Dysfunctional attitudes and long-term posttraumatic growth in victims of terrorist attacks

  1. Sara Liébana 1
  2. Ana Sanz-García 1
  3. Rocío Fausor 1
  4. María Paz García-Vera 1
  5. Jesús Sanz 1
  1. 1 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

Revista:
Ansiedad y estrés

ISSN: 1134-7937

Año de publicación: 2022

Volumen: 28

Número: 3

Páginas: 160-171

Tipo: Artículo

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Otras publicaciones en: Ansiedad y estrés

Resumen

Background: The theoretical models of posttraumatic growth (PTG) assume that a change in core beliefs or attitudes about the world and oneself is at the root of PTG. However, there are few studies on the relationship between these attitudes and PTG and their results are contradictory. The contradictions could be clarified using an instrument that assesses attitudes more specifically related to the traumatic event (traumatic dysfunctional attitudes) and analyzing whether said relationship is linear or an inverted U. Methods: A sample of 210 adults directly exposed to terrorist attacks in Spain completed diagnostic measures of emotional disorders and measures of PTSD and depression symptomatology, optimism, traumatic and depressive dysfunctional attitudes, and PTG a mean of 29.6 years after the attacks (range: 2-47 years). Results: Multiple regression analyses revealed that some long-term PTG dimensions were significantly associated in a linear or inverted-U fashion with traumatic dysfunctional attitudes, such that the most extreme levels of spiritual change were associated with the highest total levels of traumatic dysfunctional attitudes while the highest levels of appreciation of life were associated with moderate levels of total traumatic dysfunctional attitudes and, especially, attitudes of perpetual suffering. However, long-term PTG was not associated with depressive dysfunctional attitudes. Conclusion: The findings underscore the importance of core attitudes for PTG and offer support for the hypothesis that, over time, the positive basic attitudes of many people who have experienced a traumatic event are reconstructed, but incorporating negative or dysfunctional attitudes, which means that a certain amount of traumatic dysfunctional attitudes may be a necessary condition for long-term PTG.

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Información de financiación

This work has been possible thanks to a research grant from the Spanish Ministry of Science, Innovation, and Universities (PGC2018-098387-B-I00)

