Evidence map›Paper›PMID 35903010›Full record

ArticlePsychological medicine2023

Racial/ethnic differences in acute and longer-term posttraumatic symptoms following traumatic injury or illness.

Mario Cruz-Gonzalez, Margarita Alegría, Patrick A Palmieri, David A Spain, M Rose Barlow, Lisa Shieh, Mallory Williams, Pranathi Srirangam, Eve B Carlson

Open access · hybridAbstract read
In one paragraph

Article in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Racial and ethnic socioenvironmental inequity and neuroimaging in psychiatry: a brief review of the past and recommendations for the future.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
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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

9 authors at 6 institutions in 1 country.

Mario Cruz-GonzalezDisparities Research Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-9888-3205
Margarita AlegríaDisparities Research Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Patrick A PalmieriTraumatic Stress Center, Department of Psychiatry, Summa Health, Akron, OH, USA.
David A SpainDepartment of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
M Rose BarlowNational Center for PTSD, Dissemination and Training Division, VA Palo Alto Health Care System, U.S. Department of Veterans Affairs, Menlo Park, CA, USA.
Lisa ShiehDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Mallory WilliamsDepartment of Surgery, Howard University College of Medicine, Washington, DC, USA.
Pranathi SrirangamBarnard College of Columbia University, New York, NY, USA.
Eve B CarlsonNational Center for PTSD, Dissemination and Training Division, VA Palo Alto Health Care System, U.S. Department of Veterans Affairs, Menlo Park, CA, USA.
Harvard University · USStanford University · USUnited States Department of Veterans Affairs · USColumbia University · USHoward University · USSumma Health System · US

Funding

Stanford Center for Clinical & Translational Education and Research (Spectrum)UL1TR003142 · NCATS · STANFORD UNIVERSITY · PI O'HARA, RUTH M · 2019 to 2023
$45.0M
Spectrum Stanford Center for clinical and Translational Research and EducationUL1TR001085 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$37.1M
1/2-Building Infrastructure for Community Capacity in Accelerating Integrated CareR01MH117247 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI ALEGRIA, MARGARITA · 2019 to 2023
$4.8M
Development of a Risk Factor Screen for Mental Health Problems after Sudden Illness or InjuryR01MD012273 · NIMHD · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI CARLSON, EVE B, SPAIN, DAVID ALAN · 2017 to 2020
$2.6M
NCATS NIH HHS UL1 TR001085NCATS NIH HHS UL1 TR003142NIMHD NIH HHS R01 MD012273NIMH NIH HHS R01 MH117247
6 · The paper itself

Abstract

backgroundRacial/ethnic differences in mental health outcomes after a traumatic event have been reported. Less is known about factors that explain these differences. We examined whether pre-, peri-, and post-trauma risk factors explained racial/ethnic differences in acute and longer-term posttraumatic stress disorder (PTSD), depression, and anxiety symptoms in patients hospitalized following traumatic injury or illness.

methodsPTSD, depression, and anxiety symptoms were assessed during hospitalization and 2 and 6 months later among 1310 adult patients (6.95% Asian, 14.96% Latinx, 23.66% Black, 4.58% multiracial, and 49.85% White). Individual growth curve models examined racial/ethnic differences in PTSD, depression, and anxiety symptoms at each time point and in their rate of change over time, and whether pre-, peri-, and post-trauma risk factors explained these differences.

resultsLatinx, Black, and multiracial patients had higher acute PTSD symptoms than White patients, which remained higher 2 and 6 months post-hospitalization for Black and multiracial patients. PTSD symptoms were also found to improve faster among Latinx than White patients. Risk factors accounted for most racial/ethnic differences, although Latinx patients showed lower 6-month PTSD symptoms and Black patients lower acute and 2-month depression and anxiety symptoms after accounting for risk factors. Everyday discrimination, financial stress, past mental health problems, and social constraints were related to these differences.

conclusionRacial/ethnic differences in risk factors explained most differences in acute and longer-term PTSD, depression, and anxiety symptoms. Understanding how these risk factors relate to posttraumatic symptoms could help reduce disparities by facilitating early identification of patients at risk for mental health problems.

Indexed as

Stress Disorders, Post-TraumaticAdultAnxietyDepressionHospitalizationHumansRacial GroupsRisk FactorsEmergency careposttraumatic symptomspre-, peri-, and post-trauma risk factorsrace and ethnicitytraumatic injury or illness

Identifiers

PMID35903010
PMCPMC9884321
OpenAlexW4288425117

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.