Traumatic Stress and Its Specificity in Life-Threatening Disease

170

Abstract

The article is devoted to the theoretical analysis of the stressor «life–threatening disease» features and the systematization of the actual traumatic stress symptoms caused by its influence. The relevance of studying this problem is associated with the emergence of new, but unsystematized information about the long-term psychological consequences of the impact of a serious illness on the human condition. The general line and the purpose of the study was the comparison of the intense and traumatic stress signs, and the determination of their specificity under the influence of the stressor «life–threatening disease». The methodological and theoretical principles of problem analysis are determined on the basis of the approach of N. V. Tarabrina to understanding the phenomenology of post–traumatic stress and construction a psychological model of PTS. Results: the article describes the characteristics of the life event «life–threatening disease», determines the stages of its manifestation, singles out a separate stressor associated with informing a person about a severe diagnosis. Signs of intense stress are represented by a number of categories denoting emotional states ¾ fright, fear, guilt, helplessness, etc. The symptoms of traumatic stress are analyzed, indicating a violation of the mechanism of identity integration, construction of a picture of the world, perception of a time perspective, denial of illness and restrictions. Explicit and implicit resources for coping with psychotraumatic experiences are determined. The theoretical provisions of the approach presented in the article are illustrated by the data of empirical studies conducted by domestic and foreign scientists. The conclusions summarize data on the characteristics of the stressor «life-threatening disease», the specifics of the traumatic stress caused by it, explicit and implicit coping resources.

General Information

Keywords: intense stress, traumatic stress, life–threatening illness, diagnosis, emotional experiences, explicit resources, implicit resources

Journal rubric: Theory and Methodology

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2023310301

Funding. The research was carried out under the state assignment of the Ministry of Science and Higher Education of the Russian Federation No. 0138–2023–0005: Onto– and subjectogenesis of human mental development in different life situations.

Received: 07.07.2023

Accepted:

For citation: Kharlamenkova N. E., Nikitina D.A. Traumatic Stress and Its Specificity in Life-Threatening Disease. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2023. Vol. 31, no. 3, pp. 10–27. DOI: 10.17759/cpp.2023310301. (In Russ., аbstr. in Engl.)

