Exposure to prolonged and/or multiple types of psychological trauma and stressors has been shown to be more strongly associated with ICD-11 complex posttraumatic stress disorder (CPTSD) than posttraumatic stress disorder (PTSD). Lesbian, gay, bisexual, trans-and queer adults (LGBTQ+) are at a heightened risk of exposure to traumatic events, and minority stressors including harassment, discrimination, rejection by family, and isolation. Objective: To examine the factor structure of the international trauma questionnaire (ITQ), a self-report measure of PTSD and CPTSD, and the associations of cumulative lifetime trauma exposure assessed via the life events checklist and minority stress assessed via the daily heterosexist experiences scale, with CPTSD (three PTSD symptom clusters, three clusters reflecting disturbances in self-organization [DSO]) among LGBTQ+ adults. Method: Participants comprised 225 LGBTQ+ adults (including 74 transgender and gender diverse individuals; age range: 18-60 years; M/SD = 31.35/9.48) residing in Spain. Results: Confirmatory factor analyses indicated that both a first-order six-factor model and a hierarchical two-factor model, comprising PTSD and DSO as second-order factors, fit the data best. Cumulative traumatic events score was associated with PTSD, and cumulative minority stress was associated with PTSD and DSO. Among the minority stress subscales, harassment based on gender expression was positively associated with all symptom clusters of PTSD and DSO. Conclusion: This is the first study to examine the role of minority stressors alongside exposure to psychological traumas in ICD-11 PTSD and CPTSD and emphasizes the inclusion of minority stressors in trauma-related assessments. Clinical Impact StatementThe present study findings validated the structure of CPTSD comprising PTSD and DSO, using the ITQ in LGBTQ+ adults from Spain. Findings further suggested that exposure to cumulative minority stressors (i.e., heterosexism/cissexism) was positively associated with the PTSD and DSO clusters of complex PTSD emphasizing the importance of inclusion of minority stressors in clinical assessments and traumafocused treatments. Ruby Charakhttps://orcid.org/0000-0002-5806-6884 Ruby Charak served as lead for conceptualization, investigation, methodology, project administration, resources, software, validation and writingoriginal draft and contributed equally to formal analysis. Ines Cano-Gonzalez served as lead for formal analysis and served in a supporting role for data curation, methodology, project administration and writing-review and editing. Roman Ronzón-Tirado served in a supporting role for writing-review and editing. Julian D. Ford served in a supporting role for writing-review and editing. Brianna M. Byllesby served in a supporting role for writing-review and editing. Mark Shevlin served in a supporting role for writing-review and editing. Thanos Karatzias served in a supporting role for writing-review and editing. Philip Hyland served in a supporting role for conceptualization, investig...
Emotional dysregulation is a construct that has drawn substantial attention as a transdiagnostic contributing factor to the loss of health. Intimate partner violence (IPV) is a term used to describe physical, psychological, or sexual assault of a spouse or sexual partner. The aim of the study was to determine the variability of emotional dysregulation among women with different types of IPV revictimization and post-traumatic stress. The cross-sectional survey included 120 women attended by the Integrated Monitoring System of Gender Violence of Madrid, Spain, due to a gender violence complaint. The presence of post-traumatic stress disorder (DSM 5 criteria), emotional dysregulation (Emotional Processing Scale (EPS)), childhood trauma, and type of revictimization were evaluated. Cluster analysis found three profiles of emotional regulation: Emotionally Regulated, Avoidance/Non-Impoverished, and Emotional Overwhelm. The results showed that the Emotional Overwhelm group was characterized by a general dysregulation of emotional experiences and a greater intensity of post-traumatic stress symptoms. In addition, women who have suffered several episodes of IPV by different partners showed a differential pattern of emotional regulation than the rest of the victims that entailed greater psychopathology. Findings confirm that emotional dysregulation is a critical pathway to the decrease of health among IPV victims.
Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals face unique stressors related to their sexual and gender identities that have a detrimental impact on their mental health. Nonetheless, studies have not yet investigated these minority stressors among LGBTQ+ individuals from Spain. The limited availability of standardized tools/ instruments to measure minority stressors in Spanish makes it challenging to explore these experiences among Spanish speaking individuals. The present study aimed to examine the factor structure of the Daily Heterosexist Experiences Questionnaire (DHEQ) among LGBTQ+ adults from Spain, compare rates of minority stressors across diverse gender and sexual orientations, and examine the impact of daily heterosexist experiences (henceforth referred to as heterosexist experiences) on symptoms of depression and suicidal behavior. The sample was composed of 509 LGBTQ+ identifying adults in the age range of 18 to 60 years old. Confirmatory factor analysis indicated a good fit for the six dimensions of the DHEQ scale. Individuals identified as transgender or reporting a minority sexual orientation (i.e., asexual, pansexual) indicated higher levels of exposure to heterosexist experiences. Moreover, those with higher levels of heterosexist experiences had higher symptoms of depression and suicide behavior. The present study provides a tool for examining minority stressors in Spanish speaking LGBTQ+ adults. Assessing for minority stressors may aid in the identification of risk and protective factors when working with LGBTQ+ treatment seeking adults.
According to recent international studies, most of the adolescent victims of physical dating violence remain satisfied and committed toward their abusive relationship, giving way to long-term relationships in which the abuse tends to persist and increase in frequency and severity. The objective of this study is to contribute to the understanding of the stay/leave decision of the adolescent victims of physical dating violence. A structural equation model was estimated to explain the direct and indirect contribution of the level of satisfaction, commitment, justification of the aggression, relationship duration, psychological coercion toward commitment, and the consequences of the abuse on the victims’ decision to continue in the abusive relationship. The sample was 456 Latinx adolescents aged between 12 and 18 years. The results corroborate that the decision to leave a physically abusive dating relationship is a complex phenomenon related to subjective variables such as (a) the level of satisfaction, (b) cognitive evaluation of the aggression (especially in those couples who have been together for a long time), and (c) the exposure to psychological pressures toward commitment. Future preventive strategies must incorporate actions to help the youngest to evaluate in a more objective and adequate way, the real quality of their first relationships, and aim to modify the justification of the aggression, the recognition of the potential harm, and to foster an adequate balance between the benefits and harm of staying in the abusive relationship.
Several scales are used in Dating Violence studies assuming cross-cultural invariance and equivalence of the measures without making the proper validation in the intended populations. This study focuses on the importance of adapting existing dating violence psychological instruments (as the widely recognized Modified Version of the Conflict Tactics Scale, M-CTS) in diverse adolescent populations adjusting to international validation procedures that ensure the cultural fit of the instrument and the measurement invariance of the construct. We sought to adapt the M-CTS in Mexican adolescents ( N = 1861; 57.5% woman) following the ITC Guidelines for Translating and Adapting Test. We made an analysis of the linguistic and cultural variables, followed by a Confirmatory Factor Analysis, and the evaluation of Construct and Known Groups Validities. We culturally modified six items and verified the four-factorial structure of the questionnaire proposed in previous studies (argumentation, psychological aggression, mild physical aggression, and sever physical aggression). We also found significant correlations in between the scores of the M-CTS and the Aggression Questionnaire (AQ) and the Dominating and Jealous Tactics Scale (DJTS), verifying the Construct Validity of the M-CTS to measure aggressive behaviors. Conclusion: the cultural adaptation of the M-CTS offered adequate reliability and validity scores in Mexican population expanding the possibilities of comparing prevalences of the problem between nations with a reliable instrument based on the same theoretical and methodological perspectives.
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