{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:28:53Z","timestamp":1747150133686,"version":"3.40.5"},"reference-count":48,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,6,10]],"date-time":"2020-06-10T00:00:00Z","timestamp":1591747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Event centrality, defined as the extent to which a traumatic event becomes a core component of a person's identity (Berntsen &amp; Rubin, 2006), is both a correlate and predictor of posttraumatic stress disorder (PTSD) symptoms, over and above event severity. These findings suggest that decreasing the perceived centrality of a traumatic event to one's identity might result in decreases in PTSD symptom severity. To date, few studies have examined how centrality is affected by PTSD treatment. The present study tested the hypotheses that change in centrality would be associated with both change in PTSD symptom severity and discharge PTSD symptom severity in an exposure\u2010based PTSD partial hospitalization program (<jats:italic>N<\/jats:italic> = 132; 86.0% White; 85.2% female; <jats:italic>M<\/jats:italic> age = 36 years). At discharge (i.e., after approximately 6 weeks of treatment), both PTSD symptoms and centrality had significantly decreased, <jats:italic>d<\/jats:italic>s = .70 and .98, respectively, with large effect sizes. Decreases in Centrality of Events Scale (CES) scores at posttreatment, baseline CES scores, and baseline PTSD Checklist for <jats:italic>DSM\u20105<\/jats:italic> (PCL\u20105) scores were associated with change (i.e., decrease) in PCL\u20105 scores, <jats:italic>p<\/jats:italic> &lt; .001, as well as with posttreatment PCL\u20105 scores, <jats:italic>p<\/jats:italic> &lt; .001. Decreases in CES scores over time, baseline CES scores, and baseline PCL\u20105 scores explained 31% of the variance in PCL\u20105 change and 34% of the variance in posttreatment PCL\u20105 scores. The results indicate the potential importance of decreasing the centrality of a traumatic event in PTSD treatment and recovery.<\/jats:p>","DOI":"10.1002\/jts.22541","type":"journal-article","created":{"date-parts":[[2020,6,10]],"date-time":"2020-06-10T19:15:20Z","timestamp":1591816520000},"page":"116-123","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Change in Event Centrality and Posttraumatic Stress Disorder Symptoms During Intensive Treatment"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4520-1941","authenticated-orcid":false,"given":"Peter P.","family":"Grau","sequence":"first","affiliation":[{"name":"Department of Counselor Education and Counseling Psychology Marquette University  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadie E.","family":"Larsen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Medicine Medical College of Wisconsin  Milwaukee Wisconsin USA"},{"name":"Milwaukee VA Medical Center  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven L.","family":"Lancaster","sequence":"additional","affiliation":[{"name":"Bethel University  Saint Paul Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauricio","family":"Garnier\u2010Villarreal","sequence":"additional","affiliation":[{"name":"Department of Nursing Marquette University  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chad T.","family":"Wetterneck","sequence":"additional","affiliation":[{"name":"Rogers Behavioral Health  Oconomowoc Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6,10]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsp.2009.10.001"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1077-7229(01)80017-1"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2005.01.009"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/acp.1290"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/acp.2988"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22059"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/15325024.2015.1117930"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcbs.2015.10.001"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/10615806.2015.1080822"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/acp.1753"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2011.12.004"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/nmd.0b013e318266ba02"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000254"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20547"},{"volume-title":"Confirmatory factor analysis for applied research","year":"2015","author":"Brown T. A.","key":"e_1_2_5_17_1"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.10.003"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0005-7967(99)00123-0"},{"volume-title":"Applied missing data analysis","year":"2010","author":"Enders C. K.","key":"e_1_2_5_20_1"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/acp.3160"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/med:psych\/9780195308501.001.0001"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.10.019"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2018.07.006"},{"volume-title":"Growth modeling: Structural equation and multilevel modeling approaches","year":"2016","author":"Grimm K. J.","key":"e_1_2_5_25_1"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2014.01.008"},{"key":"e_1_2_5_27_1","unstructured":"Jorgensen T. D. Pornprasertmanit S. Schoemann A. M. &Rosseel Y.(2019).semTools: Useful tools for structural equation modeling. R package version 0.5\u20102.905. Retrieved fromhttps:\/\/CRAN.R-project.org\/package=semTools"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dcn.2017.11.007"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/acp.3296"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/15299732.2015.1009225"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/10926771.2013.775983"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0140525X14000041"},{"key":"e_1_2_5_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/bf02295278"},{"volume-title":"Longitudinal structural equation modeling","year":"2013","author":"Little T. D.","key":"e_1_2_5_34_1"},{"key":"e_1_2_5_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-11760-2_8"},{"key":"e_1_2_5_36_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0014349"},{"volume-title":"Test theory: A unified treatment","year":"1999","author":"McDonald R. P.","key":"e_1_2_5_37_1"},{"key":"e_1_2_5_38_1","first-page":"299","article-title":"Mechanisms of change in psychotherapy: Methodological and statistical considerations","volume":"19","author":"Moldovan R.","year":"2015","journal-title":"Cognition, Brain, and Behavior"},{"key":"e_1_2_5_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cbpra.2008.07.003"},{"key":"e_1_2_5_40_1","first-page":"472","volume-title":"Handbook of structural equation modeling","author":"Raykov T.","year":"2012"},{"key":"e_1_2_5_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2017.04.009"},{"key":"e_1_2_5_42_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20656"},{"key":"e_1_2_5_43_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v048.i02"},{"key":"e_1_2_5_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608-018-9936-3"},{"key":"e_1_2_5_45_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705511.2014.935918"},{"key":"e_1_2_5_46_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0000344"},{"key":"e_1_2_5_47_1","unstructured":"Weathers F. W. Blake D. D. Schnurr P. P. Kaloupek D. G. Marx B. P. &Keane T. M.(2013).The Life Events Checklist for DSM\u20105 (LEC\u20105). Instrument available from the National Center for PTSD atwww.ptsd.va.gov"},{"key":"e_1_2_5_48_1","unstructured":"Weathers F. W. Litz B. T. Keane T. M. Palmieri P. A. Marx B. P. &Schnurr P. P.(2013).The PTSD Checklist forDSM\u20105(PCL\u20105). Scale available from the National Center for PTSD atwww.ptsd.va.gov"},{"key":"e_1_2_5_49_1","unstructured":"Wright Anna Michelle \u201cEvent Centrality After Trauma: Stability Trauma Type And Posttraumatic Stress Disorder\u201d(2015).Wayne State University Dissertations. Paper 1323."}],"container-title":["Journal of Traumatic Stress"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jts.22541","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jts.22541","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jts.22541","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T05:39:01Z","timestamp":1693287541000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jts.22541"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,10]]},"references-count":48,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1002\/jts.22541"],"URL":"https:\/\/doi.org\/10.1002\/jts.22541","archive":["Portico"],"relation":{},"ISSN":["0894-9867","1573-6598"],"issn-type":[{"type":"print","value":"0894-9867"},{"type":"electronic","value":"1573-6598"}],"subject":[],"published":{"date-parts":[[2020,6,10]]},"assertion":[{"value":"2019-08-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-10","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}