Reductions in self-blame cognitions predict PTSD improvements with cognitive processing therapy for military sexual trauma-related PTSD

Holliday, Ryan; Holder, Nicholas; Surís, Alina

doi:10.1016/j.psychres.2018.03.007

Cited by 55 publications

(39 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Finally, in the treatment of persistent psychological dysfunction following combat trauma we consider it to be meaningful to target self-blame cognitions, which may have a more profound basis in childhood events. Consistent with recent findings (Holliday, Holder, & Suris, 2018;LoSavio et al, 2017), we expect self-blame cognitions to be a potential mechanism of change in empirically supported trauma interventions such as cognitive processing therapy.…”

Section: Discussionsupporting

confidence: 85%

Childhood trauma and the role of self-blame on psychological well-being after deployment in male veterans

Dorresteijn¹,

Gladwin

Eekhout

et al. 2019

European Journal of Psychotraumatology

View full text Add to dashboard Cite

Background: Childhood trauma and combat-related trauma are both associated with decreased psychosocial functioning. Coping strategies play an important role in the adjustment to traumatic events.Objective: The present study examined childhood trauma and the mediating role of coping strategies in adult psychological symptoms in a non-clinical military population after deployment to Afghanistan. Additionally, the moderating role of coping strategies in vulnerability to combat events was explored.Method: Participants (N = 932) were drawn from a prospective study assessing psychological complaints (SCL-90), early trauma (ETISR-SF), combat-related events and coping strategies (Brief COPE). Mediation analyses via joint significance testing and moderation analyses were performed.Results: Childhood trauma is related to adult symptoms of general anxiety, depression and problems concerning interpersonal sensitivity through the mediation of self-blame as a coping strategy. Some evidence was found that self-blame moderated vulnerability to combat-related events resulting in psychological complaints, specifically symptoms of anxiety and depression.Conclusions: Military personnel should be made aware of self-criticizing maladaptive belief systems when dealing with aversive events. Negative beliefs about oneself and distorted trauma-related cognitions may have a basis in childhood events. Self-blame cognitions may be a potential mechanism of change in empirically supported trauma interventions such as cognitive processing therapy.

show abstract

Section: Discussionsupporting

confidence: 85%

Childhood trauma and the role of self-blame on psychological well-being after deployment in male veterans

Dorresteijn¹,

Gladwin

Eekhout

et al. 2019

European Journal of Psychotraumatology

View full text Add to dashboard Cite

show abstract

“…Further, it is understandable that a personal future viewed through the lens of trauma would create a higher sensitivity and avoidance of external reminders, as it may appear that an impending danger is always “just around the corner.” It is interesting to note that the symptoms highly related to EC correspond to empirically based treatments for PTSD. For example, cognitive processing therapy (CPT) begins with a focus on reducing self‐blame for traumatic experiences, and reductions in self‐blame during CPT treatment have been shown to predict recovery (Holliday et al., 2018). Exposure therapies, including prolonged exposure (PE), focus on reducing automatic negative reactions to fear cues through extinction learning, encouraging individuals with PTSD to approach these reminders rather than avoid them (Abramowitz, 2013).…”

Section: Discussionmentioning

confidence: 99%

A Network Analysis of DSM‐5 Posttraumatic Stress Disorder Symptoms and Event Centrality

Guineau

Jones

Bellet

et al. 2021

Journal of Traumatic Stress

View full text Add to dashboard Cite

The centrality of a traumatic event to one's autobiographical memory has been associated with posttraumatic stress disorder (PTSD) symptom severity. In the present study, we investigated the associations between specific features of event centrality (EC), as measured using the Centrality of Event Scale, and specific symptoms of PTSD. We computed a cross‐sectional graphical lasso network of PTSD symptoms and specific features of EC in a sample of trauma‐exposed individuals (n = 451), many of whom met the clinical threshold for a PTSD diagnosis. The graphical lasso revealed intrusive memories, negative trauma‐related feelings, and the perception that the traumatic event was central to one's identity to be influential nodes. Viewing the future through the lens of one's trauma exposure was the EC feature most strongly linked to PTSD. Among all PTSD symptoms, blaming oneself or others for the traumatic event showed the strongest link to EC. The network was stable, allowing for reliable interpretations. Future longitudinal research is needed to clarify the associations among EC features and PTSD symptoms over time.

show abstract

“…Our previous work with an overlapping sample of participants showed that changes in NPCs predicted subsequent changes in PTSD and depression symptoms over the course of the IOP (Zalta et al, under review). A recent study by Holliday and colleagues (2018) examined whether changes in different NPC clusters (self-blame, negative cognitions about self, negative cognitions about others) predicted subsequent changes in PTSD symptoms during CPT for MST survivors. They found that only changes in self-blame cognitions predicted subsequent changes in PTSD symptoms, providing further evidence that changes in self-blame are critical to recovery for MST survivors.…”

Section: Discussionmentioning

confidence: 99%

Negative posttraumatic cognitions among military sexual trauma survivors

Carroll

Lofgreen

Weaver

et al. 2018

Journal of Affective Disorders

View full text Add to dashboard Cite

show abstract

Reductions in self-blame cognitions predict PTSD improvements with cognitive processing therapy for military sexual trauma-related PTSD

Cited by 55 publications

References 15 publications

Childhood trauma and the role of self-blame on psychological well-being after deployment in male veterans

Childhood trauma and the role of self-blame on psychological well-being after deployment in male veterans

A Network Analysis of DSM‐5 Posttraumatic Stress Disorder Symptoms and Event Centrality

Negative posttraumatic cognitions among military sexual trauma survivors

Contact Info

Product

Resources

About