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1.
Eur Child Adolesc Psychiatry ; 32(12): 2547-2555, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-36374342

RESUMEN

Parenting children with conduct problems (CP) is challenging, yet very little research has examined parenting using both quantitative and qualitative methods, from the perspective of the child and their parent/caregiver, and separately for those with high vs. low levels of callous-unemotional traits (HCU vs. LCU). One hundred and forty-six boys aged 11-16 [Typically developing (TD) n = 31; CP/HCU n = 35; CP/LCU n = 35] and their parents/caregivers completed the Alabama Parenting Questionnaire and provided a written qualitative statement describing their respective experiences of parenting/being parented. Parents/caregivers of CP/HCU boys reported more difficulty with child monitoring and supervision than parents of TD boys. This was echoed in qualitative reports of parents of CP/HCU boys reporting concerns regarding their child's safety. Parents/caregivers of both groups of CP boys reported more inconsistent discipline than parents of TD boys. Parental qualitative descriptions of challenging behavior in CP/HCU boys, and difficulties with setting boundaries and motivating CP/LCU boys, provided further insight to the potential triggers for inconsistent discipline. Qualitative reports from boys with CP indicated that they understood the parenting challenges their parents/caregivers faced. These findings replicate and extend previous work on the associations between parenting and CP. Children with CP/HCU and CP/LCU show some commonalities and differences in their parenting experiences and CP children and their parents/caregivers do not necessarily share all the same perceptions or concerns. CP interventions often involve parent/family engagement and this research highlights the continued importance of examining both parent and child perspectives.


Asunto(s)
Trastorno de la Conducta , Problema de Conducta , Masculino , Humanos , Niño , Trastorno de la Conducta/psicología , Responsabilidad Parental/psicología , Problema de Conducta/psicología , Padres/psicología , Cuidadores , Emociones , Empatía
2.
Qual Health Res ; 31(2): 323-337, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33228498

RESUMEN

Thoughts, feelings, and behaviors during traumatic events, that is, peritraumatic reactions, are key to post-trauma psychopathology development. Qualitative research is required to investigate whether existing quantitative methods capture the range and complexity of peritraumatic reactions as described by survivors. Semi-structured interviews were conducted with 104 earthquake survivors. Participants reported experiencing various peritraumatic reactions (M = 21, range = 6-43). The survivors' accounts confirmed presence and overall phenomenological characteristics of commonly studied peritraumatic reactions such as dissociation, distress, mental defeat, and immobility. In addition, novel and understudied reactions were identified: cognitive overload, hyperfocus, and emotion regulation, as well as positive affect. Finally, a number of cross-cutting phenomena were identified such as the social nature of many reactions and survivors evaluating their reactions as difficult to put into words. These findings have implications for the conceptualization of peritraumatic reactions, for trauma-focused psychotherapeutic interventions, and for the wellbeing of disaster survivors.


Asunto(s)
Desastres , Terremotos , Trastornos por Estrés Postraumático , Emociones , Humanos , Sobrevivientes
3.
Eur Child Adolesc Psychiatry ; 27(5): 595-604, 2018 May.
Artículo en Inglés | MEDLINE | ID: mdl-29204740

RESUMEN

Parenting children with conduct problems (CP) is challenging, yet very little is known about the impact of the child's behaviour on family functioning or how parents of children with CP perceive their child. The aim of this research was to examine whether families with children with CP and high vs. low levels of callous-unemotional traits (HCU vs. LCU) experience differences in family functioning and parental perceptions. One hundred and one parents/caregivers of boys aged 11-16 [Typically developing (TD) n = 31; CP/HCU n = 35; CP/LCU n = 35] completed the McMaster Family Assessment Device, measuring multiple domains of family functioning. Parents/caregivers also completed a written statement describing their child, used for qualitative analysis. Families with CP/HCU children had poorer affective involvement than TD (p = 0.00; d = - 1.17) and CP/LCU (p = 0.03; d = - 0.62) families. Families with CP/HCU children showed significantly poorer general family functioning (p = 0.04; d = - 0.63) and more poorly defined family roles (p = 0.005; d = - 0.82) than families with TD children. Qualitative analyses indicated that parents/caregivers of CP/HCU children characterised them as having a dichotomous personality and being superficially charming. CP/LCU children were characterised as cheeky and endearing, with parents reporting good rapport. Families with CP/HCU children presented with specific difficulties in affective involvement and parents described challenges which were in line with the child's specific presentation of lack of empathy and shallow affect. These findings may be used to help clinicians identify targets for family interventions.


