The Correlates of Collective and Individual Trauma on Mental Health Outcomes Among Afghan Refugees: A Study of Sociodemographic Differences.

Following the U.S. military's departure from Afghanistan, a significant number of Afghan refugees have resettled in the United States, presenting complex mental health challenges exacerbated by extensive traumatic exposure. This demographic is particularly affected by collective trauma due to war, genocide, and the loss of homeland. However, detailed investigations into the correlations between collective trauma and mental health outcomes among Afghan refugees are limited. This study sought to explore the relationship between collective trauma and mental health outcomes within the Afghan refugee population in the United States, paying particular attention to the influence of sociodemographic factors. Identifying subgroups at greater risk allows for the development of more targeted mental health interventions. The study surveyed 173 Afghan refugees employing snowball sampling, utilizing a cross-sectional design. Data collection was facilitated through online and in-person surveys in English, Dari, and Pashto. Key measures included the Harvard Trauma Questionnaire for individual trauma experiences, the Historical Loss Scale for collective trauma, the Historical Loss Associated Symptoms Scale for collective trauma symptoms, the Afghan Symptom Checklist-22 for mental health symptoms, and the Post-Migration Living Difficulties Scale for post-migration stressors. Statistical analyses involved Pearson's correlation for variable associations, with nonparametric Mann-Whitney U and Kruskal-Wallis tests conducted to assess sociodemographic impacts due to data's non-normal distribution. The analysis revealed significant variations in collective trauma and mental health outcomes across subgroups. Afghan women, minoritized ethnic groups, those who experienced extended displacement, and refugees with uncertain visa statuses reported higher collective trauma levels and worse mental health outcomes. Statistical significance was noted in the correlations between collective trauma and mental health symptoms (r = .53, p < .01) and between post-migration difficulties and mental health (r = .33, p < .01). The disparities in mental health outcomes based on sociodemographic characteristics were significant, with nonparametric tests showing clear distinctions across different groups (Kruskal-Wallis H = 14.76, p < .05 for trauma experience by visa status). This study emphasizes the critical need for mental health interventions that account for the complex experiences of collective trauma among Afghan refugees, especially among identified subgroups. Tailoring mental health services to address the specific needs highlighted through disaggregated data can enhance support for Afghan refugees in the United States. This research contributes to a deeper understanding of the relationship between collective trauma and refugee mental health, advocating for nuanced care strategies in resettlement environments.

Shared Trauma: An evolutionary model concept analysis in light of COVID-19.

Shared trauma (ST) is a term historically applied to social work experiences, but other healthcare professionals (HCP) also experience ST. With the occurrence of COVID-19, ST has impacted HCP globally and has led to new discoveries and more questions regarding its scope, impact and duration. This article aims to explore the concept of ST applied to nurses in light of COVID-19 using the Rogers and Knafl Evolutionary Model for Concept Analysis. Further examination and evolution of 'shared trauma', particularly during COVID-19, has led to the development of an adapted model to explore the implications of ST on health-related outcomes for nurses.

COVID-19 and collective trauma: Implementing a trauma-informed model of care for post-COVID patients.

AIM: To describe the implementation of a trauma-informed model of care in the Post COVID Respiratory Clinic of a large tertiary referral centre in NSW. DESIGN: Discussion paper. DATA SOURCES: Evidence gathered from a literature search (2008-2022) was used to develop a framework for management of patients presenting to this Post COVID Respiratory Clinic. This paper outlines the personal reflections of the clinic staff as they developed and implemented this framework. Ethical approval was obtained to report the data collected from patient reviews. DISCUSSION: The literature highlights the high prevalence of trauma in patients following COVID-19 infection, as well as the larger population both during and after the pandemic. This experience of trauma was observed in patients seen within the clinic, indicating a need for specialized care. In response, a trauma-informed model of care was implemented. CONCLUSION: Reconceptualizing COVID-19 as a 'collective trauma' can help healthcare workers understand the needs of post-COVID patients and enable them to respond empathetically. A trauma-informed model is complementary to this cohort as it specifically addresses vulnerable populations, many of whom have been further marginalized by the pandemic. IMPLICATIONS FOR NURSING AND PATIENT CARE: Frontline healthcare workers, particularly nurses, are well positioned to implement trauma-informed care due to their high-level of patient contact. Adequate allocation of resources and investment in staff is essential to ensure such care can be provided. IMPACT: The COVID-19 pandemic has led to adverse physical and mental health outcomes for many. Trauma-informed care is a way to promote reengagement with the healthcare system in this group. Post COVID patients globally may benefit from this approach, as it aims to build trust and independence. PATIENT OR PUBLIC CONTRIBUTION: Feedback was sought from a patient representative to ensure this paper adequately reflected the experience of the post-COVID patient.

