Cognitive appraisals and physical health in people with posttraumatic stress disorder (PTSD).

Karatzias, Thanos and Chouliara, Zoë (2009) Cognitive appraisals and physical health in people with posttraumatic stress disorder (PTSD). Medical Hypothesis, 72 (4). pp. 444-447.

Available under License Creative Commons Attribution Non-commercial.

Download (290kB)


Previous literature suggests that posttraumatic stress disorder (PSTD) is associated with poor physical
health. To date a number of existing hypotheses have been developed to explain this association focusing
predominantly on the interplay between cognitive and emotional appraisals. We have attempted to synthesise
existing literature on the role of cognitive and emotional appraisals in explaining ill health (i.e.
medically explained symptoms), following PTSD. On the basis of this review, we are introducing a conceptualisation
aiming to explain poor physical health following PTSD. This new conceptualisation proposes
that PTSD symptoms will lead to the production of two types of cognitive appraisals: Appraisals
about the body that occurred during traumatisation, and cognitive appraisals about PTSD symptoms
themselves. Both these cognitive appraisals coupled with negative emotional responses will lead to physiological
arousal and negative health behaviours and subsequently to poor health. Although this conceptualisation
has certain clinical implications for the management of physical health following PTSD,
further research is required to test such by investigating the association between its elements.

Item Type: Article
Electronic ISSN: 0306-9877
Uncontrolled Keywords: posttraumatic stress disorder; physical health; cognitive appraisal; emotional response;
University Divisions/Research Centres: Faculty of Health, Life & Social Sciences > School of Nursing, Midwifery and Social Care
Dewey Decimal Subjects: 600 Technology > 610 Medicine & health > 616 Diseases > 616.8 Nervous & mental disorders
Library of Congress Subjects: R Medicine > RM Therapeutics. Pharmacology
Item ID: 3664
Depositing User: Mrs Lyn Gibson
Date Deposited: 02 Mar 2010 11:30
Last Modified: 13 Mar 2014 11:51

Actions (login required)

View Item View Item


Downloads per month over past year

View more statistics

Edinburgh Napier University is a registered Scottish charity. Registration number SC018373