The predictive value of trauma-related coping self-efficacy for posttraumatic stress symptoms: Differences between treatment-seeking and non-treatment-seeking victims.

OBJECTIVE To assess and compare the (independent) predictive value of trauma-related coping self-efficacy (CSE) for posttraumatic stress symptoms (PTSS) among a treatment sample and a comparison group of nontreatment seeking victims. METHOD Both the treatment (N = 54) and comparison group (N = 144) were exposed to potentially traumatic events (PTEs), experienced a heightened level of PTSS (IES > = 19), and were matched on work status and time between PTE and first measurement (T1). Respondents completed both baseline (T1) and follow-up measures (T2) approximately 8 months after T1. RESULTS Multiple regression analyses among the treatment sample showed that neither PTSS at T1 (start of treatment) nor CSE levels at T1 predicted PTSS at T2 among the treatment group. Among the comparison group, higher CSE levels at T1 and younger age were significantly associated with lower PTSS at T2. In both the treatment group and the comparison group PTSS levels were significantly lower at T2 than at T1. As expected, treatment seeking victims have higher PTSS and lower CSE levels than nontreatment seeking victims. CONCLUSIONS Pretreatment CSE did not affect recovery during treatment: higher pretreatment CSE perceptions do not give treated individuals an advantage while CSE is predictive of PTSS among untreated victims.