Asunto(s)
Cuidadores/psicología , Desarrollo Infantil/fisiología , Trastorno de la Conducta/psicología , Relaciones Familiares/psicología , Problema de Conducta/psicología , Adolescente , Niño , Femenino , Humanos , Masculino , Percepción
4.
Disasters ; 42(1): 81-100, 2018 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-28513972

RESUMEN

This paper explores how earthquake scientists conceptualise earthquake prediction, particularly given the conviction of six earthquake scientists for manslaughter (subsequently overturned) on 22 October 2012 for having given inappropriate advice to the public prior to the L'Aquila earthquake of 6 April 2009. In the first study of its kind, semi-structured interviews were conducted with 17 earthquake scientists and the transcribed interviews were analysed thematically. The scientists primarily denigrated earthquake prediction, showing strong emotive responses and distancing themselves from earthquake 'prediction' in favour of 'forecasting'. Earthquake prediction was regarded as impossible and harmful. The stigmatisation of the subject is discussed in the light of research on boundary work and stigma in science. The evaluation reveals how mitigation becomes the more favoured endeavour, creating a normative environment that disadvantages those who continue to pursue earthquake prediction research. Recommendations are made for communication with the public on earthquake risk, with a focus on how scientists portray uncertainty.


Asunto(s)
Terremotos , Predicción , Ciencia , Estigma Social , Humanos , Italia
5.
Sci Technol Human Values ; 40(5): 712-743, 2015 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-26336326

RESUMEN

In the burgeoning debate about neuroscience's role in contemporary society, the issue of brain optimization, or the application of neuroscientific knowledge and technologies to augment neurocognitive function, has taken center stage. Previous research has characterized media discourse on brain optimization as individualistic in ethos, pressuring individuals to expend calculated effort in cultivating culturally desirable forms of selves and bodies. However, little research has investigated whether the themes that characterize media dialogue are shared by lay populations. This article considers the relationship between the representations of brain optimization that surfaced in (i) a study of British press coverage between 2000 and 2012 and (ii) interviews with forty-eight London residents. Both data sets represented the brain as a resource that could be manipulated by the individual, with optimal brain function contingent on applying self-control in one's lifestyle choices. However, these ideas emerged more sharply in the media than in the interviews: while most interviewees were aware of brain optimization practices, few were committed to carrying them out. The two data sets diverged in several ways: the media's intense preoccupation with optimizing children's brains was not apparent in lay dialogue, while interviewees elaborated beliefs about the underuse of brain tissue that showed no presence in the media. This article considers these continuities and discontinuities in light of their wider cultural significance and their implications for the media-mind relationship in public engagement with neuroscience.

6.
Behav Brain Sci ; 37(5): 498-9, 2014 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-25388046

RESUMEN

This commentary highlights the importance of attending to the sociocultural contexts that foster essentialist ideas. It contends that Cimpian & Salomon's (C&S's) model undervalues the extent to which the development of essentialist beliefs is contingent on social experience. The result is a restriction of the model's applicability to real-world instances of essentialism-fuelled prejudice and discrimination.


