This investigation utilized path analyses to examine the direct and indirect effects of experiences of potentially traumatic events in childhood, trauma-related guilt, and the use of avoidant coping strategies on level of PTSD symptomatology among a sample of female survivors of domestic violence. The results of this investigation indicated that individuals with more extensive histories of potentially traumatic events in childhood were more likely to report the experience of trauma-related guilt after exposure to domestic violence victimization in adulthood. Further, the path model indicated that experiencing trauma-related guilt was associated with greater use of avoidant coping strategies. Trauma-related guilt was related to increased PTSD symptomatology both directly and indirectly through the use of avoidant coping strategies. These findings highlight the importance of attending to guilt-based affective and cognitive reactions, maladaptive coping strategies, and the association between these constructs when treating survivors of relationship violence with multiple exposures to potentially traumatic events.
机构:
VA Boston Healthcare Syst, Boston, MA USA
Boston Univ, Sch Med, Dept Psychiat, Boston, MA 02215 USA
Harvard Univ, Sch Med, Dept Psychiat, Cambridge, MA 02138 USAVA Boston Healthcare Syst, Boston, MA USA
Gobin, Robyn L.
Iverson, Katherine M.
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Boston Univ, Sch Med, Dept Psychiat, Boston, MA 02215 USA
VA Boston Healthcare Syst, Womens Hlth Sci Div, Natl Ctr PTSD, Boston, MA USAVA Boston Healthcare Syst, Boston, MA USA
Iverson, Katherine M.
Mitchell, Karen
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Boston Univ, Sch Med, Dept Psychiat, Boston, MA 02215 USA
VA Boston Healthcare Syst, Womens Hlth Sci Div, Natl Ctr PTSD, Boston, MA USAVA Boston Healthcare Syst, Boston, MA USA
Mitchell, Karen
Vaughn, Rachel
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机构:
VA Boston Healthcare Syst, Boston, MA USAVA Boston Healthcare Syst, Boston, MA USA
Vaughn, Rachel
Resick, Patricia A.
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机构:
Boston Univ, Sch Med, Dept Psychiat, Boston, MA 02215 USA
VA Boston Healthcare Syst, Womens Hlth Sci Div, Natl Ctr PTSD, Boston, MA USA
Boston Univ, Sch Med, Dept Psychol, Boston, MA 02215 USAVA Boston Healthcare Syst, Boston, MA USA
机构:
VA San Diego Healthcare Syst, 116A4Z,3350 La Jolla Village Dr, San Diego, CA 92093 USA
Univ Calif San Diego, San Diego, CA 92103 USA
Ctr Excellence Stress & Mental Hlth, Richmond, VA USAVA San Diego Healthcare Syst, 116A4Z,3350 La Jolla Village Dr, San Diego, CA 92093 USA
Allard, Carolyn B.
Norman, Sonya B.
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机构:
VA San Diego Healthcare Syst, 116A4Z,3350 La Jolla Village Dr, San Diego, CA 92093 USA
Univ Calif San Diego, San Diego, CA 92103 USA
Ctr Excellence Stress & Mental Hlth, Richmond, VA USA
Natl Ctr PTSD, Richmond, VA USAVA San Diego Healthcare Syst, 116A4Z,3350 La Jolla Village Dr, San Diego, CA 92093 USA
Norman, Sonya B.
Thorp, Steven R.
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机构:
Univ Calif San Diego, San Diego, CA 92103 USA
Ctr Excellence Stress & Mental Hlth, Richmond, VA USA
Alliant Int Univ, San Diego, CA USAVA San Diego Healthcare Syst, 116A4Z,3350 La Jolla Village Dr, San Diego, CA 92093 USA
Thorp, Steven R.
Browne, Kendall C.
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机构:
VA Puget Sound Healthcare Syst, Seattle, WA USA
Univ Washington, Seattle, WA 98195 USA
Ctr Excellence Subst Abuse Treatment & Educ, Richmond, VA USAVA San Diego Healthcare Syst, 116A4Z,3350 La Jolla Village Dr, San Diego, CA 92093 USA
Browne, Kendall C.
Stein, Murray B.
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VA San Diego Healthcare Syst, 116A4Z,3350 La Jolla Village Dr, San Diego, CA 92093 USA
Univ Calif San Diego, San Diego, CA 92103 USAVA San Diego Healthcare Syst, 116A4Z,3350 La Jolla Village Dr, San Diego, CA 92093 USA
机构:
Univ Calif San Diego, San Diego State Univ, San Diego, CA 92103 USA
VA San Diego Healthcare Syst, San Diego, CA USAUniv Calif San Diego, San Diego State Univ, San Diego, CA 92103 USA
Sones, H.
Moreno, L.
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VA San Diego Healthcare Syst, San Diego, CA USAUniv Calif San Diego, San Diego State Univ, San Diego, CA 92103 USA
Moreno, L.
Schuitevoerder, S.
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VA San Diego Healthcare Syst, San Diego, CA USAUniv Calif San Diego, San Diego State Univ, San Diego, CA 92103 USA
Schuitevoerder, S.
Fidler, J.
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机构:
VA San Diego Healthcare Syst, San Diego, CA USAUniv Calif San Diego, San Diego State Univ, San Diego, CA 92103 USA
Fidler, J.
Agha, Z.
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机构:
VA San Diego Healthcare Syst, San Diego, CA USA
Univ Calif San Diego, Dept Family Med, San Diego, CA 92103 USAUniv Calif San Diego, San Diego State Univ, San Diego, CA 92103 USA
Agha, Z.
Thorp, S. R.
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机构:
VA San Diego Healthcare Syst, San Diego, CA USA
VA Ctr Excellence Stress & Mental Hlth, San Diego, CA USA
Univ Calif San Diego, Dept Psychiat, San Diego, CA 92103 USAUniv Calif San Diego, San Diego State Univ, San Diego, CA 92103 USA