Patterns and predictors of perinatal posttraumatic stress symptoms: A latent transition analysis

Paulson, Julia L.; Miller‐Graff, Laura E.; Jamison, Lacy E.; Scheid, Caroline R.; Howell, Kathryn H.

doi:10.1016/j.jad.2022.09.068

Cited by 5 publications

(5 citation statements)

References 69 publications

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“…Again, however, within this adjustment trajectory, transitions to less adaptive states were nearly always followed by transitions to more adaptive adjustment states, suggesting that individuals were potentially able to engage in successful self-regulation. This finding is also consistent with prior LTA studies that have likewise demonstrated that transitions from more distressed to less distressed latent classes are more common than the reverse (e.g., Goodman-Williams et al, 2022;Paulson et al, 2023). Also consistent with our hypotheses, nearly 18% of participants displayed a pattern of overall fluctuating and poor adjustment, with this trajectory marked by more time spent in less adaptive states and more frequent transitions from one less adaptive adjustment state to another less adaptive state.…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

“…LCA studies have similarly identified that the most common symptom class is one characterized by low‐level or no symptoms of distress posttrauma (e.g., Minihan et al., 2018; Steenkamp et al., 2012). Further, studies using LTA have found that over time, transitions to classes characterized by better functioning and less distress are more common than transitions to classes characterized by higher levels of distress (e.g., Goodman‐Williams et al., 2022; Paulson et al., 2023).…”

Section: Self‐regulation Shift Theorymentioning

confidence: 99%

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Recovery and adjustment trajectories among Hurricane Florence survivors: Analysis utilizing nonlinear dynamic system modeling

Littleton

Ricca

Allen

et al. 2023

Journal of Traumatic Stress

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Self‐regulation shift theory (SRST) argues that most individuals are able to successfully recover from trauma via engagement in self‐regulation processes as well as the effective utilization of internal and environmental resources. However, a minority of individuals may instead experience a self‐determination violation as a result of their self‐regulatory capacity being overwhelmed. This self‐determination violation is marked by chaotic and shifting adjustment, maladaptive regulation attempts, and, ultimately, a shift to an impaired self‐state and the development of persistent psychopathology, such as posttraumatic stress disorder (PTSD). The current study utilized nonlinear dynamic system (NDS) analysis to identify adjustment trajectory dynamics among rural hurricane survivors in North Carolina (N = 131) who completed daily ecological momentary assessments (EMAs) regarding their distress (i.e., negative mood and PTSD symptoms), regulation efforts (e.g., coping), and appraisals (e.g., coping self‐efficacy) over a 6‐week period. Four adjustment trajectories were identified, including two largely adaptive trajectories (69.0% and 5.7%), a less stable adjustment trajectory (6.9%), and a fourth trajectory (18.4%) marked by shifting adjustment states and more frequent maladaptive regulation and negative appraisals, suggesting possible self‐determination violation. Consistent with this possibility, this final trajectory was also associated with more severe PTSD symptoms relative to the other three trajectories at enrollment and 6‐month follow‐up. Future work should utilize NDS to model posttrauma adjustment dynamics from within a SRST framework to identify patterns of positive and negative adjustment dynamics at different time points in the trauma recovery process.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

Section: Self‐regulation Shift Theorymentioning

confidence: 99%

See 1 more Smart Citation

Recovery and adjustment trajectories among Hurricane Florence survivors: Analysis utilizing nonlinear dynamic system modeling

Littleton

Ricca

Allen

et al. 2023

Journal of Traumatic Stress

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“…Six other articles have been published from the current data set. Five are cross-sectional analyses examining associations in the data at pretest (T1; Gilliam et al, in press; Hasselle et al, in press; Howell et al, 2021; Napier et al, in press) and one includes some data from the control group at T1/T3 in the context of a broader integrative data analysis (Paulson et al, 2023). None of the previously published studies have conceptual overlap with the present study.…”

Section: Methodsmentioning

confidence: 99%

“…This article is intended solely for the personal use of the individual user and is not to be disseminated broadly. ) and one includes some data from the control group at T1/T3 in the context of a broader integrative data analysis (Paulson et al, 2023). None of the previously published studies have conceptual overlap with the present study.…”

Section: Analysis Planmentioning

confidence: 99%

Examining the efficacy of prenatal intervention in reducing IPV revictimization and improving maternal mental health: A quasirandomized controlled trial of the Pregnant Moms’ Empowerment Program (PMEP).

Miller‐Graff¹,

Paulson²,

Hasselle³

et al. 2022

Journal of Consulting and Clinical Psychology

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Objective: The present study was a quasirandomized trial of the Pregnant Moms' Empowerment Program (PMEP) that examined the effects of the program on women's intimate partner violence (IPV) revictimization, depression, posttraumatic stress, and resilience. It was hypothesized that treatment would be associated with improvements across all of the indicated dimensions and that those women completing the module on violence and mental health would have particularly strong improvements. Method: Women who were currently pregnant, IPV-exposed, and at least 16 years of age were recruited and assigned to either a treatment or control condition. Participants (N = 137) completed four assessments (pretest [T1], posttest [T2], 3-months postpartum [T3], and 12-months postpartum [T4]). The key outcomes assessed included IPV (Revised Conflict Tactics Scales), depressed mood (Center for Epidemiological Studies Depression Scale), posttraumatic stress (PTSD Checklist for DSM-5), and resilience (Connor-Davidson Resilience Scale). Results: Results of multilevel models examining IPV revictimization indicated that treatment was associated with significantly fewer experiences of physical assault and sexual coercion at all follow-up interviews (T2, T3, and T4) and fewer IPV-related injuries at T3 and T4. In addition, treatment exposure was associated with statistically and clinically significant improvement in depression at T2 and T4. The intervention had limited efficacy in increasing women's self-reported resilience or in reducing symptoms of posttraumatic stress. Conclusions: Together, these data suggest that PMEP is a promising evidence-based intervention for pregnant, IPV-exposed women, and that the effects-particularly for IPV and depressionare likely to be sustained over time.This document is copyrighted by the American Psychological Association or one of its allied publishers.This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

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Latent profiles of problem-solving skills and their association with depressive symptoms in parents of children with cancer: A cross-sectional study

Zhou,

Luo,

Xiong

et al. 2025

Asia-Pacific Journal of Oncology Nursing

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Patterns and predictors of perinatal posttraumatic stress symptoms: A latent transition analysis

Cited by 5 publications

References 69 publications

Recovery and adjustment trajectories among Hurricane Florence survivors: Analysis utilizing nonlinear dynamic system modeling

Recovery and adjustment trajectories among Hurricane Florence survivors: Analysis utilizing nonlinear dynamic system modeling

Examining the efficacy of prenatal intervention in reducing IPV revictimization and improving maternal mental health: A quasirandomized controlled trial of the Pregnant Moms’ Empowerment Program (PMEP).

Latent profiles of problem-solving skills and their association with depressive symptoms in parents of children with cancer: A cross-sectional study

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