Understanding the relationship between PTSD and social support: The role of negative network orientation |
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Authors: | Joshua D. Clapp J. Gayle Beck |
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Affiliation: | 1. Department of Psychiatry, Virginia Institute of Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, USA;2. Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA;3. School of Education, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;4. Bradley-Hasbro Children''s Research Center, Rhode Island Hospital, Providence, RI, USA;5. Departments of Psychiatry and Human Behavior and Pediatrics, Alpert Medical School of Brown University, Providence, RI, USA;6. Department of Human and Molecular Genetics, Virginia Commonwealth University, Richmond, VA, USA;1. School of Sociology, Huazhong University of Science and Technology, Wuhan 430074, PR China;2. School of Social Policy & Practice, University of Pennsylvania, Philadelphia, PA, USA;1. Uncertainty Decision-making Laboratory, Sichuan University, No. 24, South Section 1, Yihuan Road, Chengdu, Sichuan 610065, P. R. China;2. College of Teacher Education, Sichuan Normal University. No. 5, Jingan Road, Jinjiang District, Chengdu, Sichuan 610068, P. R. China;1. Department of Psychiatry, Icahn School of Medicine, New York, NY, USA;2. Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, USA |
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Abstract: | Network orientation is conceptualized as an individual's attitudes and expectations regarding the usefulness of support networks in coping with stress. The present research examined the potential for network orientation to explicate the well documented association between post-traumatic stress disorder (PTSD) and attenuated social support. Data collected from survivors of serious motor vehicle trauma (N = 458) were used to test the hypothesis that severity of PTSD would hold a significant indirect relationship with social support through negative network orientation. Childhood victimization and elapsed time from the accident were examined as potential moderators of this indirect relationship. Consistent with hypotheses, path analyses demonstrated a significant indirect relationship between PTSD and social support through negative network orientation. Specifically, this indirect effect was the result of a direct association between PTSD severity and negative network orientation and an inverse association between negative network orientation and social support. This pattern of relationships was invariant across mode of PTSD assessment (interview vs. self-report). No moderation effects were noted. These data suggest that network orientation may be an important factor in understanding interface of interpersonal processes and post-trauma pathology. |
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