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5. Feasibility, Acceptability, and Preliminary Efficacy of Acceptance Commitment Therapy for Adults Living With Inflammatory Bowel Disease and Distress

Author

Romano, Daniel, primary, Chesterman, Susan, additional, Fuller-Tyszkiewicz, Matthew, additional, Evans, Subhadra, additional, Dober, Madeleine, additional, Gearry, Richard, additional, Gibson, Peter R, additional, Knowles, Simon, additional, McCombie, Andrew, additional, O, Eric, additional, Olive, Lisa, additional, Raven, Leanne, additional, Van Niekerk, Leesa, additional, and Mikocka-Walus, Antonina, additional

Published
2023
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7. Acceptance commitment therapy (ACT) for psychological distress associated with inflammatory bowel disease (IBD): protocol for a feasibility trial of the ACTforIBD programme

Author

Evans, Subhadra, Olive, Lisa, Dober, M, Knowles, S, Fuller-Tyszkiewicz, Matthew, Eric, O, Gibson, P, Raven, L, Gearry, R, McCombie, A, Van Niekerk, L, Chesterman, Susan, Romano, D, Mikocka-Walus, Antonina, Evans, Subhadra, Olive, Lisa, Dober, M, Knowles, S, Fuller-Tyszkiewicz, Matthew, Eric, O, Gibson, P, Raven, L, Gearry, R, McCombie, A, Van Niekerk, L, Chesterman, Susan, Romano, D, and Mikocka-Walus, Antonina

Abstract

Introduction Inflammatory bowel disease (IBD) involves an abnormal immune response to healthy gut bacteria. When a person develops IBD, their susceptibility to anxiety and/or depression increases. The ACTforIBD programme, specifically designed for people with IBD and comorbid psychological distress, draws on acceptance and commitment therapy (ACT), which promotes acceptance of situations that cannot be solved such as persistent physical symptoms. There are no ACT trials for IBD using an active control group or a telemedicine approach, which is important to improve accessibility, particularly in the context of the ongoing COVID-19 pandemic. The ACTforIBD programme is administered online with a 4-hour therapist involvement per participant only; if successful it can be widely implemented to improve the well-being of many individuals with IBD. Methods and analysis Our team have codesigned with consumers the ACTforIBD programme, an 8-week intervention of 1-hour sessions, with the first three sessions and the last session delivered one-to-one by a psychologist, and the other sessions self-directed online. This study aims to evaluate the feasibility and preliminary efficacy of ACTforIBD to reduce psychological distress in patients with IBD. Using a randomised controlled trial, 25 participants will be randomised to ACTforIBD, and 25 patients to an active control condition. Ethics and dissemination This protocol has been approved by Deakin University Research Ethics Committee in September 2021 (Ref. 2021-263) and the New Zealand Central Health and Disability Ethics Committee in December 2021 (Ref. 2021 EXP 11384). The results of this research will be published in peer-reviewed journals and shared with various stakeholders, including community members, policy-makers and researchers, through local and international conferences. Trial registration number ACTRN12621001316897.

Published
2022

8. Coping with global uncertainty: Perceptions of COVID-19 psychological distress, relationship quality, and dyadic coping for romantic partners across 27 countries

