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A network analysis of anger, shame, proposed ICD-11 post-traumatic stress disorder, and different types of childhood trauma in foster care settings in a sample of adult survivors

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dc.contributor.author Gluck, Tobias M. ; Knefel, Matthias ; Lueger-Schuster, Brigitte
dc.date.accessioned 2019-02-06T18:27:53Z
dc.date.available 2019-02-06T18:27:53Z
dc.date.issued 2017
dc.identifier.citation Gluck, Tobias M. ; Knefel, Matthias ; Lueger-Schuster, Brigitte. (2017). A network analysis of anger, shame, proposed ICD-11 post-traumatic stress disorder, and different types of childhood trauma in foster care settings in a sample of adult survivors. European Journal of Psychotraumatology, 8(sup3), DOI: 10.1080/20008198.2017.1372543. en_US
dc.identifier.uri https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5632767/pdf/zept-8-s3-1372543_J.pdf
dc.identifier.uri http://hdl.handle.net/11212/4242
dc.description.abstract Background: Anger and shame are aspects that are specifically associated with psychopathology and maladaptation after childhood abuse and neglect. They are known to influence symptom maintenance and exacerbation; however, their interaction is not fully understood. Objective: To explore with network analysis the association and interaction of prolonged, complex interpersonal childhood abuse and neglect in institutional foster care settings [institutional abuse (IA)] with anger, shame, and the proposed 11th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-11) post-traumatic stress disorder (PTSD) symptoms in adult survivors. Method: Adult survivors of IA (N = 220, mean age = 57.95 years) participated in the study and were interviewed using the Childhood Trauma Questionnaire, the International Trauma Questionnaire, the State–Trait Anger Expression Inventory, the Displaced Aggression Questionnaire, and shame-related items. To identify the most central aspects, we used a staged network analysis and centrality analysis approach: (1) on the scale level; (2) on the item/symptom level; and (3) with modularity analysis to find communities within the item-level network. Results: Trait anger, anger rumination, emotional abuse, and PTSD re-experiencing symptoms played the most important roles on a scale level and were then further analyzed on the item/symptom level. The most central symptom on the item level was anger rumination related to meaningful past events. The modularity analysis supported discriminant validity of the included scales. Conclusions: Anger is an important factor in the psychopathological processes following childhood abuse. Anger rumination is closely related to PTSD symptoms; however, anger is not a part of the proposed ICD-11 PTSD in the present study. (Author Abstract) en_US
dc.language.iso en en_US
dc.publisher European Journal of Psychotraumatology en_US
dc.subject child abuse en_US
dc.subject Adverse Childhood Experiences (ACE) en_US
dc.subject psychological effects en_US
dc.subject research en_US
dc.subject International Resources en_US
dc.subject Austria en_US
dc.title A network analysis of anger, shame, proposed ICD-11 post-traumatic stress disorder, and different types of childhood trauma in foster care settings in a sample of adult survivors en_US
dc.type Article en_US


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