Trauma
exposure
is
prevalent
globally
and
a
defining
event
for
the
development
of
posttraumatic
stress
disorder
(PTSD),
characterised
by
intrusive
thoughts,
avoidance
behaviours,
hypervigilance
negative
alterations
in
cognition
mood.
Exposure
to
trauma
elicits
range
physiological
responses
which
can
interact
with
environmental
factors
confer
relative
risk
or
resilience
PTSD.
This
systematic
review
summarises
findings
longitudinal
studies
examining
biological
correlates
predictive
PTSD
symptomology.
Databases
(Pubmed,
Scopus
Web
Science)
were
systematically
searched
using
relevant
keywords
published
between
1
January
2021
31
December
2022.
English
language
included
if
they
original
research
manuscripts
meta-analyses
cohort
investigations
that
assessed
relationships
one
more
molecular-level
measures
either
status
symptoms.
Eighteen
1,042
records
identified
included.
Studies
primarily
military
veterans/personnel,
individuals
admitted
hospitals
after
acute
traumatic
injury,
women
exposed
interpersonal
violence
rape.
Genomic,
inflammation
endocrine
most
commonly
molecular
markers
highlighted
processes
related
inflammation,
responding,
learning
memory.
Quality
assessments
done
Systematic
Appraisal
Observational
Research,
majority
rated
as
being
high
quality,
remainder
moderate
quality.
predominantly
conducted
upper-income
countries.
Those
performed
low-
middle-income
countries
not
broadly
representative
terms
demographic,
type
geographic
profiles,
three
out
four
assessing
only
female
participants,
rape
South
Africa,
respectively.
They
also
did
generate
multimodal
data
use
machine
multilevel
modelling,
potentially
reflecting
greater
resource
limitations
LMICs.
Research
contributions
does
adequately
reflect
global
burden
disorder.
Translational Psychiatry,
Год журнала:
2024,
Номер
14(1)
Опубликована: Июль 26, 2024
In
youth
with
posttraumatic
stress
disorder
(PTSD)
non-response
rates
after
treatment
are
often
high.
Epigenetic
mechanisms
such
as
DNA
methylation
(DNAm)
have
previously
been
linked
to
PTSD
pathogenesis,
additionally
DNAm
may
affect
response
(psychological)
therapies.
Besides
investigating
the
direct
link
between
and
response,
it
might
be
helpful
investigate
associated
biological
outcome.
Thereby
gaining
a
deeper
molecular
understanding
of
how
psychotherapy
(reflecting
change
in
environment)
relates
epigenetic
changes
adaptability
individuals.
To
date,
limited
research
is
done
clinical
samples
no
studies
conducted
youth.
Therefore
we
study
Dutch
cohort
without
(n
=
87,
age
8-18
years).
We
examined
cross-sectional
longitudinal
saliva-based
genome-wide
levels,
salivary
cortisol
secretion.
The
last
reflect
possible
abbreviations
on
hypothalamic-pituitary-
adrenal
(HPA)
axis.
HPA-axis
development
recovery
PTSD.
Youth
were
treated
8
sessions
either
Eye
Movement
Reprocessing
Therapy
(EMDR)
or
Trauma
Focused
Cognitive
behavioral
(TF-CBT).
Our
epigenome
wide
approach
showed
distinct
responders
non-responders
C18orf63
gene
post-treatment.
This
genomic
region
related
PAX5
gene,
involved
neurodevelopment
inflammation
response.
Additionally,
our
targeted
indicated
that
there
successfully
at
CRHR2
gene.
Methylation
this
was
further
correlated
secretion
pre-
Awaiting
replication,
findings
first
point
pathways
neuroplasticity
European journal of psychotraumatology,
Год журнала:
2021,
Номер
12(1)
Опубликована: Янв. 1, 2021
The
aim
of
this
article
is
to
present
a
research-based
rationale
for
NETfacts,
newly
developed
integrated
approach
at
the
individual
and
community
level
in
order
mitigate
mental
social
sequelae
war
crisis.
To
end,
we
provide
selective
review
relevant
literature
from
neuroscience,
clinical
psychology,
science.
In
psychotraumatology,
avoidance
describes
effort
prevent
exposure
trauma
reminders.
Among
patients
with
post-traumatic
stress
disorder
(PTSD),
becomes
pathological,
exacerbating
distress
preventing
recovery.
This
silence
resonates
traumatized
communities
consequently
taboo
builds
-
ultimately
advantage
perpetrators.
resulting
collective
leads
fragmented
memory
about
or
human
rights
violations
so
that
shared
account
group's
history
impossible.
deficient
promotes
ambiguous
truths
anxiety,
enabling
reactive
construction
safety
based
on
information
an
endorsement
extreme
opinions.
