The role of trauma-related shame and attributions in posttraumatic stress disorder

Seah, Li Min Rebecca

The role of trauma-related shame and attributions in posttraumatic stress disorder

Seah, Li Min Rebecca

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Publication Type:: Thesis
Issue Date:: 2023

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Field	Value	Language
dc.contributor.author	Seah, Li Min Rebecca
dc.date.accessioned	2024-04-21T22:28:09Z
dc.date.available	2024-04-21T22:28:09Z
dc.date.issued	2023
dc.identifier.uri	http://hdl.handle.net/10453/178147
dc.description	University of Technology Sydney. Graduate School of Health.	en_US.UTF-8
dc.description.abstract	Shame is a common posttraumatic response that is both associated with and predictive of posttraumatic stress disorder (PTSD). The present program of research extends both theoretical our understanding of shame, and PTSD. It also investigated whether appraisals of causality; cognitive attributions were related to shame and PTSD. Studies 1 and 2 examine the relationship between shame and PTSD cross-sectionally and prospectively. It also investigated whether this relationship would be influenced by both trauma type and cumulative trauma exposure. Studies 3-5 investigated the link between cognitive attributions, shame, and PTSD. Study 3 systematically reviewing peer review articles between 1980 and 2022. Study 4 and 5 provided empirical support linking internal, stable, and global attributions to shame and PTSD in a large trauma exposed cohort. Findings across preceding studies provided empirical support linking shame and PTSD, however it was unclear whether these relationships generalise to clinical treatment seeking populations. Accordingly, the final study investigated whether shame maintains PTSD across treatment, and its response to existing PTSD treatment protocols. Overall, this program of research enriched our conceptualisation of trauma-related shame, offered insight into the underlying cognitive mechanisms of shame and PTSD with implications for clinical practice and areas for future research also discussed.	en_US.UTF-8
dc.format	Thesis (PhD)
dc.language.iso	en_US	en_US.UTF-8
dc.relation	https://opus.lib.uts.edu.au/bitstream/10453/178147/1/thesis.pdf
dc.rights	info:eu-repo/semantics/openAccess
dc.rights	The author owns the copyright in this thesis including all reproduction and reuse rights for the work. The work may not be altered without the permission of the copyright owner. Attribution is essential when quoting or paraphrasing from this thesis.
dc.rights	© 2023 Li Min Rebecca Seah
dc.rights	au.edu.uts.lib/nph
dc.title	The role of trauma-related shame and attributions in posttraumatic stress disorder	en_US.UTF-8
dc.type	Thesis
utslib.copyright.status	open_access	*

Abstract:

Shame is a common posttraumatic response that is both associated with and predictive of posttraumatic stress disorder (PTSD). The present program of research extends both theoretical our understanding of shame, and PTSD. It also investigated whether appraisals of causality; cognitive attributions were related to shame and PTSD. Studies 1 and 2 examine the relationship between shame and PTSD cross-sectionally and prospectively. It also investigated whether this relationship would be influenced by both trauma type and cumulative trauma exposure. Studies 3-5 investigated the link between cognitive attributions, shame, and PTSD. Study 3 systematically reviewing peer review articles between 1980 and 2022. Study 4 and 5 provided empirical support linking internal, stable, and global attributions to shame and PTSD in a large trauma exposed cohort. Findings across preceding studies provided empirical support linking shame and PTSD, however it was unclear whether these relationships generalise to clinical treatment seeking populations. Accordingly, the final study investigated whether shame maintains PTSD across treatment, and its response to existing PTSD treatment protocols. Overall, this program of research enriched our conceptualisation of trauma-related shame, offered insight into the underlying cognitive mechanisms of shame and PTSD with implications for clinical practice and areas for future research also discussed.

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http://hdl.handle.net/10453/178147