Race and Ethnicity

2018 ◽  
Author(s):  
Nnamdi Pole
Keyword(s):  
Native American ◽  
Asian American ◽  
Race And Ethnicity ◽  
Trauma Survivors ◽  
Post Traumatic Stress ◽  
Southeast Asians ◽  
Culturally Adapted ◽  
Group Members ◽  
Latino American ◽  
Post Traumatic

Empirical evidence shows consistent elevations in post-traumatic stress disorder (PTSD) prevalence for Black and Native American (and, to some extent, Latino American) trauma survivors in comparison to their White and Asian American counterparts. Certain subgroups within these larger groups (e.g., Caribbean Blacks and Latinos, Southeast Asians, sexual minorities) appear to show greater risk than the rest of their group members. Ethnoracial disparities in PTSD appear to be partially accounted for by disparities in trauma exposure, racial discrimination, coping style, and cultural expressive style. Ethnoracial minorities also show lower utilization of professional PTSD treatment, even though most evidence suggests that these therapies can be equally effective for all ethnoracial groups. Culturally adapted PTSD therapies have been proposed that may encourage greater utilization of evidence-based trauma treatments and thereby reduce ethnoracial disparities in PTSD.

Treating post-traumatic stress disorder in the ‘real world’: evaluation of a specialist trauma service and adaptations to standard treatment approaches

2008 ◽  
Vol 32 (1) ◽  
pp. 8-12 ◽  
Author(s):  
Damon Lab ◽  
Ines Santos ◽  
Felicity de Zulueta
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Treatment ◽  
Self Report ◽  
Trauma Survivors ◽  
Post Traumatic Stress ◽  
Trauma Service ◽  
Social Difficulties ◽  
Post Traumatic

Aims and MethodTo evaluate the effectiveness of treatment at the Traumatic Stress Service (TSS) by comparing pre- and post-treatment scores on patient self-report measures. Through a questionnaire survey, to explore therapists' views of problems presenting in addition to post-traumatic stress disorder (PTSD) and how, as a result, they adapted their approach to trauma work.ResultsTherapists reported that their patients present with a range of complex problems, and self-report measures show that patients suffer particularly high levels of psychopathology. Therapists identified a number of adaptations to trauma-focused work to deal with these additional problems. Of the 112 patients who completed therapy, 43% filled in pre- and post-treatment questionnaire measures. Analysis showed clinically and statistically significant improvements in levels of PTSD, depression and social functioning.Clinical ImplicationsThe typical presentation of trauma survivors is often not ‘simple’ PTSD, but PTSD resulting from chronic and multiple traumas and complicated by additional psychological and social difficulties. Adaptations to trauma-focused work can successfully treat such ‘complex’ PTSD.

scholarly journals Are Mothers’ and Fathers’ Parenting Characteristics Associated With Emerging Adults’ Academic Engagement?

2016 ◽  
Vol 38 (9) ◽  
pp. 1239-1261 ◽  
Author(s):  
Emily A. Waterman ◽  
Eva S. Lefkowitz
Keyword(s):  
Native American ◽  
Relationship Quality ◽  
Emerging Adults ◽  
Asian American ◽  
Academic Engagement ◽  
Black African ◽  
Mothers And Fathers ◽  
Academic Attitudes ◽  
Latino American ◽  
Parenting Characteristics

Although parenting is clearly linked to academic engagement in adolescence, less is known about links between parenting and academic engagement in emerging adulthood. A diverse sample of college students ( N = 633; 53.1% female, 45.7% White/European American, 28.3% Asian American/Hawaiian/Pacific Islander, 26.4% Hispanic/Latino American, 21.6% Black/African American, and 2.8% Native American/American Indian) answered surveys about mothers’ and fathers’ parenting style, parent–offspring relationship quality, academic attitudes, academic behaviors, and academic performance. Emerging adults with more permissive mothers viewed grades as less important than emerging adults with less permissive mothers. Mothers’ authoritarian parenting, mothers’ permissive parenting, and relationship quality with father were differentially related to academic engagement depending on emerging adults’ gender. Both mothers’ and fathers’ parenting characteristics may affect the academic engagement of emerging adults via past parenting behaviors and current quality of the parent–offspring relationship, despite decreased physical proximity of emerging adults and their parents.

scholarly journals Neuroanatomical Risk Factors for Post-Traumatic Stress Disorder (PTSD) in Recent Trauma Survivors

2020 ◽  
Vol 87 (9) ◽  
pp. S422
Author(s):  
Ziv Ben-Zion ◽  
Moran Artzi ◽  
Dana Niry ◽  
Nimrod Jakob Kenyan ◽  
Yoav Zeevi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Trauma Survivors ◽  
Post Traumatic Stress ◽  
Post Traumatic

A nationwide US study of post-traumatic stress after hospitalization for physical injury

