This meta-analysis examined how unemployment, a psychosocial stressor, influences post-traumatic stress disorder (PTSD) and complex PTSD (CPTSD). It specifically explores unemployment as a risk factor for trauma, with emphasis on CPTSD, and investigates economic variables, including the GINI coefficient, as potential moderators. A systematic search in Web of Science, Scopus, and PubMed yielded 33 studies comprising more than 57,000 participants. Odds ratios (OR) were computed, and a random-effects model was used to synthesize the findings. Meta-regression analyses were conducted to evaluate the effects of economic inequality (GINI) and nominal gross domestic product (NGDP), but neither moderator reached statistical significance; this is addressed in detail in the Discussion. The results revealed that unemployment significantly elevated the risk for PTSD (OR = 1.500; logOR = 0.3826; PI: 0.457–4.702) and CPTSD (OR = 2.180; logOR = 0.7430; PI: 0.501–8.808), with a stronger impact on CPTSD. These findings emphasize unemployment as a pivotal predictor of trauma, especially CPTSD, broadening the traditional focus on interpersonal factors. They also highlight the importance of integrating psychosocial and economic variables into clinical assessments and public health policies. Addressing both unemployment and economic inequality could be critical for effective interventions and prevention efforts, underscoring the need for further multidisciplinary research.

Background: Eye movement desensitization and reprocessing (EMDR) is recommended by major health organizations for trauma treatment, but its efficacy for borderline personality disorder (BPD) remains unestablished. This study aims to evaluate EMDR’s effectiveness in treating BPD through a randomized controlled trial (RCT) and compare its outcomes with cognitive behavioral therapy (CBT). Methods: A total of 76 individuals participated in the RCT, with 18 patients (78% female) completing the study. Participants were randomly assigned to receive either EMDR (n = 8) or CBT (n = 10) via teletherapy sessions. Trauma symptoms were assessed using the international trauma questionnaire (ITQ), BPD symptoms were assessed using the Personality Assessment Inventory-Borderline Features Scale (PAI-BOR), and post-traumatic growth (PTG) was assessed using the post-traumatic growth inventory (PTGI). Additionally, attentional evaluations were conducted at behavioral and electroencephalographic levels through an oddball paradigm. A final comparison was made between a participant who did not complete the therapeutic process and a participant who did. Results: Both EMDR and CBT treatments significantly improved trauma and BPD symptoms, as well as post-traumatic growth. The effect size was moderate for ITQ (η2 = 0.615) and PTGI (η2 = 0.610), and low for PAI-BOR (η2 = 0.147). Symptomatic participants showed a decrease in ITQ (p = 0.006) and PAI-BOR (p = 0.047) scores, and an increase in PTGI scores (p = 0.028). Conclusions: Both EMDR and CBT significantly improved trauma and BPD symptoms, as well as post-traumatic growth. Additionally, EMDR showed benefits in response accuracy and speed, with a correct response rate of 97% when comparing two participants (with and without therapy). However, completely clean electroencephalography (EEG) data were not obtained from both participants for a deeper comparison. Clinical Trial Registration: The study was registered at https://doi.org/10.1186/ISRCTN91146045, registration number: ISRCTN91146045, registration date: 21 May 2021.

Marcelo Nvo-Fernández, César Villacura-Herrera, Valentina Miño-Reyes, Carlos Serrano, Fabiola Salas, Francisco Ahumada, and Marcelo Leiva-Bianchi. J Korean Acad Child Adolesc Psychiatry 2025;36:196-214. https://doi.org/10.5765/jkacap.250017

Research on violence within LGBTIQA+ communities is scarce despite sizable prevalence. Map concepts and methods used to study intracommunity violence. PRISMA-guided search (Scopus/Web of Science/SciELO) plus snowballing identified 50 studies (2003-2024). We conducted a social-constructionist, semantic, deductive-inductive Reflexive Thematic Analysis and assessed methodological quality with the NIH tool. Evidence from 19 countries shows good-to-fair methodological quality overall, but heavy reliance on cross-sectional self-report. Three themes emerged: 1) heterocisnormative intimate partner violence; 2) social media reproducing intraminority stigmas; 3) symbolic violence against feminized bodies. LGBTIQA+ intracommunity violence is structural, with internalized heterocisnormativity. Critical methodological gaps require new instruments capturing gender performativity, corporeality, and power dynamics.