A trauma-informed approach to suicide prevention for the COVID-19 pandemic.

During the COVID-19 pandemic, researchers have questioned how the devastation of the pandemic might impact suicide rates. While initial evidence on suicide rates during the early stages of the pandemic is mixed, there are signs we should still remain vigilant. One way of conceptualizing the long-term effects of the pandemic is as a source of multiple traumatic events: the collective trauma of widespread illness and death and social upheaval, individual traumas from the virus itself (e.g., serious illness and disability, traumatic grief, vicarious trauma), traumas from the social and economic consequences (e.g., domestic violence, unemployment), and its intersections with pre-pandemic traumas and oppression. Given trauma is a well-established risk factor for suicide, this carries significant implications for suicide prevention in the wake of the pandemic. Yet access to trauma-informed care, education, and research remains limited. The pandemic presents a unique opportunity to address these gaps and implement a trauma-informed approach to suicide prevention. Building on existing frameworks, we describe how effective suicide prevention for the pandemic must incorporate trauma-informed and trauma-specific services, strategies, and policies; capacity building; collaborative research; and knowledge exchange. Attending to the traumatic effects of the pandemic may reduce the long-term impact on suicide rates.

La Instalación del Trauma en dos comunidades de Colombia: Trauma Colectivo y Marcos Discursivos / The Installation of Trauma in Two Communities in Colombia: Collective Trauma and Discursive Frames

Resumen Las comunidades que enfrentan experiencias de violencia extrema sufren daños en su estructura social, que afectan relaciones interpersonales, sentimientos de integración social e identidades personales. Propusimos el concepto de instalación del trauma como construcción sociopolítica y eje de asignación de sentido, que permite a las comunidades explicar lo desconcertante. La instalación consiste en el andamiaje de recursos, materiales y simbólicos, que ofrecen interpretaciones situacionales de una experiencia; nos enfocamos en elementos simbólicos, específicamente en marcos discursivos, que son soportes de significación y organizan contenidos con el fin de comprender eventos. En esta investigación analizamos marcos discursivos de dos comunidades que enfrentaron situaciones de violencia extrema (masacres), con el objetivo de estudiar términos de instalación y elaboración del trauma colectivo. Identificamos marcos discursivos genéricos y específicos, que posibilitaron la construcción comunitaria de una narrativa del trauma. El concepto de instalación del trauma sirve para revisar estrategias de contención psicosocial ante eventos que alteran el tejido social de una comunidad.

Abstract Communities that experience extreme violence suffer damage in their social structure. This affects interpersonal relationships, feelings of social integration, and personal identities. In this article, we propose the concept of installation of trauma as both a sociopolitical construction and a strategy of meaning that allows a community to elaborate traumatic events. The installation consists of the scaffolding of resources, both material and symbolic, that offer situational interpretations of an experience. Focusing on symbolic elements, specifically on discursive frames, or structures of meaning with communicative purposes, we analyze the discursive frames of two communities that faced events of extreme violence (massacres), with the aim of studying the terms of installation and elaboration of collective trauma. This helped identify generic and specific discursive frames that allowed the community the construction of the trauma narrative. The concept of trauma installation serves to study psychosocial holding strategies in communities facing tragedy.

