The role of guilt in Posttraumatic Stress Disorder

Background: A growing body of evidence supports the notion that the emotional profile of Posttraumatic Stress Disorder (PTSD) may be more diverse than traditional accounts presume. PTSD’s image as an anxiety-based disorder is undergoing change as the significance of other emotions in its development...

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Main Authors: Konstantin Bub, Miriam J. J. Lommen
Format: Article
Language:English
Published: Taylor & Francis Group 2017-01-01
Series:European Journal of Psychotraumatology
Subjects:
Online Access:http://dx.doi.org/10.1080/20008198.2017.1407202
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author Konstantin Bub
Miriam J. J. Lommen
author_facet Konstantin Bub
Miriam J. J. Lommen
author_sort Konstantin Bub
collection DOAJ
description Background: A growing body of evidence supports the notion that the emotional profile of Posttraumatic Stress Disorder (PTSD) may be more diverse than traditional accounts presume. PTSD’s image as an anxiety-based disorder is undergoing change as the significance of other emotions in its development becomes more evident. Experimental research is needed in order to expand the understanding of underlying processes driving the development of PTSD. Objective: Experimentally test the influence of stressor-related guilt on the occurrence of PTSD symptomatology. Method: A non-clinical student sample faced an analogue trauma, a stressor in the form of a computer crash and related loss of data. We either personally blamed participants for causing the incident (blame group) or told them that it was a technical failure and therefore not their fault (no-blame group). Levels of guilt before and after the incident as well as number and associated distress of incident-related intrusions were assessed using a one-day diary and compared between groups. Results: The guilt manipulation was successful: feelings of guilt significantly increased in the blame group but not in the no-blame group. Furthermore, the blame group showed a significantly higher number of intrusions and associated distress compared to the no-blame group at one-day follow-up. Conclusions: These laboratory findings indicate that feelings of guilt may lead to increased PTSD symptomatology, supporting the view that guilt experienced in reaction to a traumatic event may be part of a causal mechanism driving the development of PTSD.
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spelling doaj.art-aa292e425b1946b3afc60aab470f8b122023-02-06T14:17:45ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662017-01-018110.1080/20008198.2017.14072021407202The role of guilt in Posttraumatic Stress DisorderKonstantin Bub0Miriam J. J. Lommen1University of GroningenUniversity of GroningenBackground: A growing body of evidence supports the notion that the emotional profile of Posttraumatic Stress Disorder (PTSD) may be more diverse than traditional accounts presume. PTSD’s image as an anxiety-based disorder is undergoing change as the significance of other emotions in its development becomes more evident. Experimental research is needed in order to expand the understanding of underlying processes driving the development of PTSD. Objective: Experimentally test the influence of stressor-related guilt on the occurrence of PTSD symptomatology. Method: A non-clinical student sample faced an analogue trauma, a stressor in the form of a computer crash and related loss of data. We either personally blamed participants for causing the incident (blame group) or told them that it was a technical failure and therefore not their fault (no-blame group). Levels of guilt before and after the incident as well as number and associated distress of incident-related intrusions were assessed using a one-day diary and compared between groups. Results: The guilt manipulation was successful: feelings of guilt significantly increased in the blame group but not in the no-blame group. Furthermore, the blame group showed a significantly higher number of intrusions and associated distress compared to the no-blame group at one-day follow-up. Conclusions: These laboratory findings indicate that feelings of guilt may lead to increased PTSD symptomatology, supporting the view that guilt experienced in reaction to a traumatic event may be part of a causal mechanism driving the development of PTSD.http://dx.doi.org/10.1080/20008198.2017.1407202traumaptsdintrusionsemotiondistressguilt
spellingShingle Konstantin Bub
Miriam J. J. Lommen
The role of guilt in Posttraumatic Stress Disorder
European Journal of Psychotraumatology
trauma
ptsd
intrusions
emotion
distress
guilt
title The role of guilt in Posttraumatic Stress Disorder
title_full The role of guilt in Posttraumatic Stress Disorder
title_fullStr The role of guilt in Posttraumatic Stress Disorder
title_full_unstemmed The role of guilt in Posttraumatic Stress Disorder
title_short The role of guilt in Posttraumatic Stress Disorder
title_sort role of guilt in posttraumatic stress disorder
topic trauma
ptsd
intrusions
emotion
distress
guilt
url http://dx.doi.org/10.1080/20008198.2017.1407202
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