Traumatic Life Experiences Research Articles

Pain after a motor vehicle crash: The role of socio-demographics, crash characteristics and peri-traumatic stress symptoms.

The vast majority of individuals who come to the emergency department (ED) for care after a motor vehicle collision (MVC) are diagnosed with musculoskeletal strain only and are discharged to home. A significant subset of this population will still develop persistent pain and posttraumatic psychological sequelae may play an important role in pain persistence. We conducted a multisite longitudinal cohort study of adverse post-traumatic neuropsychiatric sequelae among patients seeking ED treatment in the aftermath of a traumatic life experience. We report on a sub-group of patients (n=666) presenting after an MVC, the most common type of trauma and we examine associations of socio-demographic and MVC characteristics, and persistent pain 8weeks after MVC. We also examine the degree to which these associations are related to peritraumatic psychological symptoms and 2-week acute stress reactions using an applied approach. Eight-week prevalence of persistent moderate or severe pain was high (67.4%) and positively associated with patient sex (female), older age, low socioeconomic status (education and income) and pain severity in the ED. Peritraumatic stress symptoms (distress and dissociation) appear to exert some influence on both acute pain and the transition from acute to persistent pain. The early aftermath of an MVC may be an important time period for intervening to prevent and reduce persistent pain. Substantial variation in mediating pathways across predictors also suggests potential diverse and complex underlying biological and psychological pathogenic processes are at work in the early weeks following trauma. The first several days after trauma may dictate recovery trajectories. Persistent pain, pain lasting beyond the expected time of recovery, is associated with pain early in the recovery period, but also mediated through other pathways. Future work is needed to understand the complex neurobiological processes in involved in the development of persistent and acute post-traumatic pain.

Stress and Cardiometabolic Disease Risk for Indigenous Populations throughout the Lifespan.

Background: Indigenous people experience the greatest cardiometabolic disease disparity in the Unites States, yet high cardiometabolic disease risk factors do not fully explain the extent of the cardiometabolic disease disparity for Indigenous people. Stress, trauma, and racism occur at high rates within Indigenous communities and have not been well explored as significant contributors to cardiometabolic disease disparities despite emerging literature, and therefore will be described here. Methods: This descriptive study explores the relationship between cardiometabolic disease risks and Indigenous-specific stressors (e.g., early childhood stress and trauma, adulthood stress and trauma, and historical and intergenerational trauma) using current literature. Indigenous-specific protective factors against cardiometabolic disease are also reviewed. Results. Increasing research indicates that there is a relationship between Indigenous-specific stressful and traumatic life experiences and increased cardiometabolic disease risk. Mental health and psychophysiology play an important role in this relationship. Effective interventions to reduce cardiometabolic disease risk in Indigenous communities focus on ameliorating the negative effects of these stressors through the use of culturally specific health behaviors and activities. Conclusions: There is increasing evidence that cultural connection and enculturation are protective factors for cardiometabolic disease, and may be galvanized through Indigenous-led training, research, and policy change.

When Healthcare Isn't Enough: A Christian Response to Social Determinants of Health.

Education, employment, housing, neighborhood safety, and traumatic life experiences influence people's health, and poor health as a result of inequities in these areas cannot be remedied by medical care alone. Although social determinants of health threaten the attainment of a healthy life for people across North America, nurses are positioned to be leaders in a movement toward health equity. Nurses can follow the example of Jesus in loving their neighbors as themselves by addressing the social needs of patients, championing health system change, educating their communities, and advocating for Health in All Policies.

Trauma and Adversity: Factors Impacting Vulnerability and Resilience Among Older Disaster Survivors

Most would agree that older adults represent a highly vulnerable group prior to, during and post disaster. Age-related vulnerabilities often lead into an increased risk for traumatic experiences and post-traumatic stress symptoms after a disaster. Trauma informed principles offer a possible way to reduce the vulnerability of older adults after a disaster. For example, utilizing the trauma informed question “what has happened to you” shifts the focus from a deficit approach and allows for a deeper understanding of the impact of traumatic life experiences on current functioning and reaction to the disaster. It is this understanding of trauma’s impact that may have a role in how older adult disaster survivors view, respond, and recover after a natural disaster (Seery et.al. 2010; Iacoviello & Charney, 2014). In addition, understanding the role of lifetime adversity provides critical insights for disaster planning, reducing vulnerability and promoting resilience among older disaster survivors.

