Psychological Trauma-Theory Research Practice and Policy

Disruptive and adaptive effects of war exposure on mother-infant bonding
Chasson M, Taubman-Ben-Ari O and Dekel S
Exposure to war profoundly impacts psychological health and may impair early mother-infant bonding, posing a risk to the long-term mother-child relationship and child development. This study investigated the direct and indirect links between cumulative war exposure and different war-related stressors (direct exposure, bereavement and loss, secondary exposure, and instability) and bonding impairment. Maternal posttraumatic responses (posttraumatic stress and somatic symptoms) were tested as mediators.
Can large language models enhance assessment of Criterion A for PTSD from self-report?
Rubin M, Watters K, Snyder K, Dicker E and Cordova M
Based on the , fifth edition, posttraumatic stress disorder (PTSD) involves assessing whether a traumatic event meets Criterion A, which is necessary to establish symptom severity and a potential PTSD diagnosis. As research moves online, methods to establish Criterion A have varied widely, influencing the accuracy and consistency of PTSD diagnoses. Literature suggests relying solely on self-assessment of trauma experiences may be problematic. This study evaluated whether integration of large language models (LLMs) directly into online self-report data collection could enhance assessment of Criterion A for PTSD.
Trauma and mental health: Examining psychosocial changes for Latin American immigrant mothers and young children participating in child-parent psychotherapy
Paris R, Maru M, Yang Y and Garber K
Latin American immigrant families with young children may endure traumas in home countries and throughout their journey to the United States. Current evidence suggests that unresolved traumas adversely affect both parents and children in relation to parenting capacities, positive relationships, and healthy child development, necessitating culturally responsive interventions. This study aimed to assess clinical outcomes of trauma-focused child-parent psychotherapy (CPP) for Latin American immigrant mothers with young children living in the northeastern United States.
A short form of the expanded Posttraumatic Growth Inventory (PTGI-X-SF)
Tedeschi RG, Greene T, Moore BA, Kinman J and Taku K
Since its original publication in 1996, the 21-item Posttraumatic Growth Inventory (PTGI) has been widely used to assess the experience of personal growth following trauma. In 2017, the expanded 25-item version (PTGI-X) was introduced to better capture spiritual and existential change. In this study, we aimed to develop a short form version of the PTGI-X (PTGI-X-SF) that retains all five domains of posttraumatic growth (PTG) in a brief, clinically useful format.
Sleep reactivity as a vulnerability to posttraumatic stress disorder: Identifying patients at risk of acute insomnia within the immediate aftermath of trauma
Reffi AN, Kalmbach DA, Cheng P, Jennings M, Moore DA, Seymour GM, Jankowiak L and Drake CL
Insomnia within the immediate aftermath of trauma is a key risk factor for posttraumatic stress disorder (PTSD). However, it is unknown who is most at risk for insomnia after trauma, obstructing the ability to identify high-risk groups in need of early intervention. We examined whether individuals with high sleep reactivity-a trait vulnerability to sleep disturbance after stress-are vulnerable to posttrauma insomnia and subsequent PTSD.
Examining differences in neurobehavioral symptom changes across two cognitive processing therapy-based intensive PTSD treatment programs for veterans with and without mild traumatic brain injury
Scimeca LM, Smith DL and Held P
Previous research demonstrates that evidence-based treatments for posttraumatic stress disorder (PTSD) are effective in reducing postconcussive-like symptoms (PCS) in mixed samples of veterans with PTSD, both with and without mild traumatic brain injury (mTBI). However, the impact of intensive treatment programs (ITPs) on PCS symptom reduction remains underexplored. This study aimed to examine changes in PCS following participation in two cognitive processing therapy-based ITPs and to evaluate the association between PCS and symptom reduction posttreatment. Additionally, the study compared PCS reduction between veterans with PTSD alone and those with PTSD and a history of mTBI.
Exploring the impact of childhood adversity on adolescent executive function: The role of pubertal timing
Nordine A and McAuley T
At the population level, adverse childhood experiences (ACEs) are known to have a detrimental influence on health and well-being in later life. Research is key to guiding prevention and intervention initiatives by elucidating how childhood adversity experiences impact development. With this objective in mind, our investigation focuses on aspects of adolescent development that are sensitive to ACE exposure and implicated in adult psychopathology: namely, pubertal timing and cognitive self-regulation (i.e., executive functions: EF).
