{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T22:25:25Z","timestamp":1789424725806,"version":"build-2803163510"},"reference-count":77,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2022,4,15]],"date-time":"2022-04-15T00:00:00Z","timestamp":1649980800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","award":["R01AI128803"],"award-info":[{"award-number":["R01AI128803"]}],"id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Sexual violence, including nonconsensual sexual initiation and rape, remains pervasive, with impacts including adverse mental health and dysregulated stress response. Resilience is a promising interventional target. To advance the science, we examined the potential for resilience as an interventional tool by estimating associations between resilience, adverse mental health, and perceived stress among women by sexual violence history and partner perpetration. We analyzed 2018\u20132020 baseline survey data from 65 women enrolled in a prospective case-control study of sexual violence and HIV susceptibility in San Diego, CA. Multiple linear regressions were performed to examine associations, stratified by sexual violence history. About half of women experienced nonconsensual sexual initiation and\/or rape; half of rapes were partner-perpetrated. Post-traumatic stress disorder (PTSD) was significantly associated with perceived stress among survivors (in regressions with depression and resilience, nonconsensual initiation: \u03b2 = 6.514, p = 0.003, R2 = 0.616; rape: \u03b2 = 5.075, p = 0.030, R2 = 0.611). Resilience was associated with lower perceived stress for all women; the effect appeared stronger among survivors of sexual violence (nonconsensual initiation: \u03b2 = \u22120.599, p &lt; 0.001 vs. \u03b2 = \u22120.452, p = 0.019; rape: \u03b2 = \u22120.624, p &lt; 0.001 vs. \u03b2 = \u22120.421, p = 0.027). Partner perpetration of rape was not associated with perceived stress. Our findings support leveraging resilience and addressing PTSD to reduce perceived stress among women with lifetime experiences of sexual violence.<\/jats:p>","DOI":"10.3390\/ijerph19084796","type":"journal-article","created":{"date-parts":[[2022,4,16]],"date-time":"2022-04-16T07:42:41Z","timestamp":1650094961000},"page":"4796","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The Effect of Adverse Mental Health and Resilience on Perceived Stress by Sexual Violence History"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9675-3653","authenticated-orcid":false,"given":"Katherine M.","family":"Anderson","sequence":"first","affiliation":[{"name":"Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA"},{"name":"Department of Medicine, Division of Infectious Diseases and Global Public Health, University of California San Diego School of Medicine, San Diego, CA 92093, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyomi","family":"Tsuyuki","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases and Global Public Health, University of California San Diego School of Medicine, San Diego, CA 92093, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Fernandez DeSoto","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases and Global Public Health, University of California San Diego School of Medicine, San Diego, CA 92093, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamila K.","family":"Stockman","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases and Global Public Health, University of California San Diego School of Medicine, San Diego, CA 92093, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,4,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.bpobgyn.2012.08.012","article-title":"Health consequences of sexual violence against women","volume":"27","author":"Jina","year":"2013","journal-title":"Best Pract. Res. Clin. Obstet. Gynaecol."},{"key":"ref_2","unstructured":"Smith, S.G., Zhang, X., Basile, K.C., Merrick, M.T., Wang, J., Kresnow, M.-J., and Chen, J. (2022, February 26). The National Intimate Partner and Sexual Violence Survey: 2015 Data Brief\u2013Updated Release, Available online: https:\/\/stacks.cdc.gov\/view\/cdc\/60893."},{"key":"ref_3","first-page":"1","article-title":"Prevalence and characteristics of sexual violence, stalking, and intimate partner violence victimization--national intimate partner and sexual violence survey, United States, 2011","volume":"63","author":"Breiding","year":"2014","journal-title":"Am. J. Pub. Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1007\/s10903-014-0112-x","article-title":"Impact of Intimate Partner Forced Sex on HIV Risk Factors in Physically Abused African American and African Caribbean Women","volume":"17","author":"Draughon","year":"2014","journal-title":"J. Immigr. Minor. Health"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1080\/10926771.2015.1079283","article-title":"Sexual Violence Victimization and Associations with Health in a Community Sample of African American Women","volume":"25","author":"Basile","year":"2016","journal-title":"J. Aggress. Maltreatment Trauma"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"24772","DOI":"10.3402\/gha.v7.24772","article-title":"Intimate partner violence among African American and African Caribbean women: Prevalence, risk factors, and the influence of cultural attitudes","volume":"7","author":"Stockman","year":"2014","journal-title":"Glob. Health Action"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/15313204.2014.964441","article-title":"Sexual Violence Victimization and Associations with Health in a Community Sample of Hispanic Women","volume":"24","author":"Basile","year":"2015","journal-title":"J. Ethn Cult. Divers. Soc. Work"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1007\/s11524-013-9817-8","article-title":"Intimate partner sexual violence: A comparison of foreign- versus US-born physically abused Latinas","volume":"91","author":"Cavanaugh","year":"2014","journal-title":"J. Urban Health"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1177\/1077801207301558","article-title":"Experiences with Intimate Partner Violence among Latina Women","volume":"13","author":"Hazen","year":"2007","journal-title":"Violence Women"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1089\/jwh.2009.1484","article-title":"Minority Women Victims of Recent Sexual Violence: Disparities in Incident History","volume":"19","author":"Boykins","year":"2010","journal-title":"J. Women\u2019s Health"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.jemermed.2007.10.025","article-title":"Sexual Assault Victims in the Emergency Department: Analysis by Demographic and Event Characteristics","volume":"37","author":"Avegno","year":"2009","journal-title":"J. Emerg. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1551","DOI":"10.1001\/jamainternmed.2019.3500","article-title":"Association Between Forced Sexual Initiation and Health Outcomes Among US Women","volume":"179","author":"Hawks","year":"2019","journal-title":"JAMA Intern. Med."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Tsuyuki, K., Al-Alusi, N.A., Campbell, J.C., Murry, D., Cimino, A.N., Servin, A.E., and Stockman, J.K. (2019). Adverse childhood experiences (ACEs) are associated with forced and very early sexual initiation among Black women accessing publicly funded STD clinics in Baltimore, MD. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0216279"},{"key":"ref_14","unstructured":"(2022, February 26). Centers for Disease Control and Prevention Prevent Domestic Violence, Available online: https:\/\/www.cdc.gov\/injury\/features\/intimate-partner-violence\/index.html."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1177\/1524838005275087","article-title":"Sexual Revictimization: A Review of the Empirical Literature","volume":"6","author":"Classen","year":"2005","journal-title":"Trauma Violence Abus."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Folayan, M.O., Harrison, A., Brown, B., Odetoyinbo, M., Stockman, J.K., Ajuwon, A.J., and C\u00e1ceres, C.F. (2016). Associations between Forced Sexual Initiation, HIV Status, Sexual Risk Behavior, Life Stressors, and Coping Strategies among Adolescents in Nigeria. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0155210"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1177\/0886260505278107","article-title":"Sexual abuse in childhood and interpersonal violence in adulthood: A cumulative impact on depressive symptoms in women","volume":"20","author":"McGuigan","year":"2005","journal-title":"J. Interpers. Violence"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.jad.2019.08.037","article-title":"Perceived stress and mental health: The mediating roles of social support and resilience among black women exposed to sexual violence","volume":"259","author":"Catabay","year":"2019","journal-title":"J. Affect. Disord."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/j.whi.2008.06.004","article-title":"Depressive symptoms and interpersonal victimization among African American women attending an urban STD clinic","volume":"18","author":"Williams","year":"2008","journal-title":"Women\u2019s Health Issues"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1089\/jwh.2014.4879","article-title":"Intimate Partner Violence and its Health Impact on Ethnic Minority Women","volume":"24","author":"Stockman","year":"2015","journal-title":"J. Womens Health"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1891\/0886-6708.20.6.695","article-title":"Intimate sexual victimization among women with protective orders: Types and associations of physical and mental health problems","volume":"20","author":"Cole","year":"2005","journal-title":"Violence Vict."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"104074","DOI":"10.1016\/j.chiabu.2019.104074","article-title":"Coerced and forced sexual initiation and its association with negative health outcomes among youth: Results from the Nigeria, Uganda, and Zambia Violence Against Children Surveys","volume":"96","author":"Nguyen","year":"2019","journal-title":"Child Abus. Negl."