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The effects of COVID-19 have resulted in peritraumatic stress experiences within various groups, including teachers. With this study we aimed to determine the prevalence of peritraumatic stress and the factors associated with each level of PTSD among teachers in South Africa. A cross-sectional study was conducted in South Africa among teachers using an online survey. A sample consisted of a total of 1,008 primary and secondary teachers responded to the COVID-19 peritraumatic distress index and the occupation-specific survey. Descriptive and multinomial logistic regression analyses were used to analyse the data. There was evidence of high levels of distress associated with the COVID-19 pandemic among teaching professionals in South Africa. Therefore, there is a need to create mental health awareness among teaching professionals and to create systems that support the uptake of psychological services among the members of this population.

The transition in learning trajectories, academic pressures and stressors associated with financial and societal pressure that South African postgraduate university students experience places them at risk of mental health difficulties. For these students, their mental well-being has been further threatened due to the COVID-19 pandemic and the subsequent switch to emergency remote teaching. This study aimed to explore the physical and psychological health, resilience and coping amongst two Psychology honours student cohorts at a South African university. Using a repeated cross-sectional design, a sample of 38 Psychology honours students enrolled in 2020 and 39 Psychology honours students enrolled in 2021 voluntarily participated in the study. Overall, students reported poor mental health, with elevated levels of anxiety and burnout and moderate post-traumatic stress symptoms. The 2021 cohort reported significantly lower levels of self-efficacy, increased post-traumatic stress symptoms and employed coping through self-blame more frequently. Students' feelings of isolation persisted as well as feelings of hopelessness with regard to the contextual challenges faced by the country and the pandemic. Over the course of the pandemic, students found that they had less anxiety about online learning, however, they noted that the mental health support provided by the university was not sufficient. These results highlight the important role university mental health services play in fostering student mental well-being and thus the need to prioritise making mental health services to students more accessible and efficient.

Violence and traumatic stress negatively affect physical health in youth. Incarcerated adolescents have high rates of violence exposure and health problems, however, few studies have examined medical records and violence exposure in this high-risk population. Self-reported violence exposure and symptoms of stress were collected in 115 incarcerated male adolescents. Medical charts were reviewed for the presence of somatic complaints and chronic health conditions. Regression modeling and odds ratios demonstrated that exposure to intimate partner violence (IPV), child abuse, and sexual abuse predicted specific health conditions. The hierarchical regression model established that traumatic stress and a history of sexual abuse predict cumulative health problems. The study demonstrates that early exposure to violence combined with the presence of traumatic stress symptoms increases the risk for later health problems and can be used by healthcare providers to identify youth at increased risk of long-term health outcomes in high-risk populations.

No research has been conducted on PTSD manifestation in children with severe or moderate intellectual disability (SID; IQ 20-49) and no PTSD measurement instrument was available. This pilot explores the psychometric properties of a new diagnostic instrument to investigate trauma and to classify PTSD in children with SID. The Diagnostic Interview Trauma and Stressors-Severe Intellectual Disabilities (DITS-SID), Aberrant Behavior Checklist and Child and Adolescent Trauma Screener 3-6 were administered to parents and residential caregivers of fifteen children with SID. The inter-rater reliability of the DITS-SID is good to excellent. There are indications of a good convergent validity. PTSD prevalence seems high at 27%-33%. Self-injurious behavior was one of the most commonly reported PTSD symptoms. There is evidence that the PTSD manifestation of children with SID does not differ from that of children without SID. PTSD is probably underdiagnosed in this target group. In understanding challenging behavior, it is important to consider an underlying PTSD in order to provide appropriate treatment. The DITS-SID is potentially suitable for diagnosing PTSD. Follow-up research in a larger sample is needed.

Background: Originally designed for use with adolescents in group-based settings, there has been limited evaluation of Trauma and Grief Component Therapy (TGCT) with respect to its use with individual patients across a wide age range of children and adolescents. Objectives: This study describes a pilot open trial of individually administered TGCT, an assessment-driven, modularized treatment for traumatized and/or bereaved children and adolescents. Key outcomes measures include posttraumatic stress, depressive symptoms, and maladaptive grief reactions. Method: The sample consisted of 58 treatment-seeking children and adolescents who experienced trauma and/or bereavement (ages 7-17 years, M = 12.78, SD = 2.93; 68.4% female; 45.6% Hispanic, 14.0% Black, 22.8% White, 14.0% Multiracial). The study used a single-group open trial design. Youth referred to the study due to experiencing a potentially traumatic event or death of a loved one completed self-report measures of posttraumatic stress, depressive symptoms, and maladaptive grief reactions (when applicable). Measures were also completed following Module 1 of the treatment. Results: Bayesian regression models revealed youth who completed TGCT Module 1 reported substantial reductions from baseline, with large effect sizes for posttraumatic stress, depressive symptoms, and maladaptive grief reactions. Rates of reliable improvement ranged from 42 to 65% across treatment outcomes with 69% of youth demonstrating reliable improvement in at least one outcome. Conclusions: The present study provides preliminary evidence supporting TGCT as an individual treatment for traumatized and/or bereaved children and adolescents experiencing posttraumatic stress, depressive symptoms, and/or maladaptive grief reactions.

