Linguistic predictors of post-traumatic stress disorder symptoms following 11 September 2001
Open accessAbstract
Summary: Prior research has linked content analysis drawn from text narratives to psychopathology in trauma survivors. This study used a longitudinal design to determine whether linguistic elements of narrative memories of first hearing about the events of 11 September 2001 predict later post‐traumatic stress disorder (PTSD). Narratives and self‐report PTSD symptoms were collected within 1 week and again 5 months after 9/11 in 40 undergraduates. People who used more “we” words at Time 1 had fewer acute PTSD symptoms. Use of more cognitive mechanism words, more religion words, more first‐person singular pronouns, and fewer anxiety words at Time 1 were related to more chronic PTSD symptoms. Linguistic characteristics accounted for variance in chronic PTSD symptoms above and beyond acute PTSD symptoms. This study provides evidence that lasting PTSD symptoms can be predicted through language in the immediate aftermath of the trauma. Copyright © 2011 John Wiley & Sons, Ltd.
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An increase in cognitive processing words could reflect heightened engagement with trauma content, potentially leading to more symptoms at first.
“Conversely, other research 41,48,74 indicated that an increase in cognitive processing words could reflect heightened engagement with trauma content, potentially leading to more symptoms at first.”
From Linguistic markers for identifying post-traumatic stress disorder and associated symptoms: a systematic literature review (2025) · cites this paper as [48]
The Interpretation of data section says greater use of cognitive-mechanism words shortly after 9/11 predicted greater hyperarousal symptoms months later, and suggests those words may reflect attempts to process trauma-related information. It measured greater use, not an increase in word use, and did not find more symptoms initially; it also offers emotional distancing as an alternative interpretation. (LLM, conf=0.85)
Experimental — accuracy not yet measuredA decrease in first-person plural pronouns was noted, highlighting a possible sense of isolation or disconnection from others.
“On the other side, a decrease in first-person plural pronouns (eg, “we”) was also noted, highlighting a possible sense of isolation or disconnection from others.47,48”
From Linguistic markers for identifying post-traumatic stress disorder and associated symptoms: a systematic literature review (2025) · cites this paper as [48]
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- Authors
- D'Andrea, W., Chiu, P. H., Casas, B. R., & Deldin, P.
- Affiliations
- The New School (US)
- Harvard University (US)
- Corresponding author
- D'Andrea, Wendy
- Venue
- Applied Cognitive Psychology
- Publisher
- Wiley
- Published
- 2011-10-24
- Volume
- 26
- Issue
- 2
- Pages
- 316-323
- ISSN
- 0888-4080 (ISSN-L)
- 1099-0720
- OpenAlex
- W2095740796
- Semantic Scholar
- 73749868e7be99191d1cb4b7dea79599160da225
- Cited by
- 62
- References
- 33
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 6 · 2023: 2 · 2022: 7 · 2021: 5 · 2020: 5 · 2019: 4 · 2018: 3 · 2017: 5 · 2016: 3 · 2015: 3 · 2014: 6 · 2013: 2
- FWCI
- 2.76
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Applied Cognitive Psychology (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Funders
- Harvard University
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Social Psychology › Mental Health via Writing
- Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
- Keywords
- post-traumatic stress disorder, September 11 attacks, narrative memory, first-person pronouns, trauma survivors
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