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The Effects of Terrorist Attacks on Symptom Clusters of PTSD: a Comparison with Victims of Other Traumatic Events

  • Andrea Pozza
  • Letizia Bossini
  • Fabio FerrettiEmail author
  • Miriam Olivola
  • Laura Del Matto
  • Serena Desantis
  • Andrea Fagiolini
  • Anna Coluccia
Original Paper
  • 16 Downloads

Abstract

In the Post-Traumatic Stress Disorder (PTSD) literature, no study assessed differences in symptom clusters among victims of terrorist attacks (TA) as compared with victims of other traumatic events. Due to the intentional nature of the harm infliction, TA may be expected to produce more severe symptoms, particularly avoidance, since this cluster was found to be a severity marker and a maintenance factor of the disorder. As several patients delay treatment-seeking, duration of untreated illness (DUI) is another problem potentially influencing PTSD severity. The current study explored differences in PTSD symptom clusters as a function of the traumatic event type (TA compared with other events), DUI, and sex. One hundred-eight patients with primary PTSD were administered The Clinician Administered PTSD Scale. Mean DUI was approximately 12 years, irrespective of the event type. Patients who had experienced TA had significantly more severe Avoidance/Numbing symptoms and general PTSD severity than those who had experienced other events. No significant effects emerged for DUI and sex on all clusters. Timely recognition and intervention on PTSD may include community psychoeducation programs about its symptoms. Tailored intervention on TA-related PTSD may focus on Avoidance/Numbing by including medication and psychotherapeutic approaches for this symptom cluster.

Keywords

Terrorism Trauma Avoidance Stress Victims Numbing 

Notes

Compliance with Ethical Standards

Conflict of Interest

Andrea Pozza declares that he has no conflict of interest.

Letizia Bossini declares that she has no conflict of interest.

Fabio Ferretti declares that he has no conflict of interest.

Miriam Olivola declares that she has no conflict of interest.

Laura Del Matto declares that she has no conflict of interest.

Serena Desantis declares that she has no conflict of interest.

Andrea Fagiolini declares that he has no conflict of interest.

Anna Coluccia declares that she has no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Medical Sciences, Surgery and NeurosciencesSanta Maria alle Scotte University HospitalSienaItaly
  2. 2.Department of Molecular Medicine, University of Siena School of Medicine and Department of Mental HealthUniversity of Siena Medical Center (AOUS)SienaItaly

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