Protective role of coping flexibility in PTSD and depressive symptoms following trauma |
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| Affiliation: | 1. Cognitive–Behavioral Research Centre (CINEICC), University of Coimbra, Portugal;2. Instituto Superior Miguel Torga, Coimbra, Portugal;1. Hunter College, The City University of New York, United States;2. Teachers College, Columbia University, United States;3. The Graduate Center, The City University of New York, United States;1. Research and Knowledge Centre, Danish Veteran Centre, Ringsted, Denmark;2. School of Psychology, University of Ulster at Coleraine Campus, Coleraine, Northern Ireland, UK;3. The National Centre for Psychotraumatology, University of Southern Denmark, Odense, Denmark;4. Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel;1. Department of Mental Health, ASL 1, L’Aquila, Italy;2. Department of Applied Clinical Sciences and Biotechnology, University of L’Aquila, Italy;3. Department of Clinical and Experimental Medicine, University of Pisa, Italy |
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| Abstract: | The aim of the study was to examine whether coping flexibility would function as a protective factor for PTSD and depressive symptoms in trauma-exposed adults in Korea. A total of 510 adults with a lifetime history of traumatic events completed the Perceived Ability to Cope with Trauma (PACT), the Korea version of the Posttraumatic Stress Diagnostic Scale (PDS-K), and the Patient Health Questionnaire (PHQ-9). Hierarchical regression indicated that coping flexibility was associated with a reduced level of PTSD or depressive symptoms after controlling for comorbid symptoms, age, and elapsed time since the most distressing traumatic event. The interaction of traumatic events and coping flexibility was significant only on PTSD symptom severity but not on depressive symptom severity. Specifically, individuals with low coping flexibility reported higher levels of PTSD symptoms as the number of traumatic events increased. These findings supported the hypothesis that coping flexibility is a protective factor for PTSD and depression following trauma, and lack of coping flexibility may aggravate the risk for PTSD among people with multiple trauma. |
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| Keywords: | Coping flexibility Trauma PTSD Depression Protective factor |
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