Adverse and benevolent childhood experiences in Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD): implications for trauma-focused therapies
Background There is very little work on the role of positive or benevolent childhood experiences and how such events might offer protection from the insidious effects of adverse experiences in childhood or later in life. Objectives We set out to test, using latent variable modelling, whether adverse...
Main Authors: | , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Taylor & Francis Group
2020-12-01
|
Series: | European Journal of Psychotraumatology |
Subjects: | |
Online Access: | http://dx.doi.org/10.1080/20008198.2020.1793599 |
_version_ | 1797954529449213952 |
---|---|
author | Thanos Karatzias Mark Shevlin Claire Fyvie Graeme Grandison Maria Garozi Emma Latham Michael Sinclair Grace Wing Ka Ho Grainne McAnee Julian D. Ford Philip Hyland |
author_facet | Thanos Karatzias Mark Shevlin Claire Fyvie Graeme Grandison Maria Garozi Emma Latham Michael Sinclair Grace Wing Ka Ho Grainne McAnee Julian D. Ford Philip Hyland |
author_sort | Thanos Karatzias |
collection | DOAJ |
description | Background There is very little work on the role of positive or benevolent childhood experiences and how such events might offer protection from the insidious effects of adverse experiences in childhood or later in life. Objectives We set out to test, using latent variable modelling, whether adverse and benevolent childhood experiences could be best described as a single continuum or two correlated constructs. We also modelled the relationship between adverse and benevolent childhood experiences and ICD-11 PTSD and Complex PTSD (CPTSD) symptoms and explored if these associations were indirect via psychological trauma. Methods Data were collected from a trauma-exposed sample (N = 275) attending a specialist trauma care centre in the UK. Participants completed measures of childhood adverse and benevolent experiences, traumatic exposure, and PTSD and CPTSD symptoms. Results Findings suggested that adverse childhood experiences operate only indirectly on PTSD and CPTSD symptoms through lifetime trauma exposure, and with a stronger effect for PTSD. Benevolent childhood experiences directly predicted only CPTSD symptoms. Conclusions Benevolent and traumatic experiences seem to form unique associations with PTSD and CPTSD symptoms. Future research is needed to explore how benevolent experiences can be integrated within existing psychological interventions to maximise recovery from traumatic stress. |
first_indexed | 2024-04-10T23:18:56Z |
format | Article |
id | doaj.art-9f1c9631e6144f80a14ccdf7ec93c363 |
institution | Directory Open Access Journal |
issn | 2000-8066 |
language | English |
last_indexed | 2024-04-10T23:18:56Z |
publishDate | 2020-12-01 |
publisher | Taylor & Francis Group |
record_format | Article |
series | European Journal of Psychotraumatology |
spelling | doaj.art-9f1c9631e6144f80a14ccdf7ec93c3632023-01-12T15:31:32ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662020-12-0111110.1080/20008198.2020.17935991793599Adverse and benevolent childhood experiences in Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD): implications for trauma-focused therapiesThanos Karatzias0Mark Shevlin1Claire Fyvie2Graeme Grandison3Maria Garozi4Emma Latham5Michael Sinclair6Grace Wing Ka Ho7Grainne McAnee8Julian D. Ford9Philip Hyland10Edinburgh Napier UniversityUlster UniversityNHS LothianNHS LothianNHS LothianNHS LothianNHS LothianThe Hong Kong Polytechnic UniversityUlster UniversityUniversity of ConnecticutMaynooth UniversityBackground There is very little work on the role of positive or benevolent childhood experiences and how such events might offer protection from the insidious effects of adverse experiences in childhood or later in life. Objectives We set out to test, using latent variable modelling, whether adverse and benevolent childhood experiences could be best described as a single continuum or two correlated constructs. We also modelled the relationship between adverse and benevolent childhood experiences and ICD-11 PTSD and