The authors examined the presence of posttraumatic stress symptoms (PTSS) i
n 20 patients requiring ventilation after acute respiratory distress. The s
ubjects completed a semistructured interview about their ventilation experi
ence that was subject to content and linguistic analysis. Subjects also com
pleted two self-report measures to assess PTSS and socioemotional adjustmen
t. Subjects who endorsed PTSS were more likely to use a narrative style sug
gesting emotional involvement in their recall of the stressful event. The a
uthors indicate that the presence of PTSS is a common consequence of trauma
tic medical experiences and that denial of distress may be an adaptive shor
t-term coping strategy.