‘My child could have died’: counterfactual thoughts and psychological distress in parents of trauma survivors

ABSTRACTBackground: After exposure to a potentially traumatic event, survivors may experience thoughts about ‘what could have happened’, referred to as counterfactual thoughts (CFTs). CFTs have been found to have a negative impact on survivors’ mental health. This is the first study to investigate w...

Full description

Bibliographic Details
Main Authors: Ines Blix, Kristin Alve Glad, Andrea Undset, Tore Wentzel-Larsen, Akiah Astral Ottesen, Tine K. Jensen, Grete Dyb
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:European Journal of Psychotraumatology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/20008066.2024.2326736
_version_ 1797254436798595072
author Ines Blix
Kristin Alve Glad
Andrea Undset
Tore Wentzel-Larsen
Akiah Astral Ottesen
Tine K. Jensen
Grete Dyb
author_facet Ines Blix
Kristin Alve Glad
Andrea Undset
Tore Wentzel-Larsen
Akiah Astral Ottesen
Tine K. Jensen
Grete Dyb
author_sort Ines Blix
collection DOAJ
description ABSTRACTBackground: After exposure to a potentially traumatic event, survivors may experience thoughts about ‘what could have happened’, referred to as counterfactual thoughts (CFTs). CFTs have been found to have a negative impact on survivors’ mental health. This is the first study to investigate whether parents of trauma survivors experience CFTs and the association with psychological distress in this group.Objective: The main aim of the present study is to investigate CFTs in parents of trauma survivors and the relationship between the frequency and vividness of CFTs and psychological distress.Method: The participants (N = 310, 191 females) were parents of the youths targeted in the terror attack on Utøya island, Norway, in 2011. Frequency and vividness of CFTs, posttraumatic stress reactions (PTSR), and symptoms of anxiety and depression were measured 8.5–9 years post-terror.Results: The majority of the parents (74%) reported having experienced CFTs at some time point since the attack. For almost one-third of the parents, CFTs were still present more than eight years after the attack. Higher frequency and vividness of CFTs were uniquely associated with higher levels of PTSR, anxiety, and depression.Conclusion: The present findings suggest that frequent and vivid CFTs may contribute to mental health problems in parents of trauma survivors and should be addressed in therapy.
first_indexed 2024-04-24T21:49:56Z
format Article
id doaj.art-489b4148100146dbab898d2b1d0d367b
institution Directory Open Access Journal
issn 2000-8066
language English
last_indexed 2024-04-24T21:49:56Z
publishDate 2024-12-01
publisher Taylor & Francis Group
record_format Article
series European Journal of Psychotraumatology
spelling doaj.art-489b4148100146dbab898d2b1d0d367b2024-03-20T15:45:37ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662024-12-0115110.1080/20008066.2024.2326736‘My child could have died’: counterfactual thoughts and psychological distress in parents of trauma survivorsInes Blix0Kristin Alve Glad1Andrea Undset2Tore Wentzel-Larsen3Akiah Astral Ottesen4Tine K. Jensen5Grete Dyb6Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, NorwayNorwegian Centre for Violence and Traumatic Stress Studies, Oslo, NorwayNorwegian Centre for Violence and Traumatic Stress Studies, Oslo, NorwayNorwegian Centre for Violence and Traumatic Stress Studies, Oslo, NorwayNorwegian Centre for Violence and Traumatic Stress Studies, Oslo, NorwayNorwegian Centre for Violence and Traumatic Stress Studies, Oslo, NorwayNorwegian Centre for Violence and Traumatic Stress Studies, Oslo, NorwayABSTRACTBackground: After exposure to a potentially traumatic event, survivors may experience thoughts about ‘what could have happened’, referred to as counterfactual thoughts (CFTs). CFTs have been found to have a negative impact on survivors’ mental health. This is the first study to investigate whether parents of trauma survivors experience CFTs and the association with psychological distress in this group.Objective: The main aim of the present study is to investigate CFTs in parents of trauma survivors and the relationship between the frequency and vividness of CFTs and psychological distress.Method: The participants (N = 310, 191 females) were parents of the youths targeted in the terror attack on Utøya island, Norway, in 2011. Frequency and vividness of CFTs, posttraumatic stress reactions (PTSR), and symptoms of anxiety and depression were measured 8.5–9 years post-terror.Results: The majority of the parents (74%) reported having experienced CFTs at some time point since the attack. For almost one-third of the parents, CFTs were still present more than eight years after the attack. Higher frequency and vividness of CFTs were uniquely associated with higher levels of PTSR, anxiety, and depression.Conclusion: The present findings suggest that frequent and vivid CFTs may contribute to mental health problems in parents of trauma survivors and should be addressed in therapy.https://www.tandfonline.com/doi/10.1080/20008066.2024.2326736Traumaparentscounterfactual thinkingposttraumatic stresssecondary traumaTrauma
spellingShingle Ines Blix
Kristin Alve Glad
Andrea Undset
Tore Wentzel-Larsen
Akiah Astral Ottesen
Tine K. Jensen
Grete Dyb
‘My child could have died’: counterfactual thoughts and psychological distress in parents of trauma survivors
European Journal of Psychotraumatology
Trauma
parents
counterfactual thinking
posttraumatic stress
secondary trauma
Trauma
title ‘My child could have died’: counterfactual thoughts and psychological distress in parents of trauma survivors
title_full ‘My child could have died’: counterfactual thoughts and psychological distress in parents of trauma survivors
title_fullStr ‘My child could have died’: counterfactual thoughts and psychological distress in parents of trauma survivors
title_full_unstemmed ‘My child could have died’: counterfactual thoughts and psychological distress in parents of trauma survivors
title_short ‘My child could have died’: counterfactual thoughts and psychological distress in parents of trauma survivors
title_sort my child could have died counterfactual thoughts and psychological distress in parents of trauma survivors
topic Trauma
parents
counterfactual thinking
posttraumatic stress
secondary trauma
Trauma
url https://www.tandfonline.com/doi/10.1080/20008066.2024.2326736
work_keys_str_mv AT inesblix mychildcouldhavediedcounterfactualthoughtsandpsychologicaldistressinparentsoftraumasurvivors
AT kristinalveglad mychildcouldhavediedcounterfactualthoughtsandpsychologicaldistressinparentsoftraumasurvivors
AT andreaundset mychildcouldhavediedcounterfactualthoughtsandpsychologicaldistressinparentsoftraumasurvivors
AT torewentzellarsen mychildcouldhavediedcounterfactualthoughtsandpsychologicaldistressinparentsoftraumasurvivors
AT akiahastralottesen mychildcouldhavediedcounterfactualthoughtsandpsychologicaldistressinparentsoftraumasurvivors
AT tinekjensen mychildcouldhavediedcounterfactualthoughtsandpsychologicaldistressinparentsoftraumasurvivors
AT gretedyb mychildcouldhavediedcounterfactualthoughtsandpsychologicaldistressinparentsoftraumasurvivors