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The Dynamic Relations Among Peritraumatic Posttraumatic Stress Symptoms: An Experience Sampling Study During Wartime.
J Trauma Stress 2019; 32(1):119-129JT

Abstract

The associations among peritraumatic posttraumatic stress symptoms (P-PTSS) in the immediate aftermath of trauma exposure, including those in the posttraumatic stress disorder clusters of intrusions, avoidance, negative cognitions and mood (NCM), and arousal, might indicate mechanisms through which enduring PTSD develops. During a period of war, exposed participants (N = 181) were sent twice-daily questionnaires for 30 days via smartphone. We repeatedly assessed the predictive associations between the P-PTSS clusters over time. We performed a multilevel pathway analysis built of multiple triple sequence responses (6,221 cases) on each of the four P-PTSS clusters at a mean time lag of 12 hr (Model A) and 24 hr (Model B) for 181 participants, 85 of whom had been diagnosed with a serious mental illness. Arousal predicted intrusion in Models A and B, bA = 0.08, 95% CI [0.03, 0.12], p < .001 and bB = 0.03, 95% CI [0.00, 0.07], p = .051, respectively; and NCM in Models A and B, bA = 0.09, 95% CI [0.05, 0.12], p < .001 and bB = 0.06, 95% CI [0.03, 0.09], p < .001, respectively. Intrusion predicted arousal in Model B, bB = 0.05, 95% CI [0.01, 0.08], p = .010. NCM predicted arousal, bA = 0.10, 95% CI [0.05, 0.14], p < .001, and avoidance bA = 0.05, 95% CI [0.00, 0.11], p = .052, in Model A. Avoidance did not predict any other cluster. Arousal seemed to be acting as a hub, strengthening feedback loops to and from NCM and intrusion.

Authors+Show Affiliations

Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel. NATAL - Israel Trauma and Resiliency Center, Tel Aviv, Israel.Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel. NATAL - Israel Trauma and Resiliency Center, Tel Aviv, Israel.National Center for PTSD and VA Palo Alto Health Care System, Dept. of Veterans Affairs, USA.Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30720893

Citation

Gelkopf, Marc, et al. "The Dynamic Relations Among Peritraumatic Posttraumatic Stress Symptoms: an Experience Sampling Study During Wartime." Journal of Traumatic Stress, vol. 32, no. 1, 2019, pp. 119-129.
Gelkopf M, Lapid Pickman L, Carlson EB, et al. The Dynamic Relations Among Peritraumatic Posttraumatic Stress Symptoms: An Experience Sampling Study During Wartime. J Trauma Stress. 2019;32(1):119-129.
Gelkopf, M., Lapid Pickman, L., Carlson, E. B., & Greene, T. (2019). The Dynamic Relations Among Peritraumatic Posttraumatic Stress Symptoms: An Experience Sampling Study During Wartime. Journal of Traumatic Stress, 32(1), pp. 119-129. doi:10.1002/jts.22374.
Gelkopf M, et al. The Dynamic Relations Among Peritraumatic Posttraumatic Stress Symptoms: an Experience Sampling Study During Wartime. J Trauma Stress. 2019;32(1):119-129. PubMed PMID: 30720893.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Dynamic Relations Among Peritraumatic Posttraumatic Stress Symptoms: An Experience Sampling Study During Wartime. AU - Gelkopf,Marc, AU - Lapid Pickman,Liron, AU - Carlson,Eve B, AU - Greene,Talya, Y1 - 2019/02/05/ PY - 2017/07/24/received PY - 2018/09/20/revised PY - 2018/09/23/accepted PY - 2019/2/6/pubmed PY - 2019/2/6/medline PY - 2019/2/6/entrez SP - 119 EP - 129 JF - Journal of traumatic stress JO - J Trauma Stress VL - 32 IS - 1 N2 - The associations among peritraumatic posttraumatic stress symptoms (P-PTSS) in the immediate aftermath of trauma exposure, including those in the posttraumatic stress disorder clusters of intrusions, avoidance, negative cognitions and mood (NCM), and arousal, might indicate mechanisms through which enduring PTSD develops. During a period of war, exposed participants (N = 181) were sent twice-daily questionnaires for 30 days via smartphone. We repeatedly assessed the predictive associations between the P-PTSS clusters over time. We performed a multilevel pathway analysis built of multiple triple sequence responses (6,221 cases) on each of the four P-PTSS clusters at a mean time lag of 12 hr (Model A) and 24 hr (Model B) for 181 participants, 85 of whom had been diagnosed with a serious mental illness. Arousal predicted intrusion in Models A and B, bA = 0.08, 95% CI [0.03, 0.12], p < .001 and bB = 0.03, 95% CI [0.00, 0.07], p = .051, respectively; and NCM in Models A and B, bA = 0.09, 95% CI [0.05, 0.12], p < .001 and bB = 0.06, 95% CI [0.03, 0.09], p < .001, respectively. Intrusion predicted arousal in Model B, bB = 0.05, 95% CI [0.01, 0.08], p = .010. NCM predicted arousal, bA = 0.10, 95% CI [0.05, 0.14], p < .001, and avoidance bA = 0.05, 95% CI [0.00, 0.11], p = .052, in Model A. Avoidance did not predict any other cluster. Arousal seemed to be acting as a hub, strengthening feedback loops to and from NCM and intrusion. SN - 1573-6598 UR - https://www.unboundmedicine.com/medline/citation/30720893/The_Dynamic_Relations_Among_Peritraumatic_Posttraumatic_Stress_Symptoms:_An_Experience_Sampling_Study_During_Wartime_ L2 - https://doi.org/10.1002/jts.22374 DB - PRIME DP - Unbound Medicine ER -