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.

中文翻译：

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阐明个人健康行为的创伤知情理论


遭受创伤会增加吸烟和吸毒等有害健康行为的风险。作为回应，美国药物滥用和心理健康服务管理局开发了创伤知情护理 (TIC)，这是一个组织框架，用于改善行为健康护理的提供，以考虑创伤暴露在患者生活中所扮演的角色。我们采用 TIC 来引入一种新的行为改变理论，即个人健康行为的创伤知情理论 (TTB)。 TTB 认为，个人进行有意识的促进健康的行为改变的能力取决于三个因素：(1) 他们曾经遭受和接触过的创伤的形式和严重程度，(2) 这种创伤在生理上如何表现（即创伤反应） ）和（3）尽管有这种创伤反应，但仍能做出行为改变的弹性。我们定义了这些因素中的每一个以及它们之间的关系。我们预计 TTB 的引入将为开发理论驱动的研究、干预措施和政策奠定基础，以改善受创伤影响人群的行为健康结果。