Abstract
Trauma exposure heightens the risk of reckless behavior and is now included in DSM-5 posttraumatic stress disorder symptomatology. Individuals exposed to trauma may be likely to engage in reckless behavior because of negative changes in their worldview (referred to as disrupted worldview). The current study investigates the relationship between DSM-IV posttraumatic stress symptoms, disrupted worldview, and increased reckless behavior among 1145 students exposed to mass violence. Total posttraumatic stress symptomatology was associated with increased and persistent reckless behavior, supporting DSM-5 diagnostic inclusion. Although posttraumatic stress symptomatology predicted reckless behavior among those with varying levels of posttraumatic symptomatology, individuals with high symptomatology reported significantly higher recklessness. Disrupted worldview mediated the relationship between posttraumatic symptomatology and reckless behavior among individuals with high symptomatology, while only partially mediating the relationship among those with low symptomatology. These findings provide support for worldview disruptions as a mechanism by which prolonged reckless behavior may be manifested.
References
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders DSM-IV-TR fourth edition (Text Revision). Arlington: American Psychiatric Publications.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Publishing Inc.
Arnett, J. J. (2000). Emerging adulthood: A theory of development from late teens through the twenties. American Psychologist, 55, 469–480.
Baer, J. S., Kivlahan, D. R., & Marlett, G. A. (1995). High-risk drinking across the transition from high school to college. Alcoholism, Clinical and Experimental Research, 19, 54–61.
Borders, A., McAndrew, L. M., Quingley, K. S., & Chandler, H. K. (2012). Rumination moderates the associations between PTSD and depressive symptoms and risky behavior in US veterans. Journal of Traumatic Stress, 25(5), 583–586.
Brewin, C., Rose, S., Andrews, B., & Green, J. (2002). Brief screening instrument for post-traumatic stress disorder. The British Journal of Psychiatry, 181, 158–162.
Cann, A., Calhoun, L. G., Tedeschi, R. G., & Solomon, D. T. (2010). Posttraumatic growth and depreciation as independent experiences and predictors of well-being. Journal of Loss and Trauma, 15(3), 151–166.
Cavanaugh, C. E. (2013). Brief report: The influence of posttraumatic stress on unprotected sex among sexually active adolescent girls and boys involved in the child welfare system in the United States. Journal of Adolescence, 36(5), 835–837.
Cooper, M. L., Agocha, V. B., & Sheldon, M. S. (2000). A motivational perspective on risky behaviors: The role of personality and affect regulatory processes. Journal of Personality, 68(6), 1059–1088.
Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319–345.
Galea, S., Brewin, C. R., Gruber, M., Jones, R. T., King, D. W., King, L. A., et al. (2007). Exposure to hurricane-related stressors and mental illness after Hurricane Katrina. Archives of General Psychiatry, 64(12), 1427–1434.
Green, B. L., Krupnick, J. L., Stockton, P., Goodman, L., Corcoran, C., & Petty, R. (2005). Effects of adolescent trauma exposure on risky behavior in college women. Psychiatry, 68(4), 363.
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: The Guilford Press.
Hobfoll, S. E., Hall, B. J., Canetti-Nisim, D., Galea, S., Johnson, R. J., & Palmieri, P. A. (2007). Refining our understanding of traumatic growth in the face of terrorism: Moving from meaning cognitions to doing what is meaningful. Applied Psychology: An International Review, 56(3), 345–366.
Hughes, M., Brymer, M., Chiu, W. T., Fairbank, J. A., Jones, R. T., Pynoos, R. S., et al. (2011). Posttraumatic stress among students after the shootings at Virginia Tech. Psychological Trauma: Theory, Research, Practice, and Policy, 3(4), 403–411.
Hurricane Katrina Community Advisory Group (2006). Baseline interview for the Hurricane Katrina Community Advisory Group. http://www.hurricanekatrina.med.harvard.edu/surveyinstruments.php.
Johnson, N. L., & Johnson, D. M. (2013). Factors influencing the relationship between sexual trauma and risky sexual behavior in college students. Journal of Interpersonal Violence, 28(11), 2315–2331.
Kessler, R. C., Galea, S., Jones, R. T., & Parker, H. A. (2006). Mental illness and suicidality after Hurricane Katrina. Bulletin of the World Health Organization, 84(12), 930–939.
