Joint Doctoral Program in Interdisciplinary Research on Substance Use, San Diego State University and University of California, San Diego, California, USA.
School of Social Work, San Diego State University, San Diego, California, USA.
Stress Health. 2022 Feb;38(1):154-162. doi: 10.1002/smi.3068. Epub 2021 May 24.
Exposure to trauma increases the risk of engaging in detrimental health behaviours such as tobacco and substance use. In response, the United States Substance Abuse and Mental Health Services Administration developed Trauma-Informed Care (TIC), an organisational framework for improving the provision of behavioural health care to account for the role exposure to trauma plays in patients' lives. We adapt TIC to introduce a novel theory of behaviour change, the Trauma-Informed Theory of Individual Health Behavior (TTB). TTB posits that individual capacity to undertake intentional health-promoting behaviour change is dependent on three factors: (1) the forms and severity of trauma they have been and are exposed to, (2) how this trauma physiologically manifests (i.e., the trauma response) and (3) resilience to undertake behaviour change despite this trauma response. We define each of these factors and their relationships to one another. We anticipate that the introduction of TTB will provide a foundation for developing theory-driven research, interventions, and policies that improve behavioural health outcomes in trauma-affected populations.
接触创伤会增加从事有害健康行为的风险，如吸烟和使用药物。有鉴于此，美国物质滥用和心理健康服务管理局制定了创伤知情护理（TIC），这是一种组织框架，旨在改善行为健康护理的提供，以说明创伤在患者生活中所扮演的角色。我们对 TIC 进行了改编，引入了一种新的行为改变理论，即创伤知情个体健康行为理论（TTB）。TTB 假设，个人进行有目的的促进健康的行为改变的能力取决于三个因素：（1）他们已经经历过和正在经历的创伤的形式和严重程度，（2）这种创伤在生理上的表现（即创伤反应），以及（3）尽管存在这种创伤反应，仍有能力进行行为改变。我们定义了这些因素及其相互关系。我们预计，TTB 的引入将为开发理论驱动的研究、干预措施和政策提供基础，以改善受创伤影响人群的行为健康结果。
