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Title: Factors associated with the presentation of persisting Post-Traumatic Stress Disorder symptoms in people who have sustained traumatic spinal cord injuries
Author: Agar, Elenor
ISNI:       0000 0001 3399 1419
Awarding Body: Open University
Current Institution: Open University
Date of Award: 2002
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Objectives: This study aimed to investigate factors associated with persistent Post-Traumatic Stress Disorder (PTSD) in people with Spinal Cord Injury (SCI). In the context of a cognitive model, it sought to determine how influential cognitive appraisals were in predicting persistent PTSD when compared to other known predictor variables in the literature such as injury severity, gender, previous psychiatric history and social support. Design: A cross-sectional questionnaire survey that examined concurrent predictors of PTSD symptoms and diagnosis primarily using multiple regression analyses. Method: A sample of 50 inpatients receiving rehabilitation for SCI who were 3-24 months post- injury were interviewed using a series of standardised measures of PTSD symptoms and diagnosis, post-traumatic cognitive appraisals, social support, and injury severity. Results: For PTSD symptoms, significant relationships were found for greater injury severity, lower satisfaction with social support and more negative cognitions. PTSD diagnosis was only related to cognitive variables. Negative cognitions were found to predict variance in PTS symptoms over and above the non-cognitive variables although gender and injury severity were also predictors. The only significant predictor of PTSD diagnosis was the cognitive subscale' negative cognitions about the self. Conclusions: Cognitive appraisals were found to be important predictors of persisting PTSD in an SCI population. This supports the cognitive model of PTSD and the development of cognitive therapies for PTSD in this population. Future research directions are discussed.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
Keywords: Psychology