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Self-concept, post-traumatic self-appraisals and post-traumatic psychological adjustment: what are the relationships?

Published online by Cambridge University Press:  17 April 2020

Alberta Engelbrecht*
Affiliation:
Institute of Psychiatry, King’s College London, UK
Laura Jobson
Affiliation:
Monash University, Melbourne, Australia
*
*Corresponding author. Email: Alberta.R.Engelbrecht@kcl.ac.uk

Abstract

Background:

Cognitive models of post-traumatic psychological adjustment have implicated both self-concept and self-appraisals in post-traumatic stress disorder (PTSD). Two studies investigated the relationship between self-concept and trauma-related self-appraisals, and whether culture influenced this relationship.

Method:

In Study 1, a student sample (Asian n = 41, British n = 34) who self-identified as having been through a trauma or extremely stressful event completed measures of self-concept, trauma-related self-appraisals and trauma-related distress. Study 2 extended this by asking Asian (n = 47) and British (n = 48) trauma survivors with and without PTSD to complete the same self measures as those administered in Study 1.

Results:

Study 1 found that overall for the British group, disruptions in self-concept (i.e. self-discrepancies and trauma-themed self-concept) correlated significantly with negative self, world and self-blame appraisals and depression. However, the same was not found in the Asian group. Study 2 found that pan-culturally those with PTSD had greater self-discrepancies and trauma-defined self-concept than those without PTSD. Additionally, pan-culturally, trauma-defined self-concept correlated significantly with negative self appraisals and depression; ideal self-discrepancies correlated significantly with negative self-appraisals across cultures and depression for the British group; while ought self-discrepancies correlated significantly with negative world appraisals for the Asian group and negative self and self-blame appraisals for the British. Lastly, negative self, world and self-blame appraisals correlated with symptoms of depression.

Conclusions:

Taken together, the findings relay the important associations between appraisals, self-concept and post-traumatic psychological adjustment.

Type
Main
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2020

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Footnotes

Author note: prior dissemination of some ideas and data appearing in this manuscript were presented at the Los Angeles USA Regional Conference of the International Association for Cross-Cultural Psychology 2013.

