and treatment drop-out is an important barrier to the implementation of trauma-focused therapy (TFT), especially in people with a psychotic disorder. This study, which was part of a multicenter randomized controlled trial, investigated posttraumatic stress disorder (PTSD) symptom exacerbation during eye movement desensitization reprocessing (EMDR) therapy and prolonged exposure (PE) in a sample of 99 participants with PTSD and psychosis.
Although trauma-focused treatments (TFTs) are generally effective, not all patients improve. Symptom accommodation (i.e., altering one's behavior in response to another's symptoms) by loved ones may be particularly relevant to TFT treatment response and engagement. We examined the role of symptom accommodation by support persons (SPs) in veterans’ PTSD treatment response, including the mediating role of treatment engagement and the moderating role of relationship strain. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Group therapy is a frequently used therapy format for posttraumatic stress disorder (PTSD). However, factors contributing to treatment completion remain understudied. The current study examined predictors of treatment completion, defined as having completed 10 out of 14 sessions within 16 weeks, in veterans with PTSD who engaged in a hybrid efficacy–effectiveness randomized controlled trial of group psychotherapy for PTSD. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Posttraumatic stress disorder (PTSD) is a significant issue for a substantial proportion of Australian ex-service personnel. In addition to the functional impact on individuals, PTSD can have a significant impact on intimate partner relationships. Research has demonstrated that practicing compassion and self-compassion may be an important component of psychological therapy for survivors of trauma, while also demonstrating benefits to intimate relationships. This pilot study aimed to investigate the utility of a Compassionate Mind Training intervention for ex-service personnel with PTSD and their partners.
The purpose of this systematic review (SR) was to present the current state of research on historical trauma, and the topics closely related to its semantic space that include intergenerational trauma, collective trauma, and extended cultural bodily and mental responses, in order to identify gaps in the literature that need to be addressed. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The weak link between subjective symptom-based diagnostic methods for posttraumatic psychopathology and objectively measured neurobiological indices forms a barrier to the development of effective personalized treatments. To overcome this problem, recent studies have aimed to stratify psychiatric disorders by identifying consistent subgroups based on objective neural markers. Along these lines, a promising 2021 study by Stevens et al. identified distinct brain-based biotypes associated with different longitudinal patterns of posttraumatic symptoms. Here, the authors conducted a conceptual nonexact replication of that study using a comparable data set from a multimodal longitudinal study of recent trauma survivors. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
As the authors discussed in their paper, the main implication of the results is that a significant number of young children develop PTSD following traumatic events. Caregivers and practitioners should be aware of this in order to seek and provide support for these children. Yet, this is not the case in clinical practice.
Although the specific elements of effective interventions are hard to determine based on current evidence, there’s no question that mental health professionals should focus on improving parents’ mental health and parenting practices.
Interpersonal functioning is a common concern for people with postttraumatic stress disorder (PTSD) but is not a key target of most trauma-focused psychotherapies (TFPs). We preregistered and undertook a systematic review and meta-analysis of randomized clinical trials (RCTs) examining the efficacy of TFPs for improving interpersonal functioning. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Trauma-informed beliefs often decrease during posttraumatic stress disorder (PTSD) treatment. This may also extend to anxiety sensitivity (AS), defined as a fear of anxiety-related sensations and beliefs that anxiety is dangerous and/or intolerable. However, little is known about how AS changes during exposure-based and psychopharmacological PTSD treatments. Further, high AS may be a risk factor for diminished PTSD symptom improvement and increased treatment dropout.
Previous research has found both self-compassion and gratitude to be protective against overall PTSD symptom severity. PTSD is a highly heterogenous disorder, however, and it is unclear if these protective constructs are differentially associated with each cluster of PTSD. The present study examined differences in the association of self-compassion and gratitude with the four clusters of PTSD as indicated by the DSM-5. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Concurrent Treatment of Posttraumatic Stress Disorder (PTSD) and Substance Use Disorders Using Prolonged Exposure (i.e., COPE) is an efficacious, integrated, psychotherapy that attends to PTSD and substance use disorders simultaneously. No study has examined how therapeutic alliance functions during the provision of COPE and how this compares to non-integrated treatments, such as Relapse Prevention (RP) for substance use disorders. Understanding the role of alliance in COPE versus RP could inform treatment refinement and ways to enhance treatment outcomes. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Treatment efficacy for co-occurring posttraumatic stress disorder (PTSD) and substance use disorders is well established, yet direct evidence for comparative effectiveness across treatments is lacking. The present study compared the effectiveness of several behavioral and pharmacological therapies for adults with co-occurring PTSD and alcohol or other drug use disorders. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Long-term studies following disasters are rare. It is important to quantify long-term effects of disasters to determine impacts on populations over time. We therefore aim to report the long-term associations between exposure to the Canterbury earthquakes and common mental disorders, taking into account potential confounding factors. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
To report on post-traumatic growth and post-traumatic stress following the Canterbury earthquakes and to quantify the relationships between exposure to the earthquakes, post-traumatic growth and post-traumatic stress. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
It is clear that greater attention to detail is necessary when considering the broad mental health needs of people exposed to complex trauma; thus emphasising the need for a comprehensive approach to assessment in both research and clinical practice. This could encompass a broader evaluation of the nature and severity of trauma experienced, as well as an enhanced exploration of the potential impacts on psychological and cognitive functioning.
