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Cognitive bias in acute stress disorder
1School of Psychology, University of New South Wales, Sydney, Australia.
Behaviour Research and Therapy
|September 24, 1998
Summary
Survivors of motor vehicle accidents with acute stress disorder (ASD) showed greater cognitive bias, exaggerating negative event probability and cost. Avoidance symptoms significantly predicted these biases, impacting posttraumatic adjustment.
Area of Science:
- Psychology
- Trauma Studies
- Cognitive Science
Background:
- Motor vehicle accidents are a common cause of trauma.
- Acute stress disorder (ASD) is a potential consequence of traumatic events.
- Cognitive biases may play a role in the development and maintenance of posttraumatic stress.
Purpose of the Study:
- To investigate cognitive bias in motor vehicle accident survivors.
- To compare cognitive bias between survivors with and without acute stress disorder (ASD).
- To identify predictors of cognitive bias in this population.
Main Methods:
- Participants: 34 motor vehicle accident survivors (17 with ASD, 17 without ASD).
- Measures: Acute Stress Disorder Interview, Beck Depression Inventory, Beck Anxiety Inventory, Impact of Event Scale (IES), Probability Questionnaire (PQ), Cost Questionnaire (CQ).
- Data Collection: Within four weeks of the accident.
Main Results:
- ASD participants exhibited significantly greater exaggeration of negative event probability (PQ scores) and adverse event cost (CQ scores) compared to non-ASD participants.
- Impact of Event Scale-Avoidance scores were the sole significant predictors for both PQ and CQ scores.
- These findings suggest a link between avoidance behaviors and cognitive biases in trauma survivors.
Conclusions:
- Cognitive biases, specifically the exaggeration of negative event probability and cost, are more pronounced in motor vehicle accident survivors with acute stress disorder.
- Avoidance symptoms are key indicators of cognitive bias in the context of posttraumatic adjustment.
- Understanding these cognitive errors is crucial for developing effective interventions for posttraumatic adjustment.