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Posttraumatic orientation to bodily signals: The engraving of trauma in bodily perceptions

INTRODUCTION: Theoretical perspectives emphasize that trauma and complex/posttraumatic stress disorder (C/PTSD) may interrupt with the perception of normal day-to-day bodily sensations, such as hunger, temperature and pain. Yet, a coherent conceptual synthesis of such processes is still lacking. OBJ...

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Autores principales: Tsur, N., Solomon, Z.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10434393/
http://dx.doi.org/10.1192/j.eurpsy.2023.1018
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author Tsur, N.
Solomon, Z.
author_facet Tsur, N.
Solomon, Z.
author_sort Tsur, N.
collection PubMed
description INTRODUCTION: Theoretical perspectives emphasize that trauma and complex/posttraumatic stress disorder (C/PTSD) may interrupt with the perception of normal day-to-day bodily sensations, such as hunger, temperature and pain. Yet, a coherent conceptual synthesis of such processes is still lacking. OBJECTIVES: This presentation portrayes two studies that provide empirical grounding for the conceptualization of ‘Posttraumatic Orientation to Bodily Signals’ (posttraumatic-OBS); an umbrella term reflecting the tendency to interpret bodily signals as catastrophic and frightful following trauma. METHODS: Two studies assessing exposure to trauma, C/PTSD, and OBD (Pain catastrophizing scale, PCS; body vigilance scale, BVS; Anxiety sensitivity index-physical), were conducted to test the hypothesized association between exposure to trauma and posttraumatic-OBD, as explained by C/PTSD. RESULTS: Study 1 included 59 ex-prisoners of war and 44 controls along three time-points, revealing that exposure to trauma was associated with a more catastrophic OBS (t = 2.73, p = .008; Cohen’s d = .57), which was mediated by longitudinal hyperarousal PTSD symptoms (indirect effect = .04 [.009, .11]). Additionally, a long-term chronic trajectory of PTSD was implicated in a more catastrophic OBS (F (2102)=6.91, p = .046). Study 2 included 194 dyads of mothers and their young adult daughter. Dyadic path analyses demonstrated that OBD was associated with exposure to trauma, through the mediation of CPTSD among mothers (indirect effects between 0.13–0.28; p > 0.021) and daughters (indirect effects between 0.21–0.11; p > 0.032). Mothers’ OBD was associated with daughters’ OBD (effects between 0.19-0.27; p < 0.016). Daughters’ OBD was serially associated with mothers’ trauma exposure through mothers’ CPTSD and mothers’ OBD, (indirect effect = 0.064; p = 0.023). The findings demonstrate that trauma is often implicated in posttraumatic-OBD, which is mediated by C/PTSD, and that these processes may be intergenerationally transmitted. CONCLUSIONS: The findings lay the foundation for the conceptualization of posttraumatic-OBD. The implications of the unified encapsulation of posttraumatic-OBD as an umbrella term reflecting subjective perception of bodily sensations for future research and practice will be presented. DISCLOSURE OF INTEREST: None Declared
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spelling pubmed-104343932023-08-18 Posttraumatic orientation to bodily signals: The engraving of trauma in bodily perceptions Tsur, N. Solomon, Z. Eur Psychiatry Abstract INTRODUCTION: Theoretical perspectives emphasize that trauma and complex/posttraumatic stress disorder (C/PTSD) may interrupt with the perception of normal day-to-day bodily sensations, such as hunger, temperature and pain. Yet, a coherent conceptual synthesis of such processes is still lacking. OBJECTIVES: This presentation portrayes two studies that provide empirical grounding for the conceptualization of ‘Posttraumatic Orientation to Bodily Signals’ (posttraumatic-OBS); an umbrella term reflecting the tendency to interpret bodily signals as catastrophic and frightful following trauma. METHODS: Two studies assessing exposure to trauma, C/PTSD, and OBD (Pain catastrophizing scale, PCS; body vigilance scale, BVS; Anxiety sensitivity index-physical), were conducted to test the hypothesized association between exposure to trauma and posttraumatic-OBD, as explained by C/PTSD. RESULTS: Study 1 included 59 ex-prisoners of war and 44 controls along three time-points, revealing that exposure to trauma was associated with a more catastrophic OBS (t = 2.73, p = .008; Cohen’s d = .57), which was mediated by longitudinal hyperarousal PTSD symptoms (indirect effect = .04 [.009, .11]). Additionally, a long-term chronic trajectory of PTSD was implicated in a more catastrophic OBS (F (2102)=6.91, p = .046). Study 2 included 194 dyads of mothers and their young adult daughter. Dyadic path analyses demonstrated that OBD was associated with exposure to trauma, through the mediation of CPTSD among mothers (indirect effects between 0.13–0.28; p > 0.021) and daughters (indirect effects between 0.21–0.11; p > 0.032). Mothers’ OBD was associated with daughters’ OBD (effects between 0.19-0.27; p < 0.016). Daughters’ OBD was serially associated with mothers’ trauma exposure through mothers’ CPTSD and mothers’ OBD, (indirect effect = 0.064; p = 0.023). The findings demonstrate that trauma is often implicated in posttraumatic-OBD, which is mediated by C/PTSD, and that these processes may be intergenerationally transmitted. CONCLUSIONS: The findings lay the foundation for the conceptualization of posttraumatic-OBD. The implications of the unified encapsulation of posttraumatic-OBD as an umbrella term reflecting subjective perception of bodily sensations for future research and practice will be presented. DISCLOSURE OF INTEREST: None Declared Cambridge University Press 2023-07-19 /pmc/articles/PMC10434393/ http://dx.doi.org/10.1192/j.eurpsy.2023.1018 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstract
Tsur, N.
Solomon, Z.
Posttraumatic orientation to bodily signals: The engraving of trauma in bodily perceptions
title Posttraumatic orientation to bodily signals: The engraving of trauma in bodily perceptions
title_full Posttraumatic orientation to bodily signals: The engraving of trauma in bodily perceptions
title_fullStr Posttraumatic orientation to bodily signals: The engraving of trauma in bodily perceptions
title_full_unstemmed Posttraumatic orientation to bodily signals: The engraving of trauma in bodily perceptions
title_short Posttraumatic orientation to bodily signals: The engraving of trauma in bodily perceptions
title_sort posttraumatic orientation to bodily signals: the engraving of trauma in bodily perceptions
topic Abstract
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10434393/
http://dx.doi.org/10.1192/j.eurpsy.2023.1018
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