Abstract:
:Background: The network approach to mental disorders offers a novel framework for conceptualizing posttraumatic stress disorder (PTSD) as a causal system of interacting symptoms. Objective: In this study, we extended this work by estimating the structure of relations among PTSD symptoms in adults reporting personal histories of childhood sexual abuse (CSA; N = 179). Method: We employed two complementary methods. First, using the graphical LASSO, we computed a sparse, regularized partial correlation network revealing associations (edges) between pairs of PTSD symptoms (nodes). Next, using a Bayesian approach, we computed a directed acyclic graph (DAG) to estimate a directed, potentially causal model of the relations among symptoms. Results: For the first network, we found that physiological reactivity to reminders of trauma, dreams about the trauma, and lost of interest in previously enjoyed activities were highly central nodes. However, stability analyses suggest that these findings were unstable across subsets of our sample. The DAG suggests that becoming physiologically reactive and upset in response to reminders of the trauma may be key drivers of other symptoms in adult survivors of CSA. Conclusions: Our study illustrates the strengths and limitations of these network analytic approaches to PTSD.
journal_name
Eur J Psychotraumatoljournal_title
European journal of psychotraumatologyauthors
McNally RJ,Heeren A,Robinaugh DJdoi
10.1080/20008198.2017.1341276subject
Has Abstractpub_date
2017-07-15 00:00:00pages
1341276issue
sup3issn
2000-8066pii
1341276journal_volume
8pub_type
杂志文章abstract:BACKGROUND:Despite robust empirical support for the efficacy of trauma-focused treatments, the dissemination proves difficult, especially in relation to patients with comorbid psychosis. Many therapists endorse negative beliefs about the credibility, burden, and harm of such treatment. OBJECTIVE:This feasibility study...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v7.31712
更新日期:2016-09-06 00:00:00
abstract::Background: Following a child's experience of trauma, parental response is thought to play an important role in either facilitating or hindering their psychological adjustment. However, the ability to investigate the role of parenting responses in the post-trauma period has been hampered by a lack of valid and reliabl...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2018.1478583
更新日期:2018-06-20 00:00:00
abstract::Background: Studies that identify children after acute trauma and prospectively track risk/protective factors and trauma responses over time are resource-intensive; small sample sizes often limit power and generalizability. The Prospective studies of Acute Child Trauma and Recovery (PACT/R) Data Archive was created to...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2020.1729025
更新日期:2020-03-10 00:00:00
abstract::Background: It is well documented that comorbid post-traumatic stress disorder (PTSD) in chronic pain is associated with a more severe symptom profile with respect to pain, disability and psychological distress. However, very few intervention studies exist targeting both PTSD and pain. The current study is the first r...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1331108
更新日期:2017-05-30 00:00:00
abstract::Background: The variables that underlie comorbid chronic pain and posttraumatic stress symptoms (PTSS) are not yet clearly established. Objective: The aim of the present study was to analyse the role of the behavioural inhibition system (BIS), behavioural approach system (BAS) and experiential avoidance (EA) in pain a...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1581013
更新日期:2019-03-11 00:00:00
abstract:BACKGROUND:Exposure to acute, potentially traumatic events is an unfortunately common experience for children and adolescents. Posttraumatic stress (PTS) responses following acute trauma can have an ongoing impact on child development and well-being. Early intervention to prevent or reduce PTS responses holds promise b...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.22757
更新日期:2014-07-02 00:00:00
abstract:BACKGROUND:While males constitute the majority, female adolescent offenders are a sizeable minority of the overall delinquent population. Further, those females who become involved in delinquent activities appear to be doing so at a younger age, and they are involved in a wide range of criminal activities, including vi...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.17247
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:In the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the symptom profile of posttraumatic stress disorder (PTSD) was expanded to include 20 symptoms. An alternative model of PTSD is outlined in the proposed 11th edition of the International Classification of Diseases (ICD-...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v6.28766
更新日期:2015-10-07 00:00:00
abstract:BACKGROUND:In patients with co-morbid obsessive-compulsive disorder (OCD) and posttraumatic stress disorder (PTSD), repetitive behavior patterns, rituals, and compulsions may ward off anxiety and often function as a coping strategy to control reminders of traumatic events. Therefore, addressing the traumatic event may ...
journal_title:European journal of psychotraumatology
pub_type:
doi:10.3402/ejpt.v4i0.19157
更新日期:2013-01-01 00:00:00
abstract::Background: The World Health Organization(WHO) International Classification of Diseases, 11th version (ICD-11), has proposed a new trauma-related diagnosis of complex posttraumatic stress disorder (CPTSD), separate and distinct from posttraumatic stress disorder (PTSD). However, to date, no study has examined CPTSD ov...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1616488
更新日期:2019-05-28 00:00:00
abstract::Background: Dropout from psychotherapy has negative impacts on clients, therapists, and health-care agencies. Research has identified a variety of variables as predictors of dropout, which can be grouped in three domains: socio-demographic, psychological, and treatment-related variables. Objective: In order to further...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1706297
更新日期:2020-01-23 00:00:00
abstract::Background: Empathy is essential for interpersonal relationships, yet remains difficult to measure. Some evidence suggests that early traumatic experiences leads to alterations in empathic responding. Objective: This study sought to differentiate connections between subtypes of childhood maltreatment, a pictorial test...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2020.1804806
更新日期:2020-09-25 00:00:00
abstract::The present systematic review examined post-migration variables impacting upon mental health outcomes among asylum-seeking and refugee populations in Europe. It focuses on the effects of post-settlement stressors (including length of asylum process and duration of stay, residency status and social integration) and the...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章,评审
doi:10.1080/20008198.2020.1793567
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:During the past several years, there has been a growing interest in the negative effects that providing therapy may have on therapists. Of special interest is a phenomenon called secondary traumatization, which can arise while working with traumatized clients. To develop a simple screening tool for secondary...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.21875
更新日期:2014-01-09 00:00:00
abstract::Daily news is dominated by reports of traumatic events across the world. Is trauma indeed rather the norm than the exception? What are the facts? How can we better understand, prevent and treat the consequences of trauma? This past year the European Journal of Psychotraumatology (EJPT) has again tried to address these...
