Relation between lifespan polytrauma typologies and post-trauma mental health

Background: Most individuals experience more than one trauma. Hence, it is important to consider the count and types of traumas (polytraumatization) in relation to post-trauma mental health. Method: The current study examined the relation of polytraumatization patterns to PTSD clusters (intrusions,...

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Main Authors: Ateka A. Contractor, Lily A. Brown, Nicole H. Weiss
Format: Article
Language:English
Published: Elsevier 2018-01-01
Series:Comprehensive Psychiatry
Online Access:http://www.sciencedirect.com/science/article/pii/S0010440X1730233X
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author Ateka A. Contractor
Lily A. Brown
Nicole H. Weiss
author_facet Ateka A. Contractor
Lily A. Brown
Nicole H. Weiss
author_sort Ateka A. Contractor
collection DOAJ
description Background: Most individuals experience more than one trauma. Hence, it is important to consider the count and types of traumas (polytraumatization) in relation to post-trauma mental health. Method: The current study examined the relation of polytraumatization patterns to PTSD clusters (intrusions, avoidance, negative alterations in cognitions and mood [NACM], and alterations in arousal and reactivity [AAR]), depression, and impulsivity facets (lack of perseverance, lack of premeditation, negative urgency, sensation seeking) using a web-based sample of 346 participants. Age, gender, race, and ethnicity were covariates. Results: Results of latent class analyses indicated a three-class solution: Low Experience, Moderate Experience – Predominent Threat/Indirect PTEs (Moderate Experience), and High Experience – Predominant Interpersonal PTEs (High/Interpersonal). Multinomial logistic regression results indicated that ethnicity and gender were significant covariates in predicting Low versus High/Interpersonal Class, and Moderate Experience versus High/Interpersonal Class membership, respectively. The High/Interpersonal Class had higher scores on most PTSD clusters, depression, and the impulsivity facets of lack of perseverance and negative urgency compared to the other classes. The Low and Moderate Experience Classes differed on PTSD's avoidance and AAR clusters (lower in the former). Conclusions: Individuals exposed to multiple PTE types, particularly interpersonal traumas, may be at risk for more severe post-trauma symptoms.
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spelling doaj.art-1d7b838371a74b6f92790a32e025bc022022-12-21T18:55:53ZengElsevierComprehensive Psychiatry0010-440X2018-01-0180202213Relation between lifespan polytrauma typologies and post-trauma mental healthAteka A. Contractor0Lily A. Brown1Nicole H. Weiss2Department of Psychology, University of North Texas, Denton, TX, USA; Corresponding author at: University of North Texas, Department of Psychology, 369 Terrill Hall, Denton, TX 76203, USA.Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USADepartment of Psychology, University of Rhode Island, Kingston, RI, USABackground: Most individuals experience more than one trauma. Hence, it is important to consider the count and types of traumas (polytraumatization) in relation to post-trauma mental health. Method: The current study examined the relation of polytraumatization patterns to PTSD clusters (intrusions, avoidance, negative alterations in cognitions and mood [NACM], and alterations in arousal and reactivity [AAR]), depression, and impulsivity facets (lack of perseverance, lack of premeditation, negative urgency, sensation seeking) using a web-based sample of 346 participants. Age, gender, race, and ethnicity were covariates. Results: Results of latent class analyses indicated a three-class solution: Low Experience, Moderate Experience – Predominent Threat/Indirect PTEs (Moderate Experience), and High Experience – Predominant Interpersonal PTEs (High/Interpersonal). Multinomial logistic regression results indicated that ethnicity and gender were significant covariates in predicting Low versus High/Interpersonal Class, and Moderate Experience versus High/Interpersonal Class membership, respectively. The High/Interpersonal Class had higher scores on most PTSD clusters, depression, and the impulsivity facets of lack of perseverance and negative urgency compared to the other classes. The Low and Moderate Experience Classes differed on PTSD's avoidance and AAR clusters (lower in the former). Conclusions: Individuals exposed to multiple PTE types, particularly interpersonal traumas, may be at risk for more severe post-trauma symptoms.http://www.sciencedirect.com/science/article/pii/S0010440X1730233X
spellingShingle Ateka A. Contractor
Lily A. Brown
Nicole H. Weiss
Relation between lifespan polytrauma typologies and post-trauma mental health
Comprehensive Psychiatry
title Relation between lifespan polytrauma typologies and post-trauma mental health
title_full Relation between lifespan polytrauma typologies and post-trauma mental health
title_fullStr Relation between lifespan polytrauma typologies and post-trauma mental health
title_full_unstemmed Relation between lifespan polytrauma typologies and post-trauma mental health
title_short Relation between lifespan polytrauma typologies and post-trauma mental health
title_sort relation between lifespan polytrauma typologies and post trauma mental health
url http://www.sciencedirect.com/science/article/pii/S0010440X1730233X
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