Therapeutic alliance and decreases in negative cognitions may play an important role in the outcomes of child trauma-focused cognitive behavioral therapy. However, understanding alliance from multiple perspectives (i.e., therapist, parent, and child) and if changes in negative cognitions differ by type of delivery is limited. The current study examined therapist, parent and child therapeutic alliance and child negative cognition changes over time and as potential mediators of outcomes between Step One, a parent-led therapist-assisted cognitive behavioral therapy (CBT), and therapist-led Trauma-Focused CBT (TF-CBT).Therapist, parent and child therapeutic alliance, child negative cognitions, child posttraumatic stress symptoms (PTSS) and impairment were assessed at the first session, mid-treatment and near the end of treatment among child-parent dyads in Step One (n = 43) and TF-CBT (n = 71). Child PTSS and impairment were also assessed at post-treatment. The rate of change in therapist and parent therapeutic alliance within Step One and TF-CBT did not significantly differ. Changes over time in child alliance ratings differed with a convex curve for Step One and a concave curve for TF-CBT children. Similar decreases in negative cognitions in Step One and TF-CBT children occurred. Neither therapeutic alliance (therapist, parent, and child) nor negative cognitions were mediators of PTSS and impairment outcomes. Therapist therapeutic alliance over time, across treatments was a predictor of child PTSS. Change rates in child therapeutic alliance differs with a parent-led therapist-assisted treatment versus TF-CBT. Therapist alliance may influence child PTSS outcomes in a parent-led and therapist-led CBT treatment.

Autistic people appear to be at increased risk of post-traumatic stress disorder, and experiences involving violence or sexual abuse appear to be common in this population. However, knowledge concerning trauma in autistic people with co-occurring intellectual disabilities is limited. In this cross-sectional study, we explored the prevalence of post-traumatic stress disorder, as well as the prevalence and clinical correlates of reported experiences of violence and sexual abuse, in a clinical sample of 88 autistic adults with intellectual disabilities referred for mental health assessment. Only three participants (3.4%) were diagnosed with post-traumatic stress disorder, even if experiences involving violence (34.1%) or sexual abuse (17.0%) were common. Anxiety and affective disorders were common diagnoses among participants with these experiences. Controlling for autism characteristics, level of intellectual disability and communication skills, experiences of violence/sexual abuse were found to be associated with a measure of 'challenging' behaviours (Aberrant Behaviour Checklist). These results indicate that potentially traumatic experiences are common in autistic adults with intellectual disabilities referred for mental health assessment and that post-traumatic stress disorder may be under-recognised. The findings highlight the importance of trauma screening and post-traumatic stress disorder assessment, as well as the importance of trauma-informed care, in this population.

Background: Post-traumatic stress disorder (PTSD) is common in adults with intellectual disabilities. Often there are additional disorders such as substance use, mood and anxiety disorders. The current study focuses on the feasibility and initial efficacy of prolonged exposure (PE) for PTSD in adults with mild intellectual disabilities. The secondary effect of PE on additional mood, anxiety and substance use disorders is also examined. Methods: A single case experimental design (N = 12) with an A (baseline)-B (intervention) phase including a follow-up measurement after 3 months was conducted. Time series and single time points measurements were performed. Results: Six participants dropped-out. The results showed a significant decrease in PTSD symptoms and a significant decrease in additional symptoms (social avoidance, anxiety and stress), among participants who completed treatment. Conclusion: PE appears to be a feasible and effective treatment for PTSD in some adults with mild intellectual disabilities. Suggestions emerge from this study to make standard PE treatment more appropriate for adults with mild intellectual disabilities. Further research is needed to reduce drop-out in trauma treatment. Some suggestions for this are made in this study. Treatment of PTSD with PE did not appear to affect comorbid mood disorders. Further research is needed.

This study sought to examine whether mumbling might, for some youths, arise among traumatic sequelae. College students provided retrospective reports of mumbling and completed standardized measures of trauma history and posttraumatic distress (Brief Trauma Questionnaire, Beck Anxiety Inventory for Primary Care, Toronto Alexithymia Scale, and the Brief Fear of Negative Evaluation Scale). Mumbling was associated with a higher likelihood of sexual abuse but not other forms of trauma. Several measures of distress were significantly elevated for those who reported mumbling (Fear of Negative Evaluation, Difficulty Identifying Feelings, Difficulty Describing Feelings, and Anxiety--with the first two accounting for significant specific variance). Findings suggest that mumbling in young people could be a sign that encourages screening for sexual trauma and distress.

The purpose of this study was to investigate the experiences of Syrian refugee students in Canadian schools. Article 12 of the "Convention on the Rights of the Child" (CRC) was used as a framework. Data collection involved one-on-one interview with students. Data from the interviews was analyzed using an open-coding technique to identify themes and patterns. Although the students had positive resettlement experiences, some of them experienced difficulties with their learning. Based on the findings, we propose recommendations for educators and schools welcoming Syrian refugee students.