Ongoing
insecurity,
violence
crime
lead
increasing
anxiety
fear.
self-interest
perpetrators
abnormal
behaviour
survivors
escalation
stigma
exclusion
prevention
limitation
traumatic
material,
i.e.,
reduce
tension
protect
safety.
recognition
facts
subject
key
coherent
sense
communion,
further
cycles
violence.
NETfacts
health
system
combines
community-based
intervention
treat
structure
both
levels.
Abbreviations:
NET:
narrative
therapy;
FORNET:
therapy
forensic
offender
rehabilitation;
NETfacts:
derived
therapy.El
objetivo
de
este
artículo
es
presentar
una
justificación
basada
en
la
investigación
para
NETfacts;
un
enfoque
integrado
recientemente
desarrollado
nivel
y
comunitario
mitigar
las
secuelas
mentales
sociales
guerra
Con
fin,
proporcionamos
revisión
selectiva
literatura
relevante
neurociencia,
psicología
clínica,
ciencias
sociales.
En
psicotraumatología,
evitación
describe
el
esfuerzo
prevenir
exposición
recordatorios
del
trauma.
Entre
los
pacientes
con
trastorno
estrés
postraumático
(TEPT),
se
vuelve
patológico,
exacerbando
angustia
e
impidiendo
recuperación.
Este
silencio
resuena
comunidades
traumatizadas
y,
consecuencia,
construye
como
tabú,
última
instancia
beneficio
perpetradores.
La
evasión
colectiva
resultante
conduce
memoria
fragmentada
sobre
o
violaciones
derechos
humanos
comunidad,
por
lo
que
relato
compartido
historia
grupo
imposible.
deficiente
promueve
verdades
ambiguas
ansiedad,
posibilitando
construcción
reactiva
seguridad
información
al
respaldo
opiniones
extremas.
inseguridad,
violencia
delincuencia
continuas
provocan
aumento
ansiedad
miedo.
El
interés
propio
perpetradores
comportamiento
anormal
sobrevivientes
escalada
estigma
exclusión
resulta
prevención
limitación
comunidad
material
traumático,
decir,
tensión
protege
seguridad.
reconocimiento
hechos
traumáticos
sujetos
son
claves
coherente
sentido
comunión,
nuevos
ciclos
violencia.
sistema
salud
combina
intervención
comunitaria
tratar
estructura
tanto
colectivo.本文旨在
一种新开发的用以减轻战争和危机的心理和社会后遗症的个人和团体水平的综合方法,
提供基于研究的理论依据。为此,
我们对神经科学,
临床心理学和社会科学的相关文献进行了选择性回顾。在心理创伤学中,
个体回避描述了防止暴露于创伤提示物的努力。在创伤后应激障碍
(PTSD)
患者中,
这会变成病理性的,
加剧痛苦并阻止康复。这种沉默在遭受创伤的团体中引起共鸣,
从而产生了禁忌——最终对施暴者有利。由此产生的集体回避导致关于团体创伤或侵犯人权的集体记忆破碎,
因此无法实现群体历史的共享解释。不足的集体记忆会促进模糊事实和焦虑,
使基于选择性信息的安全反应构建成为可能,
从而导致产生极端观点。持续的不安全感,
暴力和犯罪导致焦虑和恐惧加剧。肇事者的私利和幸存者的异常行为导致污名化和社会排斥升级,
从而防止或限制团体接触创伤材料,
即减少紧张感并保护安全感建立。以回避为准的暴露和识别创伤性事实是连贯集体记忆和共享感,
并防止进一步暴力循环的关键。
健康系统结合了个人和团体干预措施,
以在个人和集体层面处理记忆结构。.
The Canadian Journal of Psychiatry,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 9, 2024
Posttraumatic
stress
disorder
(PTSD)
affects
3.9%-5.6%
of
the
worldwide
population,
with
well-documented
sex-related
differences.
While
psychosocial
and
hormonal
factors
affecting
sex
differences
in
PTSD
posttraumatic
(PTS)
symptom
etiology
have
been
explored,
there
has
limited
focus
on
genetic
bases
these
Many
combinations
may
confer
a
diagnosis.
We
hypothesized
that
sex-specific
patterns,
examination
which
could
inform
etiological
genetics
between
males
females.
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2023,
Номер
unknown
Опубликована: Сен. 2, 2023
Posttraumatic
stress
disorder
(PTSD)
affects
3.9%-5.6%
of
the
worldwide
population,
with
well-documented
sex-related
differences.
