TY - JOUR PY - 2023// TI - Behavioral self-blame in PTSD-etiology, risk factors, and proposed interventions JO - International journal of environmental research and public health A1 - Raz, Aviad A1 - Rubinstein, Ravit A1 - Shadach, Eran A1 - Chaikin, Gal A1 - Ben Yehuda, Ariel A1 - Tatsa-Laur, Lucian A1 - Kedem, Ron A1 - Shelef, Leah SP - e6530 EP - e6530 VL - 20 IS - 15 N2 - BACKGROUND: Feeling out of control during a traumatic event may evoke behavioral self-blame (BSB) to avoid feeling helpless following trauma by restoring one's sense of control. BSB is a common, persistent, and treatment-resistant post-traumatic stress symptom. The present study investigates the etiology and risk factors of BSB following a traumatic event and the reasons for its persistence over time.

METHOD: Subjects were a group of 546 Israeli ex-combat soldiers (M age = 24.93 ± 5.657) registered in an Israel Defense Forces (IDF) combat reaction clinic. All completed the Peritraumatic Dissociative Experiences Questionnaire (PDEQ), the Brief Symptom Inventory (BSI), and the PTSD Checklist for the DSM-5 (PCL-5). Item 10 of the PCL-5 served to measure BSB. The PDEQ and BSI measured distress and feeling out of control during the event. We used descriptive analyses of the data, t-test, and linear regression analysis to reveal the relationship between the research variables.

RESULTS: Feeling out of control during a traumatic event often increases BSB and post-traumatic stress symptoms. A significant correlation emerged between continuing distress characterizing individuals who experience a persistent lack of control and BSB. Female combat soldiers were at a higher risk of BSB than their male counterparts.

CONCLUSION: Loss of control experienced during a traumatic event may result in persistent long-term feelings of lack of control over one's behavior.

Language: en

LA - en SN - 1661-7827 UR - http://dx.doi.org/10.3390/ijerph20156530 ID - ref1 ER -