AI Article Synopsis

  • The DSM-5 introduced changes regarding PTSD, highlighting the significance of negative emotions like guilt and shame, but research on their prevalence is limited.
  • A study of 869 earthquake survivors from L'Aquila, Italy found that 41.7% met the PTSD criteria, and 11.6% experienced guilt or shame symptoms, with these emotions more prevalent in those with PTSD and maladaptive behaviors.
  • Results indicated a strong correlation between PTSD diagnosis and elevated guilt/shame symptoms, as well as higher maladaptive coping scores in individuals experiencing these emotions, suggesting the need for further research on their impact in disaster survivors.

Article Abstract

Important changes were introduced concerning posttraumatic-stress disorder (PTSD) by the DSM-5 recognizing the role of negative emotions such as guilt and shame, but little evidence is yet available on their prevalence in population assessed by means of DSM-5 criteria. In this study we explored the rates of guilt and shame DSM-5 PTSD diagnostic symptoms among Italian survivors to a massive earthquake and their possible correlation with PTSD and maladaptive behaviors. 869 residents of the town of L'Aquila exposed to the earthquake of April 6th, 2009 were investigated by the Trauma and Loss Spectrum-Self Report (TALS-SR) with particular attention to guilt and shame feelings. DSM-5 symptomatological PTSD was reported by 41.7% of survivors, further 11.6% endorsed at least one guilt/shame symptoms, with significantly higher rates of endorsement were in PTSD respect to No-PTSD subjects, and in the subgroup with at least one maladaptive behavior respect to those with none. There was a significant main effects of PTSD and at least one guilt/shame symptom on TALS-SR symptomatological domains. Mean TALS-SR Maladaptive coping domain score appeared significantly higher in the subgroup with at least one guilt/shame symptom. Further study are needed to investigate guilt and shame feelings in survivors to a natural disaster.

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http://dx.doi.org/10.1016/j.psychres.2016.11.026DOI Listing

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