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1080\/0092623X.2016.1208127","article-title":"Sexual Assault Severity and Depressive Symptoms as Longitudinal Predictors of the Quality of Women\u2019s Sexual Experiences","volume":"43","author":"Neilson","year":"2016","journal-title":"J. Sex Marital Ther."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.puhe.2017.04.006","article-title":"The mediating role of sleep quality on the relationship between perceived stress and depression among the elderly in urban communities: A cross-sectional study","volume":"149","author":"Liu","year":"2017","journal-title":"Public Health"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1007\/s00737-016-0686-5","article-title":"Perceived stress, depressive symptoms, and suicidal ideation in undergraduate women with varying levels of mindfulness","volume":"20","author":"Anastasiades","year":"2017","journal-title":"Arch. Women\u2019s Ment. Health"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.ijgo.2010.10.016","article-title":"Posttraumatic stress disorder, depression, and hopelessness in women who are victims of sexual violence","volume":"113","author":"Machado","year":"2011","journal-title":"Int. J. Gynecol. Obstet."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1953","DOI":"10.1177\/0886260513511697","article-title":"The Role of Rumination in Elevating Perceived Stress in Post-traumatic Stress Disorder","volume":"29","author":"Hu","year":"2013","journal-title":"J. Interpers. Violence"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.cpr.2017.06.002","article-title":"Sexual assault victimization and psychopathology: A review and meta-analysis","volume":"56","author":"Dworkin","year":"2017","journal-title":"Clin. Psychol. Rev."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"9557","DOI":"10.1177\/0886260519869693","article-title":"Empowerment, Stress, and Depressive Symptoms Among Female Survivors of Intimate Partner Violence Attending Personal Empowerment Programs","volume":"36","author":"Garcia","year":"2019","journal-title":"J. Interpers. Violence"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"385","DOI":"10.2307\/2136404","article-title":"A global measure of perceived stress","volume":"24","author":"Cohen","year":"1983","journal-title":"J. Health Soc. Behav."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1080\/17457300802423224","article-title":"The intersection of intimate partner violence against women and HIV\/AIDS: A review","volume":"15","author":"Campbell","year":"2008","journal-title":"Int. J. Inj. Control Saf. Promot."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1159\/000258721","article-title":"Interplay between Neuroimmunoendocrine Systems during Post-Traumatic Stress Disorder: A Minireview","volume":"17","author":"Bauer","year":"2010","journal-title":"Neuroimmunomodulation"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1159\/000156467","article-title":"Chronic Stress and Immunosenescence: A Review","volume":"15","author":"Bauer","year":"2008","journal-title":"Neuroimmunomodulation"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1097\/00012272-200510000-00003","article-title":"Predicting Immune Status in Women from PTSD and Childhood and Adult Violence","volume":"28","author":"Woods","year":"2005","journal-title":"Adv. Nurs. Sci."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"193","DOI":"10.20411\/pai.v1i1.120","article-title":"Intimate partner violence is associated with increased cd4(+) t-cell activation among HIV-negative high-risk women","volume":"1","author":"Kalokhe","year":"2016","journal-title":"Pathog. Immun."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1097\/01.psy.0000145820.90041.c0","article-title":"Intimate Male Partner Violence Impairs Immune Control Over Herpes Simplex Virus Type 1 in Physically and Psychologically Abused Women","volume":"66","author":"Coe","year":"2004","journal-title":"Psychosom. Med."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1007\/s11904-019-00435-8","article-title":"Physiological Changes from Violence-Induced Stress and Trauma Enhance HIV Susceptibility Among Women","volume":"16","author":"Tsuyuki","year":"2019","journal-title":"Curr. HIV\/AIDS Rep."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.neubiorev.2009.10.002","article-title":"Allostatic load biomarkers of chronic stress and impact on health and cognition","volume":"35","author":"Juster","year":"2010","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1007\/s40615-017-0424-3","article-title":"Concurrent Social Disadvantages and Chronic Inflammation: The Intersection of Race and Ethnicity, Gender, and Socioeconomic Status","volume":"5","author":"Richman","year":"2018","journal-title":"J. Racial Ethn. Health Disparities"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1016\/j.jadohealth.2004.11.126","article-title":"Social disadvantage and adolescent stress","volume":"37","author":"Goodman","year":"2005","journal-title":"J. Adolesc. Health"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1002\/dev.20494","article-title":"Neurobiological and psychiatric consequences of child abuse and neglect","volume":"52","author":"Heim","year":"2010","journal-title":"Dev. Psychobiol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"e18190","DOI":"10.2196\/18190","article-title":"The Role of Stress and Genital Immunity in Sexual Trauma and HIV Susceptibility among Adolescent Girls and Adult Women (The THRIVE Study): Protocol for a Longitudinal Case-Control Study","volume":"9","author":"Stockman","year":"2020","journal-title":"JMIR Res. Protoc."