References

Abernathy, B. E. (2008). Who am I now? Helping trauma clients find meaning, wisdom, and a renewed sense of self. In Walz, G. R., Bleuer, J. C. & Yep, R. K.. (eds), Compelling Counseling Interventions, pp. 199208. Ann Arbor, MI, USA: Counseling Outfitters, LLC.Google Scholar
American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders (4th edn), revised. Washington, DC, USA: American Psychiatric Association.Google Scholar
Berntsen, D., & Rubin, D. C. (2006). The centrality of event scale: a measure of integrating a trauma into one’s identity and its relation to post-traumatic stress disorder symptoms. Behaviour Research and Therapy, 44, 219231.CrossRefGoogle ScholarPubMed
Berntsen, D., & Rubin, D. C. (2007). When a trauma becomes a key to identity: enhanced integration of trauma memories predicts posttraumatic stress disorder symptoms. Applied Cognitive Psychology, 21, 417431.CrossRefGoogle Scholar
Bochner, S. (1994). Cross-cultural differences in the self concept: a test of Hofstede’s individualism/collectivism distinction. Journal of Cross-Cultural Psychology, 25, 273283.CrossRefGoogle Scholar
Brennan, J. (2001). Adjustment to cancer – coping or personal transition? Psycho-oncology, 10, 118.3.0.CO;2-T>CrossRefGoogle ScholarPubMed
Brewin, C. R. (2011). The nature and significance of memory disturbance in posttraumatic stress disorder. Annual Reviews of Clinical Psychology, 7, 203227.CrossRefGoogle ScholarPubMed
Brewin, C. R., Dalgleish, T., & Joseph, S. (1996). A dual representation theory of posttraumatic stress disorder. Psychological Review, 103, 670686.CrossRefGoogle ScholarPubMed
Brewin, C. R., & Holmes, E. A. (2003). Psychological theories of posttraumatic stress disorder. Clinical Psychology Review, 23, 339376.CrossRefGoogle ScholarPubMed
Bryant, R. A., & Guthrie, R. M. (2005). Maladaptive appraisals as a risk factor for posttraumatic stress: a study of trainee firefighters. Psychological Science, 16, 749752.CrossRefGoogle ScholarPubMed
Choi, I., & Choi, Y. (2002). Culture and self-concept flexibility. Personality and Social Psychology Bulletin, 28, 15081517.CrossRefGoogle Scholar
Church, A. T., Anderson-Harumi, C. A., del Prado, A. M., Curtis, G. J., Tanaka-Matsumi, J., Valdez-Medina, J. L., et al. (2008). Culture, cross-role consistency, and adjustment: testing trait and cultural psychology perspectives. Journal of Personality and Social Psychology, 95, 739755.CrossRefGoogle ScholarPubMed
Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155159. doi: 10.1037/0033-2909.112.1.155CrossRefGoogle ScholarPubMed
Combs, A. W., & Snygg, D. (1959). Individual Behavior (rev. edn). New York, USA: Harper & Row.Google Scholar
Cukur, C. S. (2002). Extending self-discrepancy theory: the role of different standpoints on self-regulation across cultures. Doctorial dissertation, retrieved from ETD collection for University of Nebraska – Lincoln (Paper AAI3055268).Google Scholar
Derogatis, L. R., Lipman, R. S., Rickels, K., & Cori, L. (1974). The Hopkins Symptom Checklist (HSCL): a self-report symptom inventory. Behavioral Science, 19, 115.CrossRefGoogle ScholarPubMed
Dragan, M., Gulcz, M., & Wojtowicz, S. (2005). The adaptation of Posttraumatic Cognitions Inventory (PTCI): report from an initial validation study. Przeglad Psyhcologiczny, 48, 417430.Google Scholar
Dunmore, E., Clark, D. M., & Ehlers, A. (1997). Cognitive factors in persistent versus recovered posttraumatic stress disorder after physical or sexual assault: a pilot study. Behavioural and Cognitive Psychotherapy, 25, 147159.CrossRefGoogle Scholar
Ehlers, A., & Clark, D. M. (2000). A cognitive model of post-traumatic stress disorder. Behaviour Research and Therapy, 38, 319345.CrossRefGoogle Scholar
Ehlers, A., & Steil, R. (1995). Maintenance of intrusive memories in posttraumatic stress disorder: a cognitive approach. Behavioural and Cognitive Psychotherapy, 23, 217249.CrossRefGoogle ScholarPubMed
Engelbrecht, A., & Jobson, L. (2014). An investigation of trauma-associated appraisals and posttraumatic stress disorder in British and Asian trauma survivors: the development of the Public and Communal Self Appraisal Measure (PCSAM). SpringerPlus, 3, 44.CrossRefGoogle Scholar
English, T., & Chen, S. (2011). Self-concept consistency and culture: the differential impact of two forms of consistency. Personality and Social Psychology Bulletin, 37, 838849.CrossRefGoogle ScholarPubMed
Field, A. (2009). Discovering Statistics Using SPSS (3rd edn). California, USA: Sage Publications Inc.Google Scholar
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured clinical interview for DSM-IV-TR axis I disorders, research version, patient edition. (SCID-I/P) New York: Biometrics Research, New York State Psychiatric Institute.Google Scholar
Foa, E. B., Ehlers, A., Clark, D. M., Tolin, D. F., & Orsillo, S. M. (1999). The Posttraumatic Cognitions Inventory (PTCI): development and validation. Psychological Assessment, 11, 303313.CrossRefGoogle Scholar