Preparing groups and communities for coming adversities: Changing the world one organization at a time
Ruzek JI, Bloom SL and Figley CR
The next decades are likely to increase exposure to adversity, as climate worsening and increased global migration cause natural disasters to grow more frequent and intense social conflicts to become more widespread. However, effective response is likely to require significant changes to large, relatively intractable economic and political systems that are difficult to modify. By contrast, groups, organizations, and communities represent "zones of possible influence" on larger groups of people that can be meaningfully affected by social scientists and mental health professionals, who are well positioned to help prepare them for exposure to and healing from adversity and trauma. Ideas presented in this article can help mental health professionals and social science researchers move from primarily intervening with individuals to working with larger communities of persons, in the service of a broader trauma-informed, public health approach. The article identifies some promising avenues of development for new larger group interventions to increase resilience, including public education for trauma and adversity, resilience-related organizational goal setting, large group coping skills training, and technology-facilitated interventions for large groups. It explores potential roles for mental health professionals in working with groups and identifies ways that the content of their training can be supplemented to enable them to more effectively engage with communities and organizations. It raises key issues that will require consideration as mental health professionals and social scientists pivot toward working with larger groups. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
Posttraumatic stress disorder and susceptibility to misinformation for an analogue trauma event
Sharma PR, Wade KA and Jobson L
There is a dearth of research on the relationship between posttraumatic stress disorder (PTSD) and memory distortions that result from external, suggestive influences. This study, therefore, aimed to investigate the relationship between PTSD symptoms and susceptibility to misinformation.
The protocol matters: A meta-analysis of psychotherapy dropout from specific PTSD treatment approaches in U.S. service members and veterans
Penix-Smith EA and Swift JK
Service members and veterans (collectively, "military populations") are more likely to drop out of posttraumatic stress disorder (PTSD) psychotherapies than civilians, especially for trauma-focused treatments (Varker et al., 2021). Yet, it remains unclear whether specific protocols are linked with higher dropout risk, and no meta-analysis has investigated this for military populations. Therefore, this study aimed to conduct a secondary analysis of a large meta-analysis (Penix-Smith et al., 2025) to estimate dropout among specific PTSD treatments in United States military populations.
Valid use of the Tonic Immobility Scale with consideration of peritraumatic substance use: Analysis of item differences and measurement invariance
Anderson RE, Schaffer MR, Davis MT, Bennett DC, Epshteyn G and Sexton MB
Tonic immobility (TI) is an involuntary freeze response sometimes experienced during trauma. The role of perceived substance use in influencing the experience or severity of TI is poorly understood, in part due to measurement difficulties. The goal of this study is to contrast four scoring methodologies and test the measurement invariance of the Tonic Immobility Scale (TIS) comparing sexual assaults that are or are not perceived to be associated with substance use.
Anxiety sensitivity and posttraumatic stress symptoms among public safety personnel: A longitudinal analysis
Olthuis JV, Connell EM, Kim AJ and Stewart SH
Public safety personnel (PSP) are likely to encounter multiple traumatic events and are thus more likely to develop posttraumatic stress disorder than the general population. It is important, then, to identify modifiable factors that increase the risk for posttraumatic stress disorder so that preventative treatments may be developed. Anxiety sensitivity (AS; the fear of physiological arousal sensations) has been identified as one such potential modifiable risk factor. However, research on the longitudinal, reciprocal association between AS and posttraumatic stress symptoms (PTSS) in those experiencing multiple traumas is limited. The aim of the present study was to investigate the association between AS and PTSS in PSP over the course of 1 year.
The bidirectional relationship of PTSD and psychosis: Conceptualization of prevention of comorbidity and intervention for bidirectionality
Carr ER
The research on posttraumatic stress disorder and psychosis has now shown that these experiences can be bidirectional and actually potentiate each other. This scientific knowledge provides the field invaluable insight about points of prevention for either condition so that the risk for onset of the other mental health challenge does not occur, as well as diverse information for when the experiences are fully comorbid. In this article, a conceptual model is provided outlining practical conceptual and clinical applications.
Evaluating the indirect effect of child maltreatment on trait aggression through shame coping styles
Baldwin R, Quinn J, Coomber K, Bereznicki H, Button K, Guala T and Miller PG
The pathway from childhood maltreatment to aggression is complex, with preliminary research identifying that the shame coping styles of Attack Other and Withdrawal may mediate this relationship. Using a cross-sectional research design, the aim of this study is to further investigate the influence of shame coping styles on the relationship between childhood maltreatment and trait aggression and whether this relationship differs by gender.
Complex posttraumatic stress disorder and prolonged grief disorder in times of war: Diagnostic symptoms and impact on the mental health of Ukrainian civilians during the Russia-Ukraine war
Huțul A, Holman AC and Huțul TD
The present study aimed to explore several dimensions and potential factors of the mental state of the Ukrainian population during the Russia-Ukraine war which began on February 24, 2022. Specifically, relationships between complex posttraumatic stress disorder (CPTSD) overall, individual CPTSD symptoms, and prolonged grief disorder (PGD) were investigated. Additionally, differences in overall CPTSD, individual CPTSD symptoms, and PGD were examined concerning various sociodemographic factors (e.g., age or place of residence) and personal exposure to death.