Author

Randall, AK, Leon, G, Basili, E, Martos, T, Boiger, M, Baldi, M, Hocker, L, Kline, K, Masturzi, A, Aryeetey, R, Bar-Kalifa, E, Boon, SD, Botella, L, Burke, T, Carnelley, KB, Carr, A, Dash, A, Fitriana, M, Gaines, SO, Galdiolo, S, Hart, CM, Joo, S, Kanth, B, Karademas, E, Karantzas, Gery, Landolt, SA, McHugh, L, Milek, A, Murphy, E, Natividade, JC, Portugal, A, Quiñones, Á, Relvas, AP, Rumondor, PCB, Rusu, P, Sallay, V, Saul, LA, Schmitt, DP, Sels, L, Shujja, S, Taylor, LK, Ozguluk, SB, Verhofstadt, L, Yoo, G, Zemp, M, Donato, S, Totenhagen, CJ, van Eickels, RL, Adil, A, Anaba, EA, Asampong, E, Beauchemin-Roy, S, Berry, A, Brassard, A, Chesterman, Susan, Ferguson, L, Fonseca, G, Gaugue, J, Geonet, M, Hermesch, N, Abdul Wahab Khan, RK, Knox, Laura, Lafontaine, MF, Lawless, N, Londero-Santos, A, Major, S, Marot, TA, Mullins, Ellie, Otermans, PCJ, Pagani, AF, Parise, M, Parvin, R, De, M, Péloquin, K, Rebelo, B, Righetti, F, Romano, Daniel, Salavati, S, Samrock, S, Serea, M, Seok, CB, Sotero, L, Stafford, O, Thomadakis, C, Topcu-Uzer, C, Ugarte, C, Low, WY, Simon-Zámbori, P, Siau, CS, Duca, DS, Filip, C, Park, H, Wearen, S, Bodenmann, G, Chiarolanza, C, Randall, AK, Leon, G, Basili, E, Martos, T, Boiger, M, Baldi, M, Hocker, L, Kline, K, Masturzi, A, Aryeetey, R, Bar-Kalifa, E, Boon, SD, Botella, L, Burke, T, Carnelley, KB, Carr, A, Dash, A, Fitriana, M, Gaines, SO, Galdiolo, S, Hart, CM, Joo, S, Kanth, B, Karademas, E, Karantzas, Gery, Landolt, SA, McHugh, L, Milek, A, Murphy, E, Natividade, JC, Portugal, A, Quiñones, Á, Relvas, AP, Rumondor, PCB, Rusu, P, Sallay, V, Saul, LA, Schmitt, DP, Sels, L, Shujja, S, Taylor, LK, Ozguluk, SB, Verhofstadt, L, Yoo, G, Zemp, M, Donato, S, Totenhagen, CJ, van Eickels, RL, Adil, A, Anaba, EA, Asampong, E, Beauchemin-Roy, S, Berry, A, Brassard, A, Chesterman, Susan, Ferguson, L, Fonseca, G, Gaugue, J, Geonet, M, Hermesch, N, Abdul Wahab Khan, RK, Knox, Laura, Lafontaine, MF, Lawless, N, Londero-Santos, A, Major, S, Marot, TA, Mullins, Ellie, Otermans, PCJ, Pagani, AF, Parise, M, Parvin, R, De, M, Péloquin, K, Rebelo, B, Righetti, F, Romano, Daniel, Salavati, S, Samrock, S, Serea, M, Seok, CB, Sotero, L, Stafford, O, Thomadakis, C, Topcu-Uzer, C, Ugarte, C, Low, WY, Simon-Zámbori, P, Siau, CS, Duca, DS, Filip, C, Park, H, Wearen, S, Bodenmann, G, and Chiarolanza, C

Abstract

Following the global outbreak of COVID-19 in March 2020, individuals report psychological distress associated with the “new normal”—social distancing, financial hardships, and increased responsibilities while working from home. Given the interpersonal nature of stress and coping responses between romantic partners, based on the systemic transactional model this study posits that perceived partner dyadic coping may be an important moderator between experiences of COVID-19 psychological distress and relationship quality. To examine these associations, self-report data from 14,020 people across 27 countries were collected during the early phases of the COVID-19 pandemic (March–July, 2020). It was hypothesized that higher symptoms of psychological distress would be reported post-COVID-19 compared to pre-COVID-19 restrictions (Hypothesis 1), reports of post-COVID-19 psychological distress would be negatively associated with relationship quality (Hypothesis 2), and perceived partner DC would moderate these associations (Hypothesis 3). While hypotheses were generally supported, results also showed interesting between-country variability. Limitations and future directions are presented

Published
2022

9. Erratum to Coping with global uncertainty: Perceptions of COVID-19 psychological distress, relationship quality, and dyadic coping for romantic partners across 27 countries

Author

Randall, AK, Leon, G, Basili, E, Martos, T, Boiger, M, Baldi, M, Hocker, L, Kline, K, Masturzi, A, Aryeetey, R, Bar-Kalifa, E, Boon, SD, Botella, L, Burke, T, Carnelley, KB, Carr, A, Dash, A, Fitriana, M, Gaines, SO, Galdiolo, S, Hart, CM, Joo, S, Kanth, B, Karademas, E, Karantzas, Gery, Landolt, SA, McHugh, L, Milek, A, