Identification of psychological features and development of an assessment tool for event-related psychological distress after experiencing non-traumatic stressful events

PLoS One. 2021 Mar 31;16(3):e0249126. doi: 10.1371/journal.pone.0249126. eCollection 2021.

Abstract

Stressful events in daily life that are non-traumatic (e.g., family-, school-, work-, interpersonal-, and health-related problems) frequently cause various mood disturbances. For some people, being exposed to non-traumatic but stressful events could trigger the onset and relapse of mood disorders. Furthermore, non-traumatic stressful events also cause event-related psychological distress (ERPD), similar to that of post-traumatic stress disorder (PTSD; i.e., intense intrusive imagery or memory recall, avoidance, and hyperarousal) in the general population and individuals with mood disorders. However, previous ERPD studies only showed that people with ERPD display PTSD-like symptoms after non-traumatic experiences; they failed to get to the crux of the matter by only utilizing trauma- or PTSD-related assessment tools. We thus aimed to identify the psychological phenomena and features of ERPD after individuals experienced non-traumatic stressful events, and to develop and validate an appropriate ERPD assessment tool. First, we conducted a qualitative study to obtain the psychological features through interviews with 22 individuals (mean age = 41.50 years old, SD = 12.24) with major depressive disorder or bipolar disorder. Second, in the quantitative component, we implemented a web-based survey with 747 participants of the general population (mean age = 41.96 years old, SD = 12.64) by using ERPD-related questionnaires created based on the qualitative study; then, we examined the reliability and validity of the ERPD assessment tool. Results yielded that the psychological features of ERPD comprised four factors: feelings of revenge, rumination, self-denial, and mental paralysis. These were utilized in the developed 24-item measure of ERPD-a novel self-report assessment tool. For various professionals involved in mental healthcare, this tool can be used to clarify and assess psychological phenomena in people with ERPD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Algorithms
  • Bipolar Disorder / pathology
  • Bipolar Disorder / psychology
  • Case-Control Studies
  • Cognition
  • Depressive Disorder, Major / pathology
  • Depressive Disorder, Major / psychology
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Psychological Distress*
  • Self Report
  • Stress, Psychological*
  • Surveys and Questionnaires

Grants and funding

Initials of the authors who received each award is AS.This work was supported by JSPS KAKENHI Grant Number 20K16616. The full name of the funder is Japan Society for the Promotion of Science (https://www.jsps.go.jp/index.html). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.