Endorsement of trauma stereotypes: Implications for the provision of survivor support
Clapp JD, McClure KE, Dahl E and Mohr JL
While social support is believed to be a critical factor in posttrauma recovery, support interactions occur in context. Relatively few studies have examined public willingness to offer assistance to survivors, despite the potential for stereotypes about trauma and different exposure events to influence support. The present study examined the associations of stereotype endorsement and exposure event on willingness to offer support to hypothetical survivors.
2SLGBTQ+ competent trauma-informed care: A mixed methods evaluation of an intervention to enhance the capacity of multidisciplinary service providers
Tam MW, Taylor O, Andrade-Romo Z, Goldberg JM, Pilling MD and Ross LE
Given that two-spirit, lesbian, gay, bisexual, transgender, and queer (2SLGBTQ+) people are more likely experience trauma and gender-based violence in their lifetimes compared with heterosexual and/or cisgender peers, it is important that service providers addressing violence and/or trauma be 2SLGBTQ+ culturally competent to support 2SLGBTQ+ communities and avoid retraumatization. To address this need, we developed and implemented a novel 2SLGBTQ+ competent trauma-informed care (TIC) intervention across Ontario, Canada. This article evaluates the intervention based on learning outcomes, professional relevance, changes in knowledge and comfort, and impacts on individual and organizational practices.
Revised trauma competencies for education and training: Consensus updates and highlights
Cook JM, Newman E and
Although the scientific literature on traumatic stress is large and growing, most psychologists have only a cursory knowledge of this science. Most have no formal training in, nor apply evidence-based psychosocial treatments for, trauma-related disorders. Sixty experts took part in the 2013 New Haven Trauma Competencies consensus conference and developed a comprehensive model of trauma-focused, empirically informed competencies (knowledge, skills, and attitudes), which were approved by the American Psychological Association (APA) as part of their official education and training in 2015. This article represents a consensus revision to those competencies that were approved by the APA in 2025. This model contains broad foundational and functional competencies in the areas of trauma-focused and trauma-informed scientific knowledge, psychosocial assessment, psychosocial interventions, professionalism, and relational and systems competencies, as well as 11 cross-cutting competencies. These updated trauma competencies can provide the basis for future training of a trauma-informed mental health workforce. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
War-related stressors and mental health: The longitudinal mediating role of betrayal-related moral injury among civilians
Haim-Nachum S, Lazarov A, Markowitz JC, Levi-Belz Y, Lurie I, Wainberg ML, Mendlovic S, Neria Y and Amsalem D
War-related stressors, such as economic loss, traumatic loss, and forced displacement, are well-documented risk factors for psychopathology. The mechanisms connecting war-related stressors to psychiatric symptoms remain unclear, particularly among civilians in conflict zones. Betrayal-related moral injury-feeling abandoned or let down by trusted leaders or institutions-can erode a sense of safety and justice and intensify distress. The present study examined whether such appraisals represent a psychological pathway linking war-related stressors to depression, posttraumatic stress disorder (PTSD), and anxiety.
Emotional hypervigilance: Development of a new questionnaire and examining the importance to posttraumatic quality of life
Bacon AM and Norman A
Hypervigilance is a symptom of posttraumatic stress disorder usually defined in terms of behaviors such as environment scanning and planning escape routes. The objective of Study 1 was to develop a new measure to assess the extent to which individuals employ a specifically emotional form of hypervigilance. The aim of Study 2 was to investigate whether emotional hypervigilance is associated with posttraumatic quality of life in addition to the known effects of symptoms and experiential avoidance.
Examining the impact of risk and protective factors on post-9/11 U.S. veterans' moral injury latent profiles and transitions
Chesnut RP, Richardson CB and Perkins DF
To identify moral injury (MI) latent profiles, transitions in MI profile membership over time, and predictors of MI profile transitions. This study represents the first attempt to characterize transitions in MI latent profile membership and examine associated risk and protective factors.
Residual PTSD and depression symptoms among veterans receiving prolonged exposure therapy with and without topiramate
Klein AB, Hicks TA, Park J, McDonald JE, Luciano MT, Panza KE, Schnurr PP, Anthenelli RM, Angkaw AC, Brody AL, Davis BC, Martis B and Norman SB
Residual symptoms are common following posttraumatic stress disorder (PTSD) treatment. Despite the high prevalence of and poor outcomes associated with co-occurring PTSD and alcohol use disorder (AUD), only one study has examined residual symptoms following psychotherapy in a comorbid sample.
Navigating usage of complex PTSD in adult mental health services: A scoping review on clinicians' perspectives
Ahern J, O'Connor L and Fortune DG
Complex PTSD (C-PTSD) is a newly defined diagnosis in the necessitating research into how clinicians are adapting to its use. This scoping review aimed to examine qualitative literature on clinicians' experiences with the C-PTSD diagnosis in adult mental health services since 2018.
