Psychological Associations of Multiple Disasters: A Longitudinal Study of Adolescents in Puerto Rico

Disaster Medicine and Public Health Preparedness, Journal Year: 2025, Volume and Issue: 19

Published: Jan. 1, 2025

Abstract Objectives Psychological reactions in response to disasters have been associated with increased mental health (MH) symptomatology, decreased quality of life (QOL), and post-traumatic stress (PTSD). This study provides a rare opportunity examine post disaster MH longitudinally sample adolescents. Methods From 2018-20, adolescents (12-18 years, N =228) were interviewed about exposure, QOL using the Adolescent Quality Life-Mental Health Scale (AQOL-MHS), psychological symptoms, diagnoses. Results Having an diagnosis PTSD are clear indicators worse Emotional Regulation (ER) ( P ≤ 0.03, 0.0001) Self-Concept (SC) 0.006, 0.002) QOL. Girls disproportionately affected all models for SC Social Context domains 0.0001, 0.01). Interaction results ER 0.05) 0.01) indicate that those improving over time at greater rate than without PTSD. Conclusions Recovery takes sex disparity girls was observed. different AQOL-MHS highlight how challenges experienced by multifaceted. Knowing who is risk can allow better resource allocation targeted population-based prevention strategies promote maintain resolve factors illnesses.

Language: Английский

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Forensic Assessment of Posttraumatic Stress Disorder, Complex PTSD, and Other Trauma-Related Disorders in Juvenile Justice Contexts

Published: Jan. 1, 2025

Language: Английский

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Unlocking NAC’s potential ATF4 and m6A dynamics in rescuing cognitive impairments in PTSD

Metabolic Brain Disease, Journal Year: 2025, Volume and Issue: 40(2)

Published: Feb. 15, 2025

Language: Английский

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Mixed-Methods Examination of Adolescent-Reported Barriers to Accessing Mental Health Services

Journal of Adolescent Health, Journal Year: 2023, Volume and Issue: 74(2), P. 268 - 276

Published: Oct. 9, 2023

Language: Английский

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Racial/ethnic disparities in the trajectories of insomnia symptoms from childhood to young adulthood

SLEEP, Journal Year: 2024, Volume and Issue: 47(5)

Published: Jan. 25, 2024

Abstract Study Objectives To examine differences in the longitudinal prevalence of childhood insomnia symptoms across black/African American, Hispanic/Latinx, and non-Hispanic white groups. Methods Participants were 519 children from Penn State Child Cohort (baseline [V1] 2000–2005) who followed up 8 years later as adolescents (V2) 15 young adults (S3). Mean age at S3 was 24.1 ± 2.7 years. Approximately, 76.5% identified white, 12.9% 7.1% 3.5% “other” race/ethnicity. Insomnia defined parent-reported (childhood) or self-reported (adolescence adulthood) moderate-to-severe difficulties initiating/maintaining sleep. Longitudinal trajectories three-time points odds each trajectory compared between racial/ethnic groups, adjusting for sex, age, overweight, sleep apnea, periodic limb movements, psychiatric/behavioral disorders, psychotropic medication use. Results Black/African Americans to whites significantly higher having a childhood-onset persistent through adulthood (OR = 2.58, 95% CI [1.29, 5.14]), while Hispanics/Latinx nonsignificantly have same 1.81, [0.77, 4.25]). No significant observed remitted waxing-and-waning since incident/new-onset adulthood. Conclusions The results indicate that disparities among American and, lesser extent, Hispanic/Latinx groups start early persist into Identifying intervening upon upstream determinants are warranted directly address these prevent their adverse health sequelae. Clinical Trial Information N/A; Not clinical trial.

Language: Английский

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Causal Mediation of Neighborhood-Level Pediatric Hospitalization Inequities

PEDIATRICS, Journal Year: 2024, Volume and Issue: 153(4)

Published: March 1, 2024

Population-wide racial inequities in child health outcomes are well documented. Less is known about causal pathways linking and social, economic, environmental exposures. Here, we sought to estimate the total population-level hospitalization rates determine how much mediated by place-based exposures community characteristics.

Language: Английский

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HPA axis function in alcohol use disorder: A systematic review and meta-analysis

Addiction Neuroscience, Journal Year: 2023, Volume and Issue: 8, P. 100114 - 100114

Published: July 5, 2023

Alcohol use disorder (AUD) is a culturally pervasive and often treatment resistant disorder. Stress major trigger for relapse in AUD. Allostasis response to stress governed by the hypothalamic-pituitary-adrenal axis (HPA axis). Investigation into HPA functioning AUD may provide novel drug target treatment. This systematic review found 46 studies concerning ongoing AUD, withdrawal from alcohol, early-abstinence (<6 months), late-abstinence (>6months). Cortisol responses were mixed higher withdrawal. In early abstinence, significantly lower compared healthy controls ACTH (SMD= -1.47, p= < .001, I2: 35.68%) cortisol -1.32, 38.97%). Baseline values did not differ -0.39, 81.11%) 0.74, .015, 88.66%). functionality normalise following 6 months of though this be confounded selection bias. hypoactivity was associated with risk relapse. Future research should aim investigate all sexes races, increase methodological consistency participant follow up, HPA-sensitising drugs during abstinence assess their effects on rates. Overall, presents strong potential as

Language: Английский

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How can we build structural resilience? Integration of social-ecological and minority stress models.

American Psychologist, Journal Year: 2024, Volume and Issue: 79(8), P. 1012 - 1024

Published: Nov. 1, 2024

As the United States contends with racism and a social justice reckoning, need to advance our understanding of how build structural resilience continues be pressing. This article proposes culturally structurally informed model for individuals minoritized identities that integrates social-ecological minority stress models. First, common stressors traumas experienced by at multiple levels proximal/distal influence are reviewed: microsystem (e.g., family rejection), mesosystem community-based discrimination), exosystem barriers health care), macrosystem harmful legal policies), chronosystem historical legacy). Next, these exposures have cascading effects on processes discriminatory policies in affect child is socialized microsystem) considered. Then, modifiable factors community cohesion) promote resiliency face ongoing discussed. To conclude, guidelines offered advancing psychological science groups including mixed methods reflect participants' experiences, ecological approaches assess resilience, multilevel modeling understand interplay between context individual factors. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Language: Английский

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Eyes Wide Open: Sleep as a Potential Contributor to Racial and Ethnic Disparities in Cancer

Cancer Epidemiology Biomarkers & Prevention, Journal Year: 2024, Volume and Issue: 33(4), P. 471 - 479

Published: Jan. 25, 2024

U.S. racial and ethnic minoritized groups face disproportionate cancer burdens compared to White Americans. Investigating modifiable factors, such as sleep, that are socially patterned inequitably distributed by race ethnicity may advance understanding of disparities provide intervention opportunities. Emerging data suggest poor sleep health is associated with cancer. Yet, its contribution understudied. In this narrative review, we explored the sleep-cancer relation through a lens. We (i) summarized literature reporting on associations between among minority populations; (ii) examined potential mechanisms; (iii) discussed future directions. identified five studies groups. Poor was aggressive breast Black women, increased risk Asian total Hispanic/Latinx Sleep have similar socioeconomic behavioral determinants, suggesting be vulnerable adverse impacts. Evidence indicates an emerging, but important area research warrants further investigation, avenue for reducing disparities.

Language: Английский

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Exploring Intersections between Trauma and Discrimination in Youth of Color Seeking Mental Health Services

Journal of the American Academy of Child & Adolescent Psychiatry, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Language: Английский

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