Initial testing of components of the cultural determinants of trauma recovery (CDTR) theory amongst American Gender-Based violence survivors: Structural equation modelling.
J Adv Nurs
; 79(4): 1476-1492, 2023 Apr.
Article
in En
| MEDLINE
| ID: mdl-35775114
ABSTRACT
AIM:
We tested key hypotheses derived from the Cultural Determinants of Trauma Recovery Theory (CDTR) with an American sample.DESIGN:
A cross-sectional study using anonymous online surveys.METHODS:
This study was conducted with 225 American survivors of gender-based violence (GBV) between August to November 2019. Demographics, distress (depression PHQ8; PTSD PCL-5), mental health service utilization (counselling and medication), sense of coherence (SOC), internal barriers to help-seeking (shame, frozen and problem management subscales BHS-TR Internal) and the GBV healing (GBV-Heal) were used. Structural equation modelling (SEM) was conducted to test the hypotheses.RESULTS:
The final SEM model showed that the relationship between distress and mental health service utilization was not mediated by internal help-seeking barriers; the relationship between distress and trauma healing was partially mediated by internal help-seeking barriers; the relationship between internal help-seeking barriers and trauma healing was partially mediated by SOC; mental health service utilization was not significantly associated with trauma healing. Overall, the relationship between distress and trauma healing was partially mediated by internal help-seeking barriers and SOC.CONCLUSIONS:
This study confirmed some hypothetical pathways between distress and trauma healing. Further research with larger and international samples should be necessary to test the overall CDTR and compare groups. IMPACT This study can help us focus on psychological interventions that enhance meaning and mitigate internal help-seeking barriers to promote holistic trauma recovery. Public and public contribution The sample was gathered from a clinical population registry that alerts patients of potential research opportunities.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Survivors
/
Psychological Trauma
/
Gender-Based Violence
Type of study:
Observational_studies
/
Risk_factors_studies
Aspects:
Determinantes_sociais_saude
Limits:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
America do norte
Language:
En
Journal:
J Adv Nurs
Year:
2023
Document type:
Article
Affiliation country:
Japan