The impact of trauma and how to intervene: a narrative review of psychotraumatology over the past 15 years
European journal of psychotraumatology,
Journal Year:
2025,
Volume and Issue:
16(1)
Published: Feb. 6, 2025
To
mark
15
years
of
the
European
Journal
Psychotraumatology,
editors
reviewed
past
15-year
research
on
trauma
exposure
and
its
consequences,
as
well
developments
in
(early)
psychological,
pharmacological
complementary
interventions.
In
all
sections
this
paper,
we
provide
perspectives
sex/gender
aspects,
life
course
trends,
cross-cultural/global
systemic
societal
contexts.
Globally,
majority
people
experience
stressful
events
that
may
be
characterized
traumatic.
However,
definitions
what
is
traumatic
are
not
necessarily
straightforward
or
universal.
Traumatic
have
a
wide
range
transdiagnostic
mental
physical
health
limited
to
posttraumatic
stress
disorder
(PTSD).
Research
genetic,
molecular,
neurobiological
influences
show
promise
for
further
understanding
underlying
risk
resilience
trauma-related
consequences.
Symptom
presentation,
prevalence,
course,
response
experiences,
differ
depending
individuals'
age
developmental
phase,
sex/gender,
sociocultural
environmental
contexts,
socio-political
forces.
Early
interventions
potential
prevent
acute
reactions
from
escalating
PTSD
diagnosis
whether
delivered
golden
hours
weeks
after
trauma.
prevention
still
scarce
compared
treatment
where
several
evidence-based
complementary/
integrative
exist,
novel
forms
delivery
become
available.
Here,
focus
how
best
address
negative
outcomes
following
trauma,
serve
individuals
across
spectrum,
including
very
young
old,
include
considerations
ethnicity,
culture
diverse
beyond
Western,
Educated,
Industrialized,
Rich,
Democratic
(WEIRD)
countries.
We
conclude
with
providing
directions
future
aimed
at
improving
well-being
impacted
by
around
world.
The
EJPT
webinar
provides
90-minute
summary
paper
can
downloaded
here
[http://bit.ly/4jdtx6k].
Language: Английский
Sex-dependent differences in vulnerability to early risk factors for posttraumatic stress disorder: results from the AURORA study
Psychological Medicine,
Journal Year:
2024,
Volume and Issue:
54(11), P. 2876 - 2886
Published: May 22, 2024
Abstract
Background
Knowledge
of
sex
differences
in
risk
factors
for
posttraumatic
stress
disorder
(PTSD)
can
contribute
to
the
development
refined
preventive
interventions.
Therefore,
aim
this
study
was
examine
if
women
and
men
differ
their
vulnerability
PTSD.
Methods
As
part
longitudinal
AURORA
study,
2924
patients
seeking
emergency
department
(ED)
treatment
acute
aftermath
trauma
provided
self-report
assessments
pre-
peri-
post-traumatic
factors,
as
well
3-month
PTSD
severity.
We
systematically
examined
sex-dependent
effects
16
that
have
previously
been
hypothesized
show
different
associations
with
severity
men.
Results
Women
reported
higher
at
3-months
post-trauma.
Z
-score
comparisons
indicated
five
association
stronger
than
women.
In
multivariable
models,
interaction
were
observed
pre-traumatic
anxiety
symptoms,
dissociative
symptoms;
both
showed
Subgroup
analyses
suggested
type-conditional
effects.
Conclusions
Our
findings
indicate
mechanisms
which
might
be
particularly
vulnerable,
demonstrating
known
behave
differently
Analyses
did
not
identify
any
more
vulnerable
men,
pointing
toward
further
explain
women's
risk.
illustrates
need
a
systematic
examination
contributors
after
trauma,
may
inform
Language: Английский
Towards accurate screening and prevention for PTSD (2-ASAP): protocol of a longitudinal prospective cohort study
BMC Psychiatry,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: Oct. 15, 2024
Effective
preventive
interventions
for
PTSD
rely
on
early
identification
of
individuals
at
risk
developing
PTSD.
To
establish
post-trauma
who
are
risk,
there
is
a
need
accurate
prognostic
screening
instruments
that
can
be
widely
implemented
in
recently
trauma-exposed
adults.
Achieving
such
accuracy
and
generalizability
requires
external
validation
machine
learning
classification
models.
The
current
2-ASAP
cohort
study
will
perform
both
full
minimal
feature
sets
supervised
models
assessing
individual
to
follow
an
adverse
symptom
trajectory
over
the
course
1
year.
We
derive
these
from
TraumaTIPS
cohort,
separately
men
women.
Language: Английский