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All Symptoms Are Not Created Equal: The Prominent Role of Hyperarousal in the Natural Course of Posttraumatic Psychological Distress.
Authors:Schell  Terry L; Marshall  Grant N; Jaycox  Lisa H
Abstract:This 3-wave longitudinal study examined the natural course of posttraumatic stress disorder symptoms using data collected from young adult survivors of community violence. Three key findings emerged. 1. Mean levels of distress for each symptom cluster decreased over time, with reexperiencing decreasing most rapidly. 2. Cross-lagged panel analysis revealed that hyperarousal strongly influences, but is not generally influenced by, other symptoms clusters. 3. Trajectory analysis demonstrated that respondents for whom hyperarousal was the most pronounced baseline symptom showed lower overall symptom improvement relative to trauma exposed counterparts for whom hyperarousal was a less prominent early symptom. Implications for theory, research, and clinical practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
Keywords:natural course  posttraumatic stress disorder symptoms  young adult survivors  community violence  hyperarousal  distress  symptom improvement  posttraumatic stress
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