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Reference: Freeman, D, Thompson, C, Vorontsova, N et al., (2013). Paranoia and post-traumatic stress disorder in the months after a physical assault: a longitudinal study examining shared and differential predictors. Psychological medicine, 43 (12), 2673-2684.Citable link to this page:

 

Paranoia and post-traumatic stress disorder in the months after a physical assault: a longitudinal study examining shared and differential predictors.

Abstract: BACKGROUND: Being physically assaulted is known to increase the risk of the occurrence of post-traumatic stress disorder (PTSD) symptoms but it may also skew judgements about the intentions of other people. The objectives of the study were to assess paranoia and PTSD after an assault and to test whether theory-derived cognitive factors predicted the persistence of these problems. METHOD: At 4 weeks after hospital attendance due to an assault, 106 people were assessed on multiple symptom measures (including virtual reality) and cognitive factors from models of paranoia and PTSD. The symptom measures were repeated 3 and 6 months later. RESULTS: Factor analysis indicated that paranoia and PTSD were distinct experiences, though positively correlated. At 4 weeks, 33% of participants met diagnostic criteria for PTSD, falling to 16% at follow-up. Of the group at the first assessment, 80% reported that since the assault they were excessively fearful of other people, which over time fell to 66%. Almost all the cognitive factors (including information-processing style during the trauma, mental defeat, qualities of unwanted memories, self-blame, negative thoughts about self, worry, safety behaviours, anomalous internal experiences and cognitive inflexibility) predicted later paranoia and PTSD, but there was little evidence of differential prediction. CONCLUSIONS: Paranoia after an assault may be common and distinguishable from PTSD but predicted by a strikingly similar range of factors.

Peer Review status:Peer reviewedPublication status:PublishedVersion:Publisher's versionNotes:Copyright © Cambridge University Press 2013 The online version of this article is published within an Open Access environment subject to the conditions of the Creative Commons Attribution-NonCommercial-ShareAlike licence (http://creativecommons.org/licenses/by-nc-sa/3.0/). The written permission of Cambridge University Press must be obtained for commercial re-use.

Bibliographic Details

Publisher: Cambridge University Press

Publisher Website: http://journals.cambridge.org/

Journal: Psychological medicinesee more from them

Publication Website: http://journals.cambridge.org/action/displayJournal?jid=PSM

Issue Date: 2013-12

pages:2673-2684Identifiers

Urn: uuid:c710fee2-78aa-4427-870e-591bc657f65d

Source identifier: 390885

Eissn: 1469-8978

Doi: https://doi.org/10.1017/s003329171300038x

Issn: 0033-2917 Item Description

Type: Journal article;

Language: eng

Version: Publisher's versionKeywords: Humans Longitudinal Studies Predictive Value of Tests Interpersonal Relations Stress Disorders, Post-Traumatic Cognition Disorders Paranoid Disorders Comorbidity Adolescent Adult Aged Crime Victims Violence Middle Aged Young Adult Time Factors Female Follow-Up Studies Male Tiny URL: pubs:390885

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Autor: Freeman, D - institutionUniversity of Oxford Oxford, MSD, Psychiatry - - - Thompson, C - - - Vorontsova, N - - - Dunn, G - - - Ca

Fuente: https://ora.ox.ac.uk/objects/uuid:c710fee2-78aa-4427-870e-591bc657f65d



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