References

  1. Baryshnikova R.D. Teoreticheskij analiz kategorij "sem'ja", "semejnyj krizis": tjazhelaja bolezn' [Theoretical analysis of the categories «family», «family crisis»: serious illness]. Aktual'nye voprosy nauki i tehniki: sbornik statej Mezhdunarodnoj nauchno–prakticheskoj konferencii = Topical issues of science and technology: collection of articles of the International Scientific and Practical Conference, Penza, february 25, 2020. Penza: Nauka i Prosveshhenie, 2020. pp. 40¾44. (In Russ.).
  2. Byhovec Ju.V., Padun M.A. Lichnostnaja trevozhnost' i reguljacija jemocij v kontekste izuchenija posttravmaticheskogo stressa [Personal anxiety and emotion regulation in the context of study of post–traumatic stress]. Klinicheskaja i special'naja psihologija = Clinical Psychology and Special Education, 2019, vol. 8, no. 1, pp. 78¾89. DOI: 10.17759/cpse.2019080105. (In Russ., abstr. in Engl.).
  3. Dan M.V. Psihologicheskie posledstvija vozdejstvija stressora «tjazheloe zabolevanie rebenka» u materej s raznym urovnem lichnostnoj zrelosti: avtoref. diss. … kand. psihol. nauk. [Psychological consequences of exposure to the stressor «severe illness of the child» in mothers with different levels of personal maturity. PhD (Psychology) Dissertation Thesis]. Moscow, 2021. 28 p. (In Russ.).
  4. Danilenko O.I. Anticipacionnaja sostojatel'nost' kak uslovie predotvrashhenija i preodolenija zhiznennyh krizisov [Antitcipation competency as a factor оf prevention and successful coping with life crises]. Lichnost' v jekstremal'nyh uslovijah i krizisnyh situacijah zhiznedejatel'nosti = Personality in extreme conditions and crisis situations of life, 2019, no. 8, pp. 13¾20. (In Russ., abstr. in Engl.).
  5. Ekimova V.I., Luchnikova E.P. Kompleksnaja psihologicheskaja travma kak posledstvie jekstremal'nogo stressa [Complex psychological trauma as a consequence of extreme stress]. Sovremennaja zarubezhnaja psihologija = Journal of modern foreign psychology, 2020, vol. 9, no. 1, pp. 50¾61. DOI: 10.17759/jmfp.2020090105. (In Russ., abstr. in Engl.).
  6. Nartova–Bochaver S.K. Psihologija lichnosti i individual'nyh razlichij [Psychology of personality and individual differences]. Saint–Petersburg: Piter, 2023. 432 p. (In Russ.).
  7. Nikitina D.A. Posttravmaticheskij stress u ljudej raznogo vozrasta s ugrozhajushhim zhizni zabolevaniem: avtoref. diss. … kand. psihol. Nauk [Post–traumatic stress in people of different ages with a life–threatening disease. PhD (Psychology) Dissertation Thesis]. Moscow, 2021. 28 p. (In Russ.).
  8. Padun M.A. Kompleksnoe PTSR: osobennosti psihoterapii posledstvij prolongirovannoj travmatizacii [Complex PTSD: psychotherapy of prolonged traumatization]. Konsul'tativnaja psihologija i psihoterapija = Counseling Psychology and Psychotherapy, 2021, vol. 29, no. 3, pp. 69¾87. DOI: 10.17759/cpp.2021290306. (In Russ., abstr. in Engl.).
  9. Sizova Ja.N., Ciring D.A. Osobennosti preodolenija situacii bolezni pacientami so zlokachestvennymi novoobrazovanijami [Peculiarities of overcoming the situation of the disease by patients with cancerous neoplasms]. Psihologija. Istoriko–kriticheskie obzory i sovremennye issledovanija = Psychology. Historical–critical reviews and current researches, 2019, vol. 8, no. 5–1, pp. 240¾246. DOI: 10.34670/AR.2020.46.5.024. (In Russ., abstr. in Engl.).
  10. Tarabrina N.V., Harlamenkova N.E., Padun M.A., Hazhuev I.S., Kazymova N.N., Byhovec Ju.V., Dan M.V. Intensivnyj stress v kontekste psihologicheskoj bezopasnosti [Intense stress in the context of psychological security]. In N. E. Harlamenkova (eds.), Moscow: IP of RAS, 2017. 344 p. (In Russ.).
  11. Arch J.J., Mitchell J.L., Genung S.R. et al. Randomized trial of acceptance and commitment therapy for anxious cancer survivors in community clinics: Outcomes and moderators. Journal of consulting and clinical psychology, 2021, vol. 89, no. 4, pp. 327¾340. DOI: 10.1037/ccp0000630
  12. Braun M., Naor L., Hasson–Ohayon I. et al. Oncologists’ locus of control, compassion fatigue, compassion satisfaction, and the mediating role of helplessness. Current oncology, 2022, vol. 29, no. 3, pp. 1634¾1644. DOI: 10.3390/curroncol29030137
  13. Carey S.A., Roden–Foreman J.W., Felius J. et al. Secondary traumatic stress in multi–disciplinary teams caring for heart and lung transplant patients. Traumatology, 2019, vol. 25, no. 4, pp. 275¾281. DOI: 10.1037/trm0000188
