“…Childhood trauma, including abuse (sexual, emotional, and physical), and neglect (physical and emotional), is one of the most reliable predictors of post-traumatic stress disorder (PTSD) symptoms, which are characterized by re-experiencing, avoidance, negative cognitions and mood, and arousal following exposure to a stressor (American Psychiatric Association, 2013). Literature reviews (Dar, Wani, Margoob, Haq, & Chandel, 2015;Dvir, Ford, Hill, & Frazier, 2014;Li & Seng, 2018;Messman-Moore & Bhuptani, 2017), meta-analyses (Malarbi, Abu-Rayya, Muscara, & Stargatt, 2017;Tang, Deng, Glik, Dong, & Zhang, 2017) as well as longitudinal studies (Shenk, Putnam, Rausch, Peugh, & Noll, 2014;Steine et al, 2017) and cross-cultural studies (Kratzer et al, 2018;Vang, Shevlin, Karatzias, Fyvie, & Hyland, 2018) have all shown a direct association between childhood trauma and PTSD. However, not all childhood trauma contribute to PTSD or PTSD symptoms (Copeland, Keeler, Angold, & Costello, 2007;Paolucci, Genius, & Violato, 2001), suggesting that possible mediators may elucidate how childhood trauma leads to PTSD symptoms, but the causal mechanisms between childhood trauma and the progress of PTSD symptoms have not been sufficiently studied.…”