While
psychosocial
and
hormonal
factors
affecting
sex
differences
in
PTSD
posttraumatic
(PTS)
symptom
etiology
have
been
explored,
there
has
limited
focus
on
genetic
bases
these
Many
combinations
may
confer
a
diagnosis.
We
hypothesized
that
sex-specific
patterns,
examination
which
could
inform
etiological
genetics
between
males
females.
To
investigate
this,
we
performed
sex-stratified
multivariate
genome-wide
association
study
(GWAS)
unrelated
UK
Biobank
(UKB)
individuals
European
ancestry.
Using
GWAS
summary
data,
genomic
structural
equation
modeling
was
to
generate
factor
models
using
six
indicator
variables:
trouble
concentrating,
feeling
distant
from
others,
irritability,
disturbing
thoughts,
upset
feelings,
avoidance
places/activities
remind
individual
traumatic
event.
Models
male
female
symptoms
differed
substantially
(local
standardized
root
mean
square
difference=3.12)
significantly
(χ
2
(5)=28.03,
p=3.6x10
-5
).
Independent
two-factor
best
fit
data
both
females;
were
subjected
each
sex,
revealing
three
significant
loci
females,
mapping
SCAND3,
WDPCP,
FAM120A.
No
identified
males.
All
four
PTS
(2
females)
heritable
(p<0.05):
PTS-f
1
h
-SNP=1.85%,
-SNP=1.47%,
-SNP=3.87%,
-SNP=3.53%.
Male
enriched
for
medication-related
putative
causal
relationships
(3.73-fold,
p=0.032)
while
body
structure
(2.84-fold,
p=5.512x10
-7
)
cognitive
(3.22-fold,
p=0.009)
relationships.
In
metabolic
(28.08-fold,
p=0.035).
By
assessing
relationship
symptoms,
this
informs
correlative
putatively
females
support
further
investigation
genetics.
Trauma
exposure
is
prevalent
globally
and
a
defining
event
for
the
development
of
posttraumatic
stress
disorder
(PTSD),
characterised
by
intrusive
thoughts,
avoidance
behaviours,
hypervigilance
negative
alterations
in
cognition
mood.
Exposure
to
trauma
elicits
range
physiological
responses
which
can
interact
with
environmental
factors
confer
relative
risk
or
resilience
PTSD.
This
systematic
review
summarises
findings
longitudinal
studies
examining
biological
correlates
predictive
PTSD
symptomology.
Databases
(Pubmed,
Scopus
Web
Science)
were
systematically
searched
using
relevant
keywords
published
between
1
January
2021
31
December
2022.
English
language
included
if
they
original
research
manuscripts
meta-analyses
cohort
investigations
that
assessed
relationships
one
more
molecular-level
measures
either
status
symptoms.
Eighteen
1,042
records
identified
included.
Studies
primarily
military
veterans/personnel,
individuals
admitted
hospitals
after
acute
traumatic
injury,
women
exposed
interpersonal
violence
rape.
Genomic,
inflammation
endocrine
most
commonly
molecular
markers
highlighted
processes
related
inflammation,
responding,
learning
memory.
Quality
assessments
done
Systematic
Appraisal
Observational
Research,
majority
rated
as
being
high
quality,
remainder
moderate
quality.
predominantly
conducted
upper-income
countries.
Those
performed
low-
middle-income
countries
not
broadly
representative
terms
demographic,
type
geographic
profiles,
three
out
four
assessing
only
female
participants,
rape
South
Africa,
respectively.
They
also
did
generate
multimodal
data
use
machine
multilevel
modelling,
potentially
reflecting
greater
resource
limitations
LMICs.
Research
contributions
does
adequately
reflect
global
burden
disorder.
Trauma
exposure
is
prevalent
globally
and
a
defining
event
for
the
development
of
posttraumatic
stress
disorder
(PTSD),
characterised
by
intrusive
thoughts,
avoidance
behaviours,
hypervigilance
negative
alterations
in
cognition
mood.
Exposure
to
trauma
elicits
range
physiological
responses
which
can
interact
with
environmental
factors
confer
relative
risk
or
resilience
PTSD.
This
systematic
review
summarises
findings
longitudinal
studies
examining
biological
correlates
predictive
PTSD
symptomology.
Databases
(Pubmed,
Scopus
Web
Science)
were
systematically
searched
using
relevant
keywords
published
between
1
January
2021
31
December
2022.
English
language
included
if
they
original
research
manuscripts
meta-analyses
cohort
investigations
that
assessed
relationships
one
more
molecular-level
measures
either
status
symptoms.
