Academic Journal
Shame and Emotion Dysregulation as Pathways to Posttraumatic Stress Symptoms Among Women With a History of Interpersonal Trauma.
| Τίτλος: | Shame and Emotion Dysregulation as Pathways to Posttraumatic Stress Symptoms Among Women With a History of Interpersonal Trauma. |
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| Συγγραφείς: | Mirabile M; Swinburne University of Technology, Melbourne, VIC, Australia., Gnatt I; Swinburne University of Technology, Melbourne, VIC, Australia., Sharp JL; Swinburne University of Technology, Melbourne, VIC, Australia., Mackelprang JL; Swinburne University of Technology, Melbourne, VIC, Australia. |
| Πηγή: | Journal of interpersonal violence [J Interpers Violence] 2024 Apr; Vol. 39 (7-8), pp. 1853-1876. Date of Electronic Publication: 2023 Nov 09. |
| Τύπος έκδοσης: | Journal Article; Research Support, Non-U.S. Gov't |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Sage Publications Country of Publication: United States NLM ID: 8700910 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6518 (Electronic) Linking ISSN: 08862605 NLM ISO Abbreviation: J Interpers Violence Subsets: MEDLINE |
| Imprint Name(s): | Publication: Thousand Oaks, CA : Sage Publications Original Publication: [Beverly Hills, CA] : Sage Publications, [c1986- |
| Ιατρικοί όροι (MeSH): | Stress Disorders, Post-Traumatic*/psychology , Problem Behavior* , Emotional Regulation*, Humans ; Female ; Shame ; Diagnostic and Statistical Manual of Mental Disorders |
| Περίληψη: | Women who have survived interpersonal trauma are at elevated risk of developing posttraumatic stress disorder (PTSD), and potentially modifiable factors that may be targeted in treatment warrant further investigation. This study examined a pathway from interpersonal trauma to PTSD symptoms via emotion dysregulation and shame in a large non-clinical sample of women. The sample comprised 380 women, aged 18 to 59 years (M = 31.70, standard deviation = 10.06), all of whom had a history of interpersonal trauma. Participants completed the Experience of Shame Scale, the Difficulties in Emotion Regulation Scale-Short Form, and the Life Events Checklist for DSM-5. A serial and parallel process model with interpersonal trauma as a predictor of PTSD symptoms, emotional dysregulation and facets of shame as intermediary variables, was analyzed using Statistical Package for Social Sciences Statistics PROCESS Model 81with bias-corrected bootstrap tests of indirect effects. Non-interpersonal trauma was included as a covariate. Interpersonal trauma, emotion dysregulation, and characterological and bodily shame were significantly and directly associated with PTSD symptoms, together explaining 59% of the variation in PTSD symptoms. While emotion dysregulation was associated with behavioral shame, interpersonal trauma was not associated with behavioral shame, nor was behavioral shame associated with PTSD symptoms. Tests of indirect effects supported a pathway from interpersonal trauma to PTSD symptoms via emotion dysregulation and characterological and bodily shame. These findings suggest interventions that are particularly effective at reducing emotion dysregulation and characterological and bodily shame, such as compassion and acceptance-based approaches, may complement evidence-based PTSD interventions when working with women who have survived interpersonal trauma. |
| Competing Interests: | Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interests with respect to the authorship and/or publication of this article. |