Living through a Global Pandemic: A Cross-Sectional Study on the Psychological Resilience of the University Population in Iran.

AIMS: This study aimed to describe and understand the individual and social dimensions of resiliency among Iranian academics as professionals during the early wave of the ongoing pandemic. Furthermore, we aimed to emphasize the cultural context in our analysis. METHOD: A cross-sectional survey design was adopted. We used convenient sampling, administered through an online survey, among academics at Iranian universities (n = 196, 75% women). We employed the CD-RISC 2 instrument, items on life meaning, and a modified version of Pargament's RCOPE instrument (Meaning, Control, Comfort/Spirituality, Intimacy/Spirituality, and Life Transformation). RESULTS: The results revealed a strong level of resilience among men (M = 5.78) and women (M = 5.52). Self-rated health was rated as excellent, very good, or good among a majority (92%) of the participants, more so among men. Family was one of the factors that most strongly gave life meaning, followed by friends, work/school, and religion/spirituality. There was a strong correlation between self-rated health and life as part of a greater whole, being alone, and listening to the sounds of the surrounding nature. CONCLUSIONS: Both personal and social levels of resilience and meaning-making are seen in the results, with an ability to balance between obstacles and resources. Cultural practices are interdependent, which also include the individual and social dimensions of resiliency and meaning-making.

Collective Trauma, Implicit Memories, the Body, and Active Imagination in Jungian Analysis1.

This presentation attempts to show the healing potential underlying the inclusion of the patient's body in the analytic process, while honouring and revisiting the understanding of the psyche-body connection described by Jung in his early work. In addition, the author offers reflections on the impact of collective trauma whose aftermath, among others, has been the disappearance of thousands of people, consequently breaking the family genealogy, leaving hundreds of children stripped of their roots and true identity. Referencing clinical material, the author describes how the process of translation and integration-from the sensory-perceptual to the conceptual-symbolic-can be halted on account of collective trauma occurring at an early stage in development. Moreover, it is shown how the potential of the archetype or image schema, linked to the somatic-affective early experiences encoded as implicit memories, can be recovered, when Embodied Active Imagination is included in the analytic work. The patient's bodily gestures and somatic experience may bridge the gap between the preverbal-implicit knowledge and the emergence of emotions and images that allow for the creation of a new symbolic narrative.

Cette présentation vise à montrer le potentiel de guérison qu'il y a quand on inclut le corps du patient dans le processus analytique. En même temps la présentation fait honneur et revisite la compréhension du lien psyché-soma que Jung a décrite dans ses écrits précoces. De plus, l'auteur offre des réflexions sur l'impact de traumatismes collectifs dont les suites ont été - entre autres - la disparition de milliers de personnes, et en conséquence la cassure de la généalogie familiale, laissant des centaines d'enfants privés de leurs racines et de leur identité véritable. En faisant référence au matériel clinique l'auteur décrit comment le processus de traduction et d'intégration - du sensoriel-perceptuel au conceptuel-symbolique - peut être stoppé du fait d'un traumatisme collectif se produisant à un stade précoce du développement. D'autre part, il est montré comment le potentiel de l'archétype ou schéma-image, lié aux expériences précoces affectives et somatiques codées en tant que souvenirs implicites, peut être retrouvé quand on inclut l'Imagination Active Incarnée dans le travail analytique. Les mouvements du corps du patient et son expérience somatique peuvent agir comme une passerelle entre la connaissance implicite préverbale et l'émergence d'émotions et d'images qui permettent la création d'un récit symbolique nouveau.