  14. Caron–Flinterman J.F., Broerse J.E.W., Bunders J.F.G. The experiential knowledge of patients: a new resource for biomedical research? Social science & medicine, 2005, vol. 60, no. 11, pp. 2575¾2584. DOI: 10.1016/j.socscimed.2004.11.023
  15. Cludius B., Mennin D., Ehring T. Emotion regulation as a transdiagnostic process. Emotion, 2020, vol. 20, no. 1, pp. 37¾42. DOI: 10.1037/emo0000646
  16. Dixon K.E., Mahoney C.T., Samuelson K.W. Ongoing traumatic stress during a global pandemic. Psychological trauma: theory, research, practice and policy, 2023, vol. 15, no. 5, pp. 808¾818. DOI: 10.1037/tra0001360
  17. Egberts M.R., Verkaik D., Spuij M. et al. Child adjustment to parental cancer: A latent profile analysis. Health psychology, 2021, vol. 40, no. 11, pp. 774¾783. DOI: 10.1037/hea0001099
  18. Grinapol S., Greene T., Pagorek–Eshel S. et al. Prospective examination of daily life traumatic stress symptom expression following motor vehicle collisions. Psychological trauma: theory, research, practice and policy, 2022, vol. 14, no. 7, pp. 1212¾1220. DOI: 10.1037/tra0000537
  19. Ingram S.H., South S.C. Dimensional latent factor structure of psychopathology in adults with chronic illness. Psychological assessment, 2020, vol. 32, no. 12, pp. 1145¾1157. DOI: 10.1037/pas0000954
  20. Leventhal H., Nerenz D.R., Steele D.J. Illness representations and coping with health threats. Handbook of psychology and health, 2020, vol. 4, pp. 219¾252.
  21. Lowe S.R., James P., Arcaya M.C. et al. Do levels of posttraumatic growth vary by type of traumatic event experienced? An analysis of the Nurses’ Health Study II. Psychological trauma: theory, research, practice and policy, 2022, vol. 14, no. 7, pp. 1221¾1229. DOI: 10.1037/tra0000554
  22. Miceli J., Geller D., Tsung A. et al. Illness perceptions and perceived stress in patients with advanced gastrointestinal cancer. Psychooncology, 2019, vol. 28, no. 7, pp. 1513¾1519. DOI: 10.1002/pon.5108
  23. Mitchell H.R., Kim Y., Llabre M.M. et al. Four–symptom model of medical–related posttraumatic stress among adult cancer patients. Health psychology, 2022, vol. 41, no. 7, pp. 492¾501. DOI: 10.1037/hea0001187
  24. Pérez–Sales P., Vergara–Campos M., Eiroa–Orosa F.J. et al. Perceived resistance to experiences of trauma and crisis: A study comparing multiple life events. Traumatology, 2022, vol. 28, no. 1, pp. 109¾119. DOI: 10.1037/trm0000339
  25. Stein A., Dalton L., Rapa E. et al. Communication with children and adolescents about the diagnosis of their own life–threatening condition. The Lancet, 2019, vol. 393, no. 10176, pp. 1150¾1163. DOI: 10.1016/S0140–6736 (18)33201–X
  26. Tsai W., Lu Q. Ambivalence over emotional expression and intrusive thoughts as moderators of the link between self–stigma and depressive symptoms among Chinese American breast cancer survivors. Journal of behavioral medicine, 2019, vol. 42, pp. 452¾460. DOI: 10.1007/s10865–018–9996–6
  27. Uner F.O., Korukcu O. A qualitative exploration of fear of cancer recurrence in Turkish cancer survivors who were referred for colposcopy. Health & social care in the community, 2021, vol. 29, no. 3, pp. 729¾737. DOI: 10.1111/hsc.13326
  28. Vacek S., Whisman M.A. Traumatic events and adolescent psychopathology in a United States national probability sample. Psychological trauma: theory, research, practice and policy, 2021, vol. 13, no. 3, pp. 277¾283. DOI: 10.1037/tra0000961
  29. Zalta A.K., Tirone V., Orlowska D. et al. Examining moderators of the relationship between social support and self–reported PTSD symptoms: A meta–analysis. Psychological bulletin, 2021, vol. 147, no. 1, pp. 33¾54. DOI: 10.1037/bul0000316

Information About the Authors

Natalia E. Kharlamenkova, Doctor of Psychology, professor, Deputy Director for Scientific Work, Head of the Laboratory of Psychology of the development of the subject in normal and post-traumatic conditions, Institute of Psychology of Russian Academy of Science, Head of the Department of Personality Psychology of the Faculty of Psychology of the State Academic University of Humanities, Moscow, Russia, ORCID: https://orcid.org/0000-0002-0508-4157, e-mail: nataly.kharlamenkova@gmail.com

Daria A. Nikitina, PhD in Psychology, Junior Researcher, Laboratory of Developmental Psychology of the subject in normal and post-traumatic conditions, Institute of Psychology Russian Academy of Sciences, Moscow, Russia, ORCID: https://orcid.org/0000-0001-6695-1851, e-mail: d.a.nikitina@yandex.ru

Metrics

Views

Total: 1042
Previous month: 97
Current month: 52

Downloads

Total: 170
Previous month: 11
Current month: 10