An adaptational view of trauma response as illustrated by the prisoner of war experience
permalinkJournal of Traumatic Stree - 1991-07-01Eberly RE, Harkness AR, Engdahl B10.1002/jts.2490040305We propose a model of Post-Traumatic Stress Disorder (
Posttraumatic Stress Disorder) symptoms in which they have positive evolutionary adaptational value in traumatic environments. The persistence of
PTSDsymptoms following return to more benign environments may result from biological changes within the organism, reflected by a primary response of increased levels of underlying traits such as Negative Affectivity. Secondary symptoms such as social withdrawal and substance abuse are conceptualized as subsequent coping with the primary trauma response. This model was tested using data on 413 former World War II Prisoners of War (POWs). The results were consistent with the model, indicating an enduring high level of Negative Affectivity as measured by scales on the MMPI. Captivity severity scores, developed using a factor analysis of POW experience variables, were related to lifetime and current diagnoses of
PTSD, generalized anxiety disorder, and major or minor depression. They were not related to schizophrenia, alcohol abuse/dependence, bipolar I and II disorders, or organic mental disorders. Elevated Negative Affectivity indicators were proportional to the captivity severity scores.