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Partner accommodation in posttraumatic stress disorder: Initial testing of the Significant Others’ Responses to Trauma Scale (SORTS)
Open accessAbstract
Posttraumatic stress disorder (PTSD) is associated with myriad relationship problems and psychological distress in partners of individuals with PTSD. This study sought to develop a self-report measure of partner accommodation to PTSD (i.e., ways in which partners alter their behavior in response to patient PTSD symptoms), the Significant Others' Responses to Trauma Scale (SORTS), and to investigate its reliability and construct validity in 46 treatment-seeking couples. The SORTS demonstrated strong internal consistency and associations with individual and relationship distress. Accommodation was positively correlated with partners' ratings of patients' PTSD symptoms, patient self-reported depressive and trait anger severity, and partner self-reported depressive and state anger severity. Accommodation was negatively correlated with patient and partner relationship satisfaction and partners' perceived social support received from patients. Findings suggest that accommodation may be an attempt to adapt to living with a partner with PTSD but may have negative implications for patient and partner well-being.
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“Based on partneror family-report, there is evidence that engaging in accommodation behaviours is time-consuming and frustrating for the partner or family.”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Fredman et al., 2014
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“For instance, partners provide SA to maintain stability in the relationship (e.g. avoid conflict) and to show affection (Boeding et al ., 2013; Fredman et al ., 2014).”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Fredman et al., 2014
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In the citing paper
“greater partner SA is associated with lower partner-reported relationship satisfaction in PTSD (Fredman et al ., 2014)”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Fredman et al., 2014
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“In studies of partner SA in adult OCD and PTSD greater partner-reported SA was associated with lower partner-rated relationship satisfaction (Boeding et al ., 2013; Fredman et al ., 2014).”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Fredman et al., 2014
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“The growing evidence that SA is relevant across psychological disorders suggests that it may be a transdiagnostic process.”
From Partner symptom accommodation in generalized anxiety disorder: A preliminary examination of correlates with symptoms and cognitive behavioural therapy outcome (2024) · cites this paper as Fredman et al., 2014
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Cites
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The development of a Clinician-Administered PTSD Scale
Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Gusman, F. D., Charney, D. S., & Keane, T. M. (1995) · Journal of Traumatic Stress · doi:10.1002/jts.2490080106 · Cited by 5,024
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Clinician-administered PTSD scale: A review of the first ten years of research
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Subjective Burden of Husbands and Wives as Caregivers: A Longitudinal Study
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Cited by
Sorted by citations
Family accommodation in obsessive-compulsive and anxiety disorders: a five-year update
Lebowitz, E. R., Panza, K. E., & Bloch, M. H. (2016) · Expert Review of Neurotherapeutics · doi:10.1586/14737175.2016.1126181 · Cited by 216
Campbell, S. B., & Renshaw, K. D. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.08.003 · Cited by 135
Creech, S. K., & Misca, G. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.01101 · Cited by 155
Family accommodation in psychopathology: A synthesized review
Shimshoni, Y., Shrinivasa, B., Cherian, A. V., & Lebowitz, E. R. (2019) · Indian Journal of Psychiatry · doi:10.4103/psychiatry.indianjpsychiatry_530_18 · Cited by 90
Accommodation in youth with OCD and anxiety.
Kagan, E. R., Frank, H. E., & Kendall, P. C. (2017) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12186 · Cited by 89
Metadata
- Authors
- Fredman, S. J., Vorstenbosch, V., Wagner, A. C., Macdonald, A., & Monson, C. M.
- Affiliations
- Pennsylvania State University (US)
- Toronto Metropolitan University (CA)
- Boston University (US)
- Corresponding author
- Fredman, Steffany J.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2014-05
- Volume
- 28
- Issue
- 4
- Pages
- 372-381
- ISSN
- 0887-6185 (ISSN-L)
- PMC
- PMC4339021
- OpenAlex
- W2081835053
- Cited by
- 109
- References
- 47
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 13 · 2023: 8 · 2022: 12 · 2021: 12 · 2020: 16 · 2019: 9 · 2018: 7 · 2017: 8 · 2016: 4 · 2015: 9 · 2014: 5
- FWCI
- 10.26
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R34MH076813)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
- Keywords
- post-traumatic stress disorder, couples, relationship distress, depressive symptoms, anger, relationship satisfaction, social support, scale development, construct validity, reliability statistics
- MeSH terms
- Adaptation, Psychological, Adult, Anger, Depression, Female, Humans, Interpersonal Relations, Male, Middle Aged, Personal Satisfaction, Severity of Illness Index, Sexual Partners, Social Support, Stress Disorders, Post-Traumatic, Stress, Psychological, Reproducibility of Results, Self Report
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