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Self-critical depressive experience in posttraumatic stress disorder

E W McCranie1, L A Hyer

  • 1Medical College of Georgia, USA.

Psychological Reports
|December 1, 1995
PubMed
Summary

Self-criticism in veterans with Posttraumatic Stress Disorder (PTSD) is linked to greater PTSD severity. This suggests PTSD-related depression differs from major depressive disorder.

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Area of Science:

  • Psychiatry
  • Psychology
  • Veterans' Health

Background:

  • Combat-related Posttraumatic Stress Disorder (PTSD) is a significant mental health concern.
  • Depression is a common comorbidity in PTSD, but its specific nature within PTSD requires further elucidation.

Purpose of the Study:

  • To investigate the relationship between self-criticism and PTSD severity in combat veterans.
  • To explore whether self-criticism differentiates PTSD-related depression from major depressive disorder.

Main Methods:

  • The study included 73 hospitalized male Vietnam veterans diagnosed with combat-related PTSD.
  • Self-criticism was assessed using the Depressive Experiences Questionnaire.
  • PTSD severity was measured using the Mississippi scale, and symptomatic depression using the MMPI-D scale.

Main Results:

  • Veterans with PTSD reported high levels of self-criticism.
  • Self-criticism scores significantly predicted greater PTSD severity, even after accounting for general depressive symptoms.

Conclusions:

  • Self-criticism is a key factor associated with increased PTSD severity in combat veterans.
  • The findings suggest that depression in the context of PTSD may have distinct characteristics compared to major depressive disorder.

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