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The influence of sense of coherence and mindfulness on PTSD symptoms and posttraumatic cognitions in a sample of elderly Austrian survivors of World War II

Published online by Cambridge University Press:  14 September 2015

Tobias M. Glück*
Affiliation:
Faculty of Psychology, University of Vienna, Liebiggasse 5, Vienna, Austria
Ulrich S. Tran
Affiliation:
Faculty of Psychology, University of Vienna, Liebiggasse 5, Vienna, Austria
Simone Raninger
Affiliation:
Faculty of Psychology, University of Vienna, Liebiggasse 5, Vienna, Austria
Brigitte Lueger-Schuster
Affiliation:
Faculty of Psychology, University of Vienna, Liebiggasse 5, Vienna, Austria
*
Correspondence should be addressed to: Faculty of Psychology, University of Vienna, Liebiggasse 5, 1010-Vienna, Austria. Phone: +43-1-4277-47221. Email: [email protected].

Abstract

Background:

Sense of Coherence (SOC) and mindfulness are known protective factors against psychopathology, also in older age. We set out to investigate the influence of SOC and mindfulness on posttraumatic symptoms and cognitions in the context of lifetime trauma in elderly persons with a history of childhood war-experiences.

Methods:

Elderly Austrians (N = 97) filled in questionnaires on traumatic lifetime experiences and posttraumatic symptoms (ETI), posttraumatic cognitions (PTCI), SOC (SOC-13) and mindfulness (FFMQ). We expected the influence of SOC scores on posttraumatic symptoms and cognitions to be on one hand influenced by mindfulness. On the other hand, we expected that both aspects would uniquely explain fewer posttraumatic symptoms and cognitions.

Results:

Participants reported various lifetime traumas (M = 2.42), including experiences during World War II (WWII) as children and adolescents. Mindfulness partially mediated the association of SOC scores with posttraumatic cognitions, but not with posttraumatic symptoms. However, in a two-stage mediation model, mindfulness significantly predicted posttraumatic symptoms via its effects on posttraumatic cognitions.

Conclusion:

Although SOC was the strongest predictor of posttraumatic symptoms, mindfulness influenced the severity of posttraumatic symptoms via its effects on posttraumatic cognitions. We discuss implications for mindfulness-based interventions on trauma-related cognitions in the elderly.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2015 

