@article{ref1,
title="The "3 Es" of trauma-informed care in a federally qualified health center: traumatic Event- and Experience-related predictors of physical and mental health Effects among female patients",
journal="Journal of community psychology",
year="2020",
author="Lathan, Emma C. and Selwyn, Candice N. and Langhinrichsen-Rohling, Jennifer",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Federally Qualified Health Centers (FQHCs) are a fast-growing source of healthcare for women with intersectional identities, or those most frequently exposed to and negatively impacted by interpersonal trauma. According to the &quot;3 E&quot; conceptualization of trauma, certain Event- and Experience-related characteristics of a trauma predict victims' physical and mental health Effects. The &quot;3 Es&quot; have yet to be studied in female FQHC patients. The current study examined the prevalence of interpersonal trauma and interrelationships among traumatic Event-related factors (e.g., cumulative trauma by victim-perpetrator relationship), Experience-related factors (e.g., betrayal, resilience), and Effects (e.g., somatic symptoms, posttraumatic stress (PTS), anxiety/depression, mistrust, reduced sense of safety) among 138 predominantly Black (89.1%) women receiving care at an FQHC in the southeastern U.S. Roughly 65% of participants (n = 86) endorsed exposure to at least one type of interpersonal trauma. More cumulative trauma was significantly correlated with more somatic, PTS, and anxious/depressive symptoms, and a reduced sense of safety. Experiences of betrayal and/or resilience were better predictors of PTS and anxious/depressive symptoms and lack of safety than Event-related factors. <br><br>FINDINGS support the need for the implementation of trauma-informed care within community-based health centers. Healthcare providers should consider women's subjective experience of trauma when screening for exposure and providing trauma-sensitive care.<p /> <p>Language: en</p>",
language="en",
issn="0090-4392",
doi="10.1002/jcop.22488",
url="http://dx.doi.org/10.1002/jcop.22488"
}