The role of cognitive emotion regulation strategies on posttraumatic stress symptoms and alcohol use problems among individuals experiencing intimate partner violence
Forkus SR, Baer MM, Giff ST, Hall E, Miles SR and Flanagan JC
Emotion regulation is central to the etiology, course, and treatment of both posttraumatic stress symptoms (PTSS) and alcohol use disorder. Therefore, it is critical to investigate emotion regulation among populations susceptible to more severe and prolonged PTSS and alcohol use problems, such as those with intimate partner violence. Cognitive emotion regulation strategies are used to modify emotional information and include both presumed adaptive (i.e., acceptance, planning, positive refocusing, reappraisal, putting into perspective) and maladaptive (i.e., self-blame, other-blame, rumination, and catastrophizing) strategies.
Addressing pandemic-related guilt and shame in U.S. military veterans: A pilot randomized controlled trial of trauma-informed guilt reduction and supportive care therapy
McCue ML, Capone CC, Wachen JS, Harlé KM, Davis BC, Panza KE, Lyons M, Luciano MT, Shea MT, Haller M, Galovski TE, Schnurr PP and Norman SB
The coronavirus disease-2019 pandemic created potentially morally injurious situations such as being unable to care for loved ones or making decisions that risked harming others. Such situations may elicit feelings of guilt and shame, which can lead to long lasting distress and functional impacts. This pilot study examined whether trauma-informed guilt reduction (TrIGR) reduced guilt and shame caused or worsened by the pandemic more than supportive care therapy (SCT).
A brief report on the prevalence of adverse childhood experiences among United Methodist clergy
Holleman A, Eagle DE, Lee BJ and Proeschold-Bell RJ
This brief report examines the prevalence of adverse childhood experiences (ACEs) among United Methodist Church clergy in North Carolina. Clergy serve the mental, spiritual, emotional, and material needs of their congregants and communities, making it important to understand whether childhood adversity is associated with occupational selection as in other caregiving occupations.
The trauma of mass kidnapping and ambiguous loss: A socioecological framework from the lived experience of Israeli hostage families
Yehene E, Israeli S and Levine H
Enforced disappearance inflicts severe psychological trauma not only on victims but also on their families and communities, leaving them in a state of ambiguous loss. However, studies on the impact of mass kidnapping on families during armed conflict remain scarce. This study examined the lived experience of families of Israeli hostages abducted to Gaza during the October 7, 2023, attack and how they perceived and constructed their experiences within a socioecological context amid warfare and geopolitical uncertainty.
Psychological impacts of the 2023 Turkey earthquake within the framework of the conservation of resources theory: Relationships between earthquake exposure, depression, posttraumatic growth, social support, and religious coping
Can Gür G
Guided by the conservation of resources theory-which posits that individuals strive to acquire, protect, and maintain valuable resources, and that the loss of these resources increases vulnerability to psychological distress-this study aimed to investigate the relationships among earthquake exposure (resource loss), social support and positive religious coping (resource gains), posttraumatic growth (secondary resource gain buffering against loss), and depression (a key outcome of resource loss) among individuals who survived the 2023 earthquake in Turkey.
Correction to "Uncovering key predictors to posttraumatic growth: How do Turkish university students overcome traumatic experiences" by Doğançay and Doğan (2025)
Reports an error in "Uncovering key predictors to posttraumatic growth: How do Turkish university students overcome traumatic experiences" by Hamide Merve Doğançay and Türkan Doğan (, 2025[Sep], Vol 17[6], 1330-1339; see record 2026-26651-001). In the article "Uncovering Key Predictors to Posttraumatic Growth: How Do Turkish University Students Overcome Traumatic Experiences," by Hamide Merve Doğançay and Türkan Doğan (, 2025, Vol. 17, No. 6, pp. 1330-1339, https://doi.org/10.1037/tra0001960), the following information should have been included in the author note: "This study is part of Hamide Merve Doğançay's master of science thesis submitted to the Department of Educational Sciences, Hacettepe University, under the supervision of Türkan Doğan. A part of this thesis was presented as an oral presentation at the 2023 European Conference of Educational Research. This oral presentation was supported by TÜBİTAK under the 2224-A Grant Program for Participation in Scientific Meetings Abroad." (The following abstract of the original article appeared in record 2026-26651-001).
Affect regulation, mentalization, and attachment in intimate partner violence survivor women: A quasi-experimental controlled trial
Cesari J, Belot RA, Thomas C, Jollivet M, Martin E and Clesse C
This quasi-experimental controlled trial investigates the role of attachment patterns and the quality of mentalization in women exposed to domestic violence, with the aim of identifying protective and risk factors related to coercive control in intimate relationships.