OBJECTIVE: The specific aims of this study are to examine trauma-related shame and guilt as time-varying predictors of symptoms of posttraumatic stress disorder (PTSD). METHOD:Sixty-five patients were included in the statistical analyses and the multilevel modeling analyses supported three major findings. RESULTS: (i) Patients with a higher level of shame and guilt at the start of treatment displayed a higher level of PTSD symptoms over the course of treatment compared to other patients. (ii) Time-specific change in shame and guilt predicted the level of PTSD symptoms 3 days later from session to session during treatment. (iii) No significant differences were evident between prolonged exposure (PE) and modified PE to include imagery rescripting in the within-person process of change in PTSD symptoms from session to session during therapy. CONCLUSIONS: This trial reports the first evidence that within-person change in shame and guilt predicts change in PTSD symptoms from session to session during treatment.
RCT Entities:
OBJECTIVE: The specific aims of this study are to examine trauma-related shame and guilt as time-varying predictors of symptoms of posttraumatic stress disorder (PTSD). METHOD: Sixty-five patients were included in the statistical analyses and the multilevel modeling analyses supported three major findings. RESULTS: (i) Patients with a higher level of shame and guilt at the start of treatment displayed a higher level of PTSD symptoms over the course of treatment compared to other patients. (ii) Time-specific change in shame and guilt predicted the level of PTSD symptoms 3 days later from session to session during treatment. (iii) No significant differences were evident between prolonged exposure (PE) and modified PE to include imagery rescripting in the within-person process of change in PTSD symptoms from session to session during therapy. CONCLUSIONS: This trial reports the first evidence that within-person change in shame and guilt predicts change in PTSD symptoms from session to session during treatment.
Entities:
Keywords:
guilt; shame; trauma; treatment of PTSD; within-person effects
Authors: Katherine C Cunningham; Chloe Farmer; Stefanie T LoSavio; Paul A Dennis; Carolina P Clancy; Michael A Hertzberg; Claire F Collie; Patrick S Calhoun; Jean C Beckham Journal: J Affect Disord Date: 2017-06-21 Impact factor: 4.839
Authors: Tanya C Saraiya; Christal L Badour; Alyssa C Jones; Amber M Jarnecke; Delisa G Brown; Julianne C Flanagan; Therese K Killeen; Sudie E Back Journal: Psychol Trauma Date: 2022-01-13
Authors: Jacob A Bentley; Norah C Feeny; Michael L Dolezal; Alexandra Klein; Libby H Marks; Belinda Graham; Lori A Zoellner Journal: Cogn Behav Pract Date: 2020-11-20