The meta-analysis has shown that professionals with minimal professional training can reduce PTSD symptoms, as effectively as doctoral trained clinicians. This indicates a potential future workforce development with the ability to appropriately train professionals in TF-CBT.
By exploring the underlying mechanisms that lead to improved clinical outcomes, clinicians can better understand which treatment components to prioritise in their practice. It is believed that changes in BPD-PTSD symptoms occur mostly during and after trauma-focused components of stage-based treatments. Thus, this challenges the current idea that trauma-focused components should be offered post-stabilisation.
Delayed-onset posttraumatic stress disorder (PTSD) is defined as a period of 6 months or more between trauma exposure and episode onset. Due to the limited research and lack of epidemiological studies on this form of the disorder, we investigated its prevalence, clinical features, and psychiatric comorbidities in a nationally representative sample of U.S. adults. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Posttraumatic stress disorder (PTSD) is associated with significant individual and relationship impairment for people with PTSD and their romantic partners. Conjoint treatments, such as cognitive behavioral conjoint therapy for PTSD (CBCT), are designed to address individual and relationship factors, yet significant barriers impede accessing in-person therapy. Couple HOPES (i.e., Helping Overcome PTSD and Enhance Satisfaction) is a coach-guided, online couple intervention for PTSD based on CBCT that was designed to address these barriers. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The accurate definition and assessment of trauma exposure is the foundation for replicable studies of mental health problems following trauma exposure. However, scales developed to assess trauma exposure might vary widely in terms of item content; overlap; and specifications of trauma intensity, frequency, duration, and timing. We compared eight frequently used self-report measures of trauma exposure to address content overlap and measurement heterogeneity.
Recent years have seen escalating media, public and scientific interest in psychedelic medicine. Australia and New Zealand have been late to this research; however, in the past 2 years, rapid developments suggest that this is changing. Here, we argue for the need to critically review existing evidence in this field to guide future directions. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Identifying potential mechanisms underlying the association between posttraumatic stress symptoms (PTSS) and problematic alcohol use is an important target among college women who have experienced sexual assault. This study examined the role of posttraumatic cognitions in this association among college women (N = 530) who experienced either an alcohol-involved assault or non–alcohol-involved assault, using baseline assessment data from a larger study examining cognitive and emotional risk factors for problem drinking. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Due to its heterogeneity, the prediction of posttraumatic stress disorder (PTSD) development after traumtic injury is difficult. Recent machine learning approaches have yielded insight into predicting PTSD symptom trajectories. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Trauma-exposed veterans receiving mental health care may have an elevated risk of experiencing COVID-19–related difficulties. Using data from several ongoing clinical trials (N = 458), this study examined exposure to COVID-19–related stressors and their associations with key sociodemographic factors and mental health outcomes.
Trauma can disrupt an individual's core beliefs about themselves, others, and the world. Posttraumatic growth (PTG) is thought to be the outcome of a reconstruction process involving ruminative processing. This meta-analysis examined the strength of the associations between event-related intrusive and deliberate rumination and PTG. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Can medication prevent ptsd - Richard Meiser-Stedman explores a systematic review which finds no evidence for the use of medication to prevent onset of PTSD.
Between-person heterogeneity of posttraumatic stress disorder (PTSD) is well established. Within-person analyses and the DSM-5 suggest that heterogeneity may also be evident within individuals across time as they move through social contexts and biological cycles. Modeling within-person symptom-level fluctuations may confirm such heterogeneity, elucidate mechanisms of disorder maintenance, and inform time- and person-specific interventions. The present study aimed to identify and predict discrete within-person disorder presentations, or symptom states, and explore group-level patterns of these states. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Survivors of sexual violence often engage in coping strategies such as risky sexual behavior. The present study used a behavioral task to measure sexual risk-taking following experiences of positive or negative affect and an emotion suppression experimental manipulation. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Although trauma exposure is a recognized risk factor for alcohol use, research on military populations has emphasized combat exposure, with minimal consideration of exposure to other potentially traumatic events (PTEs). We aimed to (a) identify, characterize, and quantify subgroups of service members based on PTE patterns; (b) examine associations between trauma exposure subgroups and alcohol use; and (c) examine these associations longitudinally. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
there is reason to assume that trauma-related symptoms within couples are influenced by each partner's risk factors and symptoms. Using the actor–partner interdependence model, this study aimed to test whether symptoms of posttraumatic stress disorder (PTSD) and depression were predicted by participants’ partner's exposure to traumatic events over and above the influence of the participant's own experiences.