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Referencias bibliográficas

  • Batmaz, S., & Ozdel, K. (2016). Psychometric properties of the revised and abbreviated form of the Turkish version of the Dysfunctional Attitude Scale. Psychological Reports, 118(1), 180-198. https://doi.org/10.1177/0033294116628349
  • Bayer, S., Lev-Wiesel, R., & Amir, M. (2007). The relationship between basic assumptions, posttraumatic growth, and ambiguity tolerance in an Israeli sample of young adults: A mediationmoderation model. Traumatology, 13(1), 4-15. https://doi.org/10.1177/1534765607299908
  • Beck, A. T. (1987). Cognitive models of depression. Journal of Cognitive Psychotherapy, 1(1), 5-37.
  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. Guilford Press.
  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). BDI-II. Beck Depression Inventory-Second Edition manual. The Psychological Corporation
  • Beck, A. T., Steer, R. A., & Brown, G. K. (2011). Manual. BDI-II. Inventario de Depresión de Beck-II (J. Sanz y C. Vázquez, adaptadores) [Manual. BDI-II. Beck Depression Inventory-II (J. Sanz & C. Vázquez, adapters)]. Pearson Educación.
  • Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489-498. https://doi.org/10.1002/jts.22059
  • Carboon, I., Anderson, V. A., Pollard, A., Szer, J., & Seymour, J. F. (2005). Posttraumatic growth following a cancer diagnosis: Do world assumptions contribute? Traumatology, 11(4), 269-283. https://doi.org/10.1177/153476560501100406
  • Currier, J. M., Holland, J. M., & Neimeyer, R. A. (2012). Prolonged grief symptoms and growth in the first 2 years of bereavement: Evidence for a nonlinear association. Traumatology, 18(4), 65-71. https://doi.org/10.1177/1534765612438948
  • De Graaf, L. E., Roelofs, J., & Huibers, M. J. H. (2009). Measuring dysfunctional attitudes in the general population: The Dysfunctional Attitude Scale (form A) Revised. Cognitive Therapy and Research, 33, 345-355. https://doi.org/10.1007/s10608-009-9229-y
  • Dekel, S., Mandl, C., & Solomon, Z. (2011). Shared and unique predictors of post-traumatic growth and distress. Journal of Clinical Psychology, 67(3), 241-252. https://doi.org/10.1002/jclp.20747
  • Dunkley, D. M., Sanislow, C. A., Grilo, C. M., & McGlashan, T. H. (2004). Validity of DAS perfectionism and need for approval in relation to the five-factor model of personality. Personality and Individual Differences, 37(7), 1391-1400. ttps://doi.org/10.1016/j.paid.2004.01.009
  • Engelkemeyer, S. M., & Marwit, S. J. (2008). Posttraumatic growth in bereaved parents. Journal of Traumatic Stress, 21(3), 344-346. https://doi.org/10.1002/jts.20338
  • Fausor, R., Sanz, J., Navarro-McCarthy, A., Gesteira, C., Morán, N., Cobos-Redondo, B., Altungy, P., Marqueses, J. M. S., Sanz-García, A., & García-Vera, M. P. (2022). Long-term posttraumatic growth in victims of terrorism in Spain. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.847099
  • Ferrando, P. J., Chico, E., & Tous, J. M. (2002). Propiedades psicométricas del test de optimismo Life Orientation Test [Psychometric properties of the “Life Orientation Test” (LOT)]. Psicothema, 14(3), 673-680.
  • First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1997). Structured Clinical Interview for DSM-IV Axis I disorders (SCID-I). Biometric Research Department.
  • First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1999). Entrevista Clínica Estructurada para los Trastornos del Eje I del DSM-IV. Versión Clínica (SCID-I) [Structured Clinical Interview for DSM-IV Axis I disorders. Clinician Version (SCID-I)]. Masson.
  • García-Vera, M. P., & Sanz, J. (2010). Trastornos depresivos y de ansiedad tras atentados terroristas: una revisión de la literatura empírica [Depressive and anxiety disorders after terrorist attacks: A review of the empirical literature]. Psicopatología Clínica, Legal y Forense, 10, 129-148. https://eprints.ucm.es/id/eprint/36453/
  • García-Vera, M. P., & Sanz, J. (2016). Repercusiones psicopatológicas de los atentados terroristas en las víctimas adultas y su tratamiento: estado de la cuestión [Psychopathological consequences of terrorist attacks in adult victims and their treatment: State of question]. Papeles del Psicólogo, 37, 3-13. https://www.papelesdelpsicologo.es/pdf/2776.pdf
  • García-Vera, M. P., Sanz, J., & Gutiérrez, S. (2016). A systematic review of the literature on posttraumatic stress disorder in victims of terrorist attacks. Psychological Reports, 119(1), 328-359. https://doi.org/10.1177/0033294116658243
  • García-Vera, M. P., Sanz, J., & Sanz-García, A. (2021). Ten things every psychologist should know about treating psychological disorders in victims of terrorism. Psicothema, 33(2), 177-187. https://doi.org/10.7334/psicothema2021.33
