Peritraumatic dissociation and experiential avoidance as predictors of posttraumatic stress symptomatology
Abstract
This study examined whether peritraumatic dissociation serves as a proxy risk factor for experiential avoidance in its relationship with posttraumatic stress disorder (PTSD) symptomatology. One hundred eighty-five trauma survivors completed measures that assessed for peritraumatic dissociation, experiential avoidance, and PTSD symptom severity. The results indicated that peritraumatic dissociation and experiential avoidance were significantly related to PTSD symptomatology at baseline. However, after initial levels of PTSD symptomatology were taken into account, only experiential avoidance was related to PTSD symptoms both 4- and 8-weeks later. These results indicate that peritraumatic dissociation is not a proxy risk factor for experiential avoidance and contributes to the growing body of literature indicating that experiential avoidance is an important factor related to the psychological symptoms experienced by trauma survivors.
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The relationship between peritraumatic dissociation and chronic PTSD may be mediated by arousal-related factors such as fears of death and loss of control or initial symptom severity.
“Indeed, the relationship between peritraumatic dissociation and chronic PTSD may be mediated by factors related to arousal such as fears of death and loss of control (Gershuny, Cloitre, & Otto, 2003) or initial symptom severity (Marshall & Schell, 2002; Marx & Sloan, 2005).”
From Dissociation and memory fragmentation in post-traumatic stress disorder: An evaluation of the dissociative encoding hypothesis (2012) · cites this paper as Marx & Sloan, 2005
Elevated experiential acceptance is associated with lower PTS prospectively in non-clinical samples.
“and prospectively (Marx & Sloan, 2005).”
From Experiential acceptance and trait‐mindfulness as predictors of analogue post‐traumatic stress. (2018) · cites this paper as Marx & Sloan, 2005
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- Authors
- Marx, B. P., & Sloan, D. M.
- Affiliations
- Temple University (US)
- Corresponding author
- Marx, Brian P.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2005-05
- Volume
- 43
- Issue
- 5
- Pages
- 569-583
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2041417706
- Cited by
- 310
- References
- 64
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 7 · 2023: 7 · 2022: 11 · 2021: 20 · 2020: 18 · 2019: 14 · 2018: 21 · 2017: 18 · 2016: 21 · 2015: 22 · 2014: 31 · 2013: 12 · 2012: 16
- FWCI
- 6.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- peritraumatic dissociation, experiential avoidance, post-traumatic stress disorder, PTSD symptom severity, trauma survivors, risk factors, psychological symptoms
- MeSH terms
- Adult, Avoidance Learning, Dissociative Disorders, Female, Humans, Male, Psychiatric Status Rating Scales, Regression Analysis, Risk Factors, Sensitivity and Specificity, Stress Disorders, Post-Traumatic, Survivors, Stress Disorders, Traumatic, Acute
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