Evidence map›Paper›PMID 41540911›Full record

ArticleBJPsych open2026

Childhood adversities and post-traumatic stress: predictive pathways through acute stress disorder.

Josleen Al Barathie, Majd Chamoun, Rayane Osman, Elie G Karam

Abstract read
In one paragraph

Article in BJPsych open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Josleen Al Barathiehttps://ror.org/04q71jj82Institute for Development, Research, Advocacy and Applied Care (IDRAAC), Beirut, Lebanon.
Majd Chamounhttps://ror.org/04q71jj82Institute for Development, Research, Advocacy and Applied Care (IDRAAC), Beirut, Lebanon.
Rayane Osmanhttps://ror.org/04q71jj82Institute for Development, Research, Advocacy and Applied Care (IDRAAC), Beirut, Lebanon.
Elie G Karamhttps://ror.org/04q71jj82Institute for Development, Research, Advocacy and Applied Care (IDRAAC), Beirut, Lebanon.ORCID https://orcid.org/0000-0002-4681-8225

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrauma, a psychological phenomenon, can contribute to several mental health disorders such as acute stress disorder (ASD) and post-traumatic stress disorder (PTSD). Understanding the impacts of childhood adversities on mental disorders is essential, since early trauma can profoundly shape an individual's reaction to subsequent trauma.

aimsTo study the association between childhood adversities and full-threshold and subthreshold PTSD onset, either directly or through the intermediary role of ASD.

methodData were collected longitudinally from healthcare workers aged 18 years and above, working at Saint George Hospital University Medical Center, at three distinct time points: 9-15 days (wave 1), 21-27 days (wave 2) and 6-7 months (wave 3) following the Beirut port blast on 4 August 2020.Childhood adversities, encompassing physical, emotional and sexual abuse, were collected. ASD and PTSD were assessed, respectively, using the Acute Stress Disorder Scale and the PTSD Checklist for DSM-5. Odds ratios, both unadjusted and adjusted, with 95% confidence intervals, were calculated to study the associations.

resultsEmotional abuse was found to be a significant predictor of ASD at wave 2 (21-27 days), and both full-threshold and subthreshold PTSD at wave 3 (6-7 months) post-blast. Individuals with negative ASD status at waves 1 and 2 who experienced emotional abuse in childhood showed approximately double the rates of subthreshold PTSD.

conclusionsChildhood emotional abuse was a strong predictor of both ASD and PTSD. Screening for past childhood adversities is important, even in individuals without ASD, as they remain more vulnerable to later PTSD.

Indexed as

Acute stress disorderBeirut port blastchildhood adversitiespost-traumatic stress disordersubthreshold post-traumatic stress disorder

Identifiers

PMID41540911
PMCPMC12835713

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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.