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Associations between changes in resilient coping and posttraumatic stress disorder symptoms.
Vaughn G Sinclair1, Susan M Adams1, Mary Dietrich1
1Vanderbilt University School of Nursing, Nashville, Tennessee.
Increases in resilient coping were linked to reductions in intrusive thoughts over time for individuals with posttraumatic stress disorder (PTSD). This suggests that improving coping skills may help diminish PTSD symptoms.
Area of Science:
- Psychology
- Clinical Psychology
- Trauma Studies
Background:
- Posttraumatic stress disorder (PTSD) is a debilitating condition with significant clinical challenges.
- Understanding the interplay between patient perceptions of PTSD symptoms and resilient coping is crucial for developing effective interventions.
- Resilient coping strategies may offer a pathway to improve adaptive functioning in individuals with PTSD.
Purpose of the Study:
- To investigate the relationship between changes in resilient coping and changes in PTSD symptoms over time.
- Specifically, to examine if improvements in resilient coping are associated with reductions in intrusion and avoidance symptoms.
- To explore potential therapeutic targets for PTSD by understanding the modifiable aspects of coping.
Main Methods:
- Secondary analysis of longitudinal data from the Washington State Twin Registry.
- Inclusion criteria required participants to report PTSD symptoms at baseline (IES score ≥ 1.0).
- Linear regression was used to assess the association between changes in the Brief Resilient Coping Scale (BRCS) and changes in the Impact of Events Scale (IES) subscales (Intrusion and Avoidance), controlling for baseline scores.
Main Results:
- A statistically significant inverse association was found between changes in resilient coping (BRCS) and changes in intrusive thoughts (IES-Intrusion) over time (b* = -0.07, p = .003).
- Increases in resilient coping were related to decreases in intrusive PTSD symptoms.
- No significant association was observed between changes in resilient coping and changes in avoidance symptoms (IES-Avoidance).
Conclusions:
- This study demonstrates that enhanced resilient coping is longitudinally associated with reduced intrusive PTSD symptoms.
- The findings suggest that interventions aimed at improving resilient coping skills may be beneficial for mitigating intrusive aspects of PTSD.
- Further research into teaching adaptive coping patterns is warranted to diminish PTSD symptoms effectively.
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