PTSD Flashcards
DSM-5 Part A symptoms
Exposure to actual or threatened death, serious injury, or sexual violence
DSM-5 Part B symptoms
Recurrent involuntary and intrusive distressing memories of traumatic event
DSM-5 Part C symptoms
Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely related with the traumatic event
Who created the cognitive model of PTSD
Ehlers and Clark (2000)
Key claims of cognitive model of PTSD
Pre existing traits and cognitive processing during trauma influence the nature of the memory and the appraisal of trauma
What is the nature of trauma memory?
Experiencing dissociation during traumatic event means likely to develop unusual atypical memory of trauma.
What does the filling system do?
Elicited by putting together complex cues in the episodic memory. Trauma gets paired with sensory info which triggers memory
Appraisal of trauma and its consequences
Low self esteem and high self blame
Maladaptive strategies
Avoiding activities and areas related to the trauma creates a vicious cycle - suppressing emotions
Supporting evidence for Ehlers and Clark (2000) model
Ehring et al (2008)
What did Ehring et al (2008) do?
Assessed 147 A&E admissions following road traffic accidents on the day, 2weeks later, 1month later, 3months later and 6months later
What did Ehring et al (2008) find at 2 weeks?
At 2 weeks 33 ppt met PTSD criteria
What did Ehring et al find at 6 months?
At 6 months, 17 ppt still met the criteria for PTSD
What were related to symptoms at 6 months (Ehring et al, 2008)?
Interviews on cognitive processing during trauma, memory disorganisation, negative appraisal & consequences, safety behaviours, rumination, thought suppression + ongoing dissociation.
What is a psychological therapy of PTSD
Trauma focussed cognitive therapy (CBT)