Foa, E. B., Keane, T. M., Friedman, M. J., & Cohen, J. A. (eds) (2009). Effective Treatments for PTSD: Practice Guidelines from the International Society for Traumatic Stress Studies (2nd edn). New York, USA: Guilford Press.Google Scholar
Foa, E. B., & Riggs, D. S. (1993). Post-traumatic stress disorder in rape victims. In Oldham, J., Riba, M. B. & Tasman, A. (eds), American Psychiatric Press Review of psychiatry (vol. 12, pp. 273303). Washington, DC, USA: American Psychiatric Press.Google Scholar
Gage, E., Coker, S., & Jobson, L. (2015). Cross-cultural differences in desirable and undesirable forms of self-consistency and influence on symptoms of depression and anxiety. Journal of Cross-Cultural Psychology, 46, 713722.CrossRefGoogle Scholar
Heine, S. J. (2001). Self as a product of culture: an examination of East Asian and North American selves. Journal of Personality, 69, 881906.CrossRefGoogle ScholarPubMed
Heine, S. J., & Lehman, D. R. (1997). Culture, dissonance, and self-affirmation. Personality and Social Psychology Bulletin, 23, 389400.CrossRefGoogle Scholar
Heine, S. J., Lehman, D. R., Markus, H. R., & Kitayama, S. (1999). Is there a universal need for positive self-regard? Psychological Review, 106, 766794.CrossRefGoogle Scholar
Higgins, E. T. (1987). Self-discrepancy: a theory relating self and affect. Psychological Review, 94, 319340.CrossRefGoogle ScholarPubMed
Higgins, E. T. (1996). The ‘self-digest’: self-knowledge serving self-regulatory functions. Journal of Personality and Social Psychology, 71, 10621083.CrossRefGoogle Scholar
Higgins, E. T., Klein, R., & Strauman, T. (1985). Self-concept discrepancy theory: a psychological model for distinguishing among different aspects of depression and anxiety. Social Cognition, 3, 5176.CrossRefGoogle Scholar
Hembree, E. A., & Foa, E. B. (2004). Promoting cognitive change in posttraumatic stress disorder. In Reinecke, M. A. & Clark, D. A. (eds), Cognitive Therapy Across the Lifespan: Evidence and Practice (pp. 231257). New York, USA: Cambridge University Press.Google Scholar
Hofstede, G., & Hofstede, G. J. (2004). Cultures and Organizations: Software of the Mind. New York, USA: McGraw-Hill.Google Scholar
Janoff-Bulman, R. (1992). Shattered Assumptions: Towards a New Psychology of Trauma. New York, USA: Free Press.Google Scholar
Jobson, L., & Dalgleish, T. (2014). Cultural differences in the relationship between intrusions and trauma narratives using the trauma film paradigm. PLOS One, 9, e106759. doi: 10.1371/journal.pone.0106759CrossRefGoogle ScholarPubMed
Jobson, L., Moradi, A. R., Rahimi-Movaghar, V., Conway, M. A., & Dalgleish, T. (2014). Culture and the remembering of trauma. Clinical Psychological Science, 2, 696713.CrossRefGoogle Scholar
Jobson, L., & O’Kearney, R. T. (2006). Cultural differences in autobiographical memory of trauma. Clinical Psychologist, 10, 8998.CrossRefGoogle Scholar
Jobson, L., & O’Kearney, R. T. (2008). Cultural differences in personal identity in posttraumatic stress disorder. British Journal of Clinical Psychology, 47, 116.CrossRefGoogle Scholar
Jobson, L., & O’Kearney, R. T. (2009). Impact of cultural differences in self on cognitive appraisals in posttraumatic stress disorder. Behavioural and Cognitive Psychotherapy, 37, 249266.CrossRefGoogle ScholarPubMed
Keen, S. M., Kutter, C. J., Niles, B. L., & Krinsley, K. E. (2008). Psychometric properties of PTSD Checklist in sample of male veterans. Journal of Rehabilitation Research and Development, 45, 465474. http://dx.doi.org/10.1682/JRRD.2007.09.0138CrossRefGoogle ScholarPubMed
Krech, D., & Crutchfield, R. S. (1948). Theory and Problems of Social Psychology. New York, USA: McGraw-Hill Book Co.CrossRefGoogle Scholar
Kuhn, M. H., & McPartland, T. S. (1954). An empirical investigation of self-attitudes. American Sociological Review, 19, 6876. https://doi.org/10.2307/2088175CrossRefGoogle Scholar
Leary, M. R. and Tangney, J. P. (2005). Handbook of Self and Identity. New York, USA: Guilford.Google Scholar
Liss, M., Schiffrin, H. H., & Rizzo, K. M. (2013). Maternal guilt and shame: The role of self-discrepancy and fear of negative evaluation. Journal of Child and Family Studies, 22, 11121119.CrossRefGoogle Scholar
Markus, H. R., & Kitayama, S. (1991). Culture and the self: implications for cognition, emotion, and motivation. Psychological Review, 98, 224253.CrossRefGoogle Scholar
Markus, H. R., & Kitayama, S. (1994). A collective fear of the collective. Implications for selves and theories of selves. Personality and Social Psychology Bulletin, 20, 568579.CrossRefGoogle Scholar
Markus, H. R., & Kitayama, S. (2010). Cultures and selves: a cycle of mutual constitution. Perspectives on Psychological Science, 5, 420430.CrossRefGoogle ScholarPubMed