2007 ◽  
Vol 37 (10) ◽  
pp. 1469-1480 ◽  
Author(s):  
DOUGLAS F. ZATZICK ◽  
FREDERICK P. RIVARA ◽  
AVERY B. NATHENS ◽  
GREGORY J. JURKOVICH ◽  
JIN WANG ◽  
...  
Keyword(s):  
Acute Care ◽  
Traumatic Stress ◽  
Private Insurance ◽  
Trauma Survivors ◽  
Care Hospital ◽  
Post Traumatic Stress ◽  
Ptsd Diagnosis ◽  
Increased Risk ◽  
The Usa ◽  
Post Traumatic

ABSTRACTBackgroundInjured survivors of individual and mass trauma are at risk for developing post-traumatic stress disorder (PTSD). Few investigations have assessed PTSD after injury in large samples across diverse acute care hospital settings.MethodA total of 2931 injured trauma survivors aged 18–84 who were representative of 9983 in-patients were recruited from 69 hospitals across the USA. In-patient medical records were abstracted, and hospitalized patients were interviewed at 3 and 12 months after injury. Symptoms consistent with a DSM-IV diagnosis of PTSD were assessed with the PTSD Checklist (PCL) 12 months after injury.ResultsApproximately 23% of injury survivors had symptoms consistent with a diagnosis of PTSD 12 months after their hospitalization. Greater levels of early post-injury emotional distress and physical pain were associated with an increased risk of symptoms consistent with a PTSD diagnosis. Pre-injury, intensive care unit (ICU) admission [relative risk (RR) 1·17, 95% confidence interval (CI) 1·02–1·34], pre-injury depression (RR 1·33, 95% CI 1·15–1·54), benzodiazepine prescription (RR 1·46, 95% CI 1·17–1·84) and intentional injury (RR 1·32, 95% CI 1·04–1·67) were independently associated with an increased risk of symptoms consistent with a PTSD diagnosis. White injury survivors without insurance demonstrated approximately twice the rate of symptoms consistent with a diagnosis of PTSD when compared to white individuals with private insurance. By contrast, for Hispanic injury survivors PTSD rates were approximately equal between uninsured and privately insured individuals.ConclusionsNationwide in the USA, more than 20% of injured trauma survivors have symptoms consistent with a diagnosis of PTSD 12 months after acute care in-patient hospitalization. Coordinated investigative and policy efforts could target mandates for high-quality PTSD screening and intervention in acute care medical settings.

scholarly journals Perceptual processing advantages for trauma-related visual cues in post-traumatic stress disorder

2011 ◽  
Vol 42 (1) ◽  
pp. 173-181 ◽  
Author(s):  
B. Kleim ◽  
T. Ehring ◽  
A. Ehlers
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Visual Cues ◽  
Stress Disorder ◽  
Acute Stress ◽  
Perceptual Processing ◽  
Trauma Survivors ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Post Traumatic

BackgroundIntrusive re-experiencing in post-traumatic stress disorder (PTSD) comprises distressing sensory impressions from the trauma that seem to occur ‘out of the blue’. A key question is how intrusions are triggered. One possibility is that PTSD is characterized by a processing advantage for stimuli that resemble those that accompanied the trauma, which would lead to increased detection of such cues in the environment.MethodWe used a blurred picture identification task in a cross-sectional (n=99) and a prospective study (n=221) of trauma survivors.ResultsParticipants with acute stress disorder (ASD) or PTSD, but not trauma survivors without these disorders, identified trauma-related pictures, but not general threat pictures, better than neutral pictures. There were no group differences in the rate of trauma-related answers to other picture categories. The relative processing advantage for trauma-related pictures correlated with re-experiencing and dissociation, and predicted PTSD at follow-up.ConclusionsA perceptual processing bias for trauma-related stimuli may contribute to the involuntary triggering of intrusive trauma memories in PTSD.

Trauma-Sensitive Yoga: Principles, Practice, and Research

2009 ◽  
Vol 19 (1) ◽  
pp. 123-128 ◽  
Author(s):  
David Emerson ◽  
Ritu Sharma ◽  
Serena Chaudhry ◽  
Jenn Turner
Keyword(s):  
Childhood Abuse ◽  
Trauma Center ◽  
Trauma Survivors ◽  
At Risk Youth ◽  
Post Traumatic Stress ◽  
Rape Survivors ◽  
Study Results ◽  
Abuse And Neglect ◽  
Post Traumatic ◽  
Chronic Childhood

Since 2003, the Trauma Center Yoga Program at the Justice Resource Institute in Brookline Massachusetts has been providing Yoga to a variety of trauma survivors, including war veterans, rape survivors, at-risk youth, and survivors of chronic childhood abuse and neglect. Pilot study results have demonstrated the benefits of Yoga for individuals suffering from post-traumatic stress disorder. The Trauma Center Yoga Program also trains Yoga instructors and clinicians in how to offer Yoga to trauma survivors. This paper describes best principles and practices of teaching Yoga to survivors of trauma.