Racial trauma has become a common topic of discussion in professional counseling. This concept is also known as race-based traumatic stress, and it addresses how racially motivated incidents impede emotional and mental health for Black, Indigenous, and people of color (BIPOC). Research about this topic and strategies to reduce its impact are substantial in the field of psychology. However, little research about racial trauma has been published in the counseling literature. The intent of this paper is to provide an in-depth perspective of racial trauma and its impact on BIPOC to enhance professional counselors' understanding. Strategies for professional counselors to integrate into their clinical practice are provided. In addition, implications for counselor supervisors and educators are also provided.

According to 2022 data, approximately 4 million Syrians live in Türkiye, and it is known that %24.7 of them have various disabilities. Recent research has shown that the developmental disability is one of the most common types of disability among Syrian refugees in Türkiye. We aimed to investigate the lives of refugees with developmental disabilities, who are twice a minority. Among the Syrian refugees in Türkiye, 24.7% are individuals with special needs. It was reported that developmental disabilities and post-traumatic stress disorder are the most prevalent diagnoses across the refugees. The study aims to investigate the current status and educational needs of Syrian refugees with developmental disabilities and their parents, who live in refugee camps in Türkiye with a specific emphasis on their education life. Semi-structured interviews were conducted with young refugees with developmental disabilities and their parents in the study conducted with a phenomenological approach. The content analysis conducted on the study data revealed that these individuals migrated to Türkiye due to the Syrian war, and they did not want to return to their home country. Since they lived in camps in Türkiye, they have been isolated from social life. Participants stated that they mostly required special education and health facilities and socialization. The identified problems were analyzed, and certain recommendations are presented based on the study findings.

The current study used an intersectional framework to investigate international students' experiences of sexual violence and examine differences in contexts, consequences, and disclosure between international and domestic students. Secondary analyses (chi-squares, multivariate logistic regressions) were conducted on previously collected data. The sample consisted of 6,554 students, including 764 international students. Compared with their domestic peers, international students of all ages, genders, sexual orientations, minority status, grade levels, and time spent at university faced an increased likelihood of being the target of sexual violence. Contexts and disclosure of victimization did not vary by student status. International students reported more PTSD symptoms after campus sexual violence. Future studies are needed to determine why perpetrators target international students. Prevention and intervention efforts need to acknowledge diversity among international students and potential victims who could be men, women, LGBTQ+ students, undergraduate and graduate students.

The COVID-19 pandemic placed an immense amount of stress on student affairs professionals, who were exposed to numerous potentially traumatic events as a result of changing workplace environments, health and safety risks, and their emotional support of students. This study explored the impact of supervisor emotional maturity on supervisee trauma exposure response through the mediating effect of psychological safety for a sample of student affairs professionals employed at 4-year institutions. Results indicated that supervisees who felt that their supervisors were more emotionally mature felt more psychologically safe and that this psychological safety predicted lower adverse reactions to both primary and secondary traumatic stress in workplace contexts. Implications for the training and development of student affairs supervisors are explored, as well as for further research into the construct of emotional maturity as it relates to supervision.

PTSD is a common mental health disorder among students across the globe that manifests after encountering traumatic events. This study explored the nexus between poverty and PTSD among students. This review employed a scoping review lens to examine the nexus between PTSD and poverty among students. Literature search was conducted in online databases such as PubMed, Google Scholar, Scopus, and Semantic Scholar. This study followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) extension for scoping reviews (PRISMA-SCR) for study selection and data extraction. Poverty is a significant factor that predisposes individuals to the development of post-traumatic stress disorder after experiencing a traumatic event, as determined by this review. In addition, this review discloses that psychological treatments such as Trauma Focused Behavioural Therapy, Cognitive Behavioural therapy for PTSD, narrative exposure therapy among others have been identified as effective for treating PTSD; however, the cost of treatment has been found to be unaffordable among poor individuals. This study also revealed that there is a dearth of empirical studies that focus specifically on students' PTSD and Poverty or studies conducted in educational settings with reference to PTSD and poverty. In light of this, this study recommends that feature research should investigate the relationships between PTSD and poverty among students.

Teachers are essential partners in addressing the needs of English learners (ELs), yet most professional development fails to mention the specific needs of such students who have experienced trauma and exhibit signs of toxic and post-traumatic stress. Such students are not readily identified and even so, are often hesitant to seek the professional help they deserve. This article presents research-based strategies teachers can use in the absence of professional health care to promote classroom communities where students feel safe, valued, and respected for their strengths. It concludes by briefly outlining ways schools and districts can support teachers and their students.

This study aims to identify the mean alpha coefficients of the Child PTSD Symptom Scale (CPSS-5) and examine the moderator role of trauma type and study location. We included studies using the CPSS-5 and reporting a Cronbach's alpha coefficient. Our analysis of 27 studies (k = 31) revealed a mean alpha coefficient of 0.91 for the CPSS-5. Mean internal consistency scores for trauma type ranged from 0.87 to 0.95. Additionally, studies conducted in North America yielded significantly higher mean alpha scores (M[subscript[alpha]] = 0.94) than international studies (M[subscript[alpha]] = 0.87). The CPSS-5 demonstrated reliable measurements across studies, ranging from good to excellent. Trauma type and location (or version of the CPSS-5) may be related to the reliability scores. Individual study characteristics should be considered, and reliability scores should be calculated for individual studies for the suitability of alpha scores for clinical decision-making.