| References: | Psychol Sci. 2007 Mar;18(3):233-9. (PMID: 17444920) J Psychopathol Behav Assess. 2016 Sep;38(3):443-455. (PMID: 41522882) Br J Clin Psychol. 2002 Mar;41(Pt 1):29-42. (PMID: 11931676) J Trauma Stress. 2019 Aug;32(4):484-495. (PMID: 31291483) J Clin Med. 2016 Nov 01;5(11):. (PMID: 27809274) J Aggress Maltreat Trauma. 2008 Jul 1;16(4):391-408. (PMID: 20046534) J Affect Disord. 2021 Mar 15;283:236-242. (PMID: 33561805) Anxiety Stress Coping. 2022 Jul;35(4):425-439. (PMID: 34369816) Arch Womens Ment Health. 2007;10(3):111-20. (PMID: 17458626) Aging Ment Health. 2005 Jul;9(4):368-73. (PMID: 16019294) Violence Against Women. 2020 Oct;26(12-13):1538-1554. (PMID: 31543074) Behav Ther. 2011 Dec;42(4):740-50. (PMID: 22036001) Behav Ther. 2010 Dec;41(4):587-98. (PMID: 21035621) J Psychiatr Res. 2020 Feb;121:222-228. (PMID: 31865212) Clin Psychol Eur. 2022 Sep 30;4(3):e7801. (PMID: 36398006) Child Maltreat. 2005 Nov;10(4):337-49. (PMID: 16204736) J Child Sex Abus. 2015;24(6):627-40. (PMID: 26340071) Int J Eat Disord. 2021 Nov;54(11):1899-1945. (PMID: 34302369) Eur J Psychotraumatol. 2015 Sep 22;6:28847. (PMID: 26399959) Psychol Trauma. 2020 Sep;12(6):651-658. (PMID: 32496096) Curr Psychiatry Rep. 2018 Oct 22;20(12):114. (PMID: 30345456) J Trauma Stress. 2015 Dec;28(6):489-98. (PMID: 26606250) Psychoanal Rev. 1971 Fall;58(3):419-38. (PMID: 5150685) Behav Res Methods Instrum Comput. 2004 Nov;36(4):717-31. (PMID: 15641418) Clin Psychol Psychother. 2010 Jan-Feb;17(1):13-24. (PMID: 19728293) J Pers Soc Psychol. 1979 Oct;37(10):1798-809. (PMID: 512837) J Child Sex Abus. 2017 Feb-Mar;26(2):158-174. (PMID: 28350260) Int J Stress Manag. 2020 Nov;27(4):380-393. (PMID: 35311212) J Psychopathol Clin Sci. 2024 Apr;133(3):257-272. (PMID: 38619461) Behav Ther. 2017 Mar;48(2):207-221. (PMID: 28270331) J Psychol. 2017 Feb 17;151(2):171-184. (PMID: 27858531) World Psychiatry. 2019 Oct;18(3):259-269. (PMID: 31496089) J Interpers Violence. 2017 Jun;32(11):1620-1641. (PMID: 26088902) Front Psychol. 2015 Aug 27;6:1273. (PMID: 26379596) J Affect Disord. 2016 Jan 15;190:376-385. (PMID: 26546773) Assessment. 2004 Dec;11(4):330-41. (PMID: 15486169) J Trauma Stress. 2019 Feb;32(1):42-55. (PMID: 30748027) J Trauma Stress. 2022 Feb;35(1):302-307. (PMID: 34291838) Child Abuse Negl. 2017 Mar;65:37-47. (PMID: 28110110) Violence Against Women. 2022 Jan;28(1):107-125. (PMID: 33602037) Front Behav Neurosci. 2018 Nov 02;12:258. (PMID: 30450043) J Consult Clin Psychol. 2012 Feb;80(1):43-53. (PMID: 22040285) Dev Psychol. 2002 Jan;38(1):79-92. (PMID: 11806704) Behav Res Methods. 2007 May;39(2):175-91. (PMID: 17695343) Br J Med Psychol. 2001 Dec;74(Pt 4):451-66. (PMID: 11780793) J Trauma Stress. 2013 Oct;26(5):537-47. (PMID: 24151000) Psychol Trauma. 2022 May;14(4):714-720. (PMID: 34166045) J Trauma Stress. 2020 Dec;33(6):1007-1016. (PMID: 32529732) Curr Psychiatry Rep. 2020 Feb 14;22(4):16. (PMID: 32076847) Psychol Bull. 2006 Nov;132(6):959-92. (PMID: 17073529) Trauma Violence Abuse. 2006 Apr;7(2):122-41. (PMID: 16534148) |
| Contributed Indexing: | Keywords: PTSD; emotion dysregulation; interpersonal trauma; posttraumatic stress disorder; shame; women |
| Entry Date(s): | Date Created: 20231109 Date Completed: 20240305 Latest Revision: 20260922 |
| Update Code: | 20260922 |
| PubMed Central ID: | PMC10913341 |
| DOI: | 10.1177/08862605231211924 |
| PMID: | 37942893 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1552-6518 |
|---|---|
| DOI: | 10.1177/08862605231211924 |