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Social relationship satisfaction and PTSD: which is the chicken and which is the egg?
BACKGROUND: Impaired social relationships are linked with higher levels of posttraumatic stress disorder (PTSD), but the association's underlying dynamics are unknown. PTSD may impair social relationships, and, vice versa, poorer relationship quality may interfere with the recovery from PTSD. O...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Co-Action Publishing
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4696463/ https://www.ncbi.nlm.nih.gov/pubmed/26684986 http://dx.doi.org/10.3402/ejpt.v6.28864 |
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author | Freedman, Sara A. Gilad, Moran Ankri, Yael Roziner, Ilan Shalev, Arieh Y. |
author_facet | Freedman, Sara A. Gilad, Moran Ankri, Yael Roziner, Ilan Shalev, Arieh Y. |
author_sort | Freedman, Sara A. |
collection | PubMed |
description | BACKGROUND: Impaired social relationships are linked with higher levels of posttraumatic stress disorder (PTSD), but the association's underlying dynamics are unknown. PTSD may impair social relationships, and, vice versa, poorer relationship quality may interfere with the recovery from PTSD. OBJECTIVE: This work longitudinally evaluates the simultaneous progression of PTSD symptoms and social relationship satisfaction (SRS) in a large cohort of recent trauma survivors. It also explores the effect of cognitive behavior therapy (CBT) on the association between the two. METHOD: Consecutive emergency department trauma admissions with qualifying PTSD symptoms (n=501) were assessed 3 weeks and 5 months after trauma admission. The World Health Organization Quality of Life evaluated SRS and the Clinician Administered PTSD Scale evaluated PTSD symptom severity. Ninety-eight survivors received CBT between measurement sessions. We used Structural Equation Modeling to evaluate cross-lagged effects between the SRS and PTSD symptoms. RESULTS: The cross-lagged effect of SRS on PTSD was statistically significant (β=−0.12, p=0.01) among survivors who did not receive treatment whilst the effect of PTDS on SRS was nil (β=−0.02, p=0.67). Both relationships were non-significant among survivors who received CBT. DISCUSSION: SRS and PTSD are highly associated, and this study shows that changes in SRS in the early aftermath of traumatic events contribute to changes in PTSD, rather than vice versa. SRS impacts natural recovery, but not effective treatment. This study suggests that being satisfied with one's relationships might be considered as an important factor in natural recovery from trauma, as well as in intervention. |
format | Online Article Text |
id | pubmed-4696463 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Co-Action Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-46964632016-01-15 Social relationship satisfaction and PTSD: which is the chicken and which is the egg? Freedman, Sara A. Gilad, Moran Ankri, Yael Roziner, Ilan Shalev, Arieh Y. Eur J Psychotraumatol Short Communication BACKGROUND: Impaired social relationships are linked with higher levels of posttraumatic stress disorder (PTSD), but the association's underlying dynamics are unknown. PTSD may impair social relationships, and, vice versa, poorer relationship quality may interfere with the recovery from PTSD. OBJECTIVE: This work longitudinally evaluates the simultaneous progression of PTSD symptoms and social relationship satisfaction (SRS) in a large cohort of recent trauma survivors. It also explores the effect of cognitive behavior therapy (CBT) on the association between the two. METHOD: Consecutive emergency department trauma admissions with qualifying PTSD symptoms (n=501) were assessed 3 weeks and 5 months after trauma admission. The World Health Organization Quality of Life evaluated SRS and the Clinician Administered PTSD Scale evaluated PTSD symptom severity. Ninety-eight survivors received CBT between measurement sessions. We used Structural Equation Modeling to evaluate cross-lagged effects between the SRS and PTSD symptoms. RESULTS: The cross-lagged effect of SRS on PTSD was statistically significant (β=−0.12, p=0.01) among survivors who did not receive treatment whilst the effect of PTDS on SRS was nil (β=−0.02, p=0.67). Both relationships were non-significant among survivors who received CBT. DISCUSSION: SRS and PTSD are highly associated, and this study shows that changes in SRS in the early aftermath of traumatic events contribute to changes in PTSD, rather than vice versa. SRS impacts natural recovery, but not effective treatment. This study suggests that being satisfied with one's relationships might be considered as an important factor in natural recovery from trauma, as well as in intervention. Co-Action Publishing 2015-12-16 /pmc/articles/PMC4696463/ /pubmed/26684986 http://dx.doi.org/10.3402/ejpt.v6.28864 Text en © 2015 Sara A. Freedman et al. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, allowing third parties to copy and redistribute the material in any medium or format, and to remix, transform, and build upon the material, for any purpose, even commercially, under the condition that appropriate credit is given, that a link to the license is provided, and that you indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. |
spellingShingle | Short Communication Freedman, Sara A. Gilad, Moran Ankri, Yael Roziner, Ilan Shalev, Arieh Y. Social relationship satisfaction and PTSD: which is the chicken and which is the egg? |
title | Social relationship satisfaction and PTSD: which is the chicken and which is the egg? |
title_full | Social relationship satisfaction and PTSD: which is the chicken and which is the egg? |
title_fullStr | Social relationship satisfaction and PTSD: which is the chicken and which is the egg? |
title_full_unstemmed | Social relationship satisfaction and PTSD: which is the chicken and which is the egg? |
title_short | Social relationship satisfaction and PTSD: which is the chicken and which is the egg? |
title_sort | social relationship satisfaction and ptsd: which is the chicken and which is the egg? |
topic | Short Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4696463/ https://www.ncbi.nlm.nih.gov/pubmed/26684986 http://dx.doi.org/10.3402/ejpt.v6.28864 |
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