{"doi":"10.1080/20008066.2025.2532273","title":"Stress reactivity during short trauma narratives in adolescents with post-traumatic stress disorder (PTSD) and complex PTSD","abstract":null,"journal":"European Journal of Psychotraumatology","year":2025,"id":649739,"datarank":0.24141568686511508,"base_score":1.6094379124341003,"endowment":1.6094379124341003,"self_citation_contribution":0.24141568686511508,"citation_network_contribution":0.0,"self_endowment_contribution":0.24141568686511508,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1693884,"name":"Sarah Macura","orcid":"0009-0003-1540-8527","position":1,"is_corresponding":false},{"id":1693886,"name":"Andreas Goreis","orcid":"0000-0001-8994-964X","position":2,"is_corresponding":false},{"id":1693888,"name":"Diana Klinger","orcid":"0000-0002-1959-1088","position":3,"is_corresponding":false},{"id":1693892,"name":"Bettina Pfeffer","orcid":"0000-0003-2823-9972","position":4,"is_corresponding":false},{"id":1693895,"name":"Sofia M. Oehlke","orcid":"0000-0002-0633-5827","position":5,"is_corresponding":false},{"id":1693897,"name":"Karin Prillinger","orcid":"0000-0001-9835-1850","position":6,"is_corresponding":false},{"id":1693899,"name":"Johanna X. Kafka","orcid":"0000-0003-3404-3546","position":7,"is_corresponding":false},{"id":1693900,"name":"Heidi Elisabeth Zesch","orcid":null,"position":8,"is_corresponding":false},{"id":1693902,"name":"Anna Felnhofer","orcid":"0000-0002-0081-7489","position":9,"is_corresponding":false},{"id":1693904,"name":"Paul L. Plener","orcid":"0000-0003-4333-1494","position":10,"is_corresponding":false},{"id":1693882,"name":"Oswald D. Kothgassner","orcid":"0000-0002-3243-0238","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Stress reactivity during short trauma narratives in adolescents with post-traumatic stress disorder (PTSD) and complex PTSD.","abstract":"<b>Background:</b> Psychophysiological dysregulations and negative alterations in cognitions and mood characterize post traumatic stress disorder (PTSD) and complex PTSD (C-PTSD), contributing to an increased risk of disorder persistence and chronic health problems. However, understanding the differences in physiological stress reactivity and negative cognitive-emotional patterns between adolescents with PTSD and C-PTSD remains a notable research gap.<b>Objective:</b> This study examined group differences in autonomic nervous system (ANS) reactivity during the sharing of a short trauma narrative, including resting and recovery phases, and compared subjective experiences of stress, shame, and guilt among adolescents with PTSD, C-PTSD, and trauma-exposed controls.<b>Methods:</b> In a repeated-measures design, 52 adolescents (14-18 years) with PTSD (<i>n</i> = 17), C-PTSD (<i>n</i> = 18), and a control group (<i>n</i> = 17) were assessed for heart rate, heart rate variability, and subjective experiences of stress, shame, and guilt during a standardized trauma interview, as well as during baseline and recovery phases.<b>Results:</b> Linear mixed-effects models revealed a significant interaction between group and time point (<i>F</i> = 4.134, <i>p</i> < .001). The C-PTSD group exhibited a significantly higher heart rate in the recovery phase compared to the PTSD (<i>p</i> = .010) and control groups (<i>p</i> = .036), alongside significantly higher subjective stress, guilt, and shame experiences. Main effects of group were identified for perceived stress (<i>F</i> = 7.543, <i>p</i> = .002), guilt (<i>F</i> = 21.779, <i>p</i> < .001), and shame (<i>F</i> = 19.309, <i>p</i> < .001), with the C-PTSD group exhibiting higher levels compared to PTSD and control groups across all conditions.<b>Conclusions:</b> Prolonged stress responses and elevated experiences of shame and guilt in adolescents with C-PTSD align with the diagnostic criteria of affective dysregulation and negative self-concept. Objective stress measures during trauma interviews may support the diagnosis of C-PTSD. Findings highlight the importance of phase-based trauma therapies that target emotional dysregulation, shame, and guilt.","is_dataset_classified":null,"base_score":0.0,"endowment":0.0,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"40758091","pmcid":"PMC12322999","openalex_id":null,"authors":[],"funders":[{"funder_name":"Austrian Academy of Sciences","grant_id":"27205","title":null},{"funder_name":"Austrian Science Fund FWF","grant_id":"KLI-963","title":null},{"funder_name":"Austrian Academy of Sciences","grant_id":"27232","title":null},{"funder_name":"Medical University of Vienna","grant_id":"","title":null}],"total_grants":4,"fwci":null,"citation_percentile":null,"influential_citations":0,"citation_trend":[],"oa_status":null,"license":null,"oa_locations":[{"url":"https://europepmc.org/articles/PMC12322999","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC12322999?pdf=render","host_type":"Europe_PMC"}],"fields_of_study":["Humans","Stress Disorders, Post-Traumatic","Adolescent","Female","Male","Heart Rate","Stress, Psychological","Autonomic Nervous System","Shame","Guilt","Narration"],"mesh_terms":["Autonomic Nervous System","Humans","Narration","Stress, Psychological","Guilt","Shame","Stress Disorders, Post-Traumatic","Heart Rate","Adolescent","Female","Male"],"keywords":["Heart rate","Post Traumatic Stress","Shame","Autonomic Dysregulation","Frecuencia Cardiaca","Trauma Narrative","Vergüenza","Estrés Postraumático","Desregulación Autonómica","Narrativa Del Trauma"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-10T04:14:26.335181Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}