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1622","DOI":"10.1377\/hlthaff.2019.00480","article-title":"The Effects of Violence on Health","volume":"38","author":"Rivara","year":"2019","journal-title":"Health Aff."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1089\/jwh.2017.6811","article-title":"Intimate Partner Sexual Violence: An Often-Overlooked Problem","volume":"28","author":"Barker","year":"2019","journal-title":"J. Women\u2019s Health"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"S58","DOI":"10.1016\/j.jadohealth.2014.08.022","article-title":"Prevalence and Health Impact of Intimate Partner Violence and Non-partner Sexual Violence among Female Adolescents Aged 15\u201319 Years in Vulnerable Urban Environments: A Multi-Country Study","volume":"55","author":"Decker","year":"2014","journal-title":"J. Adolesc. Health"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1410","DOI":"10.1186\/s12889-018-6303-y","article-title":"Exploring the relationships between sexual violence, mental health and perpetrator identity: A cross-sectional Australian primary care study","volume":"18","author":"Tarzia","year":"2018","journal-title":"BMC Public Health"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"5","DOI":"10.3402\/ejpt.v5.25338","article-title":"Resilience definitions, theory, and challenges: Interdisciplinary perspectives","volume":"5","author":"Southwick","year":"2014","journal-title":"Eur. J. Psychotraumatol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.physbeh.2019.02.001","article-title":"Relationship between resilience and stress: Perceived stress, stressful life events, HPA axis response during a stressful task and hair cortisol","volume":"202","author":"Leon","year":"2019","journal-title":"Physiol. Behav."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1491114","DOI":"10.1080\/16549716.2018.1491114","article-title":"Social support factors associated with psychological resilience among women survivors of intimate partner violence in Gauteng, South Africa","volume":"11","author":"Machisa","year":"2018","journal-title":"Glob. Health Action"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1521\/pdps.2018.46.1.81","article-title":"Resilience, Trauma, and Coping","volume":"46","author":"Friedberg","year":"2018","journal-title":"Psychodyn. Psychiatry"},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Mancus, G.C., Cimino, A.N., Hasan, M.Z., Campbell, J.C., Sharps, P., Winch, P.J., Tsuyuki, K., and Stockman, J.K. (2021). Greenness and the Potential Resilience to Sexual Violence: \u201cYour Neighborhood Is Being Neglected Because People Don\u2019t Care. People with Power Don\u2019t Care\u201d. J. Interpers. Violence.","DOI":"10.1177\/08862605211028009"},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Kuo, C., LoVette, A., Slingers, N., and Mathews, C. (2021). Predictors of Resilience Among Adolescent Girls and Young Women Who Have Experienced Intimate Partner Violence and Sexual Violence in South Africa. J. Interpers. Violence.","DOI":"10.1177\/08862605211005158"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1007\/s11126-017-9529-4","article-title":"Resilience in Women who Experience Domestic Violence","volume":"89","author":"Tsirigotis","year":"2017","journal-title":"Psychiatr. Q."},{"key":"ref_54","unstructured":"Substance Abuse and Mental Health Services (2014). Administration SAMHSA\u2019s Concept of Trauma and Guidance for a Trauma-Informed Approach."},{"key":"ref_55","unstructured":"Center for Substance Abuse Treatment (US) (2014). Trauma-Informed Care in Behavioral Health Services."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1177\/107319110100800409","article-title":"The Suicidal Behaviors Question-naire-Revised (SBQ-R): Validation with clinical and nonclinical samples","volume":"8","author":"Osman","year":"2001","journal-title":"Assessment"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1177\/0886260508317180","article-title":"The danger assessment: Validation of a lethality risk assessment instrument for in-timate partner femicide","volume":"24","author":"Campbell","year":"2009","journal-title":"J. Interpers Violence"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"1206","DOI":"10.1007\/s11606-016-3703-5","article-title":"The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5): Development and Evaluation within a Veteran Primary Care Sample","volume":"31","author":"Prins","year":"2016","journal-title":"J. Gen. Intern. Med."