ArticleCommunications medicine2026
A cross-national study of demographic variation and childhood predictors of traumatic distress.
Article in Communications medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
backgroundTraumatic distress is a major global public health concern requiring cross-cultural understanding.
methodsUsing nationally representative data from the Global Flourishing Study (N = 202,898; 22 countries), we estimated country-specific prevalence of traumatic distress and examined 9 sociodemographic and 13 childhood predictors. Random-effects meta-analyses assessed cross-country variation and associations.
resultsHere we show that the prevalence of traumatic distress ranges from 16% (Poland) to 53% (Egypt). Higher prevalence of distress is observed among younger individuals, gender-diverse groups, those separated from partners, unemployed, less educated, those born outside their country and those who attend religious services regularly. Several childhood experiences at age 12 are associated with a higher risk of traumatic distress, including abuse, family financial insecurity, feeling like an outsider, parental divorce, and poor health. Childhood abuse is a significant predictor in 21 countries.
conclusionsTraumatic distress prevalence and predictors vary across countries and are shaped by both current sociodemographic and early-life factors.
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