The effect of sensitization and coping style on post-traumatic stress symptoms and quality of life: two longitudinal studies

The present study investigated the effects of multiple trauma exposure and coping style on post-traumatic stress symptoms and quality of life. It was hypothesized that sensitization would occur in subjects repeatedly exposed to life-threatening situations (study 1), and different coping styles would act as a resilience or facilitating factor in symptom development (study 2). The results showed that the single-exposure group revealed a decrease in trauma specific stress reactions from three weeks to four months, with a persistent reduction at 12-month follow-up, while the repeated-exposure group showed an increase in symptom reporting over the 12-month period. The same pattern emerged for perceived quality of life-measured by the General Health Questionnaire (GHQ-30). The second study revealed a correlation between scores on avoidant-focused coping style and the Impact of Event Scale-avoidance dimension, Post-traumatic Symptom Scale and GHQ-30. Furthermore, only subjects with a dominant coping style of emotion-focused or task-focused coping showed a reduction in trauma-specific symptom scores over time.     

The Infrequency-Posttraumatic Stress Disorder scale (Fptsd) for the MMPI-2: development and initial validation with veterans presenting with combat-related PTSD

Researchers have identified difficulties associated with the use of traditional Minnesota Multiphasic Personality Inventory-2 (MMPI-2; Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989) validity scales with survivors of traumatic events. A new scale, the Infrequency-Posttraumatic Stress Disorder scale (Fptsd), was created from MMPI-2 items that were infrequently endorsed by 940 male combat veterans presenting for treatment at the posttraumatic stress disorder (PTSD) clinics of 2 Veterans Affairs Medical Centers. A variety of statistical methods were implemented that preliminarily established Fptsd's validity with a validation sample of 323 additional PTSD-diagnosed combat veterans. Results indicate that, relative to previously established validity and overreporting scales (F, Fb, and Fp), Fptsd was significantly less related to psychopathology and distress and better at discriminating simulated from genuinely reported PTSD. Clinical implications are discussed concerning the use of Fptsd to assess disability-seeking veterans suspected of overreporting PTSD symptoms.     

Culture and beliefs about time: comparisons among black Americans, black Africans, and white Americans

The authors investigated the extent to which racial factors, cultural factors, or both influence a person's beliefs about physical time, personal time, and experienced and remembered duration. A total of 750 Black American, Black African, and White American students responded to a questionnaire on these beliefs about time. Factor analysis was used to compare belief structures. Pairwise comparisons, performed separately for each statement, tested the direction and strength of the reported beliefs. The groups showed many similarities, but they also showed some differences. All 3 groups differed in beliefs about physical and personal time, but they did not differ in beliefs about duration experiences. This evidence does not support simplistic views of racial or cultural influences. Culture may differentially influence beliefs about physical time and personal time. Beliefs about duration experiences may represent an ethnic factor that transcends cultures.     

Thomas Wolfe: Study of a Wanderer

Thomas Wolfe was an American novelist who in his short and tragic life (1900-1939) was preoccupied with themes of lost youth, memory, transience and an insatiable wandering. Wolfe was preoccupied with what I have seen, felt and thought. He was a wanderer who in his brief life made seven voyages to Europe and compulsively explored that continent. He would never own a home or a piece of land. He rarely lived in an apartment for more than a year and more commonly for just a few months. The purpose of this paper is to explore the meaning of Wolfe's tormented wandering and his endless searching. It will be my thesis that Wolfe demonstrated an inability to mourn. His writings are an attempt to recapture his past and to restore a lost world. Emphasis will be placed on themes of loss and mourning, insatiable hunger and desire, preoccupation with transience and death, and a search for that which was lost.     

Utility of the trauma symptom inventory's atypical response scale in detecting malingered post-traumatic stress disorder

The authors examined the Trauma Symptom Inventory's (TSI) ability to discriminate 88 student post-traumatic stress disorder (PTSD) simulators screened for genuine PTSD from 48 clinical PTSD-diagnosed outpatients. Results demonstrated between-group differences on several TSI clinical scales and the Atypical Response (ATR) validity scale. Discriminant function analysis using ATR revealed 75% correct patient classification but only 48% correct simulator classification, with an overall correct classification rate of 59% (positive predictive power [PPP] = .71; negative predictive power [NPP] = .51). Individual ATR cutoff scores did not yield impressive classification results, with the optimal cutoff (T score = 61) correctly classifying only 61% of simulators and patients (PPP = .66, NPP = .54). Although ATR was not developed as a malingered PTSD screen, instead serving as a general validity screen, caution is recommended in its current clinical use for detecting malingered PTSD.