Experiential avoidance, uncompassionate self‐responding, and peritraumatic depersonalization/derealization: A novel mediation model for war‐related PTSD symptomatology

Carvalho, Teresa; Pinto‐Gouveia, José; Cunha, Marina; Motta, Carolina da

doi:10.1002/jclp.23303

Cited by 3 publications

(1 citation statement)

References 75 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It would be useful for future work to evaluate the potential mediational role of other variables in alcohol use severity among veterans and the time course of change following clinical treatment (Feingold & Zerach, 2021). Recently, Carvalho et al (2022) tested a novel model of combat‐related PTSD and found a key role for uncompassionate self‐responding and experiential avoidance in mediating PTSD symptomatology. Experiential avoidance is involved when reminders of traumatic experiences prompt elevated anxiety and lead to increased drinking as a means of escaping or avoiding the unpleasant emotional consequences (Chawla & Ostafin, 2007).…”

Section: Discussionmentioning

confidence: 99%

Anxiety, distress tolerance, and the relationship between complex posttraumatic stress disorder symptoms and alcohol use in veterans

Whiteford,

Quigley,

Dighton

et al. 2023

J Clin Psychol

View full text Add to dashboard Cite

ObjectivesLittle is known about whether distress tolerance and anxiety mediate the relationship between comorbid complex posttraumatic stress disorder (CPTSD) and alcohol use among military veterans. Here, we investigated the contribution of distress tolerance and anxiety on the strength of the CPTSD and alcohol use association. We hypothesized that the impact of a two‐factor model of CPTSD derived from subscale scores on the International Trauma Questionnaire (ITQ)—namely ITQ PTSD and ITQ Disturbances in Self Organization (DSO; e.g., issues with affective regulation/self‐belief and shame)—on alcohol use severity would be mediated by anxiety but not by distress tolerance.MethodsParticipants included 403 community‐dwelling United Kingdom (UK) veterans (91.64% male, Mage = 51.15 years, SD = 12.48) recruited as part of a larger, online study.ResultsFindings indicated that the influence of CPTSD symptoms on alcohol use severity was mediated by anxiety, not by distress tolerance, with greater relative impact due to ITQ DSO status than ITQ PTSD status.ConclusionsWe identified the mediational influence of anxiety and distress tolerance on the association between CPTSD subscales and alcohol use in UK veterans. Interventions for anxiety may be adapted for reducing problematic alcohol use and the impact of CPTSD symptoms in veterans with comorbid PTSD and alcohol use disorder.

show abstract

Section: Discussionmentioning

confidence: 99%

Anxiety, distress tolerance, and the relationship between complex posttraumatic stress disorder symptoms and alcohol use in veterans

Whiteford,

Quigley,

Dighton

et al. 2023

J Clin Psychol

View full text Add to dashboard Cite

show abstract

Posttraumatic Stress Symptoms and its Association with Rumination, Thought Suppression and Experiential Avoidance: a Systematic Review and Meta-Analysis

Miethe

Wigger

Wartemann

et al. 2023

J Psychopathol Behav Assess

View full text Add to dashboard Cite

Posttraumatic stress disorder (PTSD) is a severe mental disorder causing high individual and societal costs. The use of maladaptive emotion regulation (ER) strategies has been identified as a potential contributing factor. This meta-analysis aimed to quantify the associations between PTSD symptoms and rumination, thought suppression and experiential avoidance. The systematic literature search resulted in 5574 studies, 75 of which were included in the analysis. From those eligible studies 189 effect sizes were obtained. For symptoms of posttraumatic stress, large effects were found for associations with rumination (r = .52) and experiential avoidance (r = .48), whereas a medium effect size was found for thought suppression (r = .29). With respect to different PTSD symptom clusters, associations ranged between r = .35 and r = .41 for associations with intrusive re-experiencing, between r = .39 and r = .41 for associations with avoidance, between r = .50 and r = .53 for associations with alterations in cognitions and mood and between r = .41 and r = .45 for associations with alterations in arousal and activity. Few available studies provide some evidence that associations might be somewhat reduced but still substantial in longitudinal compared to cross-sectional studies. These findings provide valuable targets for future investigations with the long-term goal of improving targeted interventions for the prevention and treatment of PTSD symptoms.

show abstract

The Structure of Experiential Avoidance and External Validity: An Investigation of the Multidimensional Experiential Avoidance Questionnaire

Baldour-Wang,

Kotov,

Gámez

et al. 2024

J Psychopathol Behav Assess

View full text Add to dashboard Cite

Experiential avoidance, uncompassionate self‐responding, and peritraumatic depersonalization/derealization: A novel mediation model for war‐related PTSD symptomatology

Cited by 3 publications

References 75 publications

Anxiety, distress tolerance, and the relationship between complex posttraumatic stress disorder symptoms and alcohol use in veterans

Anxiety, distress tolerance, and the relationship between complex posttraumatic stress disorder symptoms and alcohol use in veterans

Posttraumatic Stress Symptoms and its Association with Rumination, Thought Suppression and Experiential Avoidance: a Systematic Review and Meta-Analysis

The Structure of Experiential Avoidance and External Validity: An Investigation of the Multidimensional Experiential Avoidance Questionnaire

Contact Info

Product

Resources

About