scholarly journals A social model of posttraumatic stress disorder: Interpersonal trauma, attachment, group identification, disclosure, social acknowledgement, and negative cognitions

2018 ◽  
Vol 2 (2) ◽  
pp. 35-48 ◽  
Author(s):  
Sarah Woodhouse ◽  
Rupert Brown ◽  
Susan Ayers
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Group Identification ◽  
Interpersonal Trauma ◽  
Social Model ◽  
Negative Cognitions

Attachment Orientations Moderate the Self-Amplifying Cycle of Posttraumatic Stress Disorder and Negative Cognitions—A Seven-Year Longitudinal Study

2019 ◽  
Vol 38 (6) ◽  
pp. 522-544 ◽  
Author(s):  
Yafit Levin ◽  
Mario Mikulincer ◽  
Zahava Solomon
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Attachment Anxiety ◽  
The Self ◽  
Negative Cognitions ◽  
Anxious Attachment ◽  
Yom Kippur War ◽  
Attachment Orientations ◽  
Ptsd Severity

Introduction: We examined whether attachment orientations moderated the self-amplifying cycle of Posttraumatic Stress Disorder (PTSD) and negative cognitions, decades after the trauma ended. Method: We sampled Israeli veterans from the 1973 Yom Kippur War and assessed PTSD severity and cognitions about the self and the world, twice—35 (T1) and 42 (T2) years after the war. At T1, we assessed participants’ attachment orientations (anxiety, avoidance). Results: Findings provided support for a self-amplifying cycle of PTSD severity and negative cognitions about others’ benevolence during the seven-year study period. Findings also indicated that this self-amplifying cycle was significant only among veterans who scored relatively high on attachment anxiety but not among those who had less anxious attachment. Attachment avoidance also moderated the prospective contribution of negative cognitions about the self and others to PTSD severity seven years later. Discussion: The psychological mechanisms underlying the observed effects of attachment orientations were discussed.

scholarly journals Posttraumatic stress disorder symptom trajectories within the first year following emergency department admissions: pooled results from the International Consortium to predict PTSD

2020 ◽  
pp. 1-11 ◽  
Author(s):  
Sarah R. Lowe ◽  
Andrew Ratanatharathorn ◽  
Betty S. Lai ◽  
Willem van der Mei ◽  
Anna C. Barbano ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Multinomial Logistic Regression ◽  
Female Gender ◽  
Interpersonal Trauma ◽  
Demographic Characteristics ◽  
Ptsd Symptoms ◽  
Symptom Trajectories ◽  
Increased Risk

Abstract Background Research exploring the longitudinal course of posttraumatic stress disorder (PTSD) symptoms has documented four modal trajectories (low, remitting, high, and delayed), with proportions varying across studies. Heterogeneity could be due to differences in trauma types and patient demographic characteristics. Methods This analysis pooled data from six longitudinal studies of adult survivors of civilian-related injuries admitted to general hospital emergency departments (EDs) in six countries (pooled N = 3083). Each study included at least three assessments of the clinician-administered PTSD scale in the first post-trauma year. Latent class growth analysis determined the proportion of participants exhibiting various PTSD symptom trajectories within and across the datasets. Multinomial logistic regression analyses examined demographic characteristics, type of event leading to the injury, and trauma history as predictors of trajectories differentiated by their initial severity and course. Results Five trajectories were found across the datasets: Low (64.5%), Remitting (16.9%), Moderate (6.7%), High (6.5%), and Delayed (5.5%). Female gender, non-white race, prior interpersonal trauma, and assaultive injuries were associated with increased risk for initial PTSD reactions. Female gender and assaultive injuries were associated with risk for membership in the Delayed (v. Low) trajectory, and lower education, prior interpersonal trauma, and assaultive injuries with risk for membership in the High (v. Remitting) trajectory. Conclusions The results suggest that over 30% of civilian-related injury survivors admitted to EDs experience moderate-to-high levels of PTSD symptoms within the first post-trauma year, with those reporting assaultive violence at increased risk of both immediate and longer-term symptoms.

Efficacy of Sertraline in Posttraumatic Stress Disorder Secondary to Interpersonal Trauma or Childhood Abuse

2006 ◽  
Vol 18 (4) ◽  
pp. 243-249 ◽  
Author(s):  
Dan J. Stein ◽  
Bessel A. van der Kolk ◽  
Carol Austin ◽  
Rana Fayyad ◽  
Cathryn Clary
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Childhood Abuse ◽  
Stress Disorder ◽  
Interpersonal Trauma

scholarly journals Cumulative childhood interpersonal trauma is associated with reduced cortical differentiation between threat and non-threat faces in posttraumatic stress disorder adults

2018 ◽  
Vol 53 (1) ◽  
pp. 48-58 ◽  
Author(s):  
Denise A Chu ◽  
Richard A Bryant ◽  
Justine M Gatt ◽  
Anthony WF Harris
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Childhood Trauma ◽  
Symptom Severity ◽  
Stress Disorder ◽  
Trauma Exposure ◽  
Interpersonal Trauma ◽  
Reward Processing ◽  
Cumulative Exposure ◽  
Neural Pathways

Objective: Posttraumatic stress disorder and childhood trauma frequently co-occur. Both are associated with abnormal neural responses to salient emotion stimuli. As childhood trauma is a risk factor for posttraumatic stress disorder, differentiating between their neurophysiological effects is necessary to elucidate the neural pathways by which childhood trauma exposure contributes to increased posttraumatic stress disorder risks. Methods: Face-specific N170 evoked response potentials for backward-masked (non-conscious) and conscious threat (fear, angry) and non-threat (happy) faces were measured in 77 adults (18–64 years old, 64% women, 78% right-handed) symptomatic for posttraumatic stress disorder. Differences in N170 peak amplitudes for fear-versus-happy and angry-versus-happy faces at bilateral temporo-occipital (T5, T6) sites were computed. The effect of cumulative exposure to childhood interpersonal trauma, other childhood trauma, adult trauma, depression and posttraumatic stress disorder symptom severity on the N170 response was assessed using hierarchical multiple regression analyses. Results: T5 N170 peak amplitudes for non-conscious fear-versus-happy faces were inversely related to cumulative childhood interpersonal trauma after accounting for socio-demographic, clinical symptom and other trauma factors. Posttraumatic stress disorder Avoidance was positively associated with N170 peak amplitudes for non-conscious fear-versus-happy faces, primarily due to reduced N170 responsivity to happy faces. Conclusion: Childhood interpersonal trauma exposure is associated with reduced discrimination between fear and happy faces, while avoidance symptom severity is associated with dampened responsivity to automatically processed happy faces in posttraumatic stress disorder adults. Results are discussed in terms of the likely contributions of impaired threat discrimination and deficient reward processing during neural processing of salient emotion stimuli, to increased risks of posttraumatic stress disorder onset and chronicity in childhood interpersonal trauma–exposed adults.

Interpersonal Trauma Exposure and Interpersonal Problems in Adolescent Posttraumatic Stress Disorder

2021 ◽  
Author(s):  
Kathryn A. Hughesdon ◽  
Julian D. Ford ◽  
Ernestine C. Briggs ◽  
Julia S. Seng ◽  
Alison L. Miller ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Trauma Exposure ◽  
Interpersonal Problems ◽  
Interpersonal Trauma
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