Skip to main content
Erschienen in: Cognitive Therapy and Research 1/2019

12.06.2018 | Original Article

Maladaptive Post-traumatic Cognitions in Interpersonally Traumatized Adolescents with Post-traumatic Stress Disorder: An Analysis of “Stuck-Points”

verfasst von: Janina Botsford, Maja Steinbrink, Eline Rimane, Rita Rosner, Regina Steil, Babette Renneberg

Erschienen in: Cognitive Therapy and Research | Ausgabe 1/2019

Einloggen, um Zugang zu erhalten

Abstract

This study investigated maladaptive post-traumatic cognitions, so-called “stuck-points”, from forty-three adolescent survivors of interpersonal traumatization. Thematic content and relationships between stuck-points and trauma characteristics as well as symptom severity were analyzed. Guilt, esteem and trust were the most frequently named themes. Physical abuse was related to stuck-points in the categories trust and control, sexual abuse was related to the categories safety and guilt. Penetration, female sex, an older age at trauma onset and a closer relationship to the perpetrator were related to the category guilt. Injuries through physical violence were related to the category trust. Physical violence and a longer duration of the index trauma were related to a higher number of stuck-points overall. Last, a higher number of stuck-points in the category trust was related to higher post-traumatic stress disorder symptom severity. Therapists should pay attention to these different themes in order to provide the best possible treatment for each patient individually.
Literatur
Zurück zum Zitat American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
Zurück zum Zitat Beck, A. T., Steer, R. A., & Brown, G. K. (1996). BDI-II: Manual (2nd edn.). San Antonio, TX: Pearson PsychCorp. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). BDI-II: Manual (2nd edn.). San Antonio, TX: Pearson PsychCorp.
Zurück zum Zitat Collin-Vézina, D., & Hébert, M. (2005). Comparing dissociation and PTSD in sexually abused school-aged girls. The Journal of Nervous and Mental Disease, 193(1), 47–52.PubMedCrossRef Collin-Vézina, D., & Hébert, M. (2005). Comparing dissociation and PTSD in sexually abused school-aged girls. The Journal of Nervous and Mental Disease, 193(1), 47–52.PubMedCrossRef
Zurück zum Zitat Elhai, J. D., Layne, C. M., Steinberg, A. M., Brymer, M. J., Briggs, E. C., Ostrowski, S. A., & Pynoos, R. S. (2013). Psychometric properties of the UCLA PTSD reaction index. part II: Investigating factor structure findings in a national clinic-referred youth sample. Journal of Traumatic Stress, 26(1), 10–18. https://doi.org/10.1002/jts.21755.PubMedCrossRef Elhai, J. D., Layne, C. M., Steinberg, A. M., Brymer, M. J., Briggs, E. C., Ostrowski, S. A., & Pynoos, R. S. (2013). Psychometric properties of the UCLA PTSD reaction index. part II: Investigating factor structure findings in a national clinic-referred youth sample. Journal of Traumatic Stress, 26(1), 10–18. https://​doi.​org/​10.​1002/​jts.​21755.PubMedCrossRef
Zurück zum Zitat Janoff-Bulman, R. (1992). Shattered assumptions: Toward a new psychology of trauma. New York: Free Press Janoff-Bulman, R. (1992). Shattered assumptions: Toward a new psychology of trauma. New York: Free Press
Zurück zum Zitat Kadushin, A., Martin, J. A., & McGloin, J. (1981). Child abuse—An interactional event. New York: Columbia University Press. Kadushin, A., Martin, J. A., & McGloin, J. (1981). Child abuse—An interactional event. New York: Columbia University Press.
Zurück zum Zitat König, J. (2012). Therapeutische praxis. In von Julia König Posttraumatische Belastungsstörung: Ein Manual zur Cognitive Processing Therapy. Göttingen: Hogrefe. König, J. (2012). Therapeutische praxis. In von Julia König Posttraumatische Belastungsstörung: Ein Manual zur Cognitive Processing Therapy. Göttingen: Hogrefe.
Zurück zum Zitat Kühner, C., Bürger, C., Keller, F., & Hautzinger, M. (2007). Reliabilität und Validität des revidierten Beck-Depressionsinventars (BDI-II). Befunde aus deutschsprachigen Stichproben [Reliability and validity of the Revised Beck Depression Inventory (BDI-II). Results from German samples]. Der Nervenarzt, 78(6), 651–656. https://doi.org/10.1007/s00115-006-2098-7.PubMedCrossRef Kühner, C., Bürger, C., Keller, F., & Hautzinger, M. (2007). Reliabilität und Validität des revidierten Beck-Depressionsinventars (BDI-II). Befunde aus deutschsprachigen Stichproben [Reliability and validity of the Revised Beck Depression Inventory (BDI-II). Results from German samples]. Der Nervenarzt, 78(6), 651–656. https://​doi.​org/​10.​1007/​s00115-006-2098-7.PubMedCrossRef
