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When trust is lost: the impact of interpersonal trauma on social interactions

Published online by Cambridge University Press:  25 July 2018

Victoria Bell ,
Benjamin Robinson ,
Cornelius Katona ,
Anne-Kathrin Fett  and
Sukhi Shergill
Victoria Bell*
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
Benjamin Robinson
Affiliation:
Adult Psychiatry, South London and Maudsley NHS Foundation Trust, London, UK
Cornelius Katona
Affiliation:
Division of Psychiatry, University College London, London, UK Helen Bamber Foundation, London, UK
Anne-Kathrin Fett
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK Department of Psychology, City University of London, London, UK
Sukhi Shergill
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
*
Author for correspondence: Victoria Bell, E-mail: victoria.1.bell@kcl.ac.uk
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Abstract

Background

Trauma due to deliberate harm by others is known to increase the likelihood of developing Post-Traumatic Stress Disorder (PTSD). This is the first study investigating basic and dynamic trust in ‘interpersonal’ PTSD.

Methods

Thirty-two participants with PTSD and 22 healthy controls played a novel multi-round version of a monetary investment protocol, the so-called ‘Trust Game’, a task from the behavioural economics literature, which is considered to involve trust and reciprocity. We used two ‘Trust Games’ including cooperative and unfair partners.

Results

Findings showed an effect for lower basic investment in PTSD compared to healthy controls, that trended towards significance (p = 0.09). All participants showed behavioural flexibility and modified their trust based on behavioural cues from their cooperative and unfair game partners. However, participants with PTSD made significantly lower investments towards the cooperative partner than controls. Investments towards the unfair partner did not differ between groups. Higher trauma scores were associated with lower levels of trust-related investments towards the cooperative but not the unfair game partner.

Conclusion

The association between reduced trust towards cooperative others in individuals who experienced interpersonal trauma could indicate acquired insensitivity to social rewards or inflexible negative beliefs about others as a sequel of the traumatic experience, which increases in a dose response relationship with the severity of the trauma. A specific focus on cooperation and trusting behaviour could provide a treatment target for future cognitive and pharmacological interventions.

Keywords

Interpersonal traumaPTSDtrustTrust Game
Type
Original Articles
Information
Psychological Medicine , Volume 49 , Issue 6 , April 2019 , pp. 1041 - 1046
Copyright
Copyright © Cambridge University Press 2018 

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