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"53","DOI":"10.5116\/ijme.4dfb.8dfd","article-title":"Making sense of Cronbach\u2019s alpha","volume":"2","author":"Tavakol","year":"2011","journal-title":"Int. J. Med. Educ."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1002\/da.10113","article-title":"Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC)","volume":"18","author":"Connor","year":"2003","journal-title":"Depress. Anxiety"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1007\/BF01537606","article-title":"The use of the Center for Epidemiologic Studies Depression Scale in adolescents and young adults","volume":"20","author":"Radloff","year":"1991","journal-title":"J. Youth Adolesc."},{"key":"ref_62","unstructured":"IBM Corp (2018). IBM SPSS Statistics for Windows, Version 26.0, IBM Corp."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1351204","DOI":"10.1080\/20008198.2017.1351204","article-title":"Sex and gender differences in post-traumatic stress disorder: An update","volume":"8","author":"Olff","year":"2017","journal-title":"Eur. J. Psychotraumatol."},{"key":"ref_64","first-page":"1","article-title":"Prevalence of Depression among Adults Aged 20 and Over: United States, 2013\u20132016","volume":"303","author":"Brody","year":"2018","journal-title":"NCHS Data Brief"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"698","DOI":"10.3109\/01612840.2015.1025319","article-title":"A Synthesis of the Literature on Trauma-Informed Care","volume":"36","author":"Reeves","year":"2015","journal-title":"Issues Ment. Health Nurs."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1002\/wps.20128","article-title":"Risks of all-cause and suicide mortality in mental disorders: A meta-review","volume":"13","author":"Chesney","year":"2014","journal-title":"World Psychiatry"},{"key":"ref_67","doi-asserted-by":"crossref","unstructured":"Prasad, B. (2016). Chronic Mental Illness and the Changing Scope of Intervention Strategies, Diagnosis, and Treatment in Advances in Psychology, Mental Health, and Behavioral Studies, IGI Global.","DOI":"10.4018\/978-1-5225-0519-8"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.jad.2017.08.049","article-title":"Coping strategies as mediators in relation to re-silience and posttraumatic stress disorder","volume":"225","author":"Thompson","year":"2018","journal-title":"J. Affect Disord."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1146\/annurev.clinpsy.1.102803.144141","article-title":"Stress and Health: Psychological, Behavioral, and Biological Determinants","volume":"1","author":"Schneiderman","year":"2005","journal-title":"Annu. Rev. Clin. Psychol."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1177\/070674371105600504","article-title":"What is resilience?","volume":"56","author":"Herrman","year":"2011","journal-title":"Can. J. Psychiatry"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1007\/s10879-015-9302-7","article-title":"The Enhancement of Natural Resilience in Trauma Interventions","volume":"45","author":"Burton","year":"2015","journal-title":"J. Contemp. Psychother."},{"key":"ref_72","unstructured":"Feeny, N.C., and Zoellner, L.A. (2014). Facilitating Resilience and Recovery Following Trauma, The Guilford Press."},{"key":"ref_73","unstructured":"Spoont, M., and McClendon, J. (2020). Racial and Ethnic Disparities in PTSD. PTSD Res. Q., 31."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1111\/eip.12726","article-title":"Resilience as a multimodal dynamic process","volume":"13","author":"Stainton","year":"2019","journal-title":"Early Interv. Psychiatry"},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"558","DOI":"10.4097\/kja.19087","article-title":"Multicollinearity and misleading statistical results","volume":"72","author":"Kim","year":"2019","journal-title":"Korean J. Anesthesiol."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1080\/01612840.2017.1390801","article-title":"Interventions for Posttraumatic Stress with Resilience as Outcome: An Integrative Review","volume":"39","author":"Reyes","year":"2018","journal-title":"Issues Ment. Health Nurs."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1186\/s13063-020-4176-8","article-title":"A randomised controlled trial of therapist-assisted online psychological therapies for posttraumatic stress disorder (STOP-PTSD): Trial protocol","volume":"21","author":"Ehlers","year":"2020","journal-title":"Trials"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/8\/4796\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:54:35Z","timestamp":1760136875000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/8\/4796"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,15]]},"references-count":77,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2022,4]]}},"alternative-id":["ijerph19084796"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19084796","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,15]]}}}