Esta presentación propone mostrar el potencial curativo que subyace a la inclusión del cuerpo del paciente en el proceso analítico, al tiempo que honra y revisita la comprensión de la conexión psique-cuerpo descripta por Jung en sus primeros trabajos. Además, la autora ofrece reflexiones sobre el impacto del trauma colectivo cuyas secuelas, entre otras, han sido la desaparición de miles de personas, rompiendo en consecuencia la genealogía familiar y dejando a cientos de niños despojados de sus raíces y de su verdadera identidad. Tomando como referencia material clínico, la autora describe cómo el proceso de traducción e integración, de lo sensorio-perceptivo a lo conceptual-simbólico, puede detenerse debido a que el trauma colectivo se produce en una fase temprana del desarrollo. Se muestra, a su vez, cómo puede recuperarse el potencial del arquetipo o esquema-imagen, vinculado a las tempranas experiencias somato-afectivas codificadas como memorias implícitas, cuando se incluye la Imaginación Activa Corporizada en el trabajo analítico. Los gestos corporales y la experiencia somática del paciente pueden tender un puente entre el conocimiento preverbal-implícito y la emergencia de emociones e imágenes que permite la creación de una nueva narrativa simbólica.

Onward: Creating Conditions for Transformation in a Parapandemic World.

This article discusses pathways for personal transformation in the context of physician burnout and the collective trauma related to the COVID-19 pandemic. The article explores polyagal theory, posttraumatic growth concepts, and leadership frameworks as pathways for change. It is both practical and theoretical in its approach and offers a paradigm for transformation in a parapandemic world.

University students' experience of the Beirut port explosion: associations with subjective well-being and subjective symptoms of mental strain.

BACKGROUND: On 4 August 2020, an explosion shook Beirut, killing more than 200 people and leaving thousands injured or homeless. AIMS: This study examined mental health of university students through a cross-sectional online survey between December 2020 and January 2021. METHODS: The questionnaire consisted of the WHO-5, sense of coherence (SoC), future anxiety, self-developed subjective symptoms of mental strain (SSMS), and items assessing proximity to explosion, extent of injury and house damage. Gender, study level and social status were used as sociodemographic characteristics. RESULTS: Of 1042 participants, 30.8% were at 0-7 km from explosion; 38.1% reported physical injuries; and 12.4% saw their home damaged. Two third (60.3%) reported ≥3 SSMS, and 73.4% reported low well-being. Students with low well-being were more often female and master students (p < 0.001). Females were more often affected by ≥3 SSMS (p < 0.001). Regression analysis with low well-being as dependent variable revealed significant associations with study level (OR: 2.30-2.94), future anxiety (OR: 2.72-4.34) and SoC (OR: 1.81-5.61). For ≥3 SSMS, females (OR: 3.09), moderate/very close distance (OR: 2.13-4.98), injury/death of family member or friend (OR: 2.07-2.06), house damage (OR: 1.72) future anxiety (OR: 1.97-3.11) and SoC (1.79-2.88) were significant predictors. DISCUSSION: Preventive mental health strategies that strengthen SoC and outlook on future could protect against SSMS and low well-being following major trauma.

Finding voice in a year of collective trauma: Case study of an online photovoice project with youth.

In this article, we share findings from a qualitative case study of a virtual youth photovoice program implemented across three regions of the United States. The purpose of the program was to engage youth in research on a social issue relevant to them during an unprecedented year marked by two public health crises, COVID-19 and anti-Black racial violence. Results of an analysis of curriculum and archival program materials lend support for online strategies for youth engagement including individualized support and online audiovisual presentations with avatars. Racial justice and trauma-informed adaptations were designed to be responsive to youth needs for flexible programming and safe spaces. Themes captured in the first online gallery of youth photos include (1) tools for mental health, (2) meaningful connection, and (3) community advocacy, bringing attention to structural issues as well as family and community strengths. Findings suggest photovoice can be thoughtfully adapted for youth researchers and support individual and group storytelling in response to collective trauma.

How Does Parenthood Moderate Paths Between Personal and Community Resources and Distress following Collective Trauma?