The death of Sahar Khodayari, or “Blue Girl,” an Iranian woman who committed suicide after being sentenced to prison for appearing in a sports stadium dressed as a man, is one such event that became a collective trauma. The current study sought to examine the collective trauma reaction among Farsi-speaking Twitter users in response to Khodayari's death as represented in public tweets.To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The use of tf-CBTs resulted in significant reductions in PTSD symptoms within studies as well as across studies for participants under ongoing threat of work-related trauma exposure, DV or IPV, and war-related or community violence, without increasing the risk of re-exposure to trauma.
This review found that EMDR (Eye Movement Desensitisation and Reprocessing) and TF-CBT (Trauma-Focused Cognitive Behavioural Therapy) were the most effective in reducing symptoms and improving remission rates for PTSD in adults
Implications for practice and research
-Previous suicide attempts as well as multiple traumas may play a role as precursors of suicides among people with post-traumatic stress disorder (PTSD) and this needs additional research attention.
-Timely diagnosis and treatment of PTSD is needed to prevent up to half of suicides in people with PTSD.
-Health and care professionals should regularly assess suicide risk and coproduce safety plans for people with PTSD and especially for women living in deprived areas who have previously harmed themselves.
Open Access Article
This study examined posttraumatic stress disorder (PTSD), complex PTSD, depression, and anxiety among U.K. rail workers. A cross-sectional survey examining exposure to seven psychosocial hazards (bullying/harassment; verbal abuse; physical and sexual assault; and hearing about, seeing the aftermath of, or witnessing a fatality), working conditions, physical health, and the impact of COVID-19......
Posttraumatic stress disorder (PTSD) is prevalent and associated with significant morbidity. Mild traumatic brain injury (mTBI) concurrent with psychiatric trauma may be associated with PTSD. Prior studies of PTSD-related structural brain alterations have focused on military populations. The current study examined correlations between PTSD, acute mTBI, and structural brain alterations longitudinally in civilian patients (N = 504) who experienced a recent Criterion A traumatic event.
Women veterans with posttraumatic stress disorder (PTSD) have historically received more psychiatric medications than men. The current analysis identified prescribing trends of medications recommended for (i.e., select antidepressants) and against (i.e., benzodiazepines, select antidepressants, antipsychotics, and select anticonvulsants) use in PTSD treatment among women and men in 2010–2019.
Studies have searched for neurobiological markers of trauma exposure, posttraumatic stress disorder (PTSD) diagnosis, and resilience to trauma to identify therapeutic targets for PTSD. Despite some promising results, findings are inconsistent.
Posttraumatic stress disorder (PTSD) has long been associated with a heightened risk of cardiovascular disease (CVD). A number of mechanisms have been implicated to underlie this brain–heart axis relationship, such as altered functioning of the autonomic nervous system and increased systemic inflammation. While neural alterations have repeatedly been observed in PTSD, they are rarely considered in the PTSD–CVD link. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Despite evidence of high rates of diagnosable mental health difficulties in children in care, there remains ongoing debate around the appropriateness of traditional diagnoses and treatments. The aim of this study was to quantitatively explore whether mental health diagnosis and treatment decision-making differed when a young person was identified as being in care, specifically focused on post-traumatic stress disorder (PTSD). PTSD is a trauma-specific mental health disorder with rates substantially higher in children in care versus their peers.
Trauma-focused guided self-help (TF-GSH) is an important alternative to psychological therapy delivered by a therapist. This meta-analysis evaluates the efficacy of TF-GSH in reducing posttraumatic stress disorder (PTSD) symptoms and comorbid depressive and anxiety symptoms. Open access article- no login required
Most voice hearers report childhood trauma. Many voice hearers report comorbid post-traumatic stress symptoms and that the content of their voices (auditory verbal hallucinations) is directly (voices repeat phrases spoken by perpetrators) or indirectly (voice content and trauma is thematically similar) related to their trauma. The factors that maintain trauma-related voices are unknown, and there is limited research in this area. This study aimed to identify potential maintaining factors of trauma-related voices by reviewing models of post-traumatic stress disorder (PTSD) and positive symptoms of psychosis. Open access article- no login required
Increasingly, lesbian, gay, and bisexual (LGB) individuals are fleeing the 67 countries that criminalize consensual same-sex intimate relationships, seeking asylum in countries such as the United States. Minority stress theory posits that compared with non-LGB refugees and asylum seekers (RAS), LGB RAS are likely to face persecution, rejection, and discrimination and have a higher risk of experiencing posttraumatic stress disorder (PTSD) symptoms. This study assessed differences in sociodemographic characteristics, persecution experiences, and mental health outcomes among 959 RAS persecuted for same-sex behavior (pLGB RAS) who presented for care and social services at the Boston Center for Refugee Health and Human Rights. . To read the full article, log in using your MPFT NHS OpenAthens details.