Dynamique psychique des patients obèses sévères en demande de chirurgie bariatrique : approche clinique interculturelle

IntroductionThe authors are interested in the problematic of severe obesity, particularly in the underlying psychic function of patients who seek bariatric surgery. They propose an intercultural comparison between France and Turkey by questioning the implication of culture in the psychogenesis of this chronic disease. MethodologyThey represent the results of a first qualitative exploratory section, by the comparative analysis of two clinical cases which are representatives of each of the two countries. This analysis is based on clinical interviews, self-questionnaires and Rorschach Test. ResultsThis cultural comparison shows that two representative clinical cases have antecedents with difficult and traumatic life experiences, mostly based on infancy background. These incidents lead to difficulties of mentalization of affects as it is occurred during the clinical interviews, the self-questionnaires and the process of Rorschach Test. Therefore, the impossibility of this work of psychic transformation leads to Eating Disorders. ConclusionThese initial results call for further construction and validation of a cross-cultural model of severe obesity, allowing in the future to propose international recommendations for the psychological treatment of this chronic disease, especially during bariatric surgery.

The Relationship Between Mothers' Mental Health and Violence Against Their Children

Background: The negative life experiences and mental state of the mothers cause them to be inadequate to meet the needs of their children and to show negligent-abusive behavior towards their children. Objectives: The aim of this study was to investigate the relationship between mothers' mental health status and neglect/emotional-physical violence behavior towards their children. Methods: This was a cross-sectional quantitative study. The population of the study consists of women who had children aged 0-11 years who applied to a public hospital in Istanbul in the first quarter of 2016. In the study, Self-Reporting Questionnaire-SRQ was used to measure the mental health of mothers, and violence questionnaire was used to measure the violent behaviors of mothers towards their children. SPSS 20.0 program was used for statistical analysis. Results: It was found that almost half of the mothers had high psychological / psychiatric problems (above the threshold). It was found that the rates of high level of emotional violence, low and high level of physical violence against the children of mothers with a Self-Reporting Questionnaire-SRQ above the threshold were higher. In addition, a statistically significant difference was found between traumatic life experiences and mothers' neglect behavior towards the child and this difference was not found in the abuse types. Conclusions: In families with traumatic events, negligent behaviors of mothers towards their children are observed more frequently. In families with high traumatic life experiences, negligent behaviors of mothers towards their children are seen at a higher rate than families with low traumatic life experiences.

Long-term effects of treatment for chronic nightmares: is imagery rehearsal therapy robust in the COVID-19 pandemic?

Citation:Sierro C, Leslie W, Putois B. Long-term effects of treatment for chronic nightmares: is imagery rehearsal therapy robust in the COVID-19 pandemic? J Clin Sleep Med. 2020;16(11):1993.

Socio-demographic and trauma-related predictors of PTSD within 8 weeks of a motor vehicle collision in the AURORA study.

This is the initial report of results from the AURORA multisite longitudinal study of adverse post-traumatic neuropsychiatric sequelae (APNS) among participants seeking emergency department (ED) treatment in the aftermath of a traumatic life experience. We focus on n=666 participants presenting to EDs following a motor vehicle collision (MVC) and examine associations of participant socio-demographic and participant-reported MVC characteristics with 8-week posttraumatic stress disorder (PTSD) adjusting for pre-MVC PTSD and mediated by peritraumatic symptoms and 2-week acute stress disorder (ASD). Peritraumatic Symptoms, ASD, and PTSD were assessed with self-report scales. Eight-week PTSD prevalence was relatively high (42.0%) and positively associated with participant sex (female), low socioeconomic status (education and income), and several self-report indicators of MVC severity. Most of these associations were entirely mediated by peritraumatic symptoms and, to a lesser degree, ASD, suggesting that the first 2 weeks after trauma may be a uniquely important time period for intervening to prevent and reduce risk of PTSD. This observation, coupled with substantial variation in the relative strength of mediating pathways across predictors, raises the possibility of diverse and potentially complex underlying biological and psychological processes that remain to be elucidated with more in-depth analyses of the rich and evolving AURORA data.

Systematic Review of School-Wide Trauma-Informed Approaches.

