{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:44:53Z","timestamp":1787021093560,"version":"build-2736575974"},"reference-count":43,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"content-version":"unspecified","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec id=\"S2056472425109484_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Trauma, 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\u2019s reaction to subsequent trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425109484_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To study the association between childhood adversities and full-threshold and subthreshold PTSD onset, either directly or through the intermediary role of ASD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425109484_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Data 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\u201315 days (wave 1), 21\u201327 days (wave 2) and 6\u20137 months (wave 3) following the Beirut port blast on 4 August 2020.<\/jats:p>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425109484_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Emotional abuse was found to be a significant predictor of ASD at wave 2 (21\u201327 days), and both full-threshold and subthreshold PTSD at wave 3 (6\u20137 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425109484_as5\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Childhood 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2025.10948","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T08:58:27Z","timestamp":1768553907000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Childhood adversities and post-traumatic stress: predictive pathways through acute stress disorder"],"prefix":"10.1192","volume":"12","author":[{"given":"Josleen","family":"Al Barathie","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04q71jj82","id-type":"ROR","asserted-by":"publisher"}],"name":"Institute for Development, Research, Advocacy and Applied Care 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Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e40"}}