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Negative self appraisals in treatment-seeking survivors of motor vehicle accidents

Negative self appraisals in treatment-seeking survivors of motor vehicle accidents
Negative self appraisals in treatment-seeking survivors of motor vehicle accidents
Recent cognitive models stress the impact that negative appraisals have on the maintenance of posttraumatic stress disorder (PTSD). The aim of this study was to investigate the role of posttraumatic negative cognitions in 110 survivors of motor vehicle accidents (MVAs) and to examine the effect of cognitive-behavioral treatment on negative appraisals in a sample of 42 patients with full or sub-syndromal PTSD. We investigated whether posttraumatic negative cognitions predicted PTSD diagnosis and symptom severity, and whether treatment-related changes in negative appraisals were associated with PTSD symptom reduction. Negative posttraumatic cognitions were significantly associated with PTSD diagnosis and severity, and explained 54% of the variance of the PTSD severity. Furthermore, treatment-related reductions in negative appraisals about the self were highly associated with PTSD-symptom-reduction. Our results raise question about whether there are factors that make the self more vulnerable in some people but not in others.
ptsd, motor vehicle accidents, post traumatic cognitions inventory, cognitive behavioral therapy
0887-6185
775-781
Karl, Anke
7f091050-641c-4658-a247-785cfd194c3d
Rabe, Sirko
4f72049c-7e14-4dc7-b0dd-f1111df18f91
Zöllner, Tanja
c360ade9-d39c-4766-974c-dae3a30ed211
Maercker, Andreas
c8c1b9a1-07e0-4086-8c97-a3c259f33aa6
Stopa, Lusia
b52f29fc-d1c2-450d-b321-68f95fa22c40
Karl, Anke
7f091050-641c-4658-a247-785cfd194c3d
Rabe, Sirko
4f72049c-7e14-4dc7-b0dd-f1111df18f91
Zöllner, Tanja
c360ade9-d39c-4766-974c-dae3a30ed211
Maercker, Andreas
c8c1b9a1-07e0-4086-8c97-a3c259f33aa6
Stopa, Lusia
b52f29fc-d1c2-450d-b321-68f95fa22c40

Karl, Anke, Rabe, Sirko, Zöllner, Tanja, Maercker, Andreas and Stopa, Lusia (2009) Negative self appraisals in treatment-seeking survivors of motor vehicle accidents. Journal of Anxiety Disorders, 23 (6), 775-781. (doi:10.1016/j.janxdis.2009.03.001).

Record type: Article

Abstract

Recent cognitive models stress the impact that negative appraisals have on the maintenance of posttraumatic stress disorder (PTSD). The aim of this study was to investigate the role of posttraumatic negative cognitions in 110 survivors of motor vehicle accidents (MVAs) and to examine the effect of cognitive-behavioral treatment on negative appraisals in a sample of 42 patients with full or sub-syndromal PTSD. We investigated whether posttraumatic negative cognitions predicted PTSD diagnosis and symptom severity, and whether treatment-related changes in negative appraisals were associated with PTSD symptom reduction. Negative posttraumatic cognitions were significantly associated with PTSD diagnosis and severity, and explained 54% of the variance of the PTSD severity. Furthermore, treatment-related reductions in negative appraisals about the self were highly associated with PTSD-symptom-reduction. Our results raise question about whether there are factors that make the self more vulnerable in some people but not in others.

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More information

Published date: August 2009
Keywords: ptsd, motor vehicle accidents, post traumatic cognitions inventory, cognitive behavioral therapy
Organisations: Clinical Neurosciences

Identifiers

Local EPrints ID: 65949
URI: http://eprints.soton.ac.uk/id/eprint/65949
ISSN: 0887-6185
PURE UUID: 53156e9a-c3fc-4234-b8c8-b3491bb43b5c

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Date deposited: 07 Apr 2009
Last modified: 13 Mar 2024 18:01

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Contributors

Author: Anke Karl
Author: Sirko Rabe
Author: Tanja Zöllner
Author: Andreas Maercker
Author: Lusia Stopa

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