Are negative cognitions associated with severe acute trauma responses?
Are negative cognitions associated with severe acute trauma responses?
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DOI：
10.1375/bech.22.1.22.66783
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发表时间：
2005-01-01
期刊：
影响因子：
1.1
通讯作者：
Bryant, RA
中科院分区：
文献类型：
--
作者：
Nixon, RDV;Bryant, RA
最近的创伤反应的认知模型预测，负面创伤评估是中央的精神病理应激反应的发展。59名机动车事故（MVA; n = 24）和非性侵犯（n = 35）的平民幸存者在4周内进行评估，他们的创伤事件急性应激障碍（ASD），以前的创伤事件和精神健康接触，并进行了焦虑敏感性指数和创伤后认知量表。被诊断为ASD的参与者在创伤后对他们的功能表现出更多的适应不良评价，并且比未被诊断为ASD的参与者报告了更高水平的焦虑症状。消极信念与急性应激严重程度密切相关。这些发现的背景下，可能会影响适应不良的调整创伤的认知机制进行了讨论。
Recent cognitive models of trauma response predict that negative trauma appraisals are central to the development of psychopathological stress reactions. Fifty-nine civilian survivors of motor vehicle accidents (MVA; n = 24) and nonsexual assaults (n = 35) were assessed within 4 weeks of their traumatic event for acute stress disorder (ASD), prior traumatic events and prior mental health contact, and were administered the Anxiety Sensitivity Index and the Posttraumatic Cognitions Inventory. Participants who were diagnosed with ASD displayed more maladaptive appraisals about their functioning following their trauma and reported higher levels of concern regarding anxiety symptoms than those who were not diagnosed with ASD. Negative beliefs were strongly associated with acute stress severity. These findings are discussed in the context of cognitive mechanisms that may influence maladaptive adjustment following trauma.