This study examines the moderating role of parenthood in associations between personal and community resources and psychological distress and somatization following collective exposure to security threats. The research questions were guided by Terror Management Theory that posits that parenthood involves heightened anxiety when children are in danger yet may also provide an existential resource that can reduce the individuals' distress. The study was conducted following the 2014 Israel-Gaza conflict and included 1014 Israelis. The participants completed a questionnaire assessing levels of trauma exposure (the predictors), sense of mastery (personal resource), engagement in community activities and trust in leaders (community resources), and psychological distress and somatization (the outcomes). Results indicated that parenthood moderated several associations between trauma exposure and personal and community resources as well as paths between these resources and psychological distress. In almost all these cases, these paths were statistically significant only among parents in two different directions. Parenthood was associated with more psychological distress through lower sense of mastery and greater engagement in community activities. On the other hand, parenthood was related to lower psychological distress through greater trust in local leaders. In addition, only among parents, lower levels of mastery mediated the association between trauma exposure and somatization. These results offer significant implications for practitioners. Although parents and non-parents can be similarly affected by trauma exposure with respect to trauma-related outcomes, the way to assist them to reduce these negative outcomes should be conducted through different paths involving their personal and community resources.

From Threat to Challenge: Understanding the Impact of Historical Collective Trauma on Contemporary Intergroup Conflict.

Collective memories of trauma can have profound impact on the affected individuals and communities. In the context of intergroup conflict, in the present article, we propose a novel theoretical framework to understand the long-term impact of historical trauma on contemporary intergroup relations from both victim and perpetrator perspectives. Integrating past research on intergroup conflict and the biopsychosocial model of threat and challenge, we argue that people appraise their group's past victimization and perpetration differently, either as a threat or as a challenge. Shaped by contextual factors and individual differences, these differential appraisals will subsequently influence how group members respond to contemporary intergroup conflict, with both adaptive and maladaptive consequences. This model contributes to unifying the previous research that has shown diverse effects of historical trauma on present-day intergroup dynamics. We present preliminary empirical evidence in support of the framework and discuss its theoretical and practical implications.

Trauma Aware and Anti-Oppressive Arts-Health and Community Arts Practice: Guiding Principles for Facilitating Healing, Health and Wellbeing.

There is a growing call for arts-health and community arts professionals to work in 'trauma informed ways' to prevent re-traumatisation and promote healing. This paper reports on a scoping review of existing literature that deal with trauma aware and informed practice and its applications in arts-health and community arts. Trauma informed practice does not seek to target or treat trauma but, rather, seeks to provide a safer and more informed space for people who experience post-traumatic stress conditions and symptoms to engage in facilitated arts activities. We particularly examine the extent to which existing literature acknowledges the presence of oppression-related collective trauma - such as racial trauma - and offers appropriate creative, anti-oppressive and trauma aware practice approaches. A total of 19 articles were included following librarian input and team checking. Included articles were written in English, published in peer reviewed academic journals, included a creative arts component, and adopted an intentional trauma informed or aware approach to practice. An additional three sources were included as part of descriptive synthesis to foreground leading First Nations resources for practice. Although no specific guidelines for trauma aware practice in arts-health or community arts were found, findings are consolidated at the end of the paper to offer interim principles, values and activities for trauma aware and informed practice in arts-health and community arts. Findings can also inform general trauma related research and therapy by highlighting the growing role of arts and creativity in responding to diverse experiences of trauma and its effects.

Youth Development Staff Experiences During the COVID-19 Pandemic: a Mixed Methods Study.

Background: Youth-serving organizations in the United States provide programs, activities, and opportunities for young people before school, during school, after school, in summer, and on weekends. At the core of youth-serving organizations are the adults; that is, youth development staff. Objective: In this explanatory sequential mixed methods study we explored youth development staff's stress and worries, their compassion satisfaction, and whether stress and compassion satisfaction varied by race/ethnicity and gender during the early months of the COVID-19 pandemic - a collective trauma event. Methods: We surveyed 283 youth development staff and interviewed a subset of 25. Results: Results suggest that youth development staff experienced stress and compassion satisfaction during the COVID-19 pandemic. Conclusion: We recommend organizational leaders provide youth development staff with support before a collective trauma event. They can work to change, add, or remove policies, practices, and routines to help decrease stress and increase compassion satisfaction. In addition, based on our results from this study our primary recommendation specific to collective trauma events, after taking care of their own personal wellness, is for youth development staff to focus on what is in their control and work to do those things for as many young people as they can.