  • Gökler Danı man, I., Tarhan Uçar, C., & Okay, D. (2018). E iddeti nedeniyle kadın konukevlerinde kalmakta olan kadınlarda travma sonrası stres ve travma sonrası geli imin incelenmesi [Posttraumatic stress and posttraumatic growth in women residing in shelters due to spousal violence]. Anadolu Psikiyatri Dergisi, 19(6), 537-544.
  • Janoff-Bulman, R. (1989). Assumptive worlds and the stress of traumatic events: Applications of the schema construct. Social Cognition, 7(2), 113-136. https://doi.org/10.1521/soco.1989.7.2.113
  • Janoff-Bulman, R. (2004). Posttraumatic growth: three explanatory models. Psychological Inquiry, 15(1), 30-34. https://doi.org/10.1207/s15327965pli1501_02
  • Janoff-Bulman, R. (2006). Schema-change perspectives on posttraumatic growth. In L. G. Calhoun & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 81-99). Taylor & Francis.
  • Karimzadeh, Y., Rahimi, M., Goodarzi, M. A., Tahmasebi, S., & Talei, A. (2021). Posttraumatic growth in women with breast cancer: emotional regulation mediates satisfaction with basic needs and maladaptive schemas. European Journal of Psychotraumatology, 12(1). https://doi.org/10.1080/20008198.2021.1943871
  • Lahav, Y., Bellin, E. S., & Solomon, Z. (2016). Posttraumatic growth and shattered world assumptions among Ex-POWs: The role of dissociation. Psychiatry: Interpersonal and Biological Processes, 79(4), 418-432. https://doi.org/10.1080/00332747.2016.1142776
  • Liu, A., Wang, L., Li, H., Gong, J., & Liu, X. (2017). Correlation between posttraumatic growth and posttraumatic stress disorder symptoms based on Pearson correlation coefficient: A meta-analysis. Journal of Nervous and Mental Disease, 205(5), 380-389. https://doi.org/10.1097/NMD.0000000000000605
  • Lobbestael, J., Leurgans, M., & Arntz, A. (2011). Inter-rater reliability of the Structured Clinical Interview for DSM-IV Axis I disorders (SCID I) and Axis II disorders (SCID II). Clinical Psychology & Psychotherapy, 18(1), 75-79. https://doi.org/10.1002/cpp.693
  • Martínez Arias, R., Castellanos López, M. A., & Chacón Gómez, J. C. (2015). Análisis de datos en psicología y ciencias de la salud, vol. II. Inferencia estadística [Data analysis in psychology and health sciences, vol. II. Statistical inference]. EOS.
  • Miguel-Tobal, J. J., Cano-Vindel, A., Gonzalez-Ordi, H., Iruarrizaga, I., Rudenstine, S., Vlahov, D., & Galea, S. (2006). PTSD and depression after the Madrid March 11 train bombings. Journal of Traumatic Stress, 19(1), 69-80. https://doi.org/10.1002/jts.20091
  • Navarro Montes, R. (2021). Desarrollo de un instrumento para la evaluación de las creencias disfuncionales específicas en víctimas del terrorismo que sufren trastorno de estrés postraumático [Development of an instrument for the assessment of specific dysfunctional beliefs in victims of terrorism who suffer from posttraumatic stress disorder] [Doctoral dissertation, Universidad Complutense de Madrid]. E-Prints Complutense Repository. https://eprints.ucm.es/id/eprint/65711/
  • Navarro, R., Cobos Redondo, B., Gesteira, C., Altungy, P., Morán, N., Fausor, R., Reguera, B., García-Vera, M. P., & Sanz, J. (2022). Desarrollo de la Escala de Actitudes Disfuncionales Traumáticas (EADT) para víctimas de terrorismo [Development of the Traumatic Dysfunctional Attitude Scale (EADT) for victims of terrorism]. Ansiedad y Estrés, 28(1), 1-15. https://doi.org/10.5093/anyes2022a1
  • Otero, J. M., Luengo, A., Romero, E. Gómez, J. A., & Castro, C. (1998). Psicología de la personalidad. Manual de prácticas [Personality psychology. Practice manual]. Ariel.
  • Ruiz, F. J., Suárez-Falcón, J. C., Odriozola-González, P., Barbero-Rubio, A., López-López, J. C., Eisenbeck, N., Budziszewska, L., & Gil, E. (2015). Factor structure and psychometric properties of the Spanish version of the “Dysfunctional Attitude Scale-Revised”. Behavioral Psychology-Psicología Conductual, 23(2), 287-303. https://www.behavioralpsycho.com/wp-content/uploads/2018/10/05.Ruiz_23-2oa-2.pdf
  • Salguero, J. M., Fernández-Berrocal, P., Iruarrizaga, I., Cano-Vindel, A., & Galea, S. (2011). Major depressive disorder following terrorist attacks: A systematic review of prevalence, course and correlates. BMC Psychiatry, 11, 96. https://doi.org/10.1186/1471-244X-11-96
  • Sanz, J. (2013). 50 años de los Inventarios de Depresión de Beck: consejos para la utilización de la adaptación española del BDI-II en la práctica clínica [50 years of the Beck Depression Inventories: Recommendations for the use of the Spanish adaptation of the BDI-II in clinical practice]. Papeles del Psicólogo, 34(3), 161-168. https://www.papelesdelpsicologo.es/pdf/2275.pdf
  • Sanz, J., Altungy, P., Reguera, B., Navarro, R., Gesteira, C., Sanz-García, A., Morán, N., Cobos Redondo, B., Fausor, R., & Garcia-Vera, M. P. (2021). Psychometric validation of the Spanish version of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) [Manuscript submitted for publication]. Department of Personality, Assessment, and Clinical Psychology, Complutense University of Madrid.