Asunto(s)
Cognición , Formación de Concepto , Aprendizaje , Lógica , Humanos
7.
Psychol Trauma ; 2024 Sep 09.
Artículo en Inglés | MEDLINE | ID: mdl-39250249

RESUMEN

OBJECTIVE: The ways that mental health concepts are represented on social media could have significant implications for lay understandings and behavior. The current article reports an analysis of how trauma is represented on TikTok, one of the world's most popular social media platforms. METHOD: Following a search for content using the hashtag #trauma, 143 videos were subjected to qualitative content analysis to characterize the profiles of their producers, intended function, and trauma-related content. RESULTS: Results show that most videos were produced by young White people, who drew on their personal experience of trauma to generate confessional narratives or raise awareness of trauma. Trauma was most often attributed to childhood adversity or relationship difficulties. A diverse range of behaviors and experiences were positioned as evidence of trauma. CONCLUSIONS: Findings are consistent with prior suggestions that trauma's boundaries are expanding in the form of "concept creep," but also draw attention to the role of humor and irony in social media invocations of the concept. Given the current near-ubiquity of social media consumption, particularly among young people, establishing the implications of exposure to this content should be a priority for future research. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

8.
Public Underst Sci ; 22(1): 16-32, 2013 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-23832882

RESUMEN

The present study utilises social representations theory to explore common sense conceptualisations of global warming risk using an in-depth, qualitative methodology. Fifty-six members of a British, London-based 2008 public were initially asked to draw or write four spontaneous "first thoughts or feelings" about global warming. These were then explored via an open-ended, exploratory interview. The analysis revealed that first thoughts, either drawn or written, often mirrored the images used by the British press to depict global warming visually. Thus in terms of media framings, it was their visual rather than their textual content that was spontaneously available for their audiences. Furthermore, an in-depth exploration of interview data revealed that global warming was structured around three themata: self/other, natural/unnatural and certainty/uncertainty, reflecting the complex and often contradictory nature of common sense thinking in relation to risk issues.

9.
Public Underst Sci ; 22(3): 254-68, 2013 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-23833053

RESUMEN

The prominence of neuroscience in the public sphere has escalated in recent years, provoking questions about how the public engages with neuroscientific ideas. Commentaries on neuroscience's role in society often present it as having revolutionary implications, fundamentally overturning established beliefs about personhood. The purpose of this article is to collate and review the extant empirical evidence on the influence of neuroscience on commonsense understandings of personhood. The article evaluates the scope of neuroscience's presence in public consciousness and examines the empirical evidence for three frequently encountered claims about neuroscience's societal influence: that neuroscience fosters a conception of the self that is based in biology, that neuroscience promotes conceptions of individual fate as predetermined, and that neuroscience attenuates the stigma attached to particular social categories. It concludes that many neuroscientific ideas have assimilated in ways that perpetuate rather than challenge existing modes of understanding self, others and society.

10.
Psychol Trauma ; 2023 Dec 07.
Artículo en Inglés | MEDLINE | ID: mdl-38059940

RESUMEN

OBJECTIVE: Readiness among laypeople to classify ordinary adversities as "trauma" may activate cognitive, social, and behavioral patterns that either promote proactive help-seeking or exacerbate mental health difficulties. Clinical understandings of trauma have expanded across recent decades to encompass a wide range of aversive experiences. While some have suggested lay understandings of trauma have expanded in parallel, minimal data directly reveal how the lay public conceptualize trauma. This study sought to establish the range of adversities that laypeople classify as traumatic. METHOD: In an online survey, U.K. participants (N = 214) rated the traumatic nature of 80 adversities, half of which represented prototypical precursors of trauma (e.g., physical assault and sexual abuse), and half of which involved other adversities, not typically invoked in clinical definitions of trauma. RESULTS: Prototypical precursors were judged significantly more traumatic than nonprototypical adversities, but many nonprototypical adversities were also deemed likely to cause trauma (e.g., facial disfigurement or being falsely accused of a crime). Individual variation in the propensity to interpret adversities as traumatic was significantly predicted by participants' age, ethnicity, and political orientation. CONCLUSIONS: This original evidence regarding the content and predictors of lay conceptions of trauma is relevant for sensitive delivery of clinical interventions, tailoring of other supports for populations experiencing adversity, and anticipating social responses to victims of specific adversities. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

