Do PTSD symptoms and trauma-related cognitions about the self constitute a vicious cycle? Evidence for both cognitive vulnerability and scarring models

Golan Shahar; Gal Noyman; Inbal Schnidel-Allon; Eva Gilboa-Schechtman

doi:10.1016/j.psychres.2012.07.053

Do PTSD symptoms and trauma-related cognitions about the self constitute a vicious cycle? Evidence for both cognitive vulnerability and scarring models

Golan Shahar, Gal Noyman, Inbal Schnidel-Allon, Eva Gilboa-Schechtman

Department of Psychology

Research output: Contribution to journal › Article › peer-review

52 Scopus citations

Abstract

Cognitive models of post-traumatic stress disorder (PTSD) posit that negative cognitions regarding the self and the world underlie the disorder. In contrast, scarring models - which postulate that distress brings about an elevation in vulnerability - predict the inverse relationship. Both models were tested amongst 156 Israeli trauma victims. Participants were assessed for PTSD symptoms and trauma-related cognitions (negative thoughts regarding self and world) over 2 weeks (T1), 4 weeks (T2), and 12 weeks (T3) following the traumatic event. A cross-lagged structural equation modeling analysis yielded evidence for both cognitive vulnerability and scarring. Baseline PTSD was prospectively associated with an increase in negative cognitions regarding both the self and the world during the T1-T2 period. Negative cognitions regarding the self were prospectively associated with an increase in PTSD symptoms during both T1-T2 and T2-T3 periods. PTSD symptoms and negative cognitions regarding the self thus appear to form a vicious cognitive-symptomatic cycle which might impede recovery.

Original language	English
Pages (from-to)	79-84
Number of pages	6
Journal	Psychiatry Research
Volume	205
Issue number	1-2
DOIs	https://doi.org/10.1016/j.psychres.2012.07.053
State	Published - 30 Jan 2013

Bibliographical note

Funding Information:
The study was partly funded by a grant from the Israeli Foundation Trustees (IFT) to Inbal Schindel-Allon. We gratefully acknowledge the support given by the Israeli Science Foundation and the National Institute of Mental Health (No. NIMH R34 MH71660-01 ) to Eva Gilboa-Schechtman.

Funding

The study was partly funded by a grant from the Israeli Foundation Trustees (IFT) to Inbal Schindel-Allon. We gratefully acknowledge the support given by the Israeli Science Foundation and the National Institute of Mental Health (No. NIMH R34 MH71660-01 ) to Eva Gilboa-Schechtman.

Funders	Funder number
Israeli Foundation Trustees
National Institute of Mental Health	R34 MH71660-01, R34MH071660
Israel Science Foundation

Keywords

Cognitive vulnerability
Post traumatic stress disorder (PTSD)
Post-traumatic cognitions
Scarring
Self
Structural equation modeling

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.psychres.2012.07.053

Cite this

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abstract = "Cognitive models of post-traumatic stress disorder (PTSD) posit that negative cognitions regarding the self and the world underlie the disorder. In contrast, scarring models - which postulate that distress brings about an elevation in vulnerability - predict the inverse relationship. Both models were tested amongst 156 Israeli trauma victims. Participants were assessed for PTSD symptoms and trauma-related cognitions (negative thoughts regarding self and world) over 2 weeks (T1), 4 weeks (T2), and 12 weeks (T3) following the traumatic event. A cross-lagged structural equation modeling analysis yielded evidence for both cognitive vulnerability and scarring. Baseline PTSD was prospectively associated with an increase in negative cognitions regarding both the self and the world during the T1-T2 period. Negative cognitions regarding the self were prospectively associated with an increase in PTSD symptoms during both T1-T2 and T2-T3 periods. PTSD symptoms and negative cognitions regarding the self thus appear to form a vicious cognitive-symptomatic cycle which might impede recovery.",

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Do PTSD symptoms and trauma-related cognitions about the self constitute a vicious cycle? Evidence for both cognitive vulnerability and scarring models

Abstract

Bibliographical note

Funding

Keywords

UN SDGs

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