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The relationship between childhood adversities and complex posttraumatic stress symptoms: a multiple mediation model
European Journal of Psychotraumatology ( IF 5.783 ) Pub Date : 2021-06-28 , DOI: 10.1080/20008198.2021.1936921
Tianyou Guo 1 , Liuyue Huang 1 , Daniel L Hall 2, 3 , Can Jiao 1 , Si-Tong Chen 4 , Qian Yu 1 , Albert Yeung 5 , Xinli Chi 1 , Liye Zou 1
Affiliation  

ABSTRACT

Background: There is a growing research literature on complex posttraumatic stress disorder (CPTSD), yet studies that focused on Chinese populations are still limited. Accumulating evidence showed that adverse childhood experiences (ACEs) are associated with a higher likelihood of CPTSD symptoms, but potential mediating roles of self-kindness and self-judgement on the ACEs-CPTSD relationship remain understudied.

Objective: The purpose of this study was to first examine the relationship between ACEs and CPTSD among Chinese college students, and then to test the mediating role of self-kindness and self-judgement on the ACEs-CPTSD relationship.

Method: The study included 1361 college students for an online survey in May 2020. Demographic variables (e.g. age, gender, having sibling[s] or not, residence, family structure, and subjective socioeconomic status), ACEs, self-compassion (self-kindness and self-judgement subscales), and CPTSD symptoms were assessed. After controlling for demographic variables, a series of structural equation models tested the mediation hypothesis: indirect effects of self-kindness and self-judgement on the relationship between ACEs and CPTSD symptom.

Results: ACEs of College students were positively associated with more severe CPTSD symptoms (posttraumatic stress disorder and disturbances in self-organization symptoms). Furthermore, these direct pathways were mediated by decreased self-kindness and increased self-judgement.

Conclusions: Findings have substantial theoretical and treatment implications, including the two critical targets (i.e. lowering self-judgement and raising self-kindness) when treating complex PTSD.

更新日期:2021-06-28
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