11.
PLoS One ; 17(4): e0264638, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35385479

RESUMEN

Young adults are currently the loneliest demographic in the UK and other Western countries, yet little is known about how they see the causes of their loneliness. Thus, the objective of this study is to explore the subjective causes of loneliness among young adults (18-24 years old), particularly those of lower socio-economic status (SES) who are in employment, renting and living in the most deprived areas, since they are the loneliest in the UK. Utilising a free association technique and thematic analysis, and embedded in a phenomenological framework, the subjective causes of loneliness in a matched sample of 48 young adults in the four most deprived boroughs of London are found to cluster around five themes: The Feeling of Being Disconnected, Contemporary Culture, Pressure, Social Comparison and Transitions Between Life Stages. Disconnection arises from feeling one does not matter, is not understood or is unable to express oneself. Challenges pertaining to social media and materialism in contemporary culture contribute to loneliness as does pressure associated with work, fitting in and social comparison. Social media play a major role in exacerbating these experiences. Finally, transitions between life stages such as breakups, loss of significant others and transitory stages to do with education and employment are felt to cause loneliness. The findings suggest potential avenues for loneliness reduction.


Asunto(s)
Soledad , Clase Social , Adolescente , Adulto , Emociones , Empleo , Humanos , Londres , Adulto Joven
12.
Br J Soc Psychol ; 61(4): 1351-1375, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-35442516

RESUMEN

Loneliness is a rapidly growing problem globally and has attracted a great deal of attention in light of the COVID-19 pandemic. Young adults, and in particular, those residing in deprived areas are currently the loneliest group in the United Kingdom. Utilizing a novel-free association technique, young adults' experiences of loneliness were explored both prior to (n = 48) and during (n = 35) the COVID-19 pandemic. Drawing on social representations theory, a thematic analysis revealed that many young adults associated the experience of loneliness with their homes. Therefore, this comparative study aims to investigate how the home features in young adults' representations of loneliness, prior to and during the COVID-19 pandemic using a systematic qualitative methodology. Three salient themes emerged from the data in both periods: 'The Lonely Home,' 'The Socially Connected Home' and 'The Safe, Peaceful, Authentic Home'. 'The Lonely Home' and 'The Socially Connected Home' emerged as a dialogical antimony. Representations of home were similar across the two periods; however, there were some notable differences. In particular, the themes 'The Socially Connected Home' and 'The Safe, Peaceful, Authentic Home' were less frequently mentioned by the during-COVID-19 sample where the 'The Lonely Home' was more frequently mentioned by the during-COVID-19 sample. Overall, discussion of the home was more negatively valenced in the during-COVID-19 sample compared to the pre-COVID-19 sample. This comparative, exploratory study alerts us to the nature of the role that home plays in exacerbating or ameliorating loneliness both prior to and during the COVID-19 pandemic.


Asunto(s)
COVID-19 , Soledad , Antimonio , Humanos , Pandemias , Aislamiento Social , Adulto Joven
13.
Eur J Psychotraumatol ; 13(1): 2068909, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35572391

RESUMEN

Background: Disasters can have long-lasting impacts on mental health. Intrusive memories have been found to be common and persistent in the aftermath of earthquakes. Objective: To explore, using diaries, intrusive memories' presence, content, characteristics, and relationship with probable post-traumatic stress disorder (PTSD) in a small rural community exposed to mass destruction and loss of life. Methods: Survivors of the 2016-2017 Central Italy earthquakes (N = 104) were first interviewed to investigate the presence of intrusive memories of the disaster. Those that reported intrusive memories were subsequently asked to complete a 7-day paper-and-pen diary tracking their spontaneous memories of the earthquake events. Results: Twenty months after the earthquakes, 49% (n = 51) of the sample reported having experienced intrusive memories post-earthquake and 38% (n = 39) reported at least one intrusive memory in their diaries. Memories were rated as being distressing, vivid, and experienced as a mixture of images and thoughts. The content of intrusive memories generally focused on sensations and experiences during the earthquake. Other common categories of content were the material environment and physical objects as well as human loss & death. Several memories had a social focus. A minority of memories contained more positive content as well as content from before and after the earthquake. Some participants (28%) experienced repeated intrusive memories of the same content. Memories of participants with and without probable PTSD did not significantly differ on characteristics or content. Conclusions: Intrusive memories can be common, distressing, and persistent occurrences following disasters, even in survivors not suffering from probable PTSD. Highlights: Intrusive memories were common, distressing, and vivid more than 1-year post-disaster.They captured peri-earthquake sensations, material destruction, death, and social interactions.No difference in content or characteristics was found between participants with and without probable PTSD.


Antecedentes: Los desastres pueden tener impactos duraderos en la salud mental. Se ha descubierto que los recuerdos intrusivos son comunes y persistentes después de los terremotos.Objetivo: Explorar, a través de diarios, la presencia, el contenido, las características de memorias intrusivas y la relación con la probabilidad de trastorno de estrés postraumático (TEPT) en una pequeña comunidad rural expuesta a destrucción masiva y pérdida de vidas.Método: Primero se entrevistó a los sobrevivientes de los terremotos de Italia central del 2016­2017 (N = 104) para investigar la presencia de recuerdos intrusivos del desastre. A aquellos que reportaron recuerdos intrusivos se les pidió posteriormente que completaran un diario con papel y lápiz por 7 días registrando sus recuerdos espontáneos de los eventos del terremoto.Resultados: Veinte meses después de los terremotos, el 49% (n = 51) de la muestra informó haber experimentado recuerdos intrusivos posteriores al terremoto y el 38% (n = 39) informó al menos un recuerdo intrusivo en sus diarios. Los recuerdos se calificaron como angustiosos, vívidos y experimentados como una mezcla de imágenes y pensamientos. El contenido de los recuerdos intrusivos generalmente se centró en sensaciones y experiencias durante el terremoto. Otras categorías comunes de contenido fueron el entorno material y los objetos físicos, así como la pérdida y muerte humana. Varios recuerdos tenían un enfoque social. Una minoría de recuerdos contenía más contenido positivo, así como contenido de antes y después del terremoto. Algunos participantes (28%) experimentaron recuerdos intrusivos repetidos del mismo contenido. Los recuerdos de los participantes con y sin TEPT probable, no diferían significativamente en características o contenido.Conclusiones: Los recuerdos intrusivos pueden ser experiencias comunes, angustiosas y persistentes después de los desastres, incluso en sobrevivientes que no sufren de TEPT probable.


Asunto(s)
Desastres , Terremotos , Trastornos por Estrés Postraumático , Humanos , Población Rural , Trastornos por Estrés Postraumático/psicología , Sobrevivientes/psicología
14.
Int J Qual Methods ; 21: 16094069221105075, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35692956

RESUMEN

COVID-19 has required researchers to adapt methodologies for remote data collection. While virtual interviewing has traditionally received limited attention in the qualitative literature, recent adaptations to the pandemic have prompted increased discussion and adoption. Yet, current discussion has focussed on practical and ethical concerns and retained a tone of compromise, of coping in a crisis. This paper extends the nascent conversations begun prior to the pandemic to consider the wider methodological implications of video-call interviews. Beyond the short-term, practical challenges of the pandemic, these adaptations demonstrate scope for longer-term, beneficial digitalisation of both traditional and emergent interview methods. Updating traditional interview methods digitally has demonstrated how conversion to video interviewing proves beneficial in its own right. Virtual focus-group-based research during COVID-19, for example, accessed marginalised populations and elicited notable rapport and rich data, uniting people in synchronous conversation across many environments. Moreover, emergent interview methods such as the Grid Elaboration Method (a specialised free-associative method) demonstrated further digitalised enhancements, including effective online recruitment with flexible scheduling, virtual interactions with significant rapport, and valuable recording and transcription functions. This paper looks beyond the pandemic to future research contexts where such forms of virtual interviewing may confer unique advantages: supporting researcher and participant populations with mobility challenges; enhancing international research where researcher presence or travel may be problematic. When opportunities for traditional face-to-face methods return, the opportunity for virtual innovation should not be overlooked.

