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I’d do much better, if only … counterfactual comparisons related to traumatic life events

Bibliographic Data

ID21504987
AuthorsThole H Hoppen (0000-0002-6050-8696, University of Münster, corresponding author), Naser Morina (0000-0002-2331-9140, University of Münster)
Year2021
Volume35
Issue2
Pages409-416
Publication date2021-02-17
Open AccessNo
TypeARTICLE
VenueCognition & Emotion (JOURNAL)
Journal identifiersISSN: 0269-9931 • E-ISSN: 1464-0600
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/02699931.2020.1832967
PMID33076770
OpenAlexW3092843786
LanguageEN
Citations received3
References cited14

The association between posttraumatic stress disorder (PTSD) and counterfactual comparisons (CFC) is poorly understood and CFC-measures are missing. We developed and applied the Posttraumatic Counterfactual Comparisons Scale (P-CFC-S), which measures frequency, intensity and affective impact of trauma-related CFC. We further measured trauma history, PTSD symptoms, probable PTSD diagnosis, posttraumatic cognitions, satisfaction with life and basic sociodemographic information. The sample consisted of 556 adults (62.95% female) who had all experienced at least one potentially traumatic event and of whom 15.29% fulfilled a probable PTSD diagnosis. The P-CFC-S yielded adequate internal consistency and a one-factor structure in the explorative factor analysis. CFC were common, and about two-fold more common in individuals with probable PTSD compared to those without. In hierarchical regression analyses, the frequency and intensity in CFC explained a significant amount of variance in PTSD symptoms when potentially confounding variables (i.e. age, gender, posttraumatic cognitions and counterfactual thinking) were accounted for. Our findings suggest that CFC may be an active ingredient in PTSD maintenance. Longitudinal research is needed to examine the dynamics between CFC and PTSD and the hypothesis that CFC is related to cognitive avoidance and/or maladaptive appraisals of trauma meaning

Cognition · Confounding · Counterfactual thinking · Multilevel model · Posttraumatic stress · Psychiatry · Psychotherapist · Child Abuse and Trauma · Clinical Psychology · Identity, Memory, and Therapy · Medicine · Posttraumatic Stress Disorder Research · Psychology · Social Psychology · Internal Medicine

  • “I Could Have Killed Him” Survivors' Descriptions of Their Counterfactual Thoughts After a Terrorist Attack

    Open Access•Kristin Alve Glad, Ines Blix et al.•Scandinavian Journal of Psychology•2026

  • Comparisons Inform Me Who I Am

    Open Access•Naser Morina•Perspectives on Psychological…•2021

  • Counterfactual comparisons and affective styles in the aftermath of traumatic events

    Open Access•Pascal Schlechter, Thole H Hoppen et al.•Current Psychology•2023

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    Open Access•Neal J Roese, Kai Epstude•2017

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Citations per year0.6
Citation span2021 - 2026 (6)
Highly citedNo

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