Markus, H., & Wurf, E. (1987). The dynamic self-concept: a social psychological perspective. In Rosenzweig, M. R. & Porter, L.W. (eds), Annual Review of Psychology, 38, 299337.Google Scholar
McDaniel, B., & Grice, J. W. (2005). Measuring self-discrepancies on the Big Five personality traits with the repertory grid. Personal Construct Theory & Practice, 2, 1831.Google Scholar
Mouanoutoua, V. L., & Brown, L. G. (1995) Hopkins Symptom Checklist Hmong version: a screening instrument for psychological distress. Journal of Personality and Assessment, 64, 376383CrossRefGoogle ScholarPubMed
McNally, R. J., Lasko, N. B., Macklin, M. L., & Pitman, R. K. (1995). Autobiographical memory disturbance in combat-related post- traumatic stress disorder. Behaviour Research and Therapy, 33, 619630.CrossRefGoogle Scholar
Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879891.CrossRefGoogle ScholarPubMed
Ross, M. & Wang, Q. (2010). Why we remember and what we remember: culture and autobiographical memory. Perspectives on Psychological Science, 5, 401409.CrossRefGoogle ScholarPubMed
Spitzer, S. P., Couch, C., & Stratton, J. (1973). The Assessment of the Self. New York: Escort Sernoll Inc.Google Scholar
Stone, B. (2006). Identity/Crisis: Narratives, Self, Trauma. Synopsis and introduction. Department of English Literature, University of Sheffield. Retrieved 12 September 2011 from: http://www.shef.ac.uk/content/1/c6/03/39/69/LIT304_Identity_Crisis_2006_.pdfGoogle Scholar
Stander, V. A., Thomsen, C. J., & Highfill-McRoy, R. M. (2014). Etiology of depression comorbidity in combat-related PTSD: a review of the literature. Clinical Psychology Review, 34, 8798.CrossRefGoogle ScholarPubMed
Strauman, T. J. (1990). Self-guides and emotionally significant childhood memories: a study of retrieval efficiency and incidental negative emotional content. Journal of Personality and Social Psychology, 59, 869880.CrossRefGoogle Scholar
Strauman, T. J., & Higgins, E. T. (1987). Automatic activation of self- discrepancies and emotional syndromes: when cognitive structures influence affect. Journal of Personality and Social Psychology, 53, 10041014.CrossRefGoogle ScholarPubMed
Su, Y. J., & Chen, S. H. (2008). The posttraumatic cognitions inventory-Chinese revised: validation and refinement with a traumatized college sample in Taiwan. Journal of Anxiety Disorders, 22, 11101119.CrossRefGoogle ScholarPubMed
Suh, E. M. (2000). Self, the hyphen between culture and subjective well-being. In Diener, E. & Suh, E. M. (eds), Culture and Subjective Well-Being (pp. 6386). Cambridge, MA, USA: MIT Press.Google Scholar
Suh, E. M. (2002). Culture, identity consistency, and subjective well-being. Journal of Personality and Social Psychology, 83, 13781391.CrossRefGoogle ScholarPubMed
Sutherland, K., & Bryant, R. A. (2005). Self-defining memories in post-traumatic stress disorder. British Journal of Clinical Psychology, 4, 591598.CrossRefGoogle Scholar
Sutherland, K., & Bryant, R. A. (2008). Autobiographical memory and the self-memory system in posttraumatic stress disorder. Journal of Anxiety Disorders, 22, 555560.CrossRefGoogle ScholarPubMed
Wang, Q. (2001). Culture effects on adults’ earliest childhood recollection and self-description: implications for the relation between memory and the self. Journal of Personality and Social Psychology, 81, 220233.CrossRefGoogle ScholarPubMed
Wang, Q., & Ross, M. (2005). What we remember and what we tell: the effects of culture and self-priming on memory representations and narratives. Memory, 13, 594606.CrossRefGoogle ScholarPubMed
Watkins, D., & Gerong, A. (1999). Language of response and the spontaneous self-concept: a test of the cultural accommodation hypothesis. Journal of Cross-Cultural Psychology, 30, 115121.CrossRefGoogle Scholar
Weathers, F. W., Litz, B. T., Herman, D. S., Huska, J. A., & Keane, T. M. (1993). The PTSD Checklist (PCL): reliability, validity, and diagnosticutility. Paper presented at the meeting of the International Society of Traumatic Stress Studies, San Antonio, TX.Google Scholar
Weiss, D. S., & Marmar, C. R. (1997). The Impact of Event Scale-Revised. In Wilson, J. P. & Keane, T. M. (eds), Assessing Psychological Trauma and PTSD: A Practitioner’s Handbook (pp. 399411). New York, USA: Guilford Press.Google Scholar
Wells, S. Y., Morlan, L. A., Torres, E. M., Kloezeman, K., Mackintosh, M., & Aarons, A. (2017). The development of a brief version of the Post-Traumatic Cognitions Inventory (PTCI-9). Assessment, 116.Google Scholar
Wu, K. K., & Chan, S. K. (2004). Psychometric properties of the Chinese version of Impact of Event Scale-Revised (IES-R). Hong Kong Journal of Psychitry, 14, 28.Google Scholar
Wu, K. K., Chan, S. K., & Yiu, V. F. (2008). Psychometric properties and confirmatory factor analysis of the Posttraumatic Stress Disorder Checklist (PCL) for Chinese survivors of motor vehicle accident. Hong Kong Journal of Psychiatry, 18.Google Scholar
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