Since the international declaration of the COVID-19 pandemic in 2020, the life of the world population has had significant repercussions in all areas, mainly in health. Also, there have been a large number of changes in people's lives, which have modified routines, relationships, habits, family economy, work environments and in the population of children, adolescents and young adults their school environment. The educational system was forced, thanks to confinement, to move from school classrooms to family homes using the devices available according to the economic level of each one. This resulted in the modification of study habits in students, affecting routines, moods and personal relationships, among others. This article presents a study on the psychosocial conditions that the students of the Universidad Tecnológica de Torreón have presented before, during the confinement and the new normality of the pandemic, in which significant changes (p < 0.05) were found. The results obtained are a tool that elucidates the aspects to care and keep track of our student population to avoid reaching a stronger problem. In addition to creating and/or strengthening learning strategies that help the student to have a comprehensive life within the university

Background: Parenting a child with Autism Spectrum Disorder (ASD) may lead to emotional distress. However, it has been recognized that it can also be accompanied with positive experiences that may conduce parents to posttraumatic growth (PTG). Few studies have investigated the factors that may be associated with growth. The present study aimed to assess the role of maternal perceptions, coping strategies and depressive symptoms to PTG. Method: In this cross-sectional study, 123 mothers of ASD offspring completed self-reported questionnaires to assess posttraumatic growth (PTGI); coping strategies (?rief-COPE); perceptions about ASD (B-IPQ) and depressive symptoms (PHQ-9). Hierarchical regression analysis was used to assess their independent associations. Results: A significant proportion of mothers (56.1%) reported moderate to high growth levels (PTGI [greater than or equal to] 63). Nearly half of the mothers (46.3%) reported clinically significant depressive symptoms. Engagement (b = 0.361), cognitive reframing (b = 0.214), personal control (b = 0.200) and depressive symptoms (b = -0.232) were independently and significantly associated with PTG. Conclusions: Mothers of children with ASD may experience moderate to high PTG. Engagement, cognitive reframing, personal control and depressive symptoms were significant predictors of growth level. Interventions aiming to support mothers to potentiate their personal control over ASD, to use adaptive coping strategies and to reduce distress may facilitate their growth.

Objective: The current study examined the influence of rape myth acceptance on self-blame and psychological symptoms following a sexual assault. Participants: The sample included 280 female sexual assault survivors in college. Methods: In an online survey, participants completed the Sexual Experiences Survey -- Short Form Victimization, Updated Illinois Rape Myth Acceptance Scale, Posttraumatic Cognitions Inventory, Patient Health Questionnaire -- 9 item scale, and PTSD Checklist for DSM-5. Results: A significant indirect effect was found between acceptance of rape myths and PTSD symptoms via self-blame; acceptance of rape myths was positively associated with self-blame, which in turn was positively associated with PTSD symptoms. Conclusions: Clinicians working with survivors of sexual assault should assess for endorsement of rape myths and self-blame, as challenging posttraumatic cognitions has been shown to reduce symptoms of trauma.

Objective: The goal of this study was to assess students' responses to a potentially triggering passage from literature using differing trigger warnings. Participants and Method: 123 undergraduates read a passage which contained depictions of physical and sexual assault. Students were randomly assigned to differing trigger warning conditions prior to reading the passage that anticipated either neutral, positive, or negative emotional reactions. Measures of PTSD symptoms and distress were taken on Day 1, Day 2, and Day 14. Results: Distress to the triggering passage did not vary as a function of either trauma history or trigger warning type. Those with higher PTSD scores to start did not experience more distress over time. Discussion: The data suggest that instructors can assign challenging passages with the expectation that those with related traumas will not be disproportionately affected. In addition, the type of warning is not likely to impact on student emotional responses.

Objective COVID-19 forced third-level students to transition to online learning (OL). Many students encountered issues with OL, such as accessibility. However, the relationship between OL issues and mental health during this time remains poorly understood. Participants: Third-level students in Ireland (N = 268) completed an online questionnaire examining experiences with OL and mental health during COVID-19. Methods: OL social, lecturer, accessibility, individual skills, and environment issues, were entered into logistic regression analyses to examine whether these variables predicted mental health outcomes and/or preference to keep OL. Results: Students reporting more individual skills issues were more likely to attain a probable diagnosis of posttraumatic stress disorder, complex posttraumatic stress disorder, and depression (p < 0.0083); students who reported more environment issues were less likely to report preference to keep OL (p < 0.0005). Conclusions: Given individual skills issues associated with worse mental health, future research should examine improving student perceptions of their own OL skills.