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References

Alastalo, H. et al. (2013). Early life stress and physical and psychosocial functioning in late adulthood. Plos One, 8, e69011.Google Scholar
Almedom, A. M. (2005). Resilience, hardiness, sense of coherence, and posttraumatic growth: all paths leading to “light at the end of the tunnel”? Journal of Loss and Trauma, 10, 253265.Google Scholar
Antonovsky, A. (1987). Unraveling the Mystery of Health: How People Manage Stress and Stay Well. San Francisco: Jossey-Bass.Google Scholar
Antonovsky, A. (1996). The salutogenic model as a theory to guide health promotion. Health Promotion International, 11, 1118.CrossRefGoogle Scholar
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J. and Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 2745.Google Scholar
Bishop, S. R. et al. (2004). Mindfulness: a proposed operational definition. Clinical Psychology-Science and Practice, 11, 230241.CrossRefGoogle Scholar
Derogatis, L. R. (2001). BSI 18, Brief Symptom Inventory 18: Administration, Scoring and Procedures Manual. Minneapolis, MN: NCS Pearson, Inc.Google Scholar
Foa, E. B., Ehlers, A., Clark, D. M., Tolin, D. F. and Orsillo, S. M. (1999). The posttraumatic cognitions inventory (PTCI): development and validation. Psychological Assessment, 11, 303314.Google Scholar
Folstein, M. F., Folstein, S. E., McHugh, P. R. and Fanjiang, G. (2000). Mini-Mental State Examination: MMSE User's Guide. Odessa, FL: Psychology Assessment Resources.Google Scholar
Forstmeier, S., Kuwert, P., Spitzer, C., Freyberger, H. J. and Maercker, A. (2009). Posttraumatic growth, social acknowledgment as survivors, and sense of coherence in former German child soldiers of World War II. The American Journal of Geriatric Psychiatry, 17, 10301039.CrossRefGoogle ScholarPubMed
Gimpel, C. et al. (2014). Changes and interactions of flourishing, mindfulness, sense of coherence, and quality of life in patients of a mind-body medicine outpatient clinic. Research in Complementary Medicine, 21, 154162.Google Scholar
Glück, T. M., Tran, U. S. and Lueger-Schuster, B. (2012). PTSD and Trauma in Austria's elderly: influence of wartime experiences, postwar zone of occupation, and life time Traumatization on today's mental health status – an interdisciplinary approach. European Journal of Psychotraumatology, 3, 17263.Google Scholar
Krause, N., Shaw, B. A. and Cairney, J. (2004). A descriptive epidemiology of lifetime Trauma and the physical health status of older adults. Psychology and Aging, 19, 637648.Google Scholar
Kuwert, P., Brähler, E., Glaesmer, H., Freyberger, H. J. and Decker, O. (2009). Impact of forced displacement during World War II on the present day mental health of the elderly: a population-based study. International Psychogeriatrics, 21, 748753.Google Scholar
Kuwert, P., Spitzer, C., Dudeck, M., Vogel, M., Freyberger, H. J. and Ermann, M. (2008). Psychological complaints, interpersonal problems, quality of life and sense of coherence in former German warchildren. Psychotherapie, Psychosomatik und Medizinische Psychologie, 58, 257263.CrossRefGoogle ScholarPubMed
Lapp, L. K., Agbokou, C. and Ferreri, F. (2011). PTSD in the elderly: the interaction between Trauma and aging. International Psychogeriatrics, 23, 858868.Google Scholar
Maercker, A. and Pielmaier, L. (2010). Does posttraumatic stress disorder exist in Swiss elderly people? Schweizer Archiv für Neurologie und Psychiatrie, 161, 6468.Google Scholar
Ogle, C. M., Rubin, D. C. and Siegler, I. C. (2013). The impact of the developmental timing of Trauma exposure on PTSD symptoms and psychosocial functioning among older adults. Developmental Psychology, 49, 21912200.Google Scholar
Richardson, C. G. (2005). Sense of coherence as a moderator of the effects of stressful life events on health. Journal of Epidemiology and Community Health, 59, 979984.Google Scholar
Rutter, M. (2007). Resilience, competence, and coping. Child Abuse and Neglect, 31, 205209.Google Scholar
Sledjeski, E. M., Speisman, B. and Dierker, L. C. (2008). Does number of lifetime Traumas explain the relationship between PTSD and chronic medical conditions? Answers from the national comorbidity survey-replication (NCS-R). Journal of Behavioral Medicine, 31, 341349.Google Scholar
Spitzer, C., Barnow, S., Volzke, H., John, U., Freyberger, H. J. and Grabe, H. J. (2008). Trauma and posttraumatic stress disorder in the elderly: findings from a German community study. The Journal of Clinical Psychiatry, 69, 693700.CrossRefGoogle Scholar
Streb, M., Häller, P. and Michael, T. (2014). PTSD in paramedics: resilience and sense of coherence. Behavioural and Cognitive Psychotherapy, 42, 452463.Google Scholar
Tagay, S., Erim, Y., Möllering, A., Stoelk, B., Mewes, R. and Senf, W. (2006). Das Essener Trauma-Inventar (ETI) – Ein Screeninginstrument zur Identifikation traumatischer Ereignisse und posttraumatischer Störungen. Psychotherapie, Psychosomatik und Medizinische Psychologie, 56, A98.Google Scholar
Thompson, B. L. and Waltz, J. (2010). Mindfulness and experiential avoidance as predictors of posttraumatic stress disorder avoidance symptom severity. Journal of Anxiety Disorders, 24, 409415.Google Scholar
Thompson, R. W., Arnkoff, D. B. and Glass, C. R. (2011). Conceptualizing mindfulness and acceptance as components of psychological resilience to Trauma. Trauma, Violence, and Abuse, 12, 220235.Google Scholar
Tran, U. S., Glück, T. M. and Lueger-Schuster, B. (2013). Influence of personal and environmental factors on mental health in a sample of Austrian survivors of World War II with regard to PTSD: is it resilience? BMC Psychiatry, 13, 47.Google Scholar
Tran, U. S. et al. (2014). The serenity of the meditating mind: a cross-cultural psychometric study on a two-factor higher order structure of mindfulness, its effects, and mechanisms related to mental health among experienced meditators. Plos One, 9, e110192.Google Scholar
Vujanovic, A. A., Youngwirth, N. E., Johnson, K. A. and Zvolensky, M. J. (2009). Mindfulness-based acceptance and posttraumatic stress symptoms among trauma-exposed adults without axis I psychopathology. Journal of Anxiety Disorders, 23, 297303.Google Scholar