15.
Front Psychol ; 13: 1004022, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36172233

RESUMEN

Disasters incurred by natural hazards affect young people most. Schools play a vital role in safeguarding the wellbeing of their pupils. Consideration of schools' psychosocial influence on children may be vital to resilience-building efforts in disaster-vulnerable settings. This paper presents an evidence-based conceptualization of how schools are psychosocially meaningful for children and youth in disaster settings. Drawing on Social Representations and Place Attachment Theories, we explore the nature of group-based meaning-making practices and the meanings that emerge concerning school environments in disaster settings. We contribute a novel understanding of how schools may mitigate psychosocial risk for young people by considering how schools are conceptualised at four levels: (1) as physical environment, (2) as social arena, (3) as a place with individual and (4) group-based significance. In each of these domains schools can foster disaster resilience in young people. This paper highlights the evidence concerning the functions of schools beyond their capacity as educational institutions, critically considering their social and physical functions in their communities. This evidence can inform stakeholders involved in disaster resilience building.

16.
Public Underst Sci ; 20(4): 446-60, 2011 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-21936260

RESUMEN

Using social representations theory this paper casts light on the pattern of content that characterises the public response to emerging and re-emerging infectious diseases (EID). The pattern is: distancing the disease from the self/ one's in-groups; blame of particular entities for the disease's origin and/or spread; and stigmatisation of those who have contracted it and/or who are represented as having intensified its spread. This pattern is not unique to EID but extends to many risks, making EID fruitful events for understanding public apprehension of potential dangers. This process may be driven by worry, fear and anxiety since when levels of these are low, as has arguably been the case with the 2009/10 "Swine Flu" pandemic, the pattern transforms. The distancing-blame-stigma pattern may also be transformed by growing reflexivity, a feature of late modern societies, as well as material features of the epidemic and "EID fatigue".


Asunto(s)
Enfermedades Transmisibles Emergentes/epidemiología , Enfermedades Transmisibles Emergentes/psicología , Salud Global , Conocimientos, Actitudes y Práctica en Salud , Humanos , Medios de Comunicación de Masas , Prejuicio , Opinión Pública , Sociología Médica
17.
Br J Soc Psychol ; 60(2): 524-547, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33063889

RESUMEN

The evidence that social relationships are associated with well-being is so strong that it is taken as a 'fact' (Kushlev et al., 2018, Journal of Research in Personality, 74, 124). The bulk of the existing evidence derives from research examining social relationships with close others, such as family, romantic partners, and friends (Dolan et al., 2008, Journal Economic Psychology, 29, 94; Li & Kanazawa, 2016, British Journal of Psychology, 107, 675). However, less is known about how connecting with strangers is associated with well-being, how such connections are represented by people, and what motivates people's desire to connect with strangers. This study aims to examine representations and motivations for social connectedness with strangers in contemporary British cities. To do this, an interview study of 52 city-dwellers living in Britain's two largest cities, London and Birmingham, was conducted. The Grid Elaboration Method (GEM) (Joffe & Elsey, 2014, Review of General Psychology, 18, 173), a free association and interview technique, was applied. Thematic analysis revealed that representations of strangers vacillate between 'good' and 'bad', are built upon the 'self/other' thema, are shaped by the contextual factors place, time, and technology, and are motivated by a desire to 'matter'. This work makes a key contribution to the study of social connectedness in cities and can inform effective urban policy.