Extensive research on traumatic life experiences reveals how healthy development can be derailed and brain architecture altered by excessive or prolonged activation of the body's stress response, impacting health, mental health, learning, behavior and relationships. Schools offer a unique environment to prevent and counter the impacts of childhood trauma. This study aimed to investigate empirical evidence for school-wide trauma-informed approaches that met at least two of the three essential elements of trauma-informed systems defined by SAMSHA (2014). SAMHSA's concept of trauma and guidance for a trauma-informed approach. HHS Publication No. (SMA) 14-4884. Rockville: Substance Abuse and Mental Health Services Administration. https://store.samhsa.gov/shin/content/SMA14-4884.pdf) and consider commonalities in approaches, drivers of change, challenges and learnings related to implementation, sustainability and outcomes for students. A systematic review searching foremost databases was conducted for evidence of trauma-informed school-wide approaches used between 2008 and 2019. Four papers were identified, incorporating four school-wide approaches, The Healthy Environments and Response to Trauma in Schools (HEARTS) Model; The Heart of Teaching and Learning (HTL): Compassion, Resiliency, and Academic Success Model; The New Haven Trauma Coalition (NHTC) and The Trust-Based Relational Intervention. Although heterogeneous, the models shared core elements of trauma-informed staff training, organization-level changes and practice change, with most models utilizing student trauma-screening. Generalizability of the findings was low given the small number of studies, the mix of mainstream and specialist schools and high risk of bias. Given the limitations of research in this emergent but rapidly accelerating field, future research is urgently required to understand the interaction between core elements of a trauma-informed approach, teaching pedagogy and organizational factors that support the embedding, use and transferability of school-wide approaches.

Examining the Influence of Early-Life and Recent Traumatic Events on Loneliness in Centenarians.

Early-life traumatic experiences have lasting implications for late-life socio-emotional development, contributing to a greater prevalence of poor mental health in very old age. The purpose of this study was to examine the influence of early-life and recent traumatic life experiences on loneliness among centenarians. A total of 154 centenarians participated in a semistructured interview. The time of traumatic occurrence and type of trauma experienced influence loneliness in centenarians. Experiencing a natural disaster 70 or more years ago significantly predicted loneliness. Terror management theory proposes that coming to terms with one's mortality represents an underlying source of anxiety that can influence human behavior to create both immediate and future defenses. Evidence from this study can be used to improve how aging service practitioners integrate reminiscence or life-review therapy or counseling within clinical or educational settings.

Targeting dissociation using cognitive behavioural therapy in voice hearers with psychosis and a history of interpersonal trauma: A case series.

Previous studies have suggested that dissociation might represent an important mechanism in the maintenance of auditory verbal hallucinations (i.e., voices) in people who have a history of traumatic life experiences. This study investigated whether a cognitive behavioural therapy (CBT) intervention for psychosis augmented with techniques specifically targeting dissociative symptoms could improve both dissociation and auditory hallucination severity in a sample of voice hearers with psychosis and a history of interpersonal trauma (e.g., exposure to sexual, physical, and/or emotional abuse). Case series. A total of 19 service users with psychosis were offered up to 24 therapy sessions over a 6-month intervention window. Participants were assessed four times over a 12-month period using measures of dissociation, psychotic symptoms severity, and additional secondary mental-health and recovery measures. Sixteen participants engaged in the intervention and were included in last-observation-carried-forward analyses. Dropout rates were in line with those of other CBT for psychosis trials (26.3%). Repeated measures ANOVAs revealed large and significant improvements in dissociation (drm =1.23) and hallucination severity (drm =1.09) by the end of treatment; treatment gains were maintained 6months following the end of therapy. Large and statistically significant gains were also observed on measures of post-traumatic symptoms, delusion severity, emotional distress, and perceived recovery from psychosis. The findings of this case series suggest that the reduction of dissociation represents a valuable and acceptable treatment target for clients with auditory verbal hallucinations and a trauma history. Future clinical trials might benefit from considering targeting dissociative experiences as part of psychological interventions for distressing voices. Practitioners should consider the role of dissociation when assessing and formulating the difficulties of voice hearers with a history of trauma. Techniques to reduce dissociation can be feasibly integrated within psychological interventions for voices. Voice hearers with histories of trauma can benefit from psychological interventions aimed at reducing dissociation.

"I Went into This as One Person, and Then Came Out a Totally Different Person": Native LGBTQ2S+ Young Adults' Conceptions of Trauma.