Has the COVID-19 Pandemic Traumatized Us Collectively? The Impact of the COVID-19 Pandemic on Mental Health and Sleep Factors via Traumatization: A Multinational Survey.

Purpose: The COVID-19 pandemic affects mental health and sleep, resulting in frequent nightmares. Therefore, identifying factors associated with nightmare frequency is important, as it can indicate mental health issues. The study aimed to investigate increases in nightmare frequency comparing the pre-pandemic and pandemic period, and identify its risk factors. Further, the mediating role of post-traumatic stress disorder symptoms between the pandemic and nightmares is explored. Patients and Methods: For this cross-sectional survey data were obtained via self-rating online survey (ICOSS: details in Partinen et al, 2021), which was open to anyone older than 18 years. The final volunteer sample consisted of 15,292 participants, divided according to their nightmare frequency (high: ≥1-2 nights/week; low: <1-2 nights/week). A total of 9100 participants were excluded if answers on variables of interest were missing or receiving rewards for participation. Chi-square tests identified changes of nightmare frequency. Predictors of high nightmare frequency were assessed using logistic regression and presented as Odds Ratios. Post-hoc mediation models were used to investigate the role of post-traumatic stress symptoms (PTSS). Results: The mean age was 41.63 (SD=16.55) with 64.05% females. High nightmare frequency increased significantly from 13.24% to 22.35% during the pandemic. Factors associated with it included self-reported PTSS (OR=2.11), other mental disorders and various sleep disorders or problems. Financial burden due to the pandemic, confinement, having had COVID-19, and work situation during the pandemic were associated with nightmare frequency, those relations were partly mediated through PTSS. Conclusion: Our results display the pandemic influence on nightmare frequency, which in turn connects to multiple mental health and sleep factors. These relations were partly mediated through PTSS. The COVID-19 pandemic appears to have caused traumatization of a substantial proportion of society. Health care workers should consider nightmares in their screening routines, as it might indicate PTSS and/or other mental and sleep disorders.

MENTAL HEALTH AFTER TRAUMA: INDIVIDUAL AND COLLECTIVE DIMENSIONS.

OBJECTIVE: The aim: The article is devoted to uncovering the essence of the trauma, identifying the cause of its formation, and investigating the consequences for the person and the community. PATIENTS AND METHODS: Materials and methods: The methodological basis of the given study is the interdisciplinary and hermeneutic approach, which was used in combination with the methods of retrospective, analysis, synthesis, and extrapolation, as well as the methodological apparatus of memory studies with its inherent intention of the problem of group identity formation. A prominent place in the process of writing the work played the method of critical literature review. Sources reflecting research on individual and collective dimensions of trauma were found in PubMed, Scopus, and Google Scholar. Research articles were found using the keywords "trauma", "traumatic experience", "victim", "violence", "collective trauma", "cultural trauma", "memory", etc. CONCLUSION: Conclusions: Modern studies of traumatic experience are inextricably linked with the scientific work of Sigmund Freud, who was one of the first to explicate trauma as a destroyer of "protection". This gave reason to modern researchers to consider it an emotional reaction of the psyche to mental, physical, or cultural violence directed against the identity of an individual or an entire community. Whether inflicted on an individual or a community as a whole, trauma invariably seeks testimony in order to produce meanings and mechanisms capable of preventing violence and preserving the mental health of both the individual and the community as a whole.

Addressing Trauma-Informed Principles in Public Health through Training and Practice.

