PMID- 19369030
OWN - NLM
STAT- MEDLINE
DCOM- 20090723
LR  - 20181201
IS  - 1873-7897 (Electronic)
IS  - 0887-6185 (Linking)
VI  - 23
IP  - 6
DP  - 2009 Aug
TI  - Negative self-appraisals in treatment-seeking survivors of motor vehicle 
      accidents.
PG  - 775-81
LID - 10.1016/j.janxdis.2009.03.001 [doi]
AB  - Recent cognitive models stress the impact that negative appraisals have on the 
      maintenance of posttraumatic stress disorder (PTSD). The aim of this study was to 
      investigate the role of posttraumatic negative cognitions in 110 survivors of 
      motor vehicle accidents (MVAs) and to examine the effect of cognitive-behavioral 
      treatment on negative appraisals in a sample of 42 patients with full or 
      sub-syndromal PTSD. We investigated whether posttraumatic negative cognitions 
      predicted PTSD diagnosis and symptom severity, and whether treatment-related 
      changes in negative appraisals were associated with PTSD symptom reduction. 
      Negative posttraumatic cognitions were significantly associated with PTSD 
      diagnosis and severity, and explained 54% of the variance of the PTSD severity. 
      Furthermore, treatment-related reductions in negative appraisals about the self 
      were highly associated with PTSD-symptom-reduction. Our results raise question 
      about whether there are factors that make the self more vulnerable in some people 
      but not in others.
FAU - Karl, Anke
AU  - Karl A
AD  - School of Psychology, University of Southampton, Highfield SO171BJ, UK. 
      karl@soton.ac.uk
FAU - Rabe, Sirko
AU  - Rabe S
FAU - Zollner, Tanja
AU  - Zollner T
FAU - Maercker, Andreas
AU  - Maercker A
FAU - Stopa, Lusia
AU  - Stopa L
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20090324
PL  - Netherlands
TA  - J Anxiety Disord
JT  - Journal of anxiety disorders
JID - 8710131
SB  - IM
MH  - Accidents, Traffic/*psychology
MH  - Adult
MH  - Cognition Disorders/diagnosis/therapy
MH  - Cognitive Behavioral Therapy/methods
MH  - Female
MH  - Humans
MH  - Life Change Events
MH  - Male
MH  - Patient Acceptance of Health Care/psychology
MH  - Personality Inventory
MH  - Psychiatric Status Rating Scales
MH  - *Self-Assessment
MH  - Severity of Illness Index
MH  - Stress Disorders, Post-Traumatic/*diagnosis/psychology/therapy
MH  - Survivors/*psychology/statistics & numerical data
EDAT- 2009/04/17 09:00
MHDA- 2009/07/25 09:00
CRDT- 2009/04/17 09:00
PHST- 2008/12/10 00:00 [received]
PHST- 2009/03/02 00:00 [revised]
PHST- 2009/03/10 00:00 [accepted]
PHST- 2009/04/17 09:00 [entrez]
PHST- 2009/04/17 09:00 [pubmed]
PHST- 2009/07/25 09:00 [medline]
AID - S0887-6185(09)00064-4 [pii]
AID - 10.1016/j.janxdis.2009.03.001 [doi]
PST - ppublish
SO  - J Anxiety Disord. 2009 Aug;23(6):775-81. doi: 10.1016/j.janxdis.2009.03.001. Epub 
      2009 Mar 24.