Gender and Racial Issues for New Counseling Psychologists in Academia

1992 ◽  
Vol 20 (1) ◽  
pp. 123-140 ◽  
Author(s):  
Nadya A. Fouad ◽  
Robert T. Carter
Keyword(s):  
Native American ◽  
Ethnic Group ◽  
Asian American ◽  
Counseling Psychology ◽  
New Professionals ◽  
New Faculty ◽  
Racial Issues ◽  
Group Members ◽  
Racial Ethnic ◽  
Counseling Psychologists

Counseling psychology has begun to focus on the concerns of new professionals, but it has not addressed the concerns of women or visible racial/ethnic group members (i.e., Black, Hispanic, Native American, or Asian American) as new counseling psychologists in academia. This article addresses their unique concerns and makes recommendations for new faculty members as well as for the departments that hire them. The article focuses on issues (a) for new professors in counseling psychology, (b) shared by women and visible racial/ethnic group members, and (c) experienced differently by women and visible racial/ethnic group members.

scholarly journals A culturally adapted brief intervention for post-traumatic stress disorder in people with severe mental illness in Botswana: protocol for a randomised feasibility trial

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Keneilwe Molebatsi ◽  
Lauren C. Ng ◽  
Bonginkosi Chiliza
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Brief Intervention ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Traumatic Experiences ◽  
Post Traumatic Stress ◽  
Culturally Adapted ◽  
Post Traumatic

Abstract Background Research consistently reports elevated rates of exposure to traumatic events and post-traumatic stress disorder (PTSD) in people with severe mental illness (SMI). PTSD may be adequately managed with psychotherapy; however, there is a gap when it comes to management in culturally diverse settings like Botswana. This paper describes a study protocol whose aim is to culturally adapt the BREATHE intervention, a brief psychological intervention for people living with comorbid PTSD and SMI that was developed and tested in the USA; assess the feasibility and acceptability of the adapted BREATHE intervention and explore its efficacy. Methods The study will be conducted in three phases using a mixed methods approach. The first phase will identify and describe the most common traumatic experiences and responses to traumatic experiences, amongst patients with SMI, and patients’ and mental health care providers’ perceptions about suitable PTSD interventions for Botswana. The second phase will entail cultural adaption of the intervention using findings from phase 1, and the third phase will be a pilot trial to assess the feasibility and acceptability of the culturally adapted intervention and explore its efficacy. Quantitative and qualitative data will be analysed using basic descriptive statistics and thematic analysis, respectively. Discussion Literature highlights cultural variations in the expression and management of mental illness suggesting the need for culturally adapted interventions. The findings of this feasibility study will be used to inform the design of a larger trial to assess the efficacy of an adapted brief intervention for PTSD in patients with SMI in Botswana. Trial registration Clinicaltrials.gov registration: NCT04426448. Date of registration: June 7, 2020.

scholarly journals Potential Neurocognitive Biomarkers for Post Traumatic Stress Disorder (PTSD) Severity in Recent Trauma Survivors

2019 ◽  
Author(s):  
Ziv Ben-Zion ◽  
Yoav Zeevi ◽  
Nimrod Jackob Keynan ◽  
Roee Admon ◽  
Tal Kozlovski ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Trauma Survivors ◽  
Functional Domain ◽  
Structural Domain ◽  
Post Traumatic Stress ◽  
Cluster Membership ◽  
Post Traumatic ◽  
Ptsd Severity

AbstractContemporary symptom-based diagnosis of Post-traumatic Stress Disorder (PTSD) largely overlooks related neurobehavioral findings and rely entirely on subjective interpersonal reporting. Previous studies associating objective biomarkers with PTSD have mostly used the disorder’s symptom-based diagnosis as main outcome measure, overlooking the actual clustering and richness of phenotypical features associated with PTSD. Here, we aimed to computationally derive potential neurocognitive biomarkers that could efficiently differentiate PTSD subtypes, based on an observational cohort study of recent trauma survivors. A three-staged semi-unsupervised method (“3C”) was used to categorize trauma survivors based on current PTSD diagnostics, derive clusters of PTSD based on features related to symptom load, and to classify participants’ cluster membership using objective features. A total of 256 features were extracted from psychometrics, cognitive, structural and functional neuroimaging data, obtained from 101 adult civilians (age=34.80±11.95, 51 females) evaluated within a month of trauma exposure. Multi-domain features that best differentiated cluster membership were indicated by using importance analysis, classification trees, and ANOVA. Results revealed that entorhinal and rostral anterior cingulate cortices volumes (structural domain), in-task amygdala’s functional connectivity with the insula and thalamus (functional domain), executive function and cognitive flexibility (cognitive domain) best differentiated between two clusters related to PTSD severity. Cross-validation established the results’ robustness and consistency within this sample. Multi-domain biomarkers revealed by the 3C analytics offer objective classifiers of post-traumatic morbidity shortly following trauma. They also map onto previously documented neurobehavioral PTSD features, supporting the future use of standardized and objective measurements to more precisely identify psychopathology subgroups shortly after trauma.

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