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Self-Stigma and PTSD: Conceptualization and Implications for Research and Treatment
Natasha Benfer1, Mary Katherine Howell1, Alicia Lucksted1
1Massachusetts Veterans Epidemiological Research and Information Center, VA Boston Healthcare System, Boston (Benfer) VA Capitol Health Care Network (VISN 5) Mental Illness Research, Education, and Clinical Center, Baltimore (Howell, Lucksted, Romero, Drapalski); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Lucksted, Romero, Drapalski).
Self-stigma is a significant issue for individuals with posttraumatic stress disorder (PTSD). Understanding this connection through the social cognitive model can inform new PTSD treatment strategies.
Area of Science:
- Psychology
- Psychiatry
- Trauma Studies
Background:
- Preliminary evidence indicates self-stigma is a significant concern for individuals with posttraumatic stress disorder (PTSD).
- Limited research exists on self-stigma in PTSD, but some symptoms like negative self-thoughts and shame are conceptually related.
- Avoidance behaviors, particularly social avoidance, may also contribute to the relevance of self-stigma in PTSD.
Purpose of the Study:
- To review the social cognitive model's utility in explaining the co-occurrence of self-stigma and PTSD.
- To explore how this model can inform treatment approaches for self-stigma in PTSD.
- To identify future research directions for empirically testing the proposed theoretical framework.
Main Methods:
- Theoretical review and conceptual analysis.
- Application of the social cognitive model to understand self-stigma and PTSD.
- Identification of potential treatment implications and research gaps.
Main Results:
- The social cognitive model provides a framework for understanding the interplay between PTSD symptoms and self-stigma.
- Specific PTSD symptoms may predispose individuals to developing self-stigma.
- The model highlights potential targets for therapeutic interventions.
Conclusions:
- Self-stigma is a relevant and potentially significant issue for individuals with PTSD.
- The social cognitive model offers a valuable lens for conceptualizing and addressing self-stigma in PTSD.
- Further empirical research is needed to validate these theoretical links and inform effective treatments.
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