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Cognitive vulnerabilities to the development of PTSD: A review of four vulnerabilities and the proposal of an integrative vulnerability model
Abstract
While some individuals develop PTSD subsequent to traumatic experiences, many individuals resume prior functioning naturally. Diathesis-stress models suggest that stable individual differences present in individuals prior to trauma may serve as vulnerability factors to symptom development. The high levels of comorbidity and symptom similarity suggest that established vulnerability factors for anxiety and depression may also serve as vulnerability factors for PTSD. The examination of multiple vulnerability factors simultaneously may increase understanding of the etiology of PTSD and comorbid post-trauma symptomatology and account for a greater percentage of variance in PTSD symptoms. In addition, the vulnerability factors may be related to distinct sets of symptoms, with vulnerabilities predicting the PTSD symptoms most similar to their associated disorders. Research examining the relations between attributional style, rumination, anxiety sensitivity, and the looming cognitive style and the development of PTSD after trauma exposure is reviewed and suggestions for future research are provided.
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“One complexity is the usual categorization of sex and gender either as a diathesis or as a risk factor (136), but this is an oversimplification because sex/gender exerts its combined effects through a relatively large number of mediating factors (136).”
From Where Sex Meets Gender: How Sex and Gender Come Together to Cause Sex Differences in Mental Illness (2022) · cites this paper as [136]
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Metadata
- Authors
- Elwood, L. S., Hahn, K. S., Olatunji, B. O., & Williams, N. L.
- Affiliations
- University of Missouri–St. Louis (US)
- University of Mississippi Medical Center (US)
- Vanderbilt University (US)
- University of Arkansas at Fayetteville (US)
- Corresponding author
- Elwood, Lisa S.
- ORCID
- Olatunji, Bunmi O.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2009-02
- Volume
- 29
- Issue
- 1
- Pages
- 87-100
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2032402223
- Cited by
- 284
- References
- 200
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 14 · 2023: 12 · 2022: 32 · 2021: 19 · 2020: 20 · 2019: 10 · 2018: 21 · 2017: 22 · 2016: 16 · 2015: 22 · 2014: 13 · 2013: 22 · 2012: 15
- FWCI
- 1.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- post-traumatic stress disorder, cognitive vulnerability, diathesis-stress model, vulnerability factors, attributional style, rumination, anxiety sensitivity, comorbidities, PTSD etiology, trauma exposure
- MeSH terms
- Affect, Cognition, Humans, Risk Factors, Stress Disorders, Post-Traumatic, Comorbidity
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