Intersecting sources of stigma influence harmful mental health outcomes for lesbian, gay, bisexual, transgender, queer, and Two-Spirit (LGBTQ2S+) young adults (YA) of color as they must manage multiple oppressions. Experiencing both mental health challenges and victimization, LGBTQ2S+ YA of color struggle with distinctive psychological traumas. There is a critical need to determine how certain groups of LGBTQ2S+ YA of color's marginalized social statuses shape trauma understandings. Native LGBTQ2S+ people in general endure diverse forms of oppression and trauma, such as histories of colonialism, contemporary racism, sexism, homophobia, and classism. Understanding the subjective interpretations of violence and trauma among Native LGBTQ2S+ YA is needed to best meet their mental health needs. Through in-depth interviews with 13 Native LGBTQ2S+ YA between 18 and 24 years old, this study delineates processes of how an underrepresented, underserved group of rurally embedded YA conceptualize violent and traumatic life experiences within the context of their mental health. First, participants described their traumatic experiences as shaping persistent harmful mental health outcomes throughout their lives. Second, YA conceptualized trauma as pivotal moments that were profound and influential in their significance as a turning point in their lives. Finally, YA underscored multiple traumas as cumulative and complex in how they interacted to create distinctively harmful mental health challenges. Expansive conceptualizations of trauma can better inform understandings of trauma etiology and promote inclusive health services.

A traumatic life experience in childhood increases the risk of a psychiatric disorder in the offspring

A traumatic life experience in childhood is a fundamental risk factor of numerous psychiatric disorders. Recently, studies try to evaluate the mental health consequences on victims’ offspring, but few psychiatric disorders were examined, and whether these results apply to the general population remains unknown.In this study, we use the National Epidemiologic Survey on Alcohol and Related Conditions, a large representative sample of American population, in order to estimate the impact on the offspring of a traumatic experience in parents. Besides, we use a well-known risk factor for offspring's psychiatric disorder: a familial history of a psychiatric disorder, in order to compare and assess the importance of parental traumatism as a risk factor for the offspring.Our results show that the five psychiatric disorders studied, alcohol use disorder, substance use disorder, mood disorder, antisocial personality disorder and anxiety disorder, are more prevalent in the offspring, when at least one parent report a traumatic life event in his own childhood. Moreover, the magnitude of this risk factor is close to the magnitude of having a parental history of psychiatric disorder.

Traumatic life experiences and religiosity in eight countries

We present two datasets from a project about the relationship between traumatic life experiences and religiosity. These include data from 1,754 individuals in the United States (n = 322), Brazil (n = 205), China (n = 202), India (n = 205), Indonesia (n = 205), Russia (n = 205), Thailand (n = 205), and Turkey (n = 205). Surveys were consistent across samples: they include measures of traumatic life experiences, negative affective traits, existential security, life satisfaction, death anxiety, and various religious beliefs, attitudes, and behaviours. Psychometric evaluations of measures of supernatural belief and death anxiety were conducted.

Women's greater late-life depression: Traumatic experiences or GxE?

This study examined the role of traumatic life experiences, and their interaction with genetic risk, in explaining gender differences in late life depression. Data were from the 2008-through-2014 waves of the Health and Retirement Study, nationally representative of U.S. adults over age 50. Analysis was restricted to white participants. Newly available polygenic risk scores indexed genetic propensity for depression. Linear growth models examined gender effects on depression, as well as their mediation by environmental and genetic risk. Across-person results suggested greater depression among older white women than men. No disparities were found in within-person change. Women also did not have more traumatic life experiences. Nor did the few factors they reported more than men influence depression, or mediate the gender difference in this outcome. The sole exception was childhood parental physical abuse. This early experience mediated about a quarter of the gender disparity-but only at mean or high genetic vulnerability. In contrast, adulthood traumas common among women interacted negatively with polygenic risk-such that they mediated the gender effect only at low levels of the latter. Traumatic life experiences and their genetic interactions appear to have minimal utility in explaining women's greater depression-at least among white older adults. Careful work is needed on the extent to which these factors underlie other social disparities in mental health.

Traumatic Experiences and Collectivist Coping Styles of University Students in Turkey

Several taxonomies have been suggested to classsify coping styles, yet collectivist and individualist are the two fundamental types currently being adopted in research on coping styles. In this respect, the main purpose of this study was to examine the collectivist coping styles of university students who have traumatic life experiences. The sample of the study consisted of 508 (Female=333, Male=161, Unspecified=14) undergraduate students in Turkey. The findings of the study revealed that the most frequently experienced traumatic life events were “death/illness of a loved one”, “breakup with significant others”, “unwanted sexual activity/coercion/sexual assault” and “academic pressure/suspension of school”, respectively. One striking finding of the study was that 65.6% of the participants experienced only one traumatic event, 16.1% had two incidents, 10.6% had three and 7.7% had four or more traumatic events. Another noteworthy finding of the the study revealed that “Family Support” and “Religion and Spirituality” styles were referred with the lowest frequency in traumatic events of sexual content; however, these two styles were highly preferred and effective in traumatic events such as natural disaster, death of a loved one, and personal illness. It was further found that women experienced significantly more traumatic events involving sexual and physical violence, whereas men experienced major accident, natural disaster, or witness to an injury of another person or physical violence. It was found that women who had traumatic experience used “Religion and Spirituality” dimension significantly more than men. The results revealed that collectivist coping styles are widely used among Turkish university students and that the preferred coping style differs depending on gender and the traumatic situation.

