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Ethnoracial differences in PTSD symptoms and trauma-related cognitions in treatment-seeking active duty military personnel for PTSD.
Psychol Trauma. 2017 Nov; 9(6):741-745.PT

Abstract

OBJECTIVE

It is uncertain whether ethnoracial factors should be considered by clinicians assessing and treating posttraumatic stress disorder (PTSD) among service members. The purpose of this study was to shed light on ethnoracial variation in the presentation of PTSD symptoms, trauma-related cognitions, and emotions among treatment-seeking active duty military personnel.

METHOD

Participants were 303 male active duty military members with PTSD participating in a clinical trial (60% were self-identified as White, 19% as African American, and 21% as Hispanic/Latino). In the parent study, participants completed a baseline assessment that included clinician-administered and self-report measures of PTSD, trauma-related cognitions, and emotions.

RESULTS

Multivariate hierarchical regression models were used to examine ethnoracial differences in these variables, covarying age, education, military grade, combat exposure, and exposure to other potentially traumatic events. Hispanic/Latino and African American participants reported more reexperiencing symptoms, more fear, and more guilt and numbing than White participants. All effect sizes were in the small to medium range.

CONCLUSIONS

These findings suggest ethnoracial variation in PTSD symptom burden and posttraumatic cognitions among treatment-seeking service members with PTSD. Attending to cultural factors related to differences in PTSD presentation and cognitive coping strategies during the assessment and treatment process could increase rapport and lead to more comprehensive trauma processing. (PsycINFO Database Record

Authors+Show Affiliations

Department of Psychiatry, University of Texas Health Science Center at San Antonio.Department of Psychiatry, University of Pennsylvania.Department of Psychiatry, University of Pennsylvania.Department of Psychiatry, University of Pennsylvania.Department of Psychiatry, University of Texas Health Science Center at San Antonio.Headquarters, Carl R. Darnall Army Medical Center.School of Social Work, University of Texas at Austin.Department of Psychiatry, University of Texas Health Science Center at San Antonio.Department of Psychiatry, University of Pennsylvania.Massachusetts Veterans Epidemiological Research and Information Center, VA Boston Healthcare System.Departments of Psychiatry and of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio.Department of Psychiatry, University of Texas Health Science Center at San Antonio.Department of Psychiatry, University of Pennsylvania.

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

28068141

Citation

Hall-Clark, Brittany N., et al. "Ethnoracial Differences in PTSD Symptoms and Trauma-related Cognitions in Treatment-seeking Active Duty Military Personnel for PTSD." Psychological Trauma : Theory, Research, Practice and Policy, vol. 9, no. 6, 2017, pp. 741-745.
Hall-Clark BN, Kaczkurkin AN, Asnaani A, et al. Ethnoracial differences in PTSD symptoms and trauma-related cognitions in treatment-seeking active duty military personnel for PTSD. Psychol Trauma. 2017;9(6):741-745.
Hall-Clark, B. N., Kaczkurkin, A. N., Asnaani, A., Zhong, J., Peterson, A. L., Yarvis, J. S., Borah, E. V., Dondanville, K. A., Hembree, E. A., Litz, B. T., Mintz, J., Young-McCaughan, S., & Foa, E. B. (2017). Ethnoracial differences in PTSD symptoms and trauma-related cognitions in treatment-seeking active duty military personnel for PTSD. Psychological Trauma : Theory, Research, Practice and Policy, 9(6), 741-745. https://doi.org/10.1037/tra0000242
Hall-Clark BN, et al. Ethnoracial Differences in PTSD Symptoms and Trauma-related Cognitions in Treatment-seeking Active Duty Military Personnel for PTSD. Psychol Trauma. 2017;9(6):741-745. PubMed PMID: 28068141.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ethnoracial differences in PTSD symptoms and trauma-related cognitions in treatment-seeking active duty military personnel for PTSD. AU - Hall-Clark,Brittany N, AU - Kaczkurkin,Antonia N, AU - Asnaani,Anu, AU - Zhong,Jody, AU - Peterson,Alan L, AU - Yarvis,Jeffrey S, AU - Borah,Elisa V, AU - Dondanville,Katherine A, AU - Hembree,Elizabeth A, AU - Litz,Brett T, AU - Mintz,Jim, AU - Young-McCaughan,Stacey, AU - Foa,Edna B, Y1 - 2017/01/09/ PY - 2017/1/10/pubmed PY - 2018/6/16/medline PY - 2017/1/10/entrez SP - 741 EP - 745 JF - Psychological trauma : theory, research, practice and policy JO - Psychol Trauma VL - 9 IS - 6 N2 - OBJECTIVE: It is uncertain whether ethnoracial factors should be considered by clinicians assessing and treating posttraumatic stress disorder (PTSD) among service members. The purpose of this study was to shed light on ethnoracial variation in the presentation of PTSD symptoms, trauma-related cognitions, and emotions among treatment-seeking active duty military personnel. METHOD: Participants were 303 male active duty military members with PTSD participating in a clinical trial (60% were self-identified as White, 19% as African American, and 21% as Hispanic/Latino). In the parent study, participants completed a baseline assessment that included clinician-administered and self-report measures of PTSD, trauma-related cognitions, and emotions. RESULTS: Multivariate hierarchical regression models were used to examine ethnoracial differences in these variables, covarying age, education, military grade, combat exposure, and exposure to other potentially traumatic events. Hispanic/Latino and African American participants reported more reexperiencing symptoms, more fear, and more guilt and numbing than White participants. All effect sizes were in the small to medium range. CONCLUSIONS: These findings suggest ethnoracial variation in PTSD symptom burden and posttraumatic cognitions among treatment-seeking service members with PTSD. Attending to cultural factors related to differences in PTSD presentation and cognitive coping strategies during the assessment and treatment process could increase rapport and lead to more comprehensive trauma processing. (PsycINFO Database Record SN - 1942-969X UR - https://www.unboundmedicine.com/medline/citation/28068141/Ethnoracial_differences_in_PTSD_symptoms_and_trauma_related_cognitions_in_treatment_seeking_active_duty_military_personnel_for_PTSD_ L2 - http://content.apa.org/journals/tra/9/6/741 DB - PRIME DP - Unbound Medicine ER -