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Cited by 88Posttraumatic Stress Disorder ResearchMindfulness and Compassion InterventionsPsychoanalysis and Psychopathology Research

Differential roles of thought suppression and dispositional mindfulness in posttraumatic stress symptoms and craving

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Garland, Eric L., Roberts-Lewis, Amelia·2013·Addictive Behaviors
DOI 10.1016/j.addbeh.2012.02.004PMC PMC3376182
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Abstract

Exposure to traumatic events often results in severe distress which may elicit self-medication behaviors. Yet, some individuals exposed to trauma do not develop post-traumatic stress symptoms and comorbid addictive impulses. In the wake of traumatic events, psychological processes like thought suppression and mindfulness may modulate post-traumatic stress and craving for substances. We examined the differential roles of mindfulness and suppression in comorbid post-traumatic stress and craving among a sample of 125 persons with extensive trauma histories and psychiatric symptoms in residential treatment for substance dependence. Results indicated that thought suppression, rather than extent of trauma history, significantly predicted post-traumatic stress symptom severity while dispositional mindfulness significantly predicted both post-traumatic stress symptoms and craving. In multiple regression models, mindfulness and thought suppression combined explained nearly half of the variance in post-traumatic stress symptoms and one-quarter of the variance in substance craving. Moreover, multivariate path analysis indicated that prior traumatic experience was associated with greater thought suppression, which in turn was correlated with increased post-traumatic stress symptoms and drug craving, whereas dispositional mindfulness was associated with decreased suppression, post-traumatic stress, and craving. The maladaptive strategy of thought suppression appears to be linked with adverse psychological consequences of traumatic life events. In contrast, dispositional mindfulness appears to be a protective factor that buffers individuals from experiencing more severe post-traumatic stress symptoms and craving.

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  • DM has consistently been associated with fewer depressive symptoms and anxiety in clinical populations, such as people with depressive disorders, general anxiety disorders, bipolar affective disorder and post-traumatic stress disorder.

    “DM has consistently been associated with fewer depressive symptoms and anxiety in clinical populations, such as people with depressive disorders,21–23 general anxiety disorders,21,22 bipolar affective disorder23–25 and post-traumatic stress disorder.21,22,26,27”

    From Dispositional Mindfulness and Psychotic Symptoms in Schizophrenia Spectrum Disorders: The Mediating Roles of Rumination and Negative Emotion (2022) · cites this paper as [27]

    The Results (§3.2) and Discussion (§4) report an inverse association between dispositional mindfulness and post-traumatic stress symptoms in a treatment-seeking sample that included people with PTSD. The paper does not establish the claimed association with fewer depressive symptoms or anxiety; it measured post-traumatic stress symptoms instead. Page numbers were not available in our copy. (LLM, conf=0.83)

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Authors
Garland, E. L., & Roberts-Lewis, A.
Affiliations
  • Florida State University (US)
  • University of North Carolina at Chapel Hill (US)
Corresponding author
Garland, Eric L.
ORCID
Garland, Eric L.
Venue
Addictive Behaviors
Publisher
Elsevier BV
Published
2013-02
Volume
38
Issue
2
Pages
1555-1562
ISSN
0306-4603 (ISSN-L)
DOI
10.1016/j.addbeh.2012.02.004
PMC
PMC3376182
OpenAlex
W2030027699
Cited by
88
References
73
Citations by year
2026: 1 · 2025: 3 · 2024: 4 · 2023: 3 · 2022: 12 · 2021: 7 · 2020: 7 · 2019: 8 · 2018: 4 · 2017: 9 · 2016: 4 · 2015: 10 · 2014: 12 · 2013: 1 · 2012: 3
FWCI
9.43
Type
journal article
Language
en
Open access
Licence
Locations
  • Addictive Behaviors (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
  • UNC Libraries
Funders
  • National Institute on Drug Abuse (TI 020489)
  • Substance Abuse and Mental Health Services Administration
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
thought suppression, trait mindfulness, posttraumatic stress symptoms, drug craving, trauma exposure, substance dependence, self-medication, protective factors, residential treatment, comorbidities
MeSH terms
Adaptation, Psychological, Adult, Attention, Cross-Sectional Studies, Female, Humans, Life Change Events, Male, Regression Analysis, Repression, Psychology, Set, Psychology, Severity of Illness Index, Stress Disorders, Post-Traumatic, Thinking, Comorbidity, Multivariate Analysis, Substance Abuse Treatment Centers, Substance-Related Disorders

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