Evidence map›Paper›PMID 34009751›Full record

ArticleStress and health : journal of the International Society for the Investigation of Stress2022

Articulating the Trauma-Informed Theory of Individual Health Behavior.

Charles Marks, Jennifer L Pearson, María Luisa Zúñiga, Natasha Martin, Dan Werb, Laramie R Smith

Open access · greenAbstract read
In one paragraph

Article in Stress and health : journal of the International Society for the Investigation of Stress, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trauma-Aware, Healing-Informed Approaches to Health Promotion for Aboriginal and Torres Strait Islander Peoples: A Narrative Review.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
    Review
  2. Article
  3. Cancer diagnosed during pregnancy: a qualitative study of women's psychosocial experiences during treatment and survivorship.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. A Pilot Study of a Trauma-Informed Skills Parenting Group.Journal of child & adolescent trauma · 2025
    Article
  6. Article
  7. Article
  8. BMJ open · 2025
    Article
  9. Article
  10. Psychological distress and health behaviours among Cambodian Americans at risk for developing diabetes.Stress and health : journal of the International Society for the Investigation of Stress · 2023
    Article
  11. Development, Implementation, and Process Evaluation ofGlobal implementation research and applications · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
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

6 authors at 4 institutions in 3 countries.

Charles MarksJoint Doctoral Program in Interdisciplinary Research on Substance Use, San Diego State University and University of California, San Diego, California, USA.ORCID https://orcid.org/0000-0002-3893-1914
Jennifer L PearsonDivision of Social and Behavioral Health/Health Administration and Policy, University of Nevada, Reno, Nevada, USA.
María Luisa ZúñigaJoint Doctoral Program in Interdisciplinary Research on Substance Use, San Diego State University and University of California, San Diego, California, USA.
Natasha MartinDivision of Infectious Diseases and Global Public Health, University of California San Diego, San Diego, California, USA.
Dan WerbDivision of Infectious Diseases and Global Public Health, University of California San Diego, San Diego, California, USA.
Laramie R SmithJoint Doctoral Program in Interdisciplinary Research on Substance Use, San Diego State University and University of California, San Diego, California, USA.
San Diego State University · USSt. Michael's Hospital · CAUniversity of California System · USUniversity of Nevada, Reno · US

Funding

UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUSAN JANET LITTLE · 1994 to 2026
$78.4M
NEXUS: A novel social network approach to study the effects of intersectional stigma on HIV prevention among Latino MSMR01MH123282 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SMITH, LARAMIE RAE · 2020 to 2024
$3.5M
Preventing HIV by modifying the context for injecting initiationDP2DA040256 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI WERB, DANIEL M · 2015 to 2015
$2.3M
Optimizing HIV prevention portfolios targeting people who inject drugs using dynamic economic modelingR01AI147490 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MARTIN, NATASHA · 2019 to 2022
$2.3M
CIHR UnassignedNCATS NIH HHS UL1 TR001442NIAID NIH HHS P30 AI036214NIAID NIH HHS R01 AI147490NIDA NIH HHS DP2 DA040256NIDA NIH HHS DP2 DA040256-01NIDA NIH HHS UnassignedNIMH NIH HHS R01 MH123282NIMH NIH HHS Unassigned
6 · The paper itself

Abstract

Exposure to trauma increases the risk of engaging in detrimental health behaviours such as tobacco and substance use. In response, the United States Substance Abuse and Mental Health Services Administration developed Trauma-Informed Care (TIC), an organisational framework for improving the provision of behavioural health care to account for the role exposure to trauma plays in patients' lives. We adapt TIC to introduce a novel theory of behaviour change, the Trauma-Informed Theory of Individual Health Behavior (TTB). TTB posits that individual capacity to undertake intentional health-promoting behaviour change is dependent on three factors: (1) the forms and severity of trauma they have been and are exposed to, (2) how this trauma physiologically manifests (i.e., the trauma response) and (3) resilience to undertake behaviour change despite this trauma response. We define each of these factors and their relationships to one another. We anticipate that the introduction of TTB will provide a foundation for developing theory-driven research, interventions, and policies that improve behavioural health outcomes in trauma-affected populations.

Indexed as

Health BehaviorHumansUnited Statesadverse childhood experiencesgeneral trauma exposureresiliencetheory

Identifiers

PMID34009751
PMCPMC9035290
OpenAlexW3160693010

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.