Common health problems in safety‐net primary care: Modeling the roles of trauma history and mental health

Williams, Allison Baylor; Smith, Erin R.; Trujillo, Michael A.; Perrin, Paul B.; Griffin, Sarah; Rybarczyk, Bruce

doi:10.1002/jclp.22694

Cited by 6 publications

(4 citation statements)

References 82 publications

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“…Like many public health care systems, VHA primary care provides services to various patient populations, the majority of whom are trauma‐exposed and suffer from significant symptoms of posttraumatic stress disorder (PTSD) and depression (e.g., Alim et al. 2006; Campbell et al., 2007; Cohen et al., 2010; Williams et al., 2019). Reported rates of PTSD in VA primary care settings range from 9.3% to 29% (Magruder et al., 2005; Possemato et al., 2010; Trivedi et al., 2015) while those for depression range from 13.5% to 15% (Possemato et al., 2010; Trivedi et al., 2015).…”

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confidence: 99%

“…In 2007, the U.S. Veterans Health Administration (VHA) started an initiative to integrate primary care and mental health services, which resulted in the development of primary care mental health integrated (PCMHI) programs nationwide. Like many public health care systems, VHA primary care provides services to various patient populations, the majority of whom are trauma-exposed and suffer from significant symptoms of posttraumatic stress disorder (PTSD) and depression (e.g., Alim et al 2006;Campbell et al, 2007;Cohen et al, 2010;Williams et al, 2019). Reported rates of PTSD in VA primary care settings range from 9.3% to 29% (Magruder et al, 2005;Possemato et al, 2010; Correspondence concerning this article should be addressed to Marylène Cloitre.…”

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confidence: 99%

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A Randomized Controlled Trial of Brief Skills Training in Affective and Interpersonal Regulation (STAIR) for Veterans in Primary Care

Jain

Ortigo

Gimeno

et al. 2020

Journal of Traumatic Stress

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This randomized controlled trial assessed the efficacy of a five‐session version of Skills Training in Affective and Interpersonal Regulation (STAIR) among veterans obtaining treatment in primary care. Veterans who screened positive for either posttraumatic stress disorder (PTSD) or depression (N = 26) were enrolled and randomized into either five‐session STAIR or treatment as usual (TAU). Assessments of PTSD symptoms (PTSD Checklist for DSM‐5; PCL‐5), depression (Beck Depression Inventory–II; BDI‐II), emotion regulation (Difficulties in Emotion Regulation Scale; DERS), and social engagement difficulties (World Health Organization Disability Assessment 2.0; WHODAS‐2) were assessed at pretreatment, posttreatment, and 3‐month follow‐up assessments. Participants assigned to the five‐session STAIR condition reported significant improvements on all measures, whereas those assigned to TAU showed no change. Group × Treatment interactions were significant for all outcomes, and effect sizes for the interactions ranged from moderate to large, Hedge's gs = 0.81 for the PCL‐5, 1.15 for the BDI‐II, 0.75 for the DERS, and 0.81 for the WHODAS‐2. The results indicate that five‐session STAIR, a brief, skills‐focused treatment, may be effective in reducing a range of symptoms and in improving social functioning among veterans treated in primary care settings.

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confidence: 99%

mentioning

confidence: 99%

A Randomized Controlled Trial of Brief Skills Training in Affective and Interpersonal Regulation (STAIR) for Veterans in Primary Care

Jain

Ortigo

Gimeno

et al. 2020

Journal of Traumatic Stress

View full text Add to dashboard Cite

show abstract

“…Scoring for the BTQ ranges from 0 to 10. Whether items are scored positively varies depending on how the person responds to particular events (e.g., Events 1–3 and 5–7 are scored positively if they are experienced as a life threat or serious injury; Events 9 and 10 are scored positively if they have ever been experienced at all; Williams et al., 2019). The BTQ is considered to be a reliable and valid measure of trauma exposure (Lancaster et al., 2009; Schnurr et al., 2002; Sumner et al., 2015; Williams et al., 2019).…”

Section: Methodsmentioning

confidence: 99%

Trauma, psychopathic traits, and mental health outcomes: A propensity score matching approach between service member and civilian samples.

Batastini¹,

Lester²,

Poindexter³

et al. 2023

Traumatology

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A large body of research has been dedicated to examining the antecedents, determinants, and consequences of trauma exposure, particular among those who have served in the U.S. armed forces. Emerging research suggests that psychopathic traits may play a protective role. Yet, no known studies have examined the relationships between trauma exposure, components of psychopathy, posttraumatic symptoms, general mental health, and suicidal ideation. In addition, few studies directly compare military- and nonmilitary-experienced participants. Using propensity score matching, 114 participants (57 military and 57 civilian) were statistically matched based on age, race, and gender. Reported trauma exposure was associated with poorer general psychiatric functioning and increased posttraumatic stress disorder symptoms but was unrelated to historical suicidal ideation. Conversely, psychopathic traits were associated with improved psychiatric functioning and fewer posttraumatic stress disorder symptoms; however, certain facets of psychopathy (primarily those associated with meanness and disinhibition) were the most protective. Military status did not enhance the relationships between trauma exposure and adverse outcomes. Clinical implications, study limitations, and research initiatives aimed at better understanding the nuances of trauma-related responses and mental health are discussed. Identifying which risk and protective factors are unique (or not) to service members can inform the need for tailored interventions.

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“…Forbes et al, 2012 , Galea et al, 2007 , Goldmann and Galea, 2014 , Betz et al, 2021 , Wheaton et al, 2012 , Williams et al, 2019 …”

Section: Uncited Referencesmentioning

confidence: 99%

The association between COVID-19-related stressors and mental health outcomes for survivors of past interpersonal and non-interpersonal trauma

Maharaj

Tineo²,

Flores-Ortega³

et al. 2022

European Journal of Trauma & Dissociation

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Common health problems in safety‐net primary care: Modeling the roles of trauma history and mental health

Cited by 6 publications

References 82 publications

A Randomized Controlled Trial of Brief Skills Training in Affective and Interpersonal Regulation (STAIR) for Veterans in Primary Care

A Randomized Controlled Trial of Brief Skills Training in Affective and Interpersonal Regulation (STAIR) for Veterans in Primary Care

Trauma, psychopathic traits, and mental health outcomes: A propensity score matching approach between service member and civilian samples.

The association between COVID-19-related stressors and mental health outcomes for survivors of past interpersonal and non-interpersonal trauma

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