Researchers have begun to explore factors that might promote better adjustment following exposure to traumatic events, including the extent to which individuals have a strong sense of meaning in their lives. Given that studies have shown the potential benefits of cultivating meaning in alleviating posttraumatic stress reactions, it is important to pinpoint specific aspects of meaning that may better inform individualized trauma-focused treatments. One aspect of meaning that may be particularly relevant to trauma survivors is reflected in perceptions of purpose in life. The current study explored concurrent associations among elements of purpose and posttraumatic stress symptoms (PTSS) in a sample of 423 combat-deployed veterans through the lens of network analysis. We investigated the network structure of purpose and PTSS, as well as which aspects of purpose were negatively associated with PTSS, to identify their connections with resilience and recovery. Most notably, results revealed that having multiple reasons for living and a sense of importance and connection related to everyday pursuits were most strongly linked to lower PTSS. Specific aspects of purpose related to satisfaction and fulfillment were also linked to lower PTSS, though more modestly. Although these findings will need to be confirmed in longitudinal research, they suggest that attending to sense of purpose in veterans and other high-risk populations may facilitate treatment planning in service of fostering greater resiliency to the effects of trauma exposure.
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http://dx.doi.org/10.1080/08995605.2024.2447650 | DOI Listing |
Community Ment Health J
January 2025
School of Social Work, Virginia Commonwealth University, Richmond, VA, USA.
Black Americans with Posttraumatic Stress Disorder have less access to mental healthcare compared to White Americans. Many factors contribute to this inequity, including broader disparities within the healthcare system driven by systemic racism, and an underutilization of mental health services by Black Americans due to provider bias and stigma around mental health care. These disparities are rooted in a racist historical context of exclusion and abuse of the Black community by the White psychiatric establishment, and a perpetration of further trauma on Black clients, a context that is largely missing from traditional mental health education and literature on Black mental health today.
View Article and Find Full Text PDFSupport Care Cancer
January 2025
Nursing Department, The Third Xiangya Hospital, Central South University, No. 138 Tongzipo Road, Yuelu District, Hexi District, Changsha, Hunan, China.
Background: Informal caregivers may face challenges, especially during the pre-transplant phase. We have learned about the challenges faced by informal caregivers during hematopoietic stem cell transplantation; there is a lack of consensus about the challenges faced by them before transplantation. We identified the psychosocial well-being of informal caregivers to patients before hematopoietic stem cell transplantation.
View Article and Find Full Text PDFJ Psychiatr Res
January 2025
Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; South African Medical Research Council Genomics of Brain Disorders Unit, Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.
Background: The pathophysiology of posttraumatic stress disorder (PTSD) involves dysregulation of stress-sensitive biological systems due to repeated trauma exposure, predisposing individuals to the development of cardiovascular disease (CVD). Allostatic load (AL), an indicator of maladaptive stress responses, could shed light on the underlying biological mechanisms. We determined whether CVD risk and AL were associated with trauma load and resilience in women with PTSD and trauma-exposed controls (TEC).
View Article and Find Full Text PDFAIDS Care
January 2025
Department of Social, Behavioral, and Population Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
In the current study, we examine associations between exposure to violence and antiretroviral medication adherence in persons with HIV (PWH) in a southern city in the United States. We include investigation of a variety of violence exposures including childhood sexual abuse, physical abuse, witnessing family violence, lifetime violence exposures and current stress related to violence experiences, as well as neighborhood violence exposure. We examined associations between violence exposures and adherence and mediational pathways between these variables including mental health symptoms - specifically depressive, anxiety, and posttraumatic stress symptoms - as well as coping strategies.
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