Objective: Childhood maltreatment has been consistently linked to posttraumatic stress disorder (PTSD) symptoms among college students and yoga may buffer the effects. The current study examined the frequency of college student's yoga practice over the past year as a moderator of childhood maltreatment and PTSD symptoms in the past 30 days. Participants: A sample of 177 college students from a southern university. Methods: Participants competed an online survey in exchange for extra credit or entry into a gift card raffle. Results: Moderation analysis indicated that a more frequent yoga practice buffered the relationship between maltreatment and PTSD symptoms. Conclusion: Clinicians working with college students with a history of maltreatment are encouraged to make referrals to yoga classes. Universities are encouraged to adopt trauma-sensitive yoga programs.

The COVID-19 pandemic had a huge impact on people's lives due to the fear of getting infected and having the disease, as well as the necessary prevention and containment measures. University students were one of the most affected groups, as they were forced to cope with significant life changes. However, not all displayed symptoms of psychological distress, which means that internal resources such as emotional regulation and resilience may have acted as protective variables. This cross-sectional study aimed to examine the extent to which the relationship between emotion regulation and stress, anxiety, depression, and posttraumatic stress disorder (PTSD) symptoms was mediated by resilience in a sample of university students. Results showed that emotion regulation strategies were positively associated with lower mental health. Some resilience dimensions mediated these relationships, with perception-of-self mediating all associations. Planned future mediated the association between emotion regulation and depression, family cohesion mediated the relation between emotion regulation and stress, and social resources mediated the association of cognitive reappraisal with anxiety and PTSD by suppressing the direct positive relationship. These results highlight the relevance of resilience as a key resource in coping effectively with the uncertainties, and changes that arise during stressful periods such as a pandemic.

To date, research on traumatic stress and treatment-seeking behavior has primarily focused on Western populations. Despite experiencing similar levels of symptomatology, mental health service utilization appears lower among East Asian populations. Stigma toward mental health services may be one barrier to treatment-seeking, especially among individuals who have experienced potentially traumatic events; however, previous research has been primarily conducted in the United States. Less is known about predictors of treatment-seeking attitudes among populations residing in East Asia, particularly college students. The present study examined the relationship between trauma, mental health services stigma, and treatment-seeking attitudes among undergraduate students in Southwestern China. Self-report measures of trauma exposure, posttraumatic stress disorder symptomatology, mental health services stigma, and treatment-seeking attitudes were administered. We hypothesized that students with greater severity of traumatic symptoms would endorse more positive attitudes toward treatment-seeking if they reported lower levels of mental health services stigma. Mental health services stigma was a strong predictor of negative attitudes toward treatment-seeking, whereas neither trauma exposure nor traumatic symptomatology were associated with treatment-seeking attitudes. The significant association between mental health services stigma and treatment-seeking attitudes underscores the importance of destigmatizing mental health to encourage treatment-seeking among the Chinese college student population.

The mediation effect of posttraumatic perception between self-esteem and PTSD severity among college student veterans (N = 64) were investigated. The results of the investigation indicated a significant relationship between self-esteem and PTSD severity. The total effect between self-esteem and PTSD severity showed a statistically significant relationship. Additionally, the investigation affirmed that self-esteem among student veterans was directly and negatively related to posttraumatic perception. Implications for college counseling with veterans are discussed.

Background: The psychological well-being of students may be especially affected by the COVID-19 pandemic; international students can lack local support systems and represent a higher risk subgroup. Methods: Self-reported depressive symptoms, suicidal ideation, anxiety, post-traumatic stress disorder (PTSD), insomnia, alcohol use, academic stress, and loneliness were examined in two cohorts of university students (March 2020 n = 207, March 2021 n = 142). We investigated differences i) between 2020 and 2021, ii) between domestic and international students, and iii) whether differences between the two cohorts were moderated by student status. Results: More depressive symptoms, academic stress, and loneliness were reported in 2021. International students reported more depressive symptoms, suicidal ideation, anxiety, PTSD, academic stress, and loneliness. The main effect of cohort was not moderated by student status. Conclusions: International students had worse mental health outcomes overall, but were not affected more by the COVID-19 pandemic than domestic students.

Group therapy is an effective modality to treat various mental health concerns and is proven to have significant interpersonal benefits. Despite the high prevalence of sexual violence amongst college-aged women, there are limited contemporary models for providing a trauma-specific group for this population. This article describes an innovative eight-session group for victims and survivors of sexual violence. Offered in a university setting, this semi-structured group incorporates psychoeducation about trauma, self-compassion and mindfulness techniques, coping skill development, trauma processing, expressive and creative therapeutic outlets, and peer connections in a confidential, affirming environment. The theoretical grounding and evidence-based framework underpinning this group is described, along with a detailed account of the weekly group sessions. Quantitative and qualitative data from the pilot study are reported, with preliminary results suggesting this is an effective group therapy model for improving post-traumatic stress symptoms, well-being, resilience, and self-compassion. Limitations and future directions are discussed.

This study investigated the utility of using an omnibus measure of child functioning, the Child Behavior Checklist (CBCL), to screen for symptoms of PTSD. Although measures to assess trauma symptoms exist, they are often not linguistically and culturally valid for many school-age populations. Data from parents of Syrian refugee youth (ages 10-18 years, M = 13.54, SD = 2.27, n = 70) who recently resettled in the U.S. were analyzed, as their refugee status implies they likely have experienced traumatic events during the Syrian War. A mixed-method design was employed, comparing qualitative data from parent focus groups to quantitative responses on the CBCL. Results provide preliminary support for use of CBCL items as a culturally-responsive screening tool for screening symptoms of PTSD in school-aged children, though it should not replace formalized assessment.

