Evidence map›Paper›PMID 30306795›Full record

ArticleAnxiety, stress, and coping2019

Race, psychosocial vulnerability and social support differences in inner-city women's symptoms of posttraumatic stress disorder.

Allison E Gaffey, Frances Aranda, John W Burns, Yanina A Purim-Shem-Tov, Helen J Burgess, Jean C Beckham, Stephen Bruehl, Stevan E Hobfoll

Abstract read
In one paragraph

Article in Anxiety, stress, and coping, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Allison E Gaffeya Department of Internal Medicine , Yale School of Medicine , New Haven , CT , USA.
Frances Arandab Department of Behavioral Sciences , Rush University Medical Center , Chicago , IL , USA.
John W Burnsb Department of Behavioral Sciences , Rush University Medical Center , Chicago , IL , USA.
Yanina A Purim-Shem-Tovc Department of Emergency Medicine , Rush University Medical Center , Chicago , IL , USA.
Helen J Burgessb Department of Behavioral Sciences , Rush University Medical Center , Chicago , IL , USA.
Jean C Beckhamd Department of Psychiatry , Duke University School of Medicine , Durham , NC , USA.
Stephen Bruehlf Department of Anesthesiology , Vanderbilt University Medical Center , Nashville , TN , USA.
Stevan E Hobfollb Department of Behavioral Sciences , Rush University Medical Center , Chicago , IL , USA.
Rush University Medical Center · USDurham VA Health Care System · USVanderbilt University Medical Center · USYale University · US

Funding

Development of Co-Morbid PTSD and Chronic Pain Among Inner-City WomenR01DA039522 · NIDA · RUSH UNIVERSITY MEDICAL CENTER · PI BURNS, JOHN W. · 2015 to 2019
$3.5M
NIDA NIH HHS R01 DA039522
6 · The paper itself

Abstract

BACKGROUND/

objectivesInner-city Black women may be more susceptible to posttraumatic stress disorder (PTSD) than White women, although mechanisms underlying this association are unclear. Living in urban neighborhoods distinguished by higher chronic stress may contribute to racial differences in women's cognitive, affective, and social vulnerabilities, leading to greater trauma-related distress including PTSD. Yet social support could buffer the negative effects of psychosocial vulnerabilities on women's health. METHODS/

designMediation and moderated mediation models were tested with 371 inner-city women, including psychosocial vulnerability (i.e., catastrophizing, anger, social undermining) mediating the pathway between race and PTSD, and social support moderating psychosocial vulnerability and PTSD.

resultsDespite comparable rates of trauma, Black women reported higher vulnerability and PTSD symptoms, and lower support compared to White Hispanic and non-Hispanic women. Psychosocial vulnerability mediated the pathway between race and PTSD, and social support moderated vulnerability, reducing negative effects on PTSD. When examining associations by race, the moderation effect remained significant for Black women only.

conclusionsAltogether these psychosocial vulnerabilities represent one potential mechanism explaining Black women's greater risk of PTSD, although cumulative psychosocial vulnerability may be buffered by social support. Despite higher support, inner-city White women's psychosocial vulnerability may actually outweigh support's benefits for reducing trauma-related distress.

Indexed as

Social SupportAdolescentAdultBlack or African AmericanChicagoFemaleHumansPsychiatric Status Rating ScalesPsychological DistressPsychological TestsPsychologyRisk FactorsStress Disorders, Post-TraumaticSurveys and QuestionnairesUrban PopulationVulnerable Populationslife stressposttraumatic stress disorderRacesocial supportwomen

Identifiers

PMID30306795
PMCPMC6269211
OpenAlexW2898017666

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.