Eighteen
1,042
records
identified
included.
Studies
primarily
military
veterans/personnel,
individuals
admitted
hospitals
after
acute
traumatic
injury,
women
exposed
interpersonal
violence
rape.
Genomic,
inflammation
endocrine
most
commonly
molecular
markers
highlighted
processes
related
inflammation,
responding,
learning
memory.
Quality
assessments
done
Systematic
Appraisal
Observational
Research,
majority
rated
as
being
high
quality,
remainder
moderate
quality.
predominantly
conducted
upper-income
countries.
Those
performed
low-
middle-income
countries
not
broadly
representative
terms
demographic,
type
geographic
profiles,
three
out
four
assessing
only
female
participants,
rape
South
Africa,
respectively.
They
also
did
generate
multimodal
data
use
machine
multilevel
modelling,
potentially
reflecting
greater
resource
limitations
LMICs.
Research
contributions
does
adequately
reflect
global
burden
disorder.
Trauma
exposure
is
prevalent
globally
and
a
defining
event
for
the
development
of
posttraumatic
stress
disorder
(PTSD),
characterised
by
intrusive
thoughts,
avoidance
behaviours,
hypervigilance
negative
alterations
in
cognition
mood.
Exposure
to
trauma
elicits
range
physiological
responses
which
can
interact
with
environmental
factors
confer
relative
risk
or
resilience
PTSD.
This
systematic
review
summarises
findings
longitudinal
studies
examining
biological
correlates
predictive
PTSD
symptomology.
Databases
(Pubmed,
Scopus
Web
Science)
were
systematically
searched
using
relevant
keywords
published
between
1
January
2021
31
December
2022.
English
language
included
if
they
original
research
manuscripts
meta-analyses
cohort
investigations
that
assessed
relationships
one
more
molecular-level
measures
either
status
symptoms.
Eighteen
1,042
records
identified
included.
Studies
primarily
military
veterans/personnel,
individuals
admitted
hospitals
after
acute
traumatic
injury,
women
exposed
interpersonal
violence
rape.
Genomic,
inflammation
endocrine
most
commonly
molecular
markers
highlighted
processes
related
inflammation,
responding,
learning
memory.
Quality
assessments
done
Systematic
Appraisal
Observational
Research,
majority
rated
as
being
high
quality,
remainder
moderate
quality.
predominantly
conducted
upper-income
countries.
Those
performed
low-
middle-income
countries
not
broadly
representative
terms
demographic,
type
geographic
profiles,
three
out
four
assessing
only
female
participants,
rape
South
Africa,
respectively.
They
also
did
generate
multimodal
data
use
machine
multilevel
modelling,
potentially
reflecting
greater
resource
limitations
LMICs.
Research
contributions
does
adequately
reflect
global
burden
disorder.
Trauma
exposure
is
prevalent
globally
and
a
defining
event
for
the
development
of
posttraumatic
stress
disorder
(PTSD),
characterised
by
intrusive
thoughts,
avoidance
behaviours,
hypervigilance
negative
alterations
in
cognition
mood.
Exposure
to
trauma
elicits
range
physiological
responses
which
can
interact
with
environmental
factors
confer
relative
risk
or
resilience
PTSD.
This
systematic
review
summarises
findings
longitudinal
studies
examining
biological
correlates
predictive
PTSD
symptomology.
Databases
(Pubmed,
Scopus
Web
Science)
were
systematically
searched
using
relevant
keywords
published
between
1
January
2021
31
December
2022.
English
language
included
if
they
original
research
manuscripts
meta-analyses
cohort
investigations
that
assessed
relationships
one
more
molecular-level
measures
either
status
symptoms.
Eighteen
1,042
records
identified
included.
Studies
primarily
military
veterans/personnel,
individuals
admitted
hospitals
after
acute
traumatic
injury,
women
exposed
interpersonal
violence
rape.
Genomic,
inflammation
endocrine
most
commonly
molecular
markers
highlighted
processes
related
inflammation,
responding,
learning
memory.
Quality
assessments
done
Systematic
Appraisal
Observational
Research,
majority
rated
as
being
high
quality,
remainder
moderate
quality.
predominantly
conducted
upper-income
countries.
Those
performed
low-
middle-income
countries
not
broadly
representative
terms
demographic,
type
geographic
profiles,
three
out
four
assessing
only
female
participants,
rape
South
Africa,
respectively.
They
also
did
generate
multimodal
data
use
machine
multilevel
modelling,
potentially
reflecting
greater
resource
limitations
LMICs.
Research
contributions
does
adequately
reflect
global
burden
disorder.