Social interactions in trauma disclosure: A multi-informant and multiconstruct investigation.

Research has established that social factors are integral to trauma recovery. Yet, there is relatively little data on the association between social interactions from different supports and posttraumatic stress disorder (PTSD) symptoms. Moreover, few studies have measured these factors from multiple informants. This paper examined social interactions from different sources (i.e., negative and positive reactions from a chosen close other [CO], family/friends, and general non-COs) and their association with PTSD symptoms using multi-informant reports of the social constructs (i.e., from the individual exposed to trauma [TI] and their CO). Participants (N = 104 dyads) were recruited from an urban center within 6 months of the TIs' exposure to a traumatic event. TIs were assessed using the Clinician-Administered PTSD Scale. TI self-report, t(97) = 2.58, p = .012, and CO collateral report of disapproval from family/friends, t(97) = 2.14, p = .035, and TI self-report of general disapproval, t(97) = 4.91, p < .001, emerged as significant predictors of PTSD symptoms when compared with other social constructs. Interventions that target family members' and friends' reactions to trauma survivors and societal discourse around trauma and reactions to trauma survivors are recommended. Clinical interventions that buffer against TIs' experiences of disapproval and guide COs on the provision of supportive responses are discussed.

[1]  Alyson K. Zalta,et al.  Examining moderators of the relationship between social support and self-reported PTSD symptoms: A meta-analysis. , 2020, Psychological bulletin.

[2]  Emily R. Dworkin,et al.  Social reactions to disclosure of interpersonal violence and psychopathology: A systematic review and meta-analysis. , 2019, Clinical psychology review.

[3]  Melanie D. Hetzel-Riggin,et al.  “You Blame Me, Therefore I Blame Me”: The Importance of First Disclosure Partner Responses on Trauma-Related Cognitions and Distress , 2018, Journal of interpersonal violence.

[4]  P. Schnurr,et al.  The Clinician-Administered PTSD Scale for DSM–5 (CAPS-5): Development and Initial Psychometric Evaluation in Military Veterans , 2017, Psychological assessment.

[5]  Kerry L. Gagnon,et al.  Women’s Experiences of Social Reactions From Informal and Formal Supports: Using a Modified Administration of the Social Reactions Questionnaire , 2017, Journal of interpersonal violence.

[6]  W. Xu,et al.  Web-based intervention improves social acknowledgement and disclosure of trauma, leading to a reduction in posttraumatic stress disorder symptoms , 2016, Journal of health psychology.

[7]  M. Schafer,et al.  The Dynamics of Social Support Inequality: Maintenance Gaps by Socioeconomic Status and Race? , 2016 .

[8]  J. Beck,et al.  Social support, posttraumatic cognitions, and PTSD: The influence of family, friends, and a close other in an interpersonal and non-interpersonal trauma group. , 2015, Journal of anxiety disorders.

[9]  S. Ullman,et al.  Unsupported or Turned Against , 2015, Psychology of women quarterly.

[10]  C. Welton-Mitchell,et al.  Longitudinal Predictors of Women’s Experiences of Social Reactions Following Intimate Partner Abuse , 2014, Journal of interpersonal violence.

[11]  A. Horn,et al.  A socio-interpersonal perspective on PTSD: the case for environments and interpersonal processes. , 2013, Clinical psychology & psychotherapy.

[12]  H. Resnick,et al.  National estimates of exposure to traumatic events and PTSD prevalence using DSM-IV and DSM-5 criteria. , 2013, Journal of traumatic stress.

[13]  E. Walker,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[14]  J. Davidson,et al.  Clinician‐administered PTSD scale: A review of the first ten years of research , 2001, Depression and anxiety.

[15]  D. Charney,et al.  The development of a Clinician-Administered PTSD Scale , 1995, Journal of traumatic stress.