The Relationship among Anxiety, Worry, Perceived Stress, Defense Mechanisms, and High Levels of Post-Traumatic Stress Symptoms: A Discriminant Analytic Approach

Post-traumatic stress disorder (PTSD) is a pathological condition that may lead to a significant deterioration in the quality of life over time. Therefore, the study of the elements that can characterize the disorder could be considered of great clinical interest and relevance. The aim of the presen...

Full description

Bibliographic Details
Main Authors: Alessio Gori, Eleonora Topino, Alessandro Musetti
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/13/2/237
_version_ 1797619967922798592
author Alessio Gori
Eleonora Topino
Alessandro Musetti
author_facet Alessio Gori
Eleonora Topino
Alessandro Musetti
author_sort Alessio Gori
collection DOAJ
description Post-traumatic stress disorder (PTSD) is a pathological condition that may lead to a significant deterioration in the quality of life over time. Therefore, the study of the elements that can characterize the disorder could be considered of great clinical interest and relevance. The aim of the present research was to empirically discriminate the influence of perceived stress, state anxiety, worry, and defense mechanisms (mature, neurotic, and immature) at different levels of post-traumatic stress symptoms. A sample of 1250 participants (69.5% women, 30.5% men; <i>M<sub>age</sub></i> = 34.52, <i>SD</i> = 11.857) completed an online survey including the Impact of Event Scale—Revised, Ten-Item Perceived Stress Scale, Penn State Worry Questionnaire, Forty Item Defense Style Questionnaire, and State-Trait Anxiety Inventory—Form X3. Data were analysed by implementing MANOVA and discriminant analysis. Results showed significant differences in the levels of perceived stress, state anxiety, and worry, as well as neurotic and immature defenses based on the levels of post-traumatic stress symptoms: <i>F</i>(12,2484) = 85.682, <i>p</i> < 0.001; Wilk’s Λ = 0.430. Furthermore, these variables discriminate significant accuracy between participants who reported a mild psychological impact and those with a probable presence of PTSD, with perceived stress, which was found to be the best predictor. Classification results indicated that the original grouped cases were classified with 86.3% overall accuracy. Such findings may provide useful insight for clinical practice.
first_indexed 2024-03-11T08:34:34Z
format Article
id doaj.art-69619214914a45459e5eea44c3189143
institution Directory Open Access Journal
issn 2075-4426
language English
last_indexed 2024-03-11T08:34:34Z
publishDate 2023-01-01
publisher MDPI AG
record_format Article
series Journal of Personalized Medicine
spelling doaj.art-69619214914a45459e5eea44c31891432023-11-16T21:32:38ZengMDPI AGJournal of Personalized Medicine2075-44262023-01-0113223710.3390/jpm13020237The Relationship among Anxiety, Worry, Perceived Stress, Defense Mechanisms, and High Levels of Post-Traumatic Stress Symptoms: A Discriminant Analytic ApproachAlessio Gori0Eleonora Topino1Alessandro Musetti2Department of Health Sciences, University of Florence, Via di San Salvi 12, Pad. 26, 50135 Firenze, ItalyDepartment of Human Sciences, LUMSA University of Rome, Via della Traspontina 21, 00193 Rome, ItalyDepartment of Humanities, Social Sciences and Cultural Industries, University of Parma, Borgo Carissimi 10, 43121 Parma, ItalyPost-traumatic stress disorder (PTSD) is a pathological condition that may lead to a significant deterioration in the quality of life over time. Therefore, the study of the elements that can characterize the disorder could be considered of great clinical interest and relevance. The aim of the present research was to empirically discriminate the influence of perceived stress, state anxiety, worry, and defense mechanisms (mature, neurotic, and immature) at different levels of post-traumatic stress symptoms. A sample of 1250 participants (69.5% women, 30.5% men; <i>M<sub>age</sub></i> = 34.52, <i>SD</i> = 11.857) completed an online survey including the Impact of Event Scale—Revised, Ten-Item Perceived Stress Scale, Penn State Worry Questionnaire, Forty Item Defense Style Questionnaire, and State-Trait Anxiety Inventory—Form X3. Data were analysed by implementing MANOVA and discriminant analysis. Results showed significant differences in the levels of perceived stress, state anxiety, and worry, as well as neurotic and immature defenses based on the levels of post-traumatic stress symptoms: <i>F</i>(12,2484) = 85.682, <i>p</i> < 0.001; Wilk’s Λ = 0.430. Furthermore, these variables discriminate significant accuracy between participants who reported a mild psychological impact and those with a probable presence of PTSD, with perceived stress, which was found to be the best predictor. Classification results indicated that the original grouped cases were classified with 86.3% overall accuracy. Such findings may provide useful insight for clinical practice.https://www.mdpi.com/2075-4426/13/2/237PTSDpost-traumatic stress symptomsimpact of eventdiscriminant analysisMANOVAanxiety
spellingShingle Alessio Gori
Eleonora Topino
Alessandro Musetti
The Relationship among Anxiety, Worry, Perceived Stress, Defense Mechanisms, and High Levels of Post-Traumatic Stress Symptoms: A Discriminant Analytic Approach
Journal of Personalized Medicine
PTSD
post-traumatic stress symptoms
impact of event
discriminant analysis
MANOVA
anxiety
title The Relationship among Anxiety, Worry, Perceived Stress, Defense Mechanisms, and High Levels of Post-Traumatic Stress Symptoms: A Discriminant Analytic Approach
title_full The Relationship among Anxiety, Worry, Perceived Stress, Defense Mechanisms, and High Levels of Post-Traumatic Stress Symptoms: A Discriminant Analytic Approach
title_fullStr The Relationship among Anxiety, Worry, Perceived Stress, Defense Mechanisms, and High Levels of Post-Traumatic Stress Symptoms: A Discriminant Analytic Approach
title_full_unstemmed The Relationship among Anxiety, Worry, Perceived Stress, Defense Mechanisms, and High Levels of Post-Traumatic Stress Symptoms: A Discriminant Analytic Approach
title_short The Relationship among Anxiety, Worry, Perceived Stress, Defense Mechanisms, and High Levels of Post-Traumatic Stress Symptoms: A Discriminant Analytic Approach
title_sort relationship among anxiety worry perceived stress defense mechanisms and high levels of post traumatic stress symptoms a discriminant analytic approach
topic PTSD
post-traumatic stress symptoms
impact of event
discriminant analysis
MANOVA
anxiety
url https://www.mdpi.com/2075-4426/13/2/237
work_keys_str_mv AT alessiogori therelationshipamonganxietyworryperceivedstressdefensemechanismsandhighlevelsofposttraumaticstresssymptomsadiscriminantanalyticapproach
AT eleonoratopino therelationshipamonganxietyworryperceivedstressdefensemechanismsandhighlevelsofposttraumaticstresssymptomsadiscriminantanalyticapproach
AT alessandromusetti therelationshipamonganxietyworryperceivedstressdefensemechanismsandhighlevelsofposttraumaticstresssymptomsadiscriminantanalyticapproach
AT alessiogori relationshipamonganxietyworryperceivedstressdefensemechanismsandhighlevelsofposttraumaticstresssymptomsadiscriminantanalyticapproach
AT eleonoratopino relationshipamonganxietyworryperceivedstressdefensemechanismsandhighlevelsofposttraumaticstresssymptomsadiscriminantanalyticapproach
AT alessandromusetti relationshipamonganxietyworryperceivedstressdefensemechanismsandhighlevelsofposttraumaticstresssymptomsadiscriminantanalyticapproach