Experiential avoidance as a mediator of the association between posttraumatic stress disorder symptoms and social support: A longitudinal analysis
Open accessAbstract
OBJECTIVE: Veterans with posttraumatic stress disorder (PTSD) often experience difficulties with social reintegration after deployment. Experiential avoidance, the tendency to avoid unwanted thoughts, feelings, and bodily sensations (including in response to interactions with others) may be a key factor that explains the association between PTSD symptoms and postdeployment social support. The present study evaluated whether experiential avoidance mediates the association between PTSD symptoms and perceptions of postdeployment social support. METHOD: Veterans (n = 145) who served in support of the conflicts in Iraq and Afghanistan were enrolled in a study evaluating returning veterans' experiences. Participants were evaluated at an initial baseline assessment and 8-months later. Participants completed the lifetime Clinician Administered PTSD Scale and the Acceptance and Action Questionnaire-II at baseline, as well as the Deployment Risk and Resilience Inventory-Post Deployment Social Support Questionnaire at the 8-month assessment. RESULTS: Baseline experiential avoidance mediated the association between lifetime PTSD symptoms and 8-month social support. CONCLUSIONS: Experiential avoidance may be an important target for treatment to improve long-term functional recovery and reintegration. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Experiential avoidance is a significant mediator between PTSD symptoms and social support in veterans who served in Iraq and Afghanistan.
“In a study of 145 veterans who served during the conflicts in Iraq and Afghanistan, experiential avoidance was found to be a significant mediator between PTSD symptoms and social support in veterans [23].”
From A Randomized Pilot Study of Acceptance and Commitment Therapy to Improve Social Support for Veterans with PTSD (2022) · cites this paper as [23]
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- Authors
- Kelly, M. M., DeBeer, B. B., Meyer, E. C., Kimbrel, N. A., Gulliver, S. B., & Morissette, S. B.
- Affiliations
- VA New England Healthcare System (US)
- United States Department of Veterans Affairs (US)
- Durham VA Medical Center (US)
- Baylor Scott & White Health (US)
- The University of Texas at San Antonio (US)
- ORCID
- Venue
- Psychological Trauma Theory Research Practice and Policy
- Published
- 2019-03
- Volume
- 11
- Issue
- 3
- Pages
- 353-359
- ISSN
- 1942-9681 (ISSN-L)
- 1942-969X
- PMC
- PMC8491576
- OpenAlex
- W2903999938
- Cited by
- 33
- References
- 46
- Citations by year
- 2026: 9 · 2024: 5 · 2023: 3 · 2022: 6 · 2021: 4 · 2020: 5 · 2018: 1
- FWCI
- 2.94
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Psychological Trauma Theory Research Practice and Policy (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- VISN 17 Center of Excellence for Research on Returning War Veterans
- VISN 1 Mental Illness Research, Education, and Clinical Center
- Social and Community Reintegration Research Program
- Rehabilitation Research and Development Service (I01RX000304-01, I01RX000304-04)
- Clinical Sciences Research and Development Service (IK2 CX000525))
- Department of Veterans Affairs
- Central Texas Veterans Health Care System
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- experiential avoidance, post-traumatic stress disorder, social support, veterans, mediation, Iraq and Afghanistan wars, Acceptance and Action Questionnaire-II, Clinician-Administered PTSD Scale, functional recovery
- MeSH terms
- Adult, Avoidance Learning, Female, Humans, Longitudinal Studies, Male, Social Support, Stress Disorders, Post-Traumatic, Veterans, Iraq War, 2003-2011, Resilience, Psychological, Afghan Campaign 2001-
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