The effects of trauma non-disclosure on symptoms of posttraumatic stress, anxiety and depression: findings from a prospective, population-based study
摘要
Individuals who do not disclose a potentially traumatic event (PTE) may receive no (or less) event-related social support after victimization. However, it is less clear whether non-disclosure increases the risk of post-event psychopathology.
AimsThe present study aims to examine the effects of trauma non-disclosure or disclosure on post-event psychopathology in adult victims of PTEs in the general population of a western European country.
MethodIn this prospective study, lack of emotional support along with anxiety and depression symptomatology (ADS) was assessed before participants (N = 1258) experienced a PTE (T1). Twelve months later (T2), following victimization between T1 and T2, PTSD symptoms (PTSS), ADS, and the extent of PTE-related social acknowledgment among disclosing participants were examined. Post-event psychopathology was then compared between non-disclosers (n = 98) and disclosers with high, fairly high, limited, or low levels of PTE-related social acknowledgment (n = 1160).
ResultsMultivariable logistic regression analyses showed that non-disclosers had a higher prevalence of both PTSS and ADS at T2 than did disclosers with high and fairly high levels of PTE-related social acknowledgment. However, non-disclosers reported lower prevalence of PTSS than disclosers with low levels of PTE-related social acknowledgment. Among disclosers, the prevalence of PTSS and ADS at T2 increased when the level of PTE-related social acknowledgment decreased.
ConclusionsNon-disclosure of trauma is not necessarily detrimental to mental health when compared to the effects of receiving low event-related social acknowledgment following disclosure. Rather than promoting disclosure in general, it would be more beneficial to recommend disclosure only when supportive relationships are present.