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Avoidant coping as a mediator between peritraumatic dissociation and posttraumatic stress disorder symptoms

✍ Scribed by Maria L. Pacella; Leah Irish; Sarah A. Ostrowski; Eve Sledjeski; Jeffrey A. Ciesla; William Fallon; Eileen Spoonster; Douglas L. Delahanty

Publisher
Springer
Year
2011
Tongue
English
Weight
209 KB
Volume
24
Category
Article
ISSN
0894-9867

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Peritraumatic dissociation consistently predicts posttraumatic stress disorder (PTSD). Avoidant coping may serve as a mechanism through which peritraumatic dissociation contributes to PTSD symptoms. Path analysis was used to examine whether avoidant coping assessed 6 weeks following a motor vehicle accident mediated the relationship between in‐hospital peritraumatic dissociation and 6‐month (n = 193) and 12‐month (n = 167) chronic PTSD symptoms. Results revealed that, after controlling for age, gender, depression, and 6‐week PTSD symptoms, avoidant coping remained a partial mediator between peritraumatic dissociation and chronic PTSD symptoms 6‐ and 12‐months postaccident. Post‐hoc multigroup analyses suggested that at 6‐months posttrauma, the mediation was significant in women, but not in men. Gender‐specific results were not significant at 12‐months posttrauma. Interventions targeted at reducing avoidant coping in high dissociators may aid in reducing PTSD symptoms.

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