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Measuring the Severity of Negative and Traumatic Events

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Clinical Psychological Science

Published online on

Abstract

We devised three measures of the general severity of events, which raters applied to participants’ narrative descriptions: (a) placing events on a standard normed scale of stressful events, (b) placing events into five bins based on their severity relative to all other events in the sample, and (c) an average of ratings of the events’ effects on six distinct areas of the participants’ lives. Protocols of negative events were obtained from two nondiagnosed undergraduate samples (n = 688 and 328), a clinically diagnosed undergraduate sample, all of whom had traumas and half of whom met posttraumatic stress disorder (PTSD) criteria (n = 30), and a clinically diagnosed community sample who met PTSD criteria (n = 75). The three measures of severity correlated highly in all four samples but failed to correlate with PTSD symptom severity in any sample. Theoretical implications for the role of trauma severity in PTSD are discussed.