journal_title:European journal of psychotraumatology
pub_type: 社论
doi:10.1080/20008198.2019.1578524
更新日期:2019-02-27 00:00:00
abstract::Background: Trauma exposure and post-traumatic stress disorder (PTSD) are risk factors for chronic pain. Objective: This study investigated how exposure to intentional and non-intentional traumatic events and PTSD are related to pain severity and outcome of treatment in chronic pain patients. Methods: We assessed expo...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1375337
更新日期:2017-09-19 00:00:00
abstract:BACKGROUND:The colonial war that Portugal was involved in between 1961 and 1974 had a significant impact on veterans and their families. However, it is unclear what the consequences of this war are, in particular with regard to levels of childhood maltreatment (CM) in offspring. OBJECTIVE:Our study aims to analyze the...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.20198
更新日期:2014-02-04 00:00:00
abstract::Background: Whereas the association between social support and psychological distress has been well-established through both cross-sectional and longitudinal studies, less is known about whether social support influences rate of change in psychological distress over time. Nor is it clear whether social support predict...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1302692
更新日期:2017-03-20 00:00:00
abstract:BACKGROUND:Single traumatising events are associated with an elevated rate of psychological disorders in children and adolescents. To date, it remains unclear whether early psychological interventions can reduce longer term psychological maladjustment. OBJECTIVE:To systematically review the literature to determine the...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v2i0.7858
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:The war in former Yugoslavia, which commenced in 1990, caused the biggest refugee crisis in Europe since World War II. There are numerous research investigations into the trauma and associated problems. However, there is no available publication concerning refugees' own perception of the provided support in ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.8447
更新日期:2012-01-01 00:00:00
abstract::Background: Post-traumatic stress disorder (PTSD) is triggered by distinct events and is therefore amenable to studies of its early pathogenesis. Longitudinal studies during the year that follows trauma exposure revealed typical symptom trajectories leading to either recovery or protracted PTSD. Thezneurobehavioral co...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1683941
更新日期:2019-11-11 00:00:00
abstract::Background: Approximately 3% of women develop posttraumatic stress disorder (PTSD) after giving birth, and 7.5% of pregnant women show a pathological fear of childbirth (FoC). FoC or childbirth-related PTSD during (a subsequent) pregnancy can lead to a request for an elective caesarean section as well as adverse obste...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1293315
更新日期:2017-02-24 00:00:00
abstract::Background: Pre-sleep cognitive activity and arousal have long been implicated in the maintenance of insomnia. However, despite high comorbidity between insomnia and posttraumatic stress disorder (PTSD), pre-sleep thoughts in PTSD and their associations with disturbed sleep, have not yet been investigated. Objective: ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1651476
更新日期:2019-08-27 00:00:00
abstract:BACKGROUND:Life-review interventions (LRI) are psychotherapeutic techniques originally derived from gerontology, which can be distinguished from other biographical and reminiscing techniques. They have been systematically implemented and investigated not only in elderly clients with depression, cognitive decline, in on...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v4i0.19720
更新日期:2013-05-20 00:00:00
abstract:BACKGROUND:The proposal for ICD-11 postulates major changes for posttraumatic stress disorder (PTSD) diagnosis, which needs investigation in different samples. AIMS:To investigate differences of PTSD prevalence and diagnostic agreement between ICD-10 and ICD-11, factor structure of proposed ICD-11 PTSD, and diagnostic...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v7.29700
更新日期:2016-01-21 00:00:00
abstract::Background: Two stress-related disorders have been proposed for inclusion in the revised ICD-11: Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD). The International Trauma Questionnaire (ITQ) is a bespoke measure of PTSD and CPTSD and has been widely used in English-speaking countries. Objective: The prim...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1608718
更新日期:2019-05-15 00:00:00
abstract::Background: Cumulative evidence suggests that both traumatic stress and posttraumatic stress disorder (PTSD) are cross-sectionally and prospectively linked to cardiovascular disease (CVD). However, their association with proxy markers of atherosclerosis has hardly been investigated. Objective: The objective of this ge...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2020.1815280
更新日期:2020-10-14 00:00:00
abstract:BACKGROUND:Posttraumatic Diagnostic Scale (PDS) is a self-descriptive measure developed to provide information regarding posttraumatic stress disorder (PTSD) diagnosis and symptom severity. OBJECTIVES:THE AIM OF THIS ARTICLE IS TO REPORT ON THE VALIDATION OF THE POLISH VERSION OF PDS AND TO TEST ITS FACTOR STRUCTURE W...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.18479
更新日期:2012-01-01 00:00:00
abstract::Background: A crucial but often overlooked impact of early life exposure to trauma is its far-reaching effect on a person's relationship with their body. Several domains of body experience may be negatively influenced or damaged as a result of early childhood trauma. Objective: The aim of this study was to investigate...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1322892
更新日期:2017-05-31 00:00:00
abstract:BACKGROUND:Recent research suggests that childhood adversity exerts a lasting impact not only on the affected individuals but also on their offspring. Little is known about the role of parental rearing behavior in the transgenerational conveyance of parental childhood adversity and filial psychological health. OBJECTI...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v7.30804
更新日期:2016-10-25 00:00:00