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

Teresa Carvalho; José Pinto-Gouveia; Marina Cunha; Carolina da Motta

doi:10.1002/jclp.23303

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

Teresa Carvalho, José Pinto-Gouveia, Marina Cunha, Carolina da Motta

HEI-LAB - Human Environment Interaction Lab

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

Abstract

Objective: To explore a novel model for war-related posttraumatic stress disorder (PTSD) symptomatology including emotion regulation processes, namely experiential avoidance (EA) and uncompassionate self-responding (USR), mediating the impact of childhood threat memories, combat exposure distress, combat and noncombat threats, and peritraumatic depersonalization/derealization (PDD) on PTSD symptomatology. Method: A sample of 650 male Portuguese Overseas War veterans filled self-report instruments. Results: The model explained 59% of the variance of PTSD symptomatology. Both EA and USR mediated the effects of noncombat threats and PDD on PTSD. Additionally, EA mediated combat exposure distress and USR mediated childhood threat memories. Combat exposure distress, combat and noncombat threats, and PDD showed direct effects on PTSD symptomatology. Conclusion: The findings help to better understand the relationship between predictive factors of war-related PTSD in clinical and research settings, providing novel insights on the effects of combat exposure distress, and the different effects of combat and noncombat-related threats on PTSD.

Original language	English
Pages (from-to)	1074-1092
Number of pages	19
Journal	Journal of Clinical Psychology
Volume	78
Issue number	6
DOIs	https://doi.org/10.1002/jclp.23303
Publication status	Published - Jun 2022

Bibliographical note

Publisher Copyright:
© 2022 Wiley Periodicals LLC.

Funding

This study was supported by the first author's Ph.D. Grant (SFRH/BD/68452/2010), sponsored by FCT (Foundation for Science and Technology), Portugal, and co\u2010sponsored by European Social Fund, Brussels, through Portuguese POPH (Human Potential Operational Program).

Funders	Funder number
European Social Fund
Fundação para a Ciência e a Tecnologia	SFRH/BD/68452/2010

Keywords

combat
combat exposure distress
experiential avoidance
mediation model
noncombat threats
uncompassionate self-responding
war-related posttraumatic stress disorder

Access to Document

10.1002/jclp.23303

Cite this

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

abstract = "Objective: To explore a novel model for war-related posttraumatic stress disorder (PTSD) symptomatology including emotion regulation processes, namely experiential avoidance (EA) and uncompassionate self-responding (USR), mediating the impact of childhood threat memories, combat exposure distress, combat and noncombat threats, and peritraumatic depersonalization/derealization (PDD) on PTSD symptomatology. Method: A sample of 650 male Portuguese Overseas War veterans filled self-report instruments. Results: The model explained 59% of the variance of PTSD symptomatology. Both EA and USR mediated the effects of noncombat threats and PDD on PTSD. Additionally, EA mediated combat exposure distress and USR mediated childhood threat memories. Combat exposure distress, combat and noncombat threats, and PDD showed direct effects on PTSD symptomatology. Conclusion: The findings help to better understand the relationship between predictive factors of war-related PTSD in clinical and research settings, providing novel insights on the effects of combat exposure distress, and the different effects of combat and noncombat-related threats on PTSD.",

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author = "Teresa Carvalho and Jos{\'e} Pinto-Gouveia and Marina Cunha and {da Motta}, Carolina",

note = "Publisher Copyright: {\textcopyright} 2022 Wiley Periodicals LLC.",

year = "2022",

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doi = "10.1002/jclp.23303",

language = "English",

volume = "78",

pages = "1074--1092",

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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 et al.
In: Journal of Clinical Psychology, Vol. 78, No. 6, 06.2022, p. 1074-1092.

Research output: Contribution to journal › Article › peer-review

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T2 - A novel mediation model for war-related PTSD symptomatology

AU - Carvalho, Teresa

AU - Pinto-Gouveia, José

AU - Cunha, Marina

AU - da Motta, Carolina

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

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