Journal
BEHAVIOUR RESEARCH AND THERAPY
Volume 45, Issue 1, Pages 151-162Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.brat.2006.02.004
Keywords
PTSD; ASD; narrative memory; traumatic brain injury
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We investigated the trauma narratives of 131 road traffic accident survivors prospectively, at I week, 6 weeks, and 3 months post-trauma. At I and 6 weeks, narratives of survivors with acute stress disorder (ASD) or post-traumatic stress disorder (PTSD) were less coherent and included more dissociation content. By 3 months, their narratives also contained more repetition, more non-consecutive chunks, and more sensory words. Traumatic brain injury was associated with a separate characteristic, confusion, at all three time points. Three aspects of narrative organisation at I week-repetition, non-consecutive chunks, and coherence-predicted PTSD severity at 3 months after controlling for initial symptoms. The results suggest both a strong concurrent and predictive relationship between narrative disorganisation and ASD/PTSD but that as people recover from ASD, their narratives do not necessarily become less disorganised. (c) 2006 Elsevier Ltd. All rights reserved.
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