The present study aimed to investigate differences between factors related to post-traumatic stress symptoms (PTSS) and social disability in patients with post-traumatic stress disorder. Female patients with post-traumatic stress disorder (N=41) who visited the clinic mainly in the wake of an experience with domestic violence (DV) completed the Event Check List (ECL), the Impact of Event Scale-Revised (IES-R), the Sheehan Disability Scale (SDISS), the Cognitive Appraisal Rating Scale (CARS), the Negative Appraisal for Post-traumatic Stress Symptoms (NAP), and the Tri-Axial Coping Scale-24 (TAC). A partial correlation analysis, performed to determine whether symptoms of post-traumatic stress disorder were related to social disability, revealed a weak correlation between their scores on the Impact of Event Scale-Revised and the SDISS. Moreover, hierarchical multiple regression analysis revealed that the appraisal of threat, negative prediction and implications relating to post-traumatic stress symptoms, and avoidance-like thinking positively influenced post-traumatic stress symptoms. However, appraisal of threat and becoming resigned positively influenced social disability, and negatively influenced positive interpretation and evading one's responsibility. These results suggest that even if the post-traumatic stress disorder condition improves, the degree of social disability may not. Furthermore, the relationship between cognitive behavioral variables and post-traumatic stress symptoms is different from the relationship between cognitive behavioral variables and social disability. Therefore, in addition to conventional treatments for post-traumatic stress disorder, such as cognitive behavior therapy (CBT), an intervention may be required that positively influences social disability.
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