{"id":{"repo_id":"ohiolink","oai_identifier":"oai:etd.ohiolink.edu:case1347196179"},"canonical_url":"https://search.dev.ndltd.org/etd/ohiolink/oai:etd.ohiolink.edu:case1347196179","repository":{"repo_id":"ohiolink","name":"OhioLINK","base_url":"https://etd.ohiolink.edu/acprod/odb_etd/ws/oai/oai"},"display":{"title":"Anger and Guilt in Treatment for Chronic Posttraumatic Stress Disorder","abstract":"Anger and guilt are associated with PTSD and depression (e.g., Novaco & Chemtob, 2002; Henning & Freuh, 1997). Yet, little work has investigated how anger, guilt, PTSD and depression relate in baseline psychopathology, treatment engagement, and outcome. The present study utilized baseline, in-session, and posttreatment data from two hundred trauma survivors with PTSD. The first aim examined the association between PTSD and anger and guilt at baseline and found depression to mediate the relationship between specific PTSD symptoms and guilt. The second aim investigated whether anger and guilt were negatively correlated with engagement. Lastly, aim three examined anger and guilt as predictors of worse treatment outcome and engagement as a mediator of treatment outcome. Results indicated that anger and guilt did not hinder emotional engagement and did not impede effective PTSD treatment. Anger and guilt decreased as a result of PTSD treatment implying tolerability and broad applicability of prolonged exposure.","abstract_html":"Anger and guilt are associated with PTSD and depression (e.g., Novaco & Chemtob, 2002; Henning & Freuh, 1997). Yet, little work has investigated how anger, guilt, PTSD and depression relate in baseline psychopathology, treatment engagement, and outcome. The present study utilized baseline, in-session, and posttreatment data from two hundred trauma survivors with PTSD. The first aim examined the association between PTSD and anger and guilt at baseline and found depression to mediate the relationship between specific PTSD symptoms and guilt. The second aim investigated whether anger and guilt were negatively correlated with engagement. Lastly, aim three examined anger and guilt as predictors of worse treatment outcome and engagement as a mediator of treatment outcome. Results indicated that anger and guilt did not hinder emotional engagement and did not impede effective PTSD treatment. Anger and guilt decreased as a result of PTSD treatment implying tolerability and broad applicability of prolonged exposure.","abstract_has_math":false,"creators":["Clifton, Erin G."],"institution":"Case Western Reserve University School of Graduate Studies","degree_name":"Master of Arts","degree_level":"masters","degree_discipline":"Psychology","degree_department":null,"school":null,"contributors":["Feeny, Norah"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2013,"date_issued":"2013-03-07","date_published":"2013-03-07","updated_at":"2026-07-24T03:35:52Z","subjects":["Psychology","PTSD treatment","anger","guilt","emotional engagement"],"languages":["English"],"rights":["unrestricted","This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws."],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://rave.ohiolink.edu/etdc/view?acc_num=case1347196179","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Feeny, Norah"]},{"key":"dc:creator","label":"Author","values":["Clifton, Erin G."]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2013-03-07"]},{"key":"dc:publisher","label":"Institution","values":["Case Western Reserve University School of Graduate Studies / OhioLINK"]},{"key":"dc:type","label":"Dc Type","values":["Electronic Thesis or Dissertation"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Psychology"]},{"key":"thesis:degree_level","label":"Degree Level","values":["masters"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Arts"]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["Case Western Reserve University School of Graduate Studies"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Psychology","PTSD treatment","anger","guilt","emotional engagement"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["English"]},{"key":"dc:rights","label":"Dc Rights","values":["unrestricted","This thesis or dissertation is protected by copyright: all rights reserved. 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The second aim investigated whether anger and guilt were negatively correlated with engagement. Lastly, aim three examined anger and guilt as predictors of worse treatment outcome and engagement as a mediator of treatment outcome. Results indicated that anger and guilt did not hinder emotional engagement and did not impede effective PTSD treatment. Anger and guilt decreased as a result of PTSD treatment implying tolerability and broad applicability of prolonged exposure."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf","489.9 KB"]},{"key":"dc:title","label":"Title","values":["Anger and Guilt in Treatment for Chronic Posttraumatic Stress Disorder"]}]}],"canonical_facts":{"dc:contributor":["Feeny, Norah"],"dc:creator":["Clifton, Erin G."],"dc:date":["2013-03-07"],"dc:description":["Anger and guilt are associated with PTSD and depression (e.g., Novaco & Chemtob, 2002; Henning & Freuh, 1997). Yet, little work has investigated how anger, guilt, PTSD and depression relate in baseline psychopathology, treatment engagement, and outcome. The present study utilized baseline, in-session, and posttreatment data from two hundred trauma survivors with PTSD. The first aim examined the association between PTSD and anger and guilt at baseline and found depression to mediate the relationship between specific PTSD symptoms and guilt. The second aim investigated whether anger and guilt were negatively correlated with engagement. Lastly, aim three examined anger and guilt as predictors of worse treatment outcome and engagement as a mediator of treatment outcome. Results indicated that anger and guilt did not hinder emotional engagement and did not impede effective PTSD treatment. Anger and guilt decreased as a result of PTSD treatment implying tolerability and broad applicability of prolonged exposure."],"dc:format":["application/pdf","489.9 KB"],"dc:identifier":["http://rave.ohiolink.edu/etdc/view?acc_num=case1347196179"],"dc:language":["English"],"dc:publisher":["Case Western Reserve University School of Graduate Studies / OhioLINK"],"dc:rights":["unrestricted","This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws."],"dc:subject":["Psychology","PTSD treatment","anger","guilt","emotional engagement"],"dc:title":["Anger and Guilt in Treatment for Chronic Posttraumatic Stress Disorder"],"dc:type":["Electronic Thesis or Dissertation"],"thesis:degree_discipline":["Psychology"],"thesis:degree_level":["masters"],"thesis:degree_name":["Master of Arts"],"thesis:institution_name":["Case Western Reserve University School of Graduate Studies"]},"updated_at":"2026-07-24T03:35:52Z"}