Zurück zum Zitat Matulis, S., Resick, P. A., Rosner, R., & Steil, R. (2014). Developmentally adapted cognitive processing therapy for adolescents suffering from posttraumatic stress disorder after childhood sexual or physical abuse: A pilot study. Clinical Child and Family Psychology Review, 17(2), 173–190. https://doi.org/10.1007/s10567-013-0156-9.PubMedCrossRef Matulis, S., Resick, P. A., Rosner, R., & Steil, R. (2014). Developmentally adapted cognitive processing therapy for adolescents suffering from posttraumatic stress disorder after childhood sexual or physical abuse: A pilot study. Clinical Child and Family Psychology Review, 17(2), 173–190. https://​doi.​org/​10.​1007/​s10567-013-0156-9.PubMedCrossRef
Zurück zum Zitat McLaughlin, K. A., Koenen, K. C., Hill, E. D., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013). Trauma exposure and posttraumatic stress disorder in a national sample of adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 52(8), 815–830. https://doi.org/10.1016/j.jaac.2013.05.011.CrossRef McLaughlin, K. A., Koenen, K. C., Hill, E. D., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013). Trauma exposure and posttraumatic stress disorder in a national sample of adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 52(8), 815–830. https://​doi.​org/​10.​1016/​j.​jaac.​2013.​05.​011.CrossRef
Zurück zum Zitat Mechanic, M. B., & Resick, P. A. (1993, October). The personal beliefs and reactions scale: Assessing rape-related cognitive schemata. In Annual Meeting of the International Society for Traumatic Stress Studies, San Antonio, TX. Mechanic, M. B., & Resick, P. A. (1993, October). The personal beliefs and reactions scale: Assessing rape-related cognitive schemata. In Annual Meeting of the International Society for Traumatic Stress Studies, San Antonio, TX.
Zurück zum Zitat Rabenau, C. (2014). Stuckpoints (Hängepunkte) und deren Zusammenhang mit der Art und dem Schweregrad traumatischer Erfahrungen im Jugendalter. Rabenau, C. (2014). Stuckpoints (Hängepunkte) und deren Zusammenhang mit der Art und dem Schweregrad traumatischer Erfahrungen im Jugendalter.
Zurück zum Zitat Resick, P. A., Monson, C. M., & Chard, K. M. (2014). Cognitive processing therapy: Veteran/military version: Therapist’s manual. Washington, DC: Department of Veterans Affairs. Resick, P. A., Monson, C. M., & Chard, K. M. (2014). Cognitive processing therapy: Veteran/military version: Therapist’s manual. Washington, DC: Department of Veterans Affairs.
Zurück zum Zitat Resick, P. A., Nishith, P., Weaver, T. L., Astin, M. C., & Feuer, C. A. (2002). A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims. Journal of Consulting and Clinical Psychology, 70(4), 867–879.PubMedPubMedCentralCrossRef Resick, P. A., Nishith, P., Weaver, T. L., Astin, M. C., & Feuer, C. A. (2002). A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims. Journal of Consulting and Clinical Psychology, 70(4), 867–879.PubMedPubMedCentralCrossRef
Zurück zum Zitat Resick, P. A., & Schnicke, M. (1993). Cognitive processing therapy for rape victims: A treatment manual (Vol. 4). Newbury Park: Sage Publications. Resick, P. A., & Schnicke, M. (1993). Cognitive processing therapy for rape victims: A treatment manual (Vol. 4). Newbury Park: Sage Publications.
Zurück zum Zitat Rousseau, D. M., Sitkin, S. B., Burt, R. S., & Camerer, C. (1998). Not so different after all: A cross-discipline view of trust. Academy of Management Review, 23(3), 393–404.CrossRef Rousseau, D. M., Sitkin, S. B., Burt, R. S., & Camerer, C. (1998). Not so different after all: A cross-discipline view of trust. Academy of Management Review, 23(3), 393–404.CrossRef
Zurück zum Zitat Steil, R., & Füchsel, G. (2006). IBS-KJ Interviews zu Belastungsstörungen bei Kindern und Jugendlichen: Diagnostik der akuten und posttraumatischen Belastungsstörung. Manual, Testmappe komplett. Göttingen u. a.: Hogrefe Verl. f. Psychologie. Steil, R., & Füchsel, G. (2006). IBS-KJ Interviews zu Belastungsstörungen bei Kindern und Jugendlichen: Diagnostik der akuten und posttraumatischen Belastungsstörung. Manual, Testmappe komplett. Göttingen u. a.: Hogrefe Verl. f. Psychologie.
Metadaten
Titel
Maladaptive Post-traumatic Cognitions in Interpersonally Traumatized Adolescents with Post-traumatic Stress Disorder: An Analysis of “Stuck-Points”
verfasst von
Janina Botsford
Maja Steinbrink
Eline Rimane
Rita Rosner
Regina Steil
Babette Renneberg
Publikationsdatum
12.06.2018
Verlag
Springer US
Erschienen in
Cognitive Therapy and Research / Ausgabe 1/2019
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-018-9928-3

Weitere Artikel der Ausgabe 1/2019

Cognitive Therapy and Research 1/2019 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.