Authors: Nawal Ouhmad; Wissam El-Hage; Nicolas Combalbert · Research

How Do Trauma and PTSD Affect Our Thoughts and Emotions?

Research reveals how PTSD impacts thought patterns and emotion regulation, with implications for recovery and treatment.

Source: Ouhmad, N., El-Hage, W., & Combalbert, N. (2023). Maladaptive cognitions and emotion regulation in posttraumatic stress disorder. Neuropsychiatr, 37, 65-75. https://doi.org/10.1007/s40211-022-00453-w

What you need to know

  • People with PTSD tend to have more negative thought patterns and difficulty managing emotions compared to those without PTSD
  • Even when exposed to trauma, not everyone develops PTSD - suggesting some people have protective factors that help them cope
  • Treatment focusing on both thought patterns and emotion management skills may be most effective for PTSD recovery

Understanding Trauma’s Impact on Mind and Emotions

Have you ever noticed how a particularly stressful experience seemed to change the way you think and feel? For people who develop Post-Traumatic Stress Disorder (PTSD) after experiencing trauma, these changes can be profound and long-lasting. Their minds may become trapped in negative thought patterns while their emotions feel increasingly difficult to control.

How PTSD Changes Thinking Patterns

When someone develops PTSD, they often start seeing the world through a distorted lens. These “cognitive distortions” are like wearing glasses that make everything look darker and more threatening than it really is. Common distorted thinking patterns include:

  • Seeing things in black and white with no middle ground
  • Minimizing positive experiences while maximizing negative ones
  • Focusing only on certain details while ignoring the bigger picture
  • Jumping to negative conclusions without evidence

These thought patterns aren’t just occasional - they become automatic ways of processing information that can maintain and worsen PTSD symptoms.

The Emotional Regulation Challenge

Along with changes in thinking, people with PTSD often struggle to manage their emotions effectively. The research found they tend to use unhelpful strategies like:

  • Rumination (getting stuck repeatedly thinking about negative experiences)
  • Catastrophizing (assuming the worst possible outcome)
  • Self-blame
  • Emotional avoidance

Meanwhile, they have more difficulty accessing helpful emotional regulation strategies like:

  • Putting things in perspective
  • Finding positive meaning in experiences
  • Planning constructive responses to challenges
  • Accepting emotions without judgment

The Connection Between Thoughts and Emotions

One of the most important findings from this research is how closely connected distorted thinking patterns and emotional regulation difficulties are in PTSD. The more someone engages in negative thought patterns, the harder it becomes to manage their emotions effectively. This creates a cycle that can maintain PTSD symptoms over time.

What This Means for You

If you or someone you know is dealing with PTSD, understanding these connections between thoughts and emotions can help guide recovery:

  • Work with a mental health professional who can help identify distorted thought patterns and develop more balanced thinking
  • Learn and practice healthy emotion regulation strategies like mindfulness, deep breathing, and progressive muscle relaxation
  • Remember that both thought patterns and emotional responses can be changed with proper support and practice
  • Consider treatment approaches that address both cognitive and emotional aspects of PTSD

Conclusions

  • PTSD affects both thinking patterns and emotional regulation abilities in significant ways
  • These cognitive and emotional changes tend to reinforce each other, creating cycles that maintain PTSD
  • Recovery is possible through treatments that address both thought patterns and emotion management skills
  • Not everyone exposed to trauma develops PTSD - understanding protective factors could help prevention efforts
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