Complex PTSD (CPTSD) symptoms and explored if these associations were indirect via psychological trauma. Methods Data were collected from a trauma-exposed sample (N = 275) attending a specialist trauma care centre in the UK. Participants completed measures of childhood adverse and benevolent experiences, traumatic exposure, and PTSD and CPTSD symptoms. Results Findings suggested that adverse childhood experiences operate only indirectly on PTSD and CPTSD symptoms through lifetime trauma exposure, and with a stronger effect for PTSD. Benevolent childhood experiences directly predicted only CPTSD symptoms. Conclusions Benevolent and traumatic experiences seem to form unique associations with PTSD and CPTSD symptoms. Future research is needed to explore how benevolent experiences can be integrated within existing psychological interventions to maximise recovery from traumatic stress.http://dx.doi.org/10.1080/20008198.2020.1793599ptsdcptsdbenevolent experiencesadverse experiences |
spellingShingle | Thanos Karatzias Mark Shevlin Claire Fyvie Graeme Grandison Maria Garozi Emma Latham Michael Sinclair Grace Wing Ka Ho Grainne McAnee Julian D. Ford Philip Hyland Adverse and benevolent childhood experiences in Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD): implications for trauma-focused therapies European Journal of Psychotraumatology ptsd cptsd benevolent experiences adverse experiences |
title | Adverse and benevolent childhood experiences in Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD): implications for trauma-focused therapies |
title_full | Adverse and benevolent childhood experiences in Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD): implications for trauma-focused therapies |
title_fullStr | Adverse and benevolent childhood experiences in Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD): implications for trauma-focused therapies |
title_full_unstemmed | Adverse and benevolent childhood experiences in Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD): implications for trauma-focused therapies |
title_short | Adverse and benevolent childhood experiences in Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD): implications for trauma-focused therapies |
title_sort | adverse and benevolent childhood experiences in posttraumatic stress disorder ptsd and complex ptsd cptsd implications for trauma focused therapies |
topic | ptsd cptsd benevolent experiences adverse experiences |
url | http://dx.doi.org/10.1080/20008198.2020.1793599 |
work_keys_str_mv | AT thanoskaratzias adverseandbenevolentchildhoodexperiencesinposttraumaticstressdisorderptsdandcomplexptsdcptsdimplicationsfortraumafocusedtherapies AT markshevlin adverseandbenevolentchildhoodexperiencesinposttraumaticstressdisorderptsdandcomplexptsdcptsdimplicationsfortraumafocusedtherapies AT clairefyvie adverseandbenevolentchildhoodexperiencesinposttraumaticstressdisorderptsdandcomplexptsdcptsdimplicationsfortraumafocusedtherapies AT graemegrandison adverseandbenevolentchildhoodexperiencesinposttraumaticstressdisorderptsdandcomplexptsdcptsdimplicationsfortraumafocusedtherapies AT mariagarozi adverseandbenevolentchildhoodexperiencesinposttraumaticstressdisorderptsdandcomplexptsdcptsdimplicationsfortraumafocusedtherapies AT emmalatham adverseandbenevolentchildhoodexperiencesinposttraumaticstressdisorderptsdandcomplexptsdcptsdimplicationsfortraumafocusedtherapies AT michaelsinclair adverseandbenevolentchildhoodexperiencesinposttraumaticstressdisorderptsdandcomplexptsdcptsdimplicationsfortraumafocusedtherapies AT gracewingkaho adverseandbenevolentchildhoodexperiencesinposttraumaticstressdisorderptsdandcomplexptsdcptsdimplicationsfortraumafocusedtherapies AT grainnemcanee adverseandbenevolentchildhoodexperiencesinposttraumaticstressdisorderptsdandcomplexptsdcptsdimplicationsfortraumafocusedtherapies AT juliandford adverseandbenevolentchildhoodexperiencesinposttraumaticstressdisorderptsdandcomplexptsdcptsdimplicationsfortraumafocusedtherapies AT philiphyland adverseandbenevolentchildhoodexperiencesinposttraumaticstressdisorderptsdandcomplexptsdcptsdimplicationsfortraumafocusedtherapies |