Evaluating skills for psychological recovery with gunshot injury survivors in a hospital-based early intervention program.

Gun violence is a serious public health problem that places surviving victims at increased risk for a variety of mental health problems, including posttraumatic stress disorder (PTSD) and depression. Recognizing that many gunshot injury survivors lack access to mental health care in the early aftermath of a shooting, there has been growing interest in the use of early, preventive mental health interventions to help prevent long-term mental health complications like PTSD as part of routine care for survivors in acute medical settings, where initial outreach to survivors may be more successful. This study evaluates clinical outcomes associated with one such early intervention-Skills for Psychological Recovery (SPR)-provided to gunshot injury survivors as part of a hospital-based early intervention program embedded in a Level 1 trauma center in the Midwestern United States. Clinic data from 100 survivors (74.0% male, 78.0% Black/African American) who received SPR were included in the present study. Results suggest that receiving SPR in the early aftermath of a shooting is associated with statistically significant reductions in both PTSD, F(1, 26.77) = 22.49, p < .001, and depression, F(1, 29.99) = 6.49, p = .016, symptoms. Outcomes did not vary as a function of either PTSD risk status or intervention delivery method (i.e., in-person, telehealth). These findings support the effectiveness and acceptability of SPR as an early intervention for gunshot injury survivors when delivered as part of a hospital-based early intervention program. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The Double Consciousness Body Image Scale: A body image assessment centering the experiences of Black women.

OBJECTIVE: Body image among Black women is poorly understood; emerging research suggests that Black women experience pressures to adhere to a body type not currently captured in commonly used body image measures. This study assessed the psychometric properties and validity of the Double Consciousness Body Image Scale (DCBIS), a new culturally relevant body image assessment for Black women. METHOD: Black women living in the United States (n = 198; 73.4% identified as African American; the remainder identified as African, Afro-Latina, Caribbean, Caribbean American, Black descent, or multiple racial identities) completed online surveys assessing behaviors used to modify physical features, pressures to adhere to certain physical features, and eating disorder symptomatology. RESULTS: Exploratory factor analysis identified a unitary factor structure focused on pressures to adhere to physical characteristics, as well as behavior manifestation of those pressures. The DCBIS demonstrated good internal consistency (α = .96). The DCBIS demonstrated convergent validity with measures of body image and disordered eating behaviors and attitudes. DISCUSSION: The DCBIS is a culturally relevant assessment of body image centering the experiences of Black women living in the context of U.S. culture. Future research is needed to confirm the factor structure of the DCBIS and evaluate its psychometric properties among a broader representation of Black women, globally.

Body image in adult women: Associations with health behaviors, quality of life, and functional impairment.

This study examined body image in adult women along with probable correlates including health behaviors, negative affect, quality of life, and functional impairment. Adult women (N = 738, age = 25-86 years) completed an online survey assessing these domains. Women across all ages reported similar body image concerns. Negative body image significantly correlated with poorer wellness behaviors, negative affect, quality of life, and functional impairment. The inverse held for positive body image. The majority of correlations remained even when controlling for negative affect. Further research is warranted to investigate nature of the correlational relationships identified in this study.

Self-objectification and eating disorder pathology in an ethnically diverse sample of adult women: cross-sectional and short-term longitudinal associations.

BACKGROUND: Extensive support exists for objectification theory's original aim of explaining patterns of women's mental health risk through a sociocultural lens. One pathway in objectification theory proposes a mediational role of body shame in the relationship between self-objectification and eating disorder (ED) pathology. Robust past cross-sectional research supports this proposed pathway, but largely in non-Hispanic Caucasian, college-aged samples; this pathway has yet to be empirically demonstrated longitudinally. Given previously documented concerns regarding direct measurement of body shame, we tested two measures of body shame as mediators in both cross-sectional and longitudinal models in a diverse sample of adult women. METHOD: Utilizing snowball sampling via email, we recruited age and racially/ethnically diverse women predominantly within the United States. Participants completed online surveys assessing self-objectification (operationalized as body surveillance), body shame, and ED pathology at baseline, 3-months and 6-months. RESULTS: Racial/ethnic minority (n = 139) and non-Hispanic Caucasian (n = 181) adult women completed the measures. Cross-sectional moderated mediation models indicated that racial/ethnic status did not moderate relationships, and that body shame significantly mediated the relation between body surveillance and ED pathology at each time point. The longitudinal model, analyzed using cross-lagged panel analyses, was nonsignificant, as body surveillance failed to predict future body shame when controlling for past body shame. CONCLUSIONS: Racial/ethnic status did not moderate relations at any time point. Cross-sectional findings replicated past research; the longitudinal model did not support a core mediation pathway linking self-objectification to ED pathology through body shame. Because self-objectification putatively develops earlier in life, future research also should examine these relations in younger diverse samples over a longer time period.