The Significance of Time, Place and Traumatic Experience on at-Risk Youths\u2019 View of their Well-Being: A Preliminary Study

This preliminary study explores the perspectives of at-risk youths from different cultural backgrounds on their well-being. We propose that youths’ “well-being awareness” – i.e. what sources of well-being adolescents spontaneously become aware of when they are asked about – is strongly related to their socio-cultural context, their life experiences, and the time when they reflect about it. This study focused on the meaning of well-being sources, which were constructed by youths from different cultural backgrounds who faced different traumatic life experiences. We developed and applied a theoretical framework to understand youths’ well-being awareness. Focus group discussions were analyzed of 48 male youths aged 12–18 years. They either faced the Indian Ocean Tsunami in 2004 (11 boys from South India), or severe intra-familial conflicts (17 European boys), or were unaccompanied minor refugees (20 boys of Asian and African origin). Youths were asked what makes them happy and sad and about their coping strategies, only followed by questions for clarification. First, the data were analyzed inductively based on grounded theory. Second, the gained well-being descriptions were deductively allocated to the most basic elements of human well-being according to White (2008): material, subjective and relational dimension. Through this allocation process the influence of the socio-cultural context (place), life-experience, and time on the meaning of well-being of each youth group became clear. Well-being should be viewed as a process: on the one hand youths conceptions of well-being are deeply rooted in their culture of origin, on the other hand the importance of well-being and its indicators change depending on youths’ traumatic experience and the time of asking about it.

Traumatic childhood events of parents enrolled in the Avon Longitudinal Study of Parents and Children (ALSPAC).

Background: Early life experiences can have a significant impact on an individual's later behaviour, the way they view the world, their beliefs and their success at forming strong interpersonal relationships. These factors may subsequently influence the way that the individual may parent their children, which in turn may have an effect on their child's behaviour, mental health and world view. Research has linked early traumatic life experiences in the parent's childhood to disorganised attachment to their own child. In this paper we describe the data collected from parents enrolled in the Avon Longitudinal Study of Parents and Children (ALSPAC) on traumatic events experienced during their childhood, so that it can act as a resource for researchers in the future when considering outcomes on the adult, their children and grandchildren. Methods: Data were collected via multiple questionnaires completed by parents enrolled into the ALSPAC study. During pregnancy and post-delivery, questionnaires were administered between 1990 and 1992 via post to the study mothers and their partners. Data were collected on life events including bereavement, sexual abuse, physical abuse, abandonment, neglect, memories of childhood and accidents. Other reports of traumatic events in childhood were reported by parents using free text. This can be made available to researchers for coding on request.

Factor structure and psychometric properties of the brief Connor–Davidson Resilience Scale for adults on the autism spectrum

Adults on the autism spectrum experience high rates of anxiety and depression, and may be particularly vulnerable to difficult and traumatic life experiences, which may contribute to the development and maintenance of these conditions. Resilience is an increasingly popular concept in research, which describes the ability to 'bounce back' following difficult emotional experiences, and the flexibility to adapt to stressful and demanding situations. The Connor-Davidson Resilience Scale has been used predominantly in studies involving non-autistic adults to measure resilience. While resilience is a potentially important concept for autistic adults, the suitability of the 10-item version of the Connor-Davidson Resilience Scale for use with adults on the spectrum has not yet been studied. In this short report, we investigate whether the Connor-Davidson Resilience Scale 10 is a valid measure to use with this population, and its relationship with other measures of mental well- or ill-being. Participants were 95 autistic adults with a mean age of 44 (63% female) who completed measures of resilience, autism symptoms, depression, anxiety and mental wellbeing. Overall, the findings indicate that the Connor-Davidson Resilience Scale 10 may be reliably used with autistic adults to measure trait resilience, which is associated with positive wellbeing and may serve as a protective factor from negative mental wellbeing. Future studies may use the Connor-Davidson Resilience Scale 10 to investigate resilience as a protective factor from negative mental health outcomes in response to traumatic and adverse emotional events for which autistic individuals may be particularly susceptible.

Child and Adolescent Pornography Exposure.

Child and Adolescent Pornography Exposure.