
Psychosomatics 42:35-40, February 2001
© 2001 The Academy of Psychosomatic Medicine
Linguistic Analysis to Assess Medically Related Posttraumatic Stress Symptoms
Richard J. Shaw, M.B., B.S.,
John E. Harvey, M.D., F.R.C.P,
Kristin L. Nelson, Ph.D.,
Rachel Gunary, M.A., Ms.C. Clin Psychol,
Helen Kruk, R.G.N., and
Hans Steiner, M.D.
Received April 11, 2000; revised July 11, 2000; accepted September 14, 2000. From Stanford University School of Medicine, Stanford, California and Health Services NHS Trust, Bristol, England. Address correspondence and reprint requests to Dr. Steiner, Division of Child Psychiatry, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 943055719.
The authors examined the presence of posttraumatic stress symptoms (PTSS) in 20 patients requiring ventilation after acute respiratory distress. The subjects completed a semistructured interview about their ventilation experience that was subject to content and linguistic analysis. Subjects also completed two self-report measures to assess PTSS and socioemotional adjustment. Subjects who endorsed PTSS were more likely to use a narrative style suggesting emotional involvement in their recall of the stressful event. The authors indicate that the presence of PTSS is a common consequence of traumatic medical experiences and that denial of distress may be an adaptive short-term coping strategy.
Key Words: Posttraumatic Stress Disorder Linguistic Analysis
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