Abstract
Event centrality, defined as the extent to which a traumatic event becomes a core component of a person's identity (Berntsen & Rubin, 2006), is both a correlate and predictor of posttraumatic stress disorder (PTSD) symptoms, over and above event severity. These findings suggest that decreasing the perceived centrality of a traumatic event to one's identity might result in decreases in PTSD symptom severity. To date, few studies have examined how centrality is affected by PTSD treatment. The present study tested the hypotheses that change in centrality would be associated with both change in PTSD symptom severity and discharge PTSD symptom severity in an exposure-based PTSD partial hospitalization program (N = 132; 86.0% White; 85.2% female; M age = 36 years). At discharge (i.e., after approximately 6 weeks of treatment), both PTSD symptoms and centrality had significantly decreased, ds = .70 and .98, respectively, with large effect sizes. Decreases in Centrality of Events Scale (CES) scores at posttreatment, baseline CES scores, and baseline PTSD Checklist for DSM-5 (PCL-5) scores were associated with change (i.e., decrease) in PCL-5 scores, p < .001, as well as with posttreatment PCL-5 scores, p < .001. Decreases in CES scores...Continue Reading
References
Apr 13, 2000·Behaviour Research and Therapy·A Ehlers, D M Clark
Jan 4, 2006·Behaviour Research and Therapy·Dorthe Berntsen, David C Rubin
Jan 15, 2009·Psychology and Aging·John J McArdle, John J Prindle
Dec 17, 2009·Journal of School Psychology·Amanda N Baraldi, Craig K Enders
Aug 7, 2010·Journal of Traumatic Stress·Adam D BrownWilliam Hirst
Jul 28, 2011·Journal of Traumatic Stress·Donald J Robinaugh, Richard J McNally
Jan 14, 2012·Journal of Affective Disorders·Paul A Boelen
Aug 28, 2012·The Journal of Nervous and Mental Disease·Paul A Boelen
Feb 25, 2014·Behaviour Research and Therapy·Melanie S HarnedMarsha M Linehan
May 16, 2014·The Behavioral and Brain Sciences·Richard D LaneLeslie Greenberg
Feb 26, 2015·European Child & Adolescent Psychiatry·Stefanie J Schmidt, Benno G Schimmelmann
May 27, 2015·Journal of Trauma & Dissociation : the Official Journal of the International Society for the Study of Dissociation (ISSD)·Steven L LancasterBen Mogerman
Aug 12, 2015·Anxiety, Stress, and Coping·Adriel Boals, Camilo Ruggero
Nov 18, 2015·Clinical Psychology Review·Karen CusackBradley N Gaynes
Nov 26, 2015·Journal of Traumatic Stress·Christy A BlevinsJessica L Domino
Nov 4, 2016·Psychological Assessment·Michelle J BovinTerence M Keane
Oct 30, 2016·Journal of Affective Disorders·Eiko I Fried
May 12, 2017·Psychological Assessment·Frank W WeathersBrian P Marx
Nov 21, 2017·Psychological Trauma : Theory, Research, Practice and Policy·Rachel Wamser-NanneyAmanda J Hasselle
Jan 13, 2018·Developmental Cognitive Neuroscience·Rogier A KievitRaymond J Dolan
Aug 24, 2018·Clinical Psychology Review·Tine B GehrtDavid C Rubin