Ruby Charak
Factor Structure of the International Trauma Questionnaire in Trauma Exposed LGBTQ+ Adults: Role of Cumulative Traumatic Events and Minority Stress Heterosexist Experiences
Charak, Ruby; Cano-Gonzalez, Ines; Ronzón-Tirado, Roman; Ford, Julian D.; Byllesby, Brianna; Shevlin, Mark; Karatzias, Thanos; Hyland, Philip; Cloitre, Marylene
Authors
Ines Cano-Gonzalez
Roman Ronzón-Tirado
Julian D. Ford
Brianna Byllesby
Mark Shevlin
Prof Thanos Karatzias T.Karatzias@napier.ac.uk
Professor
Philip Hyland
Marylene Cloitre
Abstract
Exposure to prolonged and/or multiple types of psychological trauma and stressors has 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 (Cloitre et al., 2018), a self-report measure of PTSD and CPTSD, and the associations of cumulative lifetime trauma exposure assessed via the life events checklist (Gray et al., 2004) and minority stress assessed via the daily heterosexist experiences scale (Balsam et al., 2010), with CPTSD (3 PTSD symptom clusters, 3 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. Conclusions. 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.
Citation
Charak, R., Cano-Gonzalez, I., Ronzón-Tirado, R., Ford, J. D., Byllesby, B., Shevlin, M., Karatzias, T., Hyland, P., & Cloitre, M. (2023). Factor Structure of the International Trauma Questionnaire in Trauma Exposed LGBTQ+ Adults: Role of Cumulative Traumatic Events and Minority Stress Heterosexist Experiences. Psychological Trauma: Theory, Research, Practice, and Policy, 15(4), 628-636. https://doi.org/10.1037/tra0001440
Journal Article Type | Article |
---|---|
Acceptance Date | Nov 16, 2022 |
Publication Date | 2023-05 |
Deposit Date | Nov 22, 2022 |
Publicly Available Date | Feb 28, 2023 |
Print ISSN | 1942-9681 |
Publisher | American Psychological Association |
Peer Reviewed | Peer Reviewed |
Volume | 15 |
Issue | 4 |
Pages | 628-636 |
DOI | https://doi.org/10.1037/tra0001440 |
Public URL | http://researchrepository.napier.ac.uk/Output/2963946 |
Files
Factor Structure Of The International Trauma Questionnaire In Trauma Exposed LGBTQ+ Adults: Role Of Cumulative Traumatic Events And Minority Stress Heterosexist Experiences (accepted version)
(670 Kb)
PDF
You might also like
The health role of local area coordinators in Scotland: A mixed methods study.
(2013)
Journal Article
Downloadable Citations
About Edinburgh Napier Research Repository
Administrator e-mail: repository@napier.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search