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...

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Main Authors: 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
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
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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.
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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
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