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THE ROLE OF ATTRIBUTION OF TRAUMA RESPONSIBILITY IN POSTTRAUMATIC STRESS DISORDER FOLLOWING MOTOR VEHICLE ACCIDENTS
Author(s) -
Nickerson Angela,
Aderka Idan M.,
Bryant Richard A.,
Hofmann Stefan G.
Publication year - 2013
Publication title -
depression and anxiety
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.634
H-Index - 129
eISSN - 1520-6394
pISSN - 1091-4269
DOI - 10.1002/da.22006
Subject(s) - attribution , injury prevention , clinical psychology , psychology , human factors and ergonomics , poison control , occupational safety and health , suicide prevention , posttraumatic stress , psychiatry , comorbidity , medicine , medical emergency , social psychology , pathology
Background Motor vehicle accidents (MVAs) are highly prevalent and associated with adverse psychological outcomes. Methods The present study used data from the National Comorbidity Survey‐Replication (NCS‐R) to examine the association between injury, role in an MVA (driver/nondriver), attributions of responsibility for the accident, and posttraumatic stress disorder (PTSD), amongst 165 MVA survivors. Results Findings indicated that drivers with external attributions of the MVA (i.e. who considered others to be at fault for the MVA) were significantly more likely to have a diagnosis of PTSD than drivers with internal attributions (i.e. considering themselves to be at fault) and nondrivers with external attributions of the accident. Further, serious injury sustained in the accident was related to greater likelihood of developing PTSD. Conclusions External attributions for the MVA among drivers, as well as serious injury during the accident, were related to higher rates of PTSD. The present findings have implications for models that highlight the importance of posttraumatic cognitions in contributing to mental health following a traumatic event.