The Development of a Brief Version of the Posttraumatic Cognitions Inventory (PTCI-9)

Abstract

Negative posttraumatic cognitions lead to the development and maintenance of posttraumatic stress disorder symptoms. There is a need for a brief measure to assess these cognitions. Participants were administered the Posttraumatic Cognitions Inventory (PTCI) and measures of mental health symptomatology. These data were used to develop a brief version of the PTCI (PTCI-9) in 223 male and female veterans, which was then examined in a sample of 117 female civilians. Confirmatory factor analyses demonstrated an acceptable fit in both samples. The PTCI-9 total and subscale scores showed strong internal consistencies (Cronbach's αs = .80-.87) and strong correlations with the PTCI in veterans ( rs = .90-.96) and civilians ( rs = .91-.96). Measurement invariance testing demonstrated partial invariance between the two samples. The PTCI-9 significantly correlated with measures of PTSD, depression, and quality of life. These findings demonstrate that the PTCI-9 is a reliable and valid measure of posttraumatic cognitions that can reduce patient and provider burden.

Mindful attention awareness and cognitive defusion are indirectly associated with less PTSD-like symptoms via reduced maladaptive posttraumatic cognitions and avoidance coping

“…PTCI-9 total and subscale scores display good internal consistency and strong correlations with the PTCI-36 (Foa, Ehlers, Clark, Tolin, & Orsillo, 1999). Previous findings demonstrated that the PTCI-9 is a reliable and valid measure of posttraumatic cognitions (Wells et al, 2019).…”

Self-concept, post-traumatic self-appraisals and post-traumatic psychological adjustment: what are the relationships?

“…Furthermore, post-traumatic disruption in one's self-concept was found to be associated with depression regardless of cultural group or clinical status. These findings indicate depression to be a common post-traumatic reaction following a trauma or highly stressful life event and is not necessarily unique to PTSD (Wells et al, 2017). Researchers and clinicians would benefit from considering how these factors may contribute to depressive sequalae, for instance targeting a trauma-defined or distorted self-image could reduce negative self-evaluations and foster positive adaptation.…”

Trauma-focused therapies for posttraumatic stress in psychosis

“…Maximally 90-minute sessions will be held two times a week and will be provided within the mental health organization where the participant receives his or her usual care. rating), 46 avoidance (2 items, 0 -4 rating), 46 negative cognitions and mood (7 items, 0 -4 rating), 46 hyper arousal (6 items, 0 -4 rating), 46 beliefs about self/beliefs about others (9 items, 1-7 rating), 47 dissociation (4 items, 0 -4 rating), 48 control (3 items, 1 -7), 49 involuntary memory characteristics (7 items, 1 -7 rating), 60 and hallucinations (3 items, 1 -7 scale) and paranoia (3 items, 1 -7). 50,51…”

“…This is a 9-item version is based on the original PTCI 65 and was found to have strong psychometrics. 47…”

“…This is optional and participants will be randomized regardless of whether they will do the daily monitoring. Factors that are assessed via the RoQua platform are: re-experiencing (5 items, 0 -4 rating), 46 avoidance (2 items, 0 -4 rating), 46 negative cognitions and mood (7 items, 0 -4 rating), 46 hyper arousal (6 items, 0 -4 rating), 46 beliefs about self/beliefs about others (9 items, 1-7 rating), 47 dissociation (4 items, 0 -4 rating), 48 control (3 items, 1 -7), 49 hallucinations (3 items, 1 -7 scale), paranoia (3 items, 1 -7), 50,51 and involuntary memory characteristics (7 items, 1 -7 rating). 60 Cost-effectiveness (TiC-P and EQ-5D)…”