Dysfunctional meaning of posttraumatic intrusions in chronic PTSD

Behaviour Research and Therapy

Volumn 38, Issue 6, 2000, Pages 537-558

  Steil, Regina ^a   Ehlers, Anke ^b  

^a FRIEDRICH SCHILLER UNIVERSITY JENA   (Germany)

^b UNIVERSITY OF OXFORD   (United Kingdom)

Author keywords

Cognitive avoidance; Dysfunctional meaning; Interpretation of posttraumatic symptoms; Intrusions; Posttraumatic stress disorder; Rumination; Thought suppression

Indexed keywords

ADULT; AVOIDANCE BEHAVIOR; COGNITION; FEMALE; HUMAN; HYPOTHESIS; INJURY; MAJOR CLINICAL STUDY; MALE; MULTIPLE REGRESSION; POSTTRAUMATIC STRESS DISORDER; QUESTIONNAIRE; REVIEW; RUMINATION; THINKING; THOUGHT DISORDER; TRAFFIC ACCIDENT;

ACCIDENTS, TRAFFIC; ADULT; ANXIETY; CHRONIC DISEASE; COGNITION DISORDERS; FEMALE; HUMANS; MALE; MIDDLE AGED; QUESTIONNAIRES; SEVERITY OF ILLNESS INDEX; STRESS DISORDERS, POST-TRAUMATIC; SURVIVAL RATE; THINKING;

EID: 0034213760     PISSN: 00057967     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0005-7967(99)00069-8     Document Type: Article

References (50)