  • Sanz, J., & García-Vera, M. P. (2021). Mental health consequences of terrorist attacks in adults. In P. Graf & D. J. A. Dozois (Eds.), Handbook on the state of the art in applied psychology (pp. 207-237). Wiley.
  • Sanz, J., García-Vera, M. P., Espinosa, R., Fortún, M., & Vázquez, C. (2005). Adaptación española del Inventario para la Depresión de Beck-II (BDI-II): 3. Propiedades psicométricas en pacientes con trastornos psicológicos [Spanish adaptation of the Beck Depression Inventory-II (BDI-II): 3. Psychometric properties in patients with psychological disorders]. Clínica y Salud, 16(2), 121-142. https://journals.copmadrid.org/clysa/archivos/95781.pdf
  • Sanz, J., & Vázquez, C. (1993). Adaptación española de la Escala de Actitudes Disfuncionales (DAS) de Beck: propiedades psicométricas y clínicas [Spanish adaptation of Beck’s Dysfunctional Attitude Scale (DAS): Psychometric and clinical properties]. Análisis y Modificación de Conducta, 19, 707-750.
  • Sanz, J., & Vázquez, C. (1994). Algunas consideraciones adicionales sobre la versión española de la Escala de Actitudes Disfuncionales (DAS) de Weissman y Beck [Some additional considerations about the Spanish version of the Dysfunctional Attitude Scale (DAS) by Weissman & Beck]. Análisis y Modificación de Conducta, 20, 669-673.
  • Sanz, J., & Vázquez, C. (2008). Trastornos del estado de ánimo: teorías psicológicas [Mood disorders: Psychological theories]. In A. Belloch, B. Sandín & F. Ramos (Eds.), Manual de psicopatología (revised and updated ed., vol. 2, pp. 299-336). McGraw-Hill.
  • Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology, 67(6), 1063-1078. https://doi.org/10.1037/0022-3514.67.6.1063
  • Shakespeare-Finch, J., & Lurie-Beck, J. (2014). A meta-analytic clarification of the relationship between posttraumatic growth and symptoms of posttraumatic distress disorder. Journal of Anxiety Disorders, 28(2), 223-229. https://doi.org/10.1016/j.janxdis.2013.10.005
  • Su, Y., & Chen, S. (2015). Emerging posttraumatic growth: a prospective study with pre- and posttrauma psychological predictors. Psychological Trauma: Theory, Research, Practice, and Policy, 7(2), 103-111. https://doi.org/10.1037/tra0000008
  • Taku, K., Cann, A., Calhoun, L. G., & Tedeschi, R. G. (2008). The factor structure of the Posttraumatic Growth Inventory: A comparison of five models using confirmatory factor analysis. Journal of Traumatic Stress, 21(2), 158-164. https://doi.org/10.1002/jts.20305
  • Tedeschi, R. G., & Calhoun, L. G. (1995). Trauma & transformation: Growing in the aftermath of suffering. Sage Publications. https://doi.org/10.4135/9781483326931
  • Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455-472. https://doi.org/10.1002/jts.2490090305
  • Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15(1), 1-18. https://doi.org/10.1207/s15327965pli1501_01
  • Tedeschi, R. G., Shakespeare-Finch, J., Taku, K., & Calhoun, L. G. (2018). Posttraumatic growth: Theory, research, and applications. Routledge.
  • Valdez, C. E., & Lilly, M. M. (2015). Posttraumatic growth in survivors of intimate partner violence: An assumptive world process. Journal of Interpersonal Violence, 30(2), 215-231. https://doi.org/10.1177/0886260514533154
  • Vázquez, C., Pérez-Sales, P., & Hervás, G. (2008). Positive effects of terrorism and posttraumatic growth: an individual and community perspective. In S. Joseph & P. A. Linley (Eds.), Trauma, recovery, and growth: Positive psychological perspectives on posttraumatic stress (pp. 63-91). John Wiley & Sons.
  • Vishnevsky, T., Cann, A., Calhoun, L. G., Tedeschi, R. G., & Demakis, G. J. (2010). Gender differences in self-reported posttraumatic growth: A meta-analysis. Psychology of Women Quarterly, 34(1), 110-120. https://doi.org/10.1111/j.1471-6402.2009.01546.x
  • Weathers, F.W., Litz, B.T., Keane, T.M., Palmieri, P.A., Marx, B.P., & Schnurr, P.P. (2013). The PTSD Checklist for DSM-5 (PCL-5). National Center for PTSD. http://www.ptsd.va.gov
  • Weissman, A. N., & Beck, A. T. (1978, March 27-31). Development and validation of the Dysfunctional Attitude Scale: a preliminary investigation [Paper presentation]. 62nd Annual Meeting of the American Educational Research Association, Toronto, ON, Canada. http://files.eric.ed.gov/fulltext/ED167619.pdf
  • Wu, X., Kaminga, A. C., Dai, W., Deng, J., Wang, Z., Pan, X., & Liu, A. (2019). The prevalence of moderate-to-high posttraumatic growth: A systematic review and meta-analysis. Journal of Affective Disorders, 243, 408-415. https://doi.org/10.1016/j.jad.2018.09.023
  • Zanarini, M. C., Skodol, A. E., Bender, D., Dolan, R., Sanislow, C., Schaefer, E., Morey, L. C., Grilo, C. M., Shea, M. T., McGlashan, T. H., & Gunderson, J. G. (2000). The Collaborative Longitudinal Personality Disorders Study: Reliability of axis I and II diagnoses. Journal of Personality Disorders, 14(4), 291-299. https://doi.org/10.1521/pedi.2000.14.4.29
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