Making Meaning of Trauma: Trauma Exposure Doesn’t Tell the Whole Story
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Although traumatic experiences are relatively common, there is wide variability in individuals’ responses to them. This study examined trauma exposure, meaning making efforts (indexed by post-traumatic cognitions), and post-traumatic stress symptoms (PTS) in a non-clinical volunteer student sample (N = 631). We further examined the moderating role of gender, the importance of trauma type (interpersonal vs. non-interpersonal), and the impact of cumulative traumatic experiences. About 75% of the sample reported past trauma (n = 475). Women reported more interpersonal trauma than did men. For both genders, trauma exposure was associated with more PTS. A dose–response relationship was found between the extent of trauma exposure and negative post-traumatic cognitions. Importantly, post-traumatic cognitions predicted PTS controlling for amount of trauma exposure. It appears that it is not merely exposure to negative events that matters, but how we construe and make sense of these experiences. This study extends our understanding of gender differences, meaning-making, and responses to trauma exposure, and suggests avenues of clinical treatment.
- Barlow, M. R., & Cromer, L. D. (2006). Trauma-relevant characteristics in a university human subjects pool population: Gender, major, betrayal and latency of participation. Journal of Trauma and Dissociation, 7, 59–75. CrossRef
- Beck, J. G., Coffey, S. F., Palyo, S. A., Gudmundsdottir, B., Miller, L. M., & Colder, C. R. (2004). Psychometric properties of the Posttraumatic Cognitions Inventory (PTCI): A replication with motor vehicle accident survivors. Psychological Assessment, 16, 289–298. CrossRef
- Bernat, J. A., Ronfeldt, H. M., Calhoun, K. S., & Arias, I. (1998). Prevalence of traumatic events and peritraumatic predictors of posttraumatic stress symptoms in a nonclinical sample of college students. Journal of Traumatic Stress, 11, 645–664. CrossRef
- Bradley, R., Greene, J., Russ, E., Dutra, L., & Wesen, D. (2005). A multidimensional meta-analysis of psychotherapy for PTSD. American Journal of Psychiatry, 162, 214–227. CrossRef
- Breslau, N., Kessler, R. C., Chilcoat, H. D., Schultz, L. R., Davis, G. D., & Andreski, P. (1998). Trauma and posttraumatic stress disorder in the community. Archives of General Psychiatry, 55, 626–632. CrossRef
- Bryant, R. A., Moulds, M. L., Guthrie, R. M., Dang, S. T., Mastrodomenico, J., Nixon, R. D. V., et al. (2008). A randomized controlled trial of exposure therapy and cognitive restructuring for posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 76, 695–703. CrossRef
- DePrince, A. P., & Freyd, J. J. (2002). The intersection of gender and betrayal. In R. Kimerling, P. Ouimette, & J. Wolfe (Eds.), Gender and PTSD (pp. 98–113). N Y: Guilford Press.
- Duncan, R. (2000). Childhood maltreatment and college dropout rates: Implications for child abuse researchers. Journal of Interpersonal Violence, 15, 987–995. CrossRef
- Dyregov, A. (2004). Educational consequences of loss and trauma. Educational and Child Psychology, 21, 77–84.
- Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) study. American Journal of Preventive Medicine, 14, 245–258. CrossRef
- Foa, E. B., & Cahill, S. P. (2001). Psychological therapies: Emotion processing. In N. J. Smelser & P. B. Bates (Eds.), International encyclopedia of social and behavioral sciences (pp. 12363–12369). Oxford: Elsevier.
- Foa, E. B., & Rauch, S. A. M. (2004). Cognitive changes during prolonged exposure versus prolonged exposure plus restructuring in female assault survivors with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 72, 879–884. CrossRef
- Foa, E. B., & Rothbaum, B. O. (1998). Treating the trauma of rape: Cognitive-behavioral therapy for PTSD. New York: Guilford Press.
- Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale. Psychological Assessment, 9, 445–451. CrossRef
- Foa, E. B., Ehlers, A., Clark, D. M., Tolin, D. F., & Orsillo, S. M. (1999). Pposttraumatic cognitions inventory: Development and validation. Psychological Assessment, 11, 303–314. CrossRef
- Gavranidou, M., & Rosner, R. (2003). The weaker sex? Gender and post-traumatic stress disorder. Depression and Anxiety, 17, 130–139. CrossRef
- Kessler, R. C., Berglund, P., Demler, O., Jin, R., & Walters, E. E. (2005). Lifetime prevalence and age of onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602. CrossRef
- Kolts, R. L., Robinson, A. M., & Tracy, J. J. (2004). The relationship of sociotropy and autonomy to posttraumatic cognitions and PTSD symptomatology in trauma survivors. Journal of Clinical Psychology, 60, 53–63. CrossRef
- Moser, J. S., Hajcak, G., Simons, R. F., & Foa, E. B. (2007). Posttraumatic stress disorder symptoms in trauma-exposed college students: The role of trauma-related cognitions, gender, and negative affect. Journal of Anxiety Disorders, 21, 1039–1049. CrossRef
- Nixon, R. D. V., & Bryant, R. A. (2005). Are negative cognitions associated with severe acute trauma response? Behavior Change, 22, 22–28. CrossRef
- Saewyc, E. M., Brown, D., Plane, M. B., Mundt, M. P., Zakletskaia, L., Wiegel, J.,et al. (2009). Gender differences in violence exposure among university students attending campus health clinics in the United States and Canada. Journal of Adolescent Health, 1–8.
- Sledjeski, E. M., Speisman, B., & Dierker, L. C. (2008). Does number of lifetime traumas explain the relationship between PTSD and chronic medical conditions? Answers from the National Comorbidity Survey-Replication (NCS-R). Journal of Behavioral Medicine, 31, 341–349. CrossRef
- Smyth, J. M., Hockemeyer, J. R., Heron, K. E., Wonderlich, S. A., & Pennebaker, J. W. (2008). Prevalence, type, disclosure, and severity of adverse life events in college students. Journal of American College Health, 57, 69–76. CrossRef
- Tolin, D. F., & Foa, E. B. (2002). Gender and PTSD: A cognitive model. In R. Kimerling, P. Ouimette, & J. Wolfe (Eds.), Gender and PTSD (pp. 76–97). Guilford Press: New York.
- Zlotnick, C., Franklin, C. L., & Zimmerman, M. (2002). Does “subthreshold” posttraumatic stress disorder have any clinical relevance? Comprehensive Psychiatry, 43, 413–419. CrossRef
- Making Meaning of Trauma: Trauma Exposure Doesn’t Tell the Whole Story
Journal of Contemporary Psychotherapy
Volume 40, Issue 2 , pp 65-72
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- Post-traumatic cognitions