Peritraumatic distress fully mediates the relationship between posttraumatic stress symptoms preoperative and three months postoperative in patients undergoing spine surgery

Shiban, Ehab and Lehmberg, Jens and Hoffmann, Ute and Thiel, Jeff and Probst, Thomas and Friedl, Margret and Muehlberger, Andreas and Meyer, Bernhard and Shiban, Youssef (2018) Peritraumatic distress fully mediates the relationship between posttraumatic stress symptoms preoperative and three months postoperative in patients undergoing spine surgery. EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY, 9 (1): 1423824. ISSN 2000-8198, 2000-8066

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Abstract

Background: Growing evidence shows the significance of illness and surgical procedures as traumatizing stressors. Risk factors are widely investigated in various settings and samples, using numerous measures of posttraumatic stress and posttraumatic stress disorder (PTSD). While pretrauma psychological distress is acknowledged as an influential factor, peritraumatic experiences are controversially still being discussed as relevant to the development of PTSD. Objective: In a group of patients consecutively undergoing elective spine surgery (N = 89) in a German hospital, this longitudinal study addressed the question of how pretrauma PTSD symptoms and peritrauma distress interact with one another in regard to the amount of posttrauma symptoms of PTSD. Methods: Pre- and posttrauma symptoms of PTSD as well as peritrauma distress were assessed through questionnaires one week before, one week after or three months after surgery. Results: Even though all three variables showed significant correlations with one another, mediation analysis revealed that peritrauma distress fully mediated the relationship between pre- and posttrauma PTSD symptoms. Conclusions: These results add new insights to the controversial discussion on the role peritraumatic experiences play in the development of PTSD, especially in medical settings.

Item Type: Article
Uncontrolled Keywords: RISK-FACTORS; DISORDER; DISSOCIATION; METAANALYSIS; TRAUMA; PREDICTORS; CHILDREN; CANCER; IMPACT; BIRTH; Posttraumatic stress disorder; risk factors; peritraumatic distress; elective spine surgery; mediation analysis
Subjects: 100 Philosophy & psychology > 150 Psychology
Divisions: Psychology and Pedagogy > Institut für Psychologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 19 Mar 2020 12:28
Last Modified: 19 Mar 2020 12:28
URI: https://pred.uni-regensburg.de/id/eprint/15189

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