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The role of negative cognitions, emotion regulation strategies, and attachment style in complex post-traumatic stress disorder: Implications for new and existing therapies

Karatzias, Thanos, Shevlin, Mark, Hyland, Philip, Brewin, Chris R., Cloitre, Marylene, Bradley, Aoife, Kitchiner, Neil J., Jumbe, Sandra, Bisson, Jonathan I. and Roberts, Neil P. (2018) The role of negative cognitions, emotion regulation strategies, and attachment style in complex post-traumatic stress disorder: Implications for new and existing therapies. British Journal of Clinical Psychology, n/a . [Journal article]

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URL: http://dx.doi.org/10.1111/bjc.12172

DOI: 10.1111/bjc.12172

Abstract

ObjectiveWe set out to investigate the association between negative trauma-related cognitions, emotional regulation strategies, and attachment style and complex post-traumatic stress disorder (CPTSD). As the evidence regarding the treatment of CPTSD is emerging, investigating psychological factors that are associated with CPTSD can inform the adaptation or the development of effective interventions for CPTSD.MethodA cross-sectional design was employed. Measures of CPTSD, negative trauma-related cognitions, emotion regulation strategies, and attachment style were completed by a British clinical sample of trauma-exposed patients (N = 171). Logistic regression analysis was used to assess the predictive utility of these psychological factors on diagnosis of CPTSD as compared to PTSD.ResultsIt was found that the most important factor in the diagnosis of CPTSD was negative trauma-related cognitions about the self, followed by attachment anxiety, and expressive suppression.ConclusionsTargeting negative thoughts and attachment representations while promoting skills acquisition in emotional regulation hold promise in the treatment of CPTSD. Further research is required on the development of appropriate models to treat CPTSD that tackle skills deficit in these areas.

Item Type:Journal article
Keywords:attachment; complex post-traumatic stress disorder; emotional regulation; negative cognitions; treatment
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Psychology
Research Institutes and Groups:Psychology Research Institute > Population Health Sciences and Mental Health Services
Psychology Research Institute
ID Code:39437
Deposited By: Professor Mark Shevlin
Deposited On:07 Feb 2018 17:46
Last Modified:22 Jan 2019 23:23

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