Self-Worth as a Mediator Between Attachment and Posttraumatic Stress in Interpersonal Trauma

Lim, Ban Hong (Phylice); Adams, Lauren A.; Lilly, Michelle M.

doi:10.1177/0886260511431440

Cited by 44Posttraumatic Stress Disorder ResearchPsychoanalysis and Psychopathology ResearchChild Abuse and Trauma

Self-Worth as a Mediator Between Attachment and Posttraumatic Stress in Interpersonal Trauma

Lim, Ban Hong (Phylice), Adams, Lauren A., Lilly, Michelle M.·2012·Journal of Interpersonal Violence

DOI 10.1177/0886260511431440

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Abstract

It is well documented that most trauma survivors recover from adversity and only a number of them go on to develop posttraumatic stress disorder (PTSD). In addition, survivors of interpersonal trauma (IPT) appear to be at heightened risk for developing PTSD in comparison to survivors of noninterpersonal trauma (NIPT). Despite a robust association between IPT exposure and attachment disruptions, there is a dearth of research examining the role of attachment-related processes implicated in predicting PTSD. Using a sample of college undergraduates exposed to IPT and NIPT, this study explores the mediating effect of self-worth in the relationship between attachment and PTSD. It is hypothesized that insecure attachment will be related to posttraumatic symptomatology via a reduced sense of self-worth in IPT survivors but not in NIPT survivors. Mediation analyses provide support for this hypothesis, suggesting the importance of considering negative cognitions about the self in therapeutic interventions, particularly those offered to IPT survivors.

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Early trauma experiences with caregivers have a profound influence on physical and mental health, with enhanced risk for psychopathology, including dissociation and hallucinations.
“Early trauma experiences with caregivers have repeatedly shown to have a profound influence on physical (24) and mental health (25), with enhanced risk for psychopathology, including dissociation and hallucinations (26).”
From Mothering, Substance Use Disorders and Intergenerational Trauma Transmission: An Attachment-Based Perspective (2019) · cites this paper as [25]
In Lim et al.'s study, both higher AR avoidance and AR anxiety were associated with more PTSS in college undergraduates who had reported at least one traumatic event.
“In this study both higher AR avoidance and AR anxiety were associated with more PTSS in a sample of college undergraduates who had reported at least one traumatic event in a questionnaire (mean age of 19.64 years, SD = 3.09).”
From Get secure soon: attachment in abused adolescents and young adults before and after trauma-focused cognitive processing therapy. (2021) · cites this paper as [25]
Lim et al. also found a relationship between AR avoidance and AR anxiety with self-reported PTSS, but the correlation coefficients were lower (0.29 for anxiety and 0.20 for avoidance) than in the current study.
“Lim et al. [25] also found a relationship between AR avoidance and AR anxiety with self-reported PTSS. However, the correlation coefficients were lower (0.29 for anxiety and 0.20 for avoidance) than in the current study, and correlations with PTSS subscales were not reported.”
From Get secure soon: attachment in abused adolescents and young adults before and after trauma-focused cognitive processing therapy. (2021) · cites this paper as [25]
Compared to our sample, Lim et al.'s participants showed slightly lower AR anxiety (3.39 vs. 3.81) and much lower AR avoidance (2.94 vs. 3.71) scores.
“Compared to our sample with clinically significant PTSS, participants showed slightly lower AR anxiety (3.39 vs. 3.81) and much lower AR avoidance (2.94 vs. 3.71) scores.”
From Get secure soon: attachment in abused adolescents and young adults before and after trauma-focused cognitive processing therapy. (2021) · cites this paper as [25]

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Authors: Lim, B. H. (., Adams, L. A., & Lilly, M. M.
Affiliations: Northern Illinois University (US)
ORCID: Lilly, Michelle M.
Venue: Journal of Interpersonal Violence
Publisher: SAGE Publications
Published: 2012-02-10
Volume: 27
Issue: 10
Pages: 2039-2061
ISSN: 0886-2605 (ISSN-L)
1552-6518
DOI: 10.1177/0886260511431440
OpenAlex: W2023373674
Cited by: 44
References: 65
Citations by year: 2026: 1 · 2025: 1 · 2024: 2 · 2023: 4 · 2022: 1 · 2021: 4 · 2020: 4 · 2019: 5 · 2018: 1 · 2017: 8 · 2016: 3 · 2015: 5 · 2014: 1 · 2013: 1 · 2012: 3
FWCI: 3.64
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Journal of Interpersonal Violence (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords: self-worth, attachment, insecure attachment, post-traumatic stress disorder, interpersonal trauma, trauma survivors, mediation, self-cognition, undergraduate students
MeSH terms: Adolescent, Female, Humans, Interpersonal Relations, Male, Object Attachment, Surveys and Questionnaires, Self Concept, Stress Disorders, Post-Traumatic, Violence, Wounds and Injuries, Midwestern United States, Young Adult

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Self-Worth as a Mediator Between Attachment and Posttraumatic Stress in Interpersonal Trauma

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