In August 2011, Norwegian schools welcomed survivors of the Utøya massacre to a new school year. Based on interviews with 135 students who went back to school weeks after experiencing extreme trauma, this study investigates their perception of schooling and learning. Sixty percent of the students reported a variety of reduced academic functioning, and they were not prepared for the learning impairments they faced. Their stories indicate that neither were the schools. Rather, schools appeared to be trauma sensitive only to certain aspects of the trauma-induced effects on schooling: A variety of actions aimed at enhancing school well-being were implemented, however few educational measures to assist and restore impaired academic functioning were reported. The students blamed themselves for reduced academic performance, and had few expectations with regard to teachers helping them academically. The findings are discussed in the context of influential pedagogical ideals in Norwegian and Scandinavian schools.

Times of adversity often require an intentional focus on fostering people's inherent strengths to help them not give up on their life's most cherished aspirations. The outbreak of the Russian war in Ukraine has created unprecedented struggles and uncertainties among the entire Ukrainian population, including college students (Limone et al., 2022). The war has specifically impacted university students' mental health, leading to concerns such as post- traumatic stress disorder (Gupta & Shourie, 2022), anxiety (Limone et al., 2022), inability to achieve goals (Limone et al., 2022), reduced emotional well-being (Kurapov et al., 2022), and difficulty in persevering (Kurapov et al., 2022). During such challenging times, students' career adaptability can play an important role in supporting their well-being and persistence (Rossier, 2015). Research has demonstrated general sense of purpose as an important predictor of university students' resilience and persistence amid hardships (Sharma & Yukhymenko-Lescroart, 2022a) and has highlighted the specific nature of people's life purpose orientations in determining their academic success, mental health, and career growth (Hill et al., 2010; Sharma & Burnal-Arevalo 2021; Wang et al., 2020; Yukhymenko-Lescroart, 2022). Recently, Yukhymenko-Lescroart and Sharma (2022) demonstrated three specific purpose orientations: (a) others-growth encourages efforts to benefit others; (b) self-growth encompasses the desire to grow as a person and manifest one's full potential; and (c) career-focused reflects people's resolve to excel in their profession. T he aim of this study was to examine the role of each of these purpose orientations in career adaptability among Ukrainian university students during unprecedented, challenging, and traumatic times. Phase 1 took place during the COVID-19 pandemic before the onset of the Russian war, while Phase 2 occurred during the war following the Russian siege.

Objectives: The impact of psychosocial factors and social support in the transmission of trauma related to migration and the mother-child dyad has not yet been amply explored. This article examines this impact and the role that psychosocial factors may have in the transmission of the traumatic experiences of migrant mothers to their children. Patients and method: This study was conducted in France and focused on 14 mother-child dyads in which mothers were exposed to potentially traumatic events in the absence of the child, before or after birth. To analyse the corpus of information collected, the team used a qualitative method based on Interpretative Phenomenological Analysis (IPA) guidelines. Results: The study's findings show that a lack of support from the family and lack of support from the host country are two of the major psychosocial factors involved in the exacerbation of maternal challenges. This negative impact on the maternal function leads to mirror reactions between the mother and child marked by the transmission of depressed moods and instinctive behavioural disorders, such as insomnia. Among other findings, factors are identified that help protect mother-child interactions, including religion and faith in God. Conclusion: These findings provide a foundation for further studies into the transmission of trauma from mother to child among migrant women and will help direct further clinical insight into the role of psychosocial factors in traumatic experiences and their transmission.

Trauma exposure places youth at an increased risk for post-traumatic stress symptoms (PTSS) and externalizing problems. Trauma-focused therapies help treat these symptoms, but many youth with these symptoms are still unable to receive treatment. Offering trauma-focused therapies in a group format is one way to extend therapeutic services to more youth who need them. Providing group interventions to youth in the school setting can further minimize barriers for youth who need therapeutic services. Despite the relationship between trauma exposure and externalizing behavior problems, and the disruptive nature of externalizing problems, the impact of externalizing problems on outcomes in group treatment for PTSS has yet to be examined. This study uses multilevel modeling to examine whether PTSS symptom change during group therapy for youth with PTSS differs as a function of youth's self-reported externalizing problems or as a function of youth's exposure to other youth's externalizing problems within their therapy group. Results show that youth's own level of externalizing problems at baseline did not yield a significant effect on PTSS symptom change from pre- to post-treatment; however, youth who were part of groups with higher levels of externalizing problems experienced less change in PTSS from baseline to post-intervention. While youth with higher levels of externalizing problems themselves still report experiencing reductions in PTSS from group therapy, the presence of these youth in group sessions may impede therapeutic progress of other groups members. The clinical implications of these findings for treatment of PTSS in youth with externalizing behavior problems will be discussed.

Background: Narrative exposure therapy (NET) is a trauma-focused cognitive behavioural therapy, recommended by the National Institute for Health and Care Excellence in 2018, to treat posttraumatic stress disorder in adults. There is a lack of research exploring the effectiveness of NET with adults with intellectual disabilities. The aim of this study is to develop an adapted version of the NET protocol (IDNET) for use with adults with mild intellectual disability. Methods: A qualitative research design was employed. Stage one involved systematically adapting the NET protocol for adults with mild intellectual disabilities in collaboration with a service user group comprising eight consultants. Stage two involved gaining professionals' views on the adapted protocol and on the use of NET in intellectual disability services. This comprised a focus group of eight clinical psychologists specialising in intellectual disabilities and an expert panel of three NET clinicians. The framework approach was conducted on the focus group data only following guidance from a previous study. Findings: An adapted NET protocol and collection of 'easy read' therapy materials were developed (IDNET), which incorporated feedback from the three stakeholder groups. Key concepts of 'Optimism and motivation to adapt NET for people with mild intellectual disabilities' and 'Factors related to NET in practice' were developed to describe the views of clinical psychologists. A number of issues were raised by professionals regarding the delivery of IDNET. Conclusions: Professionals were optimistic about IDNET; however, issues raised regarding the delivery of IDNET require exploration when IDNET is trialled in practice. Specific implications for clinical practice and future research are discussed.

This study provides a deeper understanding of the experiences of student veterans with disabilities through examination of type and severity of service-connected disability and impacts on transition to higher education. Through quantitative survey research (n=328 respondents) at a medium sized regional research university in the West, we investigated the role of injury type and visibility as it relates to sense of belongingness on campus, impacts on quality of life, and perceptions of university disability services. Students with invisible disabilities reported stronger impacts of their injuries on belongingness and quality of life, and a significant proportion of students (46%) reported their injuries as severe and worsening over time. Student veterans with posttraumatic stress (PTS) or sensory injuries had higher odds of reporting their experiences with university disability services as "helpful." Comparatively, student veterans with physical injuries or traumatic brain injury (TBI) had lower odds of finding disability services helpful. Through exploring relationships between injury severity, type, and perception of injuries, we provide insight into disability services delivery and belongingness for student veterans on campus.

Many Pre-K through grade 12 (PK-12) students have experienced traumatic events throughout the pandemic in a myriad of ways including the death of family members and peers, loss of social interaction and increased violence at home. The consequences can be traumatic and manifest themselves in fear, anxiety, anger, isolation, and loneliness. Too often this leads to depression, anxiety, grief, substance use disorders, post-traumatic stress disorder, suicidal ideation and even suicides. This study assesses the impact of an innovative virtual human role-play simulation that prepares PK-12 educators, administrators, and school staff to respond to a student death in the school community by creating communities of support to help manage traumatic loss. The simulation addresses crisis response planning, postvention plans, and provides learners with role-play practice in using evidence-based motivational interviewing communication strategies in conversations with students and colleagues after the occurrence of a death. The sample consisted of educators and staff who were recruited from geographically dispersed areas across the US between January 2021 through December 2021. Matched sample t-tests and ANOVAs were used to assess quantitative data, and a qualitative analysis software, MAXQDA, was used to assess open-ended response data. Results show statistically significant increases in school personnel's preparedness and self-efficacy to recognize signs of trauma in their students and colleagues, and to approach them to talk about concerns and, if necessary, make a referral to support services. Simulations such as this hold tremendous potential in teaching educators how address trauma due to a student death.

Background: The COVID-19 pandemic can have a serious impact on children and adolescents' mental health. We focused on studies exploring its traumatic effects on young people in the first 18 months after that the pandemic was declared, distinguishing them also according to the type of informants (self-report and other-report instruments). Objective: We applied a meta-analytic approach to examine the prevalence of depression, anxiety, posttraumatic stress disorder, and psychological distress among children and adolescents during the COVID-19 pandemic, considering the moderating role of kind of disorder and/or symptom, type of instrument, and continent. Method: We used PsycINFO, PubMed, and Scopus databases to identify articles on the COVID-19 pandemic, applying the following filters: participants until 20 years of age, peer-review, English as publication language. Inclusion required investigating the occurrence of disorders and/or symptoms during the first 18 months of the pandemic. The search identified 26 publications. Results: The meta-analysis revealed that the pooled prevalence of psychological disorders and/or symptoms for children and adolescents, who were not affected by mental health disturbances before the outbreak of the COVID-19 pandemic, was 0.20, 95% CI [0.16, 0.23]. Moreover, we found a moderating role of type of instrument: occurrence was higher for self-report compared to other-report instruments. Conclusions: The study presented an analysis of the psychological consequences for children and adolescents of the exposure to the COVID-19 pandemic, soliciting further research to identify factors underlying resilience. Notwithstanding limitations such as the small number of eligible articles and the fact that we did not examine the role of further characteristics of the studies (such as participants' age or design), this meta-analysis is a first step for future research documenting the impact of such an unexpected and devastating disaster like the COVID-19 pandemic.