Lam, C. B., & Lefkowitz, E. S. (2013). Risky sexual behaviors in emerging adults: Longitudinal changes and within-person variations. Archives of Sexual Behavior, 42(4), 523–532.
Layne, C. M., Beck, C. J., Rimmasch, H., Southwick, S., Moreno, M. A., & Stevan, E. (2007). Promoting “resilient” posttraumatic adjustment in childhood and beyond. In D. Brom, R. Pat-Horenczyk, & J. D. Ford (Eds.), Treating traumatized children: Risk, resilience, and recovery (pp. 13–47). New York: Routledge/Taylor & Francis Group.
Lehavot, K., Stappenbeck, C. A., Luterek, J. A., Kaysen, D., & Simpson, T. L. (2014). Gender differences in relationships among PTSD severity, drinking motives, and alcohol use in a comorbid alcohol dependence and PTSD sample. Psychology of Addictive Behaviors, 28(1), 42–52.
Lowinger, T., & Solomon, Z. (2004). PTSD, guilt, and shame among reckless drivers. Journal of Loss and Trauma, 9(4), 327–344.
Messman-Moore, T. L., Ward, R. M., & Brown, A. L. (2009). Substance use and PTSD symptoms impact the likelihood of rape and revictimization in college women. Journal of Interpersonal Violence, 24(3), 499–521.
O’Hare, T., Shen, C., & Sherrer, M. (2010). High-risk behaviors and drinking-to-cope as mediators of lifetime abuse and PTSD symptoms in clients with severe mental illness. Journal of Traumatic Stress, 23(5), 255–263.
Park, C. L., Cohen, L. H., & Murch, R. L. (1996). Assessment and prediction of stress-related growth. Journal of Personality, 64, 71–105.
Pharo, H., Sim, C., Graham, M., Gross, J., & Hayne, H. (2011). 0. Risky business: Executive function, personality, and reckless behavior during adolescence and emerging adulthood. Behavioral Neuroscience, 125(6), 970–978.
Pyszczynski, T., & Kesebir, P. (2011). Anxiety buffer disruption theory: A terror management account of posttraumatic stress disorder. Anxiety, Stress, and Coping, 24(1), 3–26.
Silver, R. C., Holman, E. A., McIntosh, D. N., Poulin, M., & Gil-Rivas, V. (2002). Nationwide longitudinal study of psychological responses to September 11. Journal of the American Medical Association, 288(10), 1235–1244.
Smith, A. J., Abeyta, A., Hughes, M., & Jones, R. T. (2015). Persistent grief in the aftermath of mass violence: The predictive roles of posttraumatic stress symptoms, self-efficacy, and disrupted worldview. Psychological Trauma: Theory, Research, Practice, and Policy, 7, 179–186.
Stewart, S. H. (1996). Alcohol abuse in individuals exposed to trauma: A critical review. Psychological Bulletin, 120(1), 83–112.
Sullivan, T. P., & Holt, L. J. (2008). PTSD symptom clusters are differentially related to substance use among community women exposed to intimate partner violence. Journal of Traumatic Stress, 21(2), 173–180.
Wusik, M. F., & Jones, R. T. (2014). The trauma of uncertainty: The use of comprehensive assessment and prolonged exposure to treat indirect exposure to a mass shooting. Clinical Case Studies, 14(1), 15–30
Xiao, J. J., Tang, C., Serido, J., & Shim, S. (2011). Antecedents and consequences of risky credit behavior among college students: Application and extension of the theory of planned behavior. Journal of Public Policy and Marketing, 30(2), 239–245.
Acknowledgments
The authors would like to thank Christopher M. Layne, Melissa Brymer, John A. Fairbank, Ronald C. Kessler, Robert S. Pynoos. Andrew J. Smith, and Alan M. Steinberg.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Blevins, C.E., Wusik, M.F., Sullivan, C.P. et al. Do Negative Changes in Worldview Mediate Links Between Mass Trauma and Reckless Behavior? A Longitudinal Exploratory Study. Community Ment Health J 52, 10–17 (2016). https://doi.org/10.1007/s10597-015-9906-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10597-015-9906-0