1. Baum A., Cohen L., Hall M. Control and intrusive memories as possible determinants of chronic stress. Psychosomatic Medicine. 55:1993;274-286.
2. Blanchard E.B., Hickling E.J., Mitnick N., Taylor A.E., Loos W.R., Buckley T.C. The impact of severity of physical injury and perception of life threat in the development of post-traumatic stress disorder in motor vehicle accident victims. Behaviour Research and Therapy. 33:1995;529-534.
3. Blanchard E.B., Hickling E.J., Barton K.A., Taylor A.E., Loos W.R., Alexander J.J. One-year prospective follow-up of motor vehicle accidents. Behaviour Research and Therapy. 34:1996;775-786.
4. Borkovec T.D., Inz J. The nature of worry in generalized anxiety disorder: a pre-dominance of thought-activity. Behaviour Research and Therapy. 28:1990;153-158.
5. Breslau N., Davis G.C., Andreski P., Peterson E. Traumatic events and posttraumatic stress disorder in an urban population of young adults. Archives of General Psychiatry. 48:1991;216-222.
6. Chambless D.L., Caputo G.C., Bright P., Gallagher R. Assessment of fear of fear in agoraphobics: The Body Sensations Questionnaire and the Agoraphobic Cognitions Questionnaire. Journal of Consulting and Clinical Psychology. 52:1984;1090-1097.
7. Chembtob C., Roitblat H.L., Hamada R.S., Carlson J.G., Twentyman C.T. A cognitive action theory of post-traumatic stress disorder. Journal of Anxiety Disorders. 2:1988;253-275.
8. Clark D.M. A cognitive approach to panic. Behaviour Research and Therapy. 24:1986;461-470.
9. Clohessy S., & Ehlers A. (1999) PTSD symptoms, response to intrusive memories and coping in ambulance service workers. Birtish Journal of Clinical Psychology, 38, in press.
10. Creamer M., Burgess P., Pattison P. Reaction to trauma: a cognitive processing model. Journal of Abnormal Psychology. 101:1992;452-459.
11. Eberly R.E., Harkness A.R., Engdahl B.E. An adaptational view of trauma response as illustrated by the prisoner of war experience. Journal of Traumatic Stress. 4:1991;363-380.
12. Ehlers A., Margraf J. Angst vor der angst - ein neues konzept in der diagnostik der angststörungen (Fear of fear - a new concept in the diagnosis of anxiety disorders). Verhaltenstherapie. 3:1993;14-24.
13. Ehlers A., Margraf H., Chambless D.L. (1993) Fragebogen zu körperbezogenen ängsten, kognitionen und vermeidung. (Questionnaires for fear of bodily sensations, cognitions, and avoidance). Weinheim, Germany: Beltz Test.
14. Ehlers A., Margraf J., Roth W.T. Selective information processing, interoception, and panic attacks. Hand I., Wittchen H.U. Panic and phobias. 1988;129-148 Springer, Berlin.
15. Ehlers A., Mayou R.A., & Bryant B. (1998) Psychological predictors of chronic PTSD after motor vehicle accidents. (Submitted for publication).
16. Ehlers A., Steil R. Maintenance of intrusive memories in posttraumatic stress disorder: a cognitive approach. Behavioural and Cognitive Psychotherapy. 23:1995;217-249.
17. Epstein R.S. Avoidant symptoms cloaking the diagnosis of PTSD in patients with severe accidental injury. Journal of Traumatic Stress. 6:1993;451-458.
18. Feinstein A., Dolan R. Predictors of post-traumatic stress disorder following physical trauma: an examination of the stressor criterion. Psychological Medicine. 21:1991;85-91.
19. Foa E.B., Hearst-Ikeda D., Perry K.J. Evaluation of a brief cognitive-behavioral program for the prevention of chronic PTSD in recent assault victims. Journal of Consulting and Clinical Psychology. 63:1995;948-953.
20. Foa E.B., Riggs D.S. Post-traumatic stress disorder in rape victims. Oldham J., Riba M.B., Tasman A. American psychiatric press review of psychiatry. vol. 12:1993;273-303 American Psychiatric Press, Washington, DC.
21. Foa E.B., Riggs D.S., Dancu C.V., Rothbaum B.O. Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. Journal of Traumatic Stress. 6:1993;459-473.
22. Foa E.B., Rothbaum B.O., Riggs D.S., Murdock T. Treatment of post-traumatic stress disorder in rape-victims: a comparison between cognitive-behavioral procedures and counseling. Journal of Consulting and Clinical Psychology. 59:1991;715-723.
23. Foa E.B., Steketee G., Rothbaum B.O. Behavioral/cognitive conceptualizations of post-traumatic stress disorder. Behavior Therapy. 20:1989;155-176.
24. Green B.L. Psychosocial research in traumatic stress: an update. Journal of Traumatic Stress. 7:1994;341-362.
25. Green M.M., McFarlane A.C., Hunter C.E., Griggs W.M. Undiagnosed posttraumatic stress disorder following motor vehicle accidents. Medical Journal of Australia. 159:1993;529-534.
26. Horowitz M.J. Stress response syndromes. 1976;Aronson, New York.
27. Jones J.C., Barlow D.H. The etiology of posttraumatic stress disorder. Clinical Psychology Review. 10:1990;299-328.
28. Keane T.M., Zimering R.T., Caddell R.T. A behavioral formulation of PTSD in Vietnam veterans. Behavior Therapist. 8:1985;9-12.
29. Kuch K., Cox B.J., Evans R.J. Posttraumatic stress disorder and motor vehicle accidents: a multidisciplinary overview. Canadian Journal of Psychiatry. 41:1996;429-434.
30. Landsman L.S., Baum C.G., Arnkoff D.B., Craig M.J., Lynch I., Copes W.S., Champion H.R. The psychosocial consequences of traumatic injury. Journal of Behavioral Medicine. 13:1990;561-581.
31. Lawrence J.W., Fauerbach J., Munster A. Early avoidance of traumatic stimuli predicts chronicity of intrusive thoughts following burn injury. Behaviour Research and Therapy. 34:1996;643-646.
32. Lavy E.H., van den Hout M. Cognitive avoidance and attentional bias: causal relationships. Cognitive Therapy and Research. 18:1994;179-191.
33. March J.S. What constitutes a stressor? The 'A' criterion issue. Davidson R.T., Foa E.B. Posttraumatic stress disorder and beyond. 1993;37-56 American Psychiatric Press, Washington, DC.
34. Mayou R.A., Bryant B., Duthie R. Psychiatric consequences of road traffic accidents. British Medical Journal. 307:1993;647-651.
35. McFarlane A.C. The phenomenology of posttraumatic stress disorders following a natural disaster. Journal of Nervous and Mental Disease. 176:1988;22-29.
36. McFarlane A.C. Avoidance and intrusion in posttraumatic stress disorder. Journal of Nervous and Mental Disease. 180:1992;439-445.
37. Pennebaker J.W. Confession, inhibition and disease. Berkowitz L. Advances in experimental social psychology. vol. 22:1989;211-244 Academic Press, New York.
38. Perry S., Difede J., Musngi G., Frances A.J., Jacobsberg L. Predictors of posttraumatic stress disorder after burn injury. American Journal of Psychiatry. 149:1992;931-935.
39. Peterson K.C., Prout M.F., Schwarz R.A. Post-traumatic stress disorder. A clinician's guide. 1991;Plenum Press, New York.
40. Rachman S.J. Fear and courage. 2nd ed. 1990;Freeman, New York.
41. Rachman S.J., de Silva P. Abnormal and normal obsessions. Behaviour Research and Therapy. 16:1978;233-248.
42. Resick P.A., Schnicke M.K. Cognitive processing therapy for sexual assault victims. Journal of Consulting and Clinical Psychology. 60:1992;748-756.
43. Salkovskis P.M., Campbell P. Thought suppression induces intrusion in naturally occurring negative intrusive thoughts. Behaviour Research and Therapy. 32:1994;1-8.
44. Salkovskis P.M., Kirk J. Obsessional disorders. Hawton K., Salkovskis P.M., Clark D.M. Cognitive behaviour therapy for psychiatric problems. 1989;129-168 Oxford University Press, Oxford, UK.
45. Shalev A.Y. Posttraumatic stress disorder among injured survivors of a terrorist attack. Predictive value of early intrusion and avoidance symptoms. Journal of Nervous and Mental Disease. 180:1992;505-509.
46. Shalev A.Y., Schreiber S., Galai T. Early psychological responses to traumatic injury. Journal of Traumatic Stress. 6:1993;441-450.
47. States D., Huelke D.F., Baker S., Bryant R.W., Fenner H.A., Green R.N., Harnes L.N., Marsh J.C., Nelson W.D., Noga J.T., Gennarelli T.A., Ruby W-J., Viano D.C., Petrucelli E. Abbreviated injury scale. 1980;American Association for Automotive Medicine, Morton Grove. 1980 revision.
48. Van der Kolk B.A., van der Hart O. The intrusive past: the flexibility of memory and the engraving of trauma. American Imago. 48:1991;425-454.
49. Wells A. Attention and the control of worry. Davey G.C.L., Tallis F. Worrying: perpectives on theory, assessment, and treatment. 1994;91-114 Wiley, Chichester, UK.
50. Yehuda R., Southwick S.M., Giller E.L. Exposure to atrocities and severity of chronic posttraumatic stress disorder in Vietnam combat veterans. American Journal of Psychiatry. 149:1992;333-336.