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

URN to cite this document:

urn:nbn:de:bvb:355-epub-382656 Copy

DOI to cite this document:

10.5283/epub.38265 Copy

Shiban, Ehab ; Lehmberg, Jens ; Hoffmann, Ute ; Thiel, Jeff ; Probst, Thomas ; Friedl, Margret ; Mühlberger, Andreas ; Meyer, Bernhard ; Shiban, Youssef

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Date of publication of this fulltext: 24 Jan 2019 13:24

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Details

Item type:	Article
Journal or Publication Title:	European Journal of Psychotraumatology
Publisher:	Taylor & Francis Online
Volume:	9
Number of Issue or Book Chapter:	1
Page Range:	p. 1423824
Date:	19 January 2019
Institutions:	Human Sciences > Institut für Psychologie
Projects:	Open Access Publizieren (DFG)
Identification Number:	Value Type 10.1080/20008198.2018.1423824 DOI
Keywords:	Posttraumatic stress disorder; risk factors; peritraumatic distress; elective spine surgery; mediation analysis
Dewey Decimal Classification:	100 Philosophy & psychology > 150 Psychology
Status:	Published
Refereed:	Yes, this version has been refereed
Created at the University of Regensburg:	Yes
Item ID:	38265

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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 ...

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.

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Metadata last modified: 23 Mar 2021 17:55

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