Event centrality as a unique predictor of posttraumatic stress symptoms and perceived disability following spinal cord injury

Boals, Adriel; Trost, Zina; Berntsen, Dorthe; Nowlin, L.; Wheelis, Tori; Monden, Kimberley R.

doi:10.1038/sc.2017.57

Cited by 7 publications

(7 citation statements)

References 40 publications

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“…Between 9-28% of patients endorsed event centrality items, and robust relationships emerged between centrality and acute post-injury outcomes; however, the average centrality score in our sample (M = 14.66) was lower than averages reported in other medical samples, including: recent spinal cord injury (M = 22.86; Boals et al, 2017), post-stroke patients (M = 26.71; Kuenemund et al, 2016), multiple sclerosis patients (M = 23.8, converted from item average; Voltzenlogel et al, 2016), and chronic pain patients (M = 24.1 adjusted from full scale CES; Perri & Keefe, 2008). Our lower average score is similar to the mean reported in relation to a self-identified stressful event by the healthy control group (vs. stroke patients) in Kuenemund and colleagues (2016).…”

Section: Discussioncontrasting

confidence: 79%

“…Within the broader trauma literature, knowledge of event centrality and posttraumatic outcomes largely stems from college student samples and cross-sectional study designs (see Gehrt et al, 2018 for review). Although centrality research is emerging among injured samples, extant studies are primarily limited to severe or chronic physical injuries and illnesses (spinal cord injury, Boals et al 2017;stroke, Kuenemund et al 2016;multiple sclerosis, Voltzenlogel et al, 2016;chronic pain, Perri & Keefe, 2008). To date, only one cross-sectional study conducted among recent survivors of spinal cord injury requiring inpatient rehabilitation has demonstrated acute relationships between event centrality, PTSS and disability.…”

mentioning

confidence: 99%

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Event centrality following treatment for physical injury in the emergency department: Associations with posttraumatic outcomes

Pacella

Larsen

Jaramillo

et al. 2020

General Hospital Psychiatry

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Section: Discussioncontrasting

confidence: 79%

mentioning

confidence: 99%

Event centrality following treatment for physical injury in the emergency department: Associations with posttraumatic outcomes

Pacella

Larsen

Jaramillo

et al. 2020

General Hospital Psychiatry

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“…A person experiencing PTG, after working through the consequences of trauma, can somehow skip the context of harm and focus on dealing with it and opting for forgiveness. Cognitive restructuring leading to PTG allows the individual to perceive the acquisition of permanent physical disability as a central or critical life event that triggers many constructive changes (Boals et al, 2017; Hammer et al, 2019). It can shape the perception of harm and the offender as one of many injustices in the world.…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic growth and interpersonal forgiveness in persons with physical disabilities.

Byra¹,

Kaleta²,

Mróz³

2022

Rehabilitation Psychology

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Purpose/Objective: To investigate whether there is a relationship between posttraumatic growth (PTG) and forgiveness in people with physical disabilities, and whether contextual factors moderate the association. Research Method/Design: Two hundred and sixty seven persons with physical disabilities completed Polish versions of three inventories: Posttraumatic Growth Inventory (PTGI), Decision to Forgive Scale (DTFS), and Emotional Forgiveness Scale (EFS). The participants also assessed contextual factors of offenses, such as transgression severity, apology being offered, and quality of the relationship with the offender. The associations between the variables were examined using correlation and moderation analyses. In the moderation model, PTG was posited as a predictor, offence-specific factors as subsequent moderators, and forgiveness (decisional and emotional) as outcome variables. Results: PTG was positively associated with decisional and emotional forgiveness, and not related to contextual factors. Transgression severity, apology, and relationship quality were correlated with forgiveness. The quality of the victim-offender relationship was the only contextual variable to moderate the association between PTG and emotional forgiveness. Conclusion/Implications: PTG and forgiveness are positively related and their association is moderated by the context of the transgression to a minor extent.

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“…Given considerable individual variation in experiences of pain (e.g., Fillingim, 2017; Leon et al, 2018) due, in part, to psychosocial processes (e.g., self‐efficacy, pain‐related coping, centrality; e.g., Boals et al, 2017; Edwards, Dworkin, Sullivan, Turk, & Wasan, 2016), more research is needed understanding how factors such as self‐efficacy and centrality, may influence responses to and engagement with pain. Based on the literature, we hypothesized a direct negative relationship between pain self‐efficacy and pain centrality (e.g., Outcalt et al, 2017), such that individuals with greater pain self‐efficacy would exhibit less pain centrality.…”

Section: Introductionmentioning

confidence: 99%

Pain centrality mediates pain self‐efficacy and symptom severity among individuals reporting chronic pain

2020

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Chronic pain is consistently associated with the presence of mental health disorders. Although previous research has shown relations between low levels of self‐efficacy with chronic pain severity as well as comorbid mental health symptoms, the link between self‐efficacy and mental health symptoms in chronic pain is not well understood. This study examined whether pain centrality, the extent to which pain is viewed as central to self‐identity, may underlie these associations. Individuals with a diagnosis of chronic pain (N = 89) recruited through MTurkcompleted self‐report measures including demographics, self‐efficacy, pain centrality, pain severity, depression, and anxiety. Pain severity was associated with higher levels of pain centrality, depression, anxiety, and lower levels of self‐efficacy. Path analysis demonstrated pain centrality significantly mediated the relationship between self‐efficacy and pain severity, depression, and anxiety. Future studies would benefit from testing whether modifying pain centrality beliefs shift perceptions of control as well as pain and psychological outcomes.

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Event centrality as a unique predictor of posttraumatic stress symptoms and perceived disability following spinal cord injury

Cited by 7 publications

References 40 publications

Event centrality following treatment for physical injury in the emergency department: Associations with posttraumatic outcomes

Event centrality following treatment for physical injury in the emergency department: Associations with posttraumatic outcomes

Posttraumatic growth and interpersonal forgiveness in persons with physical disabilities.

Pain centrality mediates pain self‐efficacy and symptom severity among individuals reporting chronic pain

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