The increasing prevalence of traumatic events requires our public health workforce to be knowledgeable about ways trauma influences population and individual health. There is a gap in student training about the various ways that traumatic events affect their capacity to perform public health work and the communities they serve. While other human services disciplines explicitly use trauma-informed terminology and concepts in student training, references to trauma-informed approaches are more implicit in public health curricula. This study examined trauma-informed principles and related terminology for use in public health coursework in the context of a community-wide water contamination public health crisis in Flint, Michigan, USA. We addressed the principles of trauma-informed approaches across key competency areas common to USA public health accredited programs, including discussion to support student understanding of the principle in action. Using trauma-informed language (1) enhances our capacity to name and respond empathetically in traumatized communities, (2) provides guiding principles for less community-engaged efforts, and (3) fosters stronger relationships for more community-engaged initiatives by providing areas of accountability for unintended consequences throughout the program's development and implementation processes. Rising public health professionals equipped with knowledge of trauma-informed approaches can more intentionally minimize unintended negative consequences of public health initiatives.

[Culture of remembrance based on trauma therapy. From trauma to commemoration culture using the example of NS-euthanasia in Carinthia/Austria]. / Traumatherapeutisch fundierte Gedenkkultur. Vom Trauma zur Gedenkkultur am Beispiel der NS-Euthanasie in Kärnten, Österreich.

BACKGROUND: Crimes against humanity took place in many institutions as well as psychiatric departments during the Nazi dictatorship. OBJECTIVES: The aim of this review paper is to present a special kind of dealing with crimes in psychiatric institutions on a local and regional level. METHODS: Analogous to the psychiatric-psychotherapeutic approach with traumatized individuals, the procedure "secure-describe and work through-reconnect" is suggested for the collective within the frame of remembrance work and commemorative culture. RESULTS: As an example of a collective memorial process, the handling of the topic of the crime of Nazi euthanasia in Carinthia/Austria is presented.

COVID-19-related posttraumatic stress disorder in adults with lived experience of psychiatric disorder.

BACKGROUND: Prevalence estimates of COVID-19-related posttraumatic stress disorder (PTSD) have ranged from 1% to over 60% in the general population. Individuals with lived experience of a psychiatric disorder may be particularly vulnerable to COVID-19-related PTSD but this has received inadequate attention. METHODS: Participants were 1571 adults with lived experience of psychiatric disorder who took part in a longitudinal study of mental health during the COVID-19 pandemic. PTSD was assessed by the International Trauma Questionnaire (ITQ) anchored to the participant's most troubling COVID-19-related experiencevent. Factors hypothesised to be associated with traumatic stress symptoms were investigated by linear regression. RESULTS: 40.10% of participants perceived some aspect of the pandemic as traumatic. 5.28% reported an ICD-11 PTSD qualifying COVID-19 related traumatic exposure and 0.83% met criteria for probable ICD-11 COVID-19-related PTSD. Traumatic stress symptoms were associated with younger age, lower income, lower social support, and financial worries, and lived experience of PTSD/complex PTSD. Depression and anxiety measured in June 2020 predicted traumatic stress symptoms at follow-up approximately 20 weeks later in November 2020. CONCLUSIONS: We did not find evidence of widespread COVID-19-related PTSD among individuals with lived experience of a psychiatric disorder. There is a need for future research to derive valid prevalence estimates of COVID-19-related PTSD.

"The Global Sense of Disaster was Synchronized With my Own Disaster": Implications of the COVID-19 Crisis on the Wellbeing of Survivors of Sexual Violence.

The present study is designed to improve our understanding of the impact of the COVID-19 pandemic, as collective trauma, on the wellbeing of survivors of sexual violence (SV). The data are based on an online qualitative survey about the experiences of 39 survivors and a thematic analysis of ten in-depth interviews with service providers in Israel. The findings reveal that the pandemic and restrictive measures are associated with increased risk for participants' wellbeing, caused directly by pandemic characteristics, as well as indirectly through the denial of access to coping resources. Paradoxically, the pandemic also offers relief, given the widespread restrictions imposed on the entire population and the general crisis atmosphere. The service providers' perspective indicates an increased demand for services as well as for their adjustment. These findings highlight the vulnerability of individuals with a history of SV and the need for accommodation of frontline SV services for health crises.