Asunto(s)
Amigos , Relaciones Interpersonales , Ciudades , Humanos , Londres
18.
Front Psychol ; 12: 660791, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34108916

RESUMEN

Young adults (16-24 years old) are currently the loneliest group in Western countries. In particular, young adults of lower socio-economic status (SES) living in the most deprived areas are loneliest in the United Kingdom. This mixed-methods study explored the experience of loneliness among this under-explored demographic in London. Using a novel free association technique, the experience of loneliness was found to be characterized by: a sense of isolation, negative emotions and thoughts, coping and a positive orientation to aloneness. An exploration of these themes revealed that: one can feel isolated or excluded even when surrounded by people; the experience of loneliness is accompanied by a set of interrelated feelings and thoughts like rumination; and technological and/or non-technological outlets can be used to cope. Social media play both a positive and negative role in loneliness, and loneliness is not always experienced negatively. The quantitative data indicated that this sample was lonely. By providing insight into young adults' loneliness, the findings indicate what types of interventions are likely to diminish it.

19.
J Abnorm Psychol ; 130(7): 727-735, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34435809

RESUMEN

Cognitive theories of posttraumatic stress disorder (PTSD) suggest that intrusive memories result from disrupted information processing during traumatic memory encoding and are characterized by fear, helplessness, and horror at recall. Existing naturalistic studies are limited by the absence of direct comparisons between specific moments that do and do not correspond to intrusive memories. We tested predictions from cognitive theories of PTSD by comparing peritraumatic responses during moments experienced as intrusive memories versus distressing moments of the same traumatic event from the same individual not experienced as intrusive memories. A further comparison was with highly distressing moments experienced during the same event by individuals without intrusive memories. We utilized a psychometrically generated model to distinguish different peritraumatic reactions. Moments experienced as intrusive memories were characterized by higher peritraumatic distress, immobility, cognitive overload, and somatic dissociation when compared both to distressing moments from the same individual that did not intrude and to the most distressing memories of individuals without intrusions. Exploratory analyses indicated that at recall, intrusive memories were characterized by higher levels of primary traumatic emotions such as anxiety, fear, and helplessness in comparison with nonintrusive memories. Findings from this novel naturalistic design support predictions made by cognitive theories of PTSD and have implications for research and preventative interventions targeting intrusive memories. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Asunto(s)
Desastres , Memoria , Trastornos por Estrés Postraumático , Cognición , Humanos , Recuerdo Mental , Teoría Psicológica , Trastornos por Estrés Postraumático/psicología
20.
J Abnorm Psychol ; 130(3): 248-259, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33539115

RESUMEN

Peritraumatic reactions such as fear, psychic and somatoform dissociation, tonic immobility, data-driven processing, and mental defeat are important in the etiology of posttraumatic stress disorder (PTSD). However, current measures of such reactions overlap conceptually and do not clearly identify distinct peritraumatic processes. It is not known which processes are uniquely associated with PTSD. We investigated the factor structure of six standard peritraumatic measures and their relationship with the four Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association, 2013) PTSD symptom clusters. Measures were administered to 308 earthquake survivors with high levels of exposure to traumatic events. Items comprising the six measures were investigated using exploratory structural equation modeling, which identified five peritraumatic response factors. Items from most measures loaded on multiple factors. Mental defeat and somatoform dissociation significantly predicted all PTSD symptom clusters. Cognitive overload significantly predicted intrusions, avoidance, and alterations in arousal and reactivity. Immobility significantly predicted intrusions and avoidance, whereas distress significantly predicted negative alterations in cognition and mood and alterations in arousal and reactivity. Because of the key role such reactions play in the development of PTSD, the findings are likely to benefit the study of etiological mechanisms, the prediction of those at greatest risk, and the design of preventative interventions. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Asunto(s)
Terremotos , Trastornos por Estrés Postraumático/psicología , Sobrevivientes/psicología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Cognición , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Desastres , Trastornos Disociativos/psicología , Miedo/psicología , Femenino , Humanos , Italia , Masculino , Persona de Mediana Edad , Sobrevivientes/estadística & datos numéricos , Adulto Joven
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