Post-Traumatic Stress Disorder and Identity Transformation After Experiences of Psychological Abuse: A Mixed-Methods Approach

Ramos, Bruna; Teixeira, Filipa; Começanha, Rita; Maia, Ângela

doi:10.1891/vv-d-19-00041

Cited by 2 publications

(2 citation statements)

References 31 publications

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“…Another pathway could be that a conflicted relationship can also be a relationship of physical, sexual, or emotional abuse. All types of abuse are associated with increased PTSD symptoms (Ho et al, 2021; Ramos et al, 2020), and dysregulation in the physiological stress response system mediates the link between emotional abuse and internalizing symptoms (Duprey et al, 2021). Therefore, physiological cue reactivity may mediate the link between the conflicted relationship with the deceased and the development of a PTSD episode.…”

Section: Discussionmentioning

confidence: 99%

A network analysis of posttraumatic stress symptoms and quality of relationship with deceased in COVID-19 bereaved adults.

Chen,

Tang,

2024

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Network analyses showed that the posttraumatic stress disorder (PTSD) symptom structures may vary across traumatic events and types of survivors. However, the structure of PTSD symptoms in COVID-19 bereavement remains unknown. This study aimed to depict the structure of the PTSD symptom network and illuminate how the quality of the predeath relationship between the bereaved and the deceased links to the PTSD symptom network. Method: Using self-reported data from 408 COVID-19 bereaved adults (225 male and 183 female) collected within 9-month postbereavement, we constructed two graphical lasso networks of PTSD symptoms. Results: Symptoms with the highest centrality were exaggerated startle, negative emotional states, and reckless/self-destructive behavior, with exaggerated startle having relatively low predictability. The strongest connections were found between exaggerated starkness and detachment, and between psychological cue response and thoughts of avoidance. Moreover, closeness to and conflict with the deceased were linked to the PTSD symptom network through nightmares and physiological cue reactivity, respectively. Conclusions: This study extends our understanding of what PTSD is for people who are bereaved due to the COVID-19 pandemic by unveiling the structure of the PTSD symptom network. It also helps to distinguish the symptom-level links between quality of relationship with deceased and PTSD among the bereaved. Clinical Impact StatementFacing bereavement-related posttraumatic stress disorder (PTSD), alternation in arousal and reactivity, as well as cognition and mood, may need special attention. In the case of COVID-19, it may be helpful to focus on the "exaggerated starkness-detachment" and "psychological cue reactivity-thoughts of avoidance" symptom links. Evaluating the nature of the relationship between the bereaved and the deceased may also bring insights in improving PTSD symptoms.

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Section: Discussionmentioning

confidence: 99%

A network analysis of posttraumatic stress symptoms and quality of relationship with deceased in COVID-19 bereaved adults.

Chen,

Tang,

2024

Psychological Trauma: Theory, Research, Practice, and Policy

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“…In another study, NPIPV victimization persisted as a significant contributing factor to the development of PTSD (Mechanic et al, 2008;Pico-Alfonso, 2005). Furthermore, PTSD symptoms resulting from NPIPV victimization did not differ across genders (Ramos et al, 2020).…”

Section: Non-physical Ipv (Npipv)mentioning

confidence: 90%

Exploring Psychological Intimate Partner Violence Using Brief Expressive Writing Essays

Laajala

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Non-physical intimate partner violence (NPIPV) is the most pervasive type of abuse, yet literature has predominantly focused on physical IPV victimization. This study employed a mixed-methods design utilizing archival expressive writing data previously collected to identify the presence of NPIPV victimization. Participants wrote about their experience after a relationship dissolution using the expressive writing paradigm. They were asked to share their deepest thoughts and feelings across two sessions. A constructivist grounded theory approach established the theoretical framework for coding the presence of NPIPV acts between romantic partners. Four themes of NPIPV were established (degradation, isolation, control, and jealousy). Disclosure of NPIPV and other themes were also evident in these data. Quantitative analyses assessed changes in participants' psychological distress after completing a brief writing intervention. The intervention increased the likelihood of NPIPV victimization being mentioned from Time 1 to Time 2 writing sessions. This study increases clinical awareness regarding NPIPV by providing insights into this longest-sustained IPV subtype. All participants reported a reduction in avoidance symptoms after completing the writing intervention. Finally, gender continues to complicate this field as researchers must acknowledge both the existence of men's victimization experiences and the greater severity of women's victimization. Clinical implications demonstrate a strength in narrative therapy when processing relationship dissolution particularly when NPIPV victimization is present.

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Post-Traumatic Stress Disorder and Identity Transformation After Experiences of Psychological Abuse: A Mixed-Methods Approach

Cited by 2 publications

References 31 publications

A network analysis of posttraumatic stress symptoms and quality of relationship with deceased in COVID-19 bereaved adults.

A network analysis of posttraumatic stress symptoms and quality of relationship with deceased in COVID-19 bereaved adults.

Exploring Psychological Intimate Partner Violence Using Brief Expressive Writing Essays

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