Background: The COVID-19 pandemic resulted in an abrupt transition from in-person to online learning in Spring 2020. Objective: The purpose of this study was to identify the impact of the transition on undergraduates during the period following the campus closure. Method: 131 psychology undergraduate students completed an online survey of how the COVID-19 closure had impacted their academics, online learning environment, and traumatic stress symptoms (using the Posttraumatic Stress Disorder Checklist for the DSM-5). Results: Most participants reported increased academic difficulty compared to before closure. Approximately 30% reported elevated traumatic stress symptoms. Greater traumatic stress was associated with greater difficulty completing assignments, more limited access to the internet and quiet places to study, and greater sibling-care responsibilities. Conclusions: The acute transition to online instruction posed academic and emotional challenges to many students, especially those from environments with competing demands or less access to academic supports. Follow-up evaluation is needed to determine whether these difficulties have persisted in subsequent semesters of online instruction. Teaching Implication: Instructors should anticipate the emotional and academic needs of students who are relatively unfamiliar with online instruction and consider ways to minimize negative environmental impacts and increase access to mental health resources.

Research demonstrates that most professional journalists will experience trauma in their work. Yet almost no research has focused on college students' coverage of a traumatic event. Narrative analysis explores the experiences of 12 university students who reported and produced execution coverage for their college newscast. The data reveal that the students struggled with feelings of detachment, uncertainty, and dread before, during, and after the coverage. The research also explored the students' reaction to counseling sessions scheduled by faculty to mitigate the trauma. Findings illuminate a path for student media programs to follow to help students prepare for potentially troubling content.

This quasi-experimental study examines the effects of the Somatic Experience Stabilization Program (SESP) on post-traumatic stress, mindfulness, and social support levels among refugee women. This study was conducted with 22 women who applied to a non-governmental organization for social and psychological support. Impact of Event Scale Revised (IES-R), Mindfulness Attention Awareness Scale (MAAS) and Multidimensional Scale of Perceived Social Support (MSPSS) were utilized for pre-test, post-test, and follow-up tests. While experimental group received a six-session SESP intervention developed by the researcher, control group received no intervention. SESP for refugee women was found to be significantly effective in decreasing post-traumatic stress and increasing mindfulness and social support levels. The effects of the program persisted during the follow-up test.

So much has changed. Aside from losing social connections, academic support structures, and enrichment opportunities, students face new anxieties about health, loved ones, and financial security within an uncertain economy. The sudden loss of control and unanswered questions about the future may leave many feeling helpless, fearful, angry, or grieving. In the middle of this global crisis, do classroom learning and traditional curricula suddenly feel less relevant? With attention on more salient problems and a complexity of emotions students can't begin to process, where will the motivation and focus to learn come from? How can faculty account for this in their teaching? Feeling at a loss, I was delighted when a former student reached out to discuss these topics. Through a series of individual personal reflections and conversations, we explored ways of interpreting this adversity and ultimately cocreated meaning in ways we hope will benefit both students and faculty, whether future learning is conducted virtually or face-to-face. We found great value in illustrating our experiences using a a well-known conceptualization of posttraumatic growth, which entails positive psychological change experienced as a result of the struggle to make sense of a highly challenging life circumstance--one such as the 2019 coronavirus disease (COVID-19)--which can shatter our worldview, shake us from our ordinary perceptions, and force us to rebuild ourselves and find deeper meaning. Specifically, we discussed what choices students have in responding to the current situation and how faculty can support positive growth choices; what posttraumatic growth might look like during the COVID-19 pandemic; what deliberative cognitive exploration is, how it can foster growth, and how faculty can encourage it in their classrooms; and what types of growth "outcomes" might not only give us purpose and meaning in this time but also build resilience, and perhaps make us even better than before.

Incarcerated girls have disproportionately higher rates of physical, emotional, and sexual abuse compared with their nonincarcerated peers. Failure to address this trauma and abuse can lead to mental health disabilities such as anxiety, depression, post-traumatic stress disorder, and anti-social behaviors. Many girls who experience trauma engage in criminal behaviors as a response to these unresolved issues. The punitive nature of correctional confinement only exacerbates their mental health disabilities. This article examines the correctional confinement experiences for girls with mental health disabilities in the United States, where there is a large population of incarcerated girls, and Costa Rica, a country with fewer incarcerated girls. Policy changes are suggested to minimize the punitive nature of correctional confinement and to enhance the services and support systems available to incarcerated girls with mental health disabilities.

School nurses are integral to creating safe environments in U.S. schools. Many experienced increased work burden and stress during the COVID-19 pandemic. CDC collaborated with the National Association of School Nurses and the National Association of State School Nurse Consultants to distribute a 121-item online, anonymous survey to school nurses nationwide during March 7-30, 2022. Among the 7,971 respondents, symptoms of depression, anxiety and PTSD, and suicidal ideation were measured, and prevalence ratios were used to identify associations with demographics, workplace characteristics, and support. Results found high levels of work-related stressors and indicated that employment characteristics, COVID-19-related job duties, and other workplace stressors and supports affected school nurse mental health. The survey findings underscore the mental health challenges many school nurses experienced during the 2021/2022 school year. The findings can inform supportive policies and practices to reduce workplace stressors and increase workplace supports for school nurses.