European Journal of Psychotraumatology 

About: European Journal of Psychotraumatology is an academic journal. The journal publishes majorly in the area(s): Poison control & Mental health. It has an ISSN identifier of 2000-8066. It is also open access. Over the lifetime, 1155 publications have been published receiving 20737 citations.

Resilience definitions, theory, and challenges: interdisciplinary perspectives

Abstract: In this paper, inspired by the plenary panel at the 2013 meeting of the International Society for Traumatic Stress Studies, Dr. Steven Southwick (chair) and multidisciplinary panelists Drs. George Bonanno, Ann Masten, Catherine Panter-Brick, and Rachel Yehuda tackle some of the most pressing current questions in the field of resilience research including: (1) how do we define resilience, (2) what are the most important determinants of resilience, (3) how are new technologies informing the science of resilience, and (4) what are the most effective ways to enhance resilience? These multidisciplinary experts provide insight into these difficult questions, and although each of the panelists had a slightly different definition of resilience, most of the proposed definitions included a concept of healthy, adaptive, or integrated positive functioning over the passage of time in the aftermath of adversity. The panelists agreed that resilience is a complex construct and it may be defined differently in the context of individuals, families, organizations, societies, and cultures. With regard to the determinants of resilience, there was a consensus that the empirical study of this construct needs to be approached from a multiple level of analysis perspective that includes genetic, epigenetic, developmental, demographic, cultural, economic, and social variables. The empirical study of determinates of resilience will inform efforts made at fostering resilience, with the recognition that resilience may be enhanced on numerous levels (e.g., individual, family, community, culture). Keywords: Resilience; stress; trauma; post-traumatic stress disorder Responsible Editors: Ananda Amstadter, Virginia Institute for Psychiatric and Behavioral Genetics, VA, USA; Nicole Nugent, Warren Alpert Medical School of Brown University, RI, USA. This paper is part of the Special Issue: Resilience and Trauma . More papers from this issue can be found at http://www.eurojnlofpsychotraumatol.net (Published: 1 October 2014) Citation: European Journal of Psychotraumatology 2014, 5 : 25338 - http://dx.doi.org/10.3402/ejpt.v5.25338

Trauma and PTSD in the WHO World Mental Health Surveys

Abstract: Background: Although post-traumatic stress disorder (PTSD) onset-persistence is thought to vary significantly by trauma type, most epidemiological surveys are incapable of assessing this because they evaluate lifetime PTSD only for traumas nominated by respondents as their 'worst.' Objective: To review research on associations of trauma type with PTSD in the WHO World Mental Health (WMH) surveys, a series of epidemiological surveys that obtained representative data on trauma-specific PTSD. Method: WMH Surveys in 24 countries (n = 68,894) assessed 29 lifetime traumas and evaluated PTSD twice for each respondent: once for the 'worst' lifetime trauma and separately for a randomly-selected trauma with weighting to adjust for individual differences in trauma exposures. PTSD onset-persistence was evaluated with the WHO Composite International Diagnostic Interview. Results: In total, 70.4% of respondents experienced lifetime traumas, with exposure averaging 3.2 traumas per capita. Substantial between-trauma differences were found in PTSD onset but less in persistence. Traumas involving interpersonal violence had highest risk. Burden of PTSD, determined by multiplying trauma prevalence by trauma-specific PTSD risk and persistence, was 77.7 person-years/100 respondents. The trauma types with highest proportions of this burden were rape (13.1%), other sexual assault (15.1%), being stalked (9.8%), and unexpected death of a loved one (11.6%). The first three of these four represent relatively uncommon traumas with high PTSD risk and the last a very common trauma with low PTSD risk. The broad category of intimate partner sexual violence accounted for nearly 42.7% of all person-years with PTSD. Prior trauma history predicted both future trauma exposure and future PTSD risk. Conclusions: Trauma exposure is common throughout the world, unequally distributed, and differential across trauma types with respect to PTSD risk. Although a substantial minority of PTSD cases remits within months after onset, mean symptom duration is considerably longer than previously recognized.

Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis

Abstract: Background: The WHO International Classification of Diseases, 11th version (ICD-11), has proposed two related diagnoses, posttraumatic stress disorder (PTSD) and complex PTSD within the spectrum of trauma and stress-related disorders. Objective: To use latent profile analysis (LPA) to determine whether there are classes of individuals that are distinguishable according to the PTSD and complex PTSD symptom profiles and to identify potential differences in the type of stressor and severity of impairment associated with each profile. Method: An LPA and related analyses were conducted on 302 individuals who had sought treatment for interpersonal traumas ranging from chronic trauma (e.g., childhood abuse) to single-incident events (e.g., exposure to 9/11 attacks). Results: The LPA revealed three classes of individuals: (1) a complex PTSD class defined by elevated PTSD symptoms as well as disturbances in three domains of self-organization: affective dysregulation, negative selfconcept, and interpersonal problems; (2) a PTSD class defined by elevated PTSD symptoms but low scores on the three self-organization symptom domains; and (3) a low symptom class defined by low scores on all symptoms and problems. Chronic trauma was more strongly predictive of complex PTSD than PTSD and, conversely, single-event trauma was more strongly predictive of PTSD. In addition, complex PTSD was associated with greater impairment than PTSD. The LPA analysis was completed both with and without individuals with borderline personality disorder (BPD) yielding identical results, suggesting the stability of these classes regardless of BPD comorbidity. Conclusion: Preliminary data support the proposed ICD-11 distinction between PTSD and complex PTSD and support the value of testing the clinical utility of this distinction in field trials. Replication of results is necessary. Keywords: Complex PTSD; posttraumatic stress disorder; WHO; ICD-11 (Published: 15 May 2013) For the abstract or full text in other languages, please see Supplementary files in the column to the right (under Article Tools). Citation: European Journal of Psychotraumatology 2013, 4 : 20706 - http://dx.doi.org/10.3402/ejpt.v4i0.20706

Trauma histories among justice-involved youth: findings from the National Child Traumatic Stress Network

Abstract: Background: Up to 90% of justice-involved youth report exposure to some type of traumatic event. On average, 70% of youth meet criteria for a mental health disorder with approximately 30% of youth meeting criteria for post-traumatic stress disorder (PTSD). Justice-involved youth are also at risk for substance use and academic problems, and child welfare involvement. Yet, less is known about the details of their trauma histories, and associations among trauma details, mental health problems, and associated risk factors. Objective: This study describes detailed trauma histories, mental health problems, and associated risk factors (i.e., academic problems, substance/alcohol use, and concurrent child welfare involvement) among adolescents with recent involvement in the juvenile justice system. Method: The National Child Traumatic Stress Network Core Data Set (NCTSN-CDS) is used to address these aims, among which 658 adolescents report recent involvement in the juvenile justice system as indexed by being detained or under community supervision by the juvenile court. Results: Age of onset of trauma exposure was within the first 5 years of life for 62% of youth and approximately one-third of youth report exposure to multiple or co-occurring trauma types each year into adolescence. Mental health problems are prevalent with 23.6% of youth meeting criteria for PTSD, 66.1% in the clinical range for externalizing problems, and 45.5% in the clinical range for internalizing problems. Early age of onset of trauma exposure was differentially associated with mental health problems and related risk factors among males and females. Conclusions: The results indicate that justice-involved youth report high rates of trauma exposure and that this trauma typically begins early in life, is often in multiple contexts, and persists over time. Findings provide support for establishing trauma-informed juvenile justice systems that can respond to the needs of traumatized youth.

Adult experience of mental health outcomes as a result of intimate partner violence victimisation: a systematic review

Abstract: Background : Intimate partner violence (IPV) has been known to adversely affect the mental health of victims Research has tended to focus on the mental health impact of physical violence rather than considering other forms of violence Objective : To systematically review the literature in order to identify the impact of all types of IPV victimisation on various mental health outcomes Method : A systematic review of 11 electronic databases (2004–2014) was conducted Fifty eight papers were identified and later described and reviewed in relation to the main objective Results : Main findings suggest that IPV can have increasing adverse effects on the mental health of victims in comparison with those who have never experienced IPV or those experiencing other traumatic events The most significant outcomes were associations between IPV experiences with depression, posttraumatic stress disorder, and anxiety Findings confirm previous observations that the severity and extent of IPV exposure can increase mental health symptoms The effect of psychological violence on mental health is more prominent than originally thought Individual differences such as gender and childhood experience of violence also increase IPV risk and affect mental health outcomes in diverse ways Conclusions : Psychological violence should be considered as a more serious form of IPV which can affect the mental health of victims Experiencing more than one form of IPV can increase severity of outcomes Researchers should look at IPV as a multi-dimensional experience A uniformed definition and measure of IPV could help advance knowledge and understanding of this disparaging global issue Keywords: Intimate partner violence; domestic violence; PTSD; depression; gender; mental health Responsible Editor: Sheila Sprague, McMaster University, Canada This paper is part of the Special Issue: Intimate partner violence and mental health More papers from this issue can be found at http://wwweurojnlofpsychotraumatolnet (Published: 12 September 2014) Citation: European Journal of Psychotraumatology 2014, 5 : 24794 - http://dxdoiorg/103402/ejptv524794