Predicting treatment outcomes for Complex Posttraumatic Stress Disorder: Examining the relative contribution of attachment style, affective dysregulation, negative self/other beliefs and disturbances in relationships - 29/05/26
, Sandra M. Reyno 1Cet article a été publié dans un numéro de la revue, cliquez ici pour y accéder
Bullet Points |
• | Attachment patterns, beliefs about self/others and DSO symptoms have differential impacts on treatment outcomes for Complex PTSD. |
• | Dismissive/avoidant attachment, negative beliefs about others and difficulties forming and maintaining close relationships (feeling distant or cut off from others and finding it challenging to stay emotionally close to people) uniquely predict greater DSO and PTSD posttreatment severity. |
• | Targeting treatment-limiting mechanisms—especially mistrust of others/negative beliefs about others and discomfort with emotions and relational intimacy may be critical for improving Complex PTSD treatment outcomes. |
Abstract |
Background |
This study sought to explore the relative contribution of pretreatment attachment style, disturbances in relationships, affective dysregulation and negative beliefs about self/others on DSO and PTSD treatment outcomes.
Methods |
The study used convenience sampling to recruit 109 participants admitted to a specialty treatment service for trauma-related disorders. Participants completed the International Trauma Questionnaire (ITQ) to assess Complex PTSD symptom domains at pre and post treatment as well as measures of attachment style, emotion dysregulation and negative core beliefs about self/other.
Results |
Pretreatment avoidant/dismissive attachment uniquely predicted higher posttreatment PTSD and DSO severity when controlling for attachment anxiety. Negative beliefs about others uniquely predicted posttreatment PTSD and DSO severity when controlling for pretreatment emotion dysregulation and negative beliefs about self. Only disturbances in relationships uniquely predicted posttreatment PTSD and DSO severity when controlling for affective dysregulation and negative self-concept.
Conclusions |
Avoidant/dismissive attachment patterns, negative beliefs about others and disturbances in relationships uniquely predict treatment outcomes for Complex PTSD and may represent particularly crucial targets in interventions for Complex PTSD.
Le texte complet de cet article est disponible en PDF.Keywords : Dismissive/avoidant attachment patterns, relational disturbances, negative beliefs about others, predicting treatment outcomes for Complex PTSD
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