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Originalarbeit

Co-Rumination im Kontext des sozio-interpersonellen Modells der PTBS

Eine Studie mit Einsatzkräften

Published Online:September 05, 2016https://doi.org/10.1026/1616-3443/a000359

Abstract

Zusammenfassung.Theoretischer Hintergrund: Die Arbeit der Einsatzkräfte verschiedener Berufsgruppen (Feuerwehrleute, Polizei und Rettungspersonal) kann zu einer sekundären Traumatisierung führen. Das sozio-interpersonelle Model der PTBS von Maercker und Horn (2013) unterstreicht die Wichtigkeit des sozio-interpersonellen Kontexts für Traumafolgephänomene. In der vorliegenden Studie wurden entsprechend die Zusammenhänge zwischen sekundärer PTBS und erlebter gesellschaftlicher Wertschätzung, dysfunktionalen Mustern beim Offenlegen von traumatischen Inhalten (Disclosure) sowie Co-Rumination in einer russischsprachigen Population untersucht. Co-Rumination, das parallel zum intrapsychischen Ruminieren für das Wiederholen negativer Inhalte im Dialog mit anderen steht, wurde bisher noch nicht im Kontext von Traumaverarbeitung erforscht. Fragestellung: Ziel der Studie ist es zu untersuchen, ob Co-Rumination als interpersoneller Prozess zusätzlich zu den bekannten sozio-interpersonellen Variablen Disclosure und gesellschaftlicher Wertschätzung mit erhöhter post-traumatische Symptomatik assoziiert ist. Methode: Es wurden N = 168 Einsatzkräften in Weißrussland mit Hilfe von Fragebögen zu ihrer Symptomatik sowie den interessierenden sozio-interpersonellen Variablen befragt. Ergebnisse: Die in die Regressionsanalyse einbezogenen Prädiktorvariablen klärten insgesamt bis zu 50.4 % Varianz der sekundären Traumatisierung auf. Die Variable Co-Rumination klärte zusätzlich 2 % der Gesamtvarianz auf. Schlussfolgerung: Extensiver und wiederkehrender sozialer Austausch von negativen Inhalten, sogenannte Co-Rumination, ist in der Verarbeitung von traumatischen Erlebnissen mit erhöhter Symptomatik assoziiert und erweist sich dabei als von Disclosure und erlebter gesellschaftlicher Wertschätzung empirisch unterscheidbar.


Corumination in the Context of the Socio-Interpersonal Model of PTSD: A Study With Rescue Workers

Abstract.Background: The work of rescue workers (firefighters, police, and emergency medical workers) may lead to secondary traumatization. Following the socio-interpersonal model of posttraumatic stress disorder (PTSD) by Maercker and Horn (2013), the association of secondary PTSD symptoms with social acknowledgment, dysfunctional disclosure, and corumination was investigated in a Russian-speaking population. Corumination is the repetitive focus on negative content in dialogue, which so far has not been studied in the context of posttraumatic symptoms. Aims: The aim of the study was to investigate whether corumination, as a maladaptive interpersonal process, predicts symptoms of PTSD additionally to the known relevant socio-interpersonal variables such as dysfunctional disclosure and social acknowledgment. Method: In all, N = 168 rescue workers in Belarus filled out questionnaires on socio-interpersonal variables and secondary PTSD symptoms. Results: Corumination was significantly associated with secondary traumatization. All the socio-interpersonal risk factors together explained up to 50 % of the variance for secondary traumatization, while 2 % of variance was explained by corumination. Conclusion: The disclosure of traumatic events and the excessive discussion as well as extensive and recurrent speculation about problems between colleagues, along with a focus on negative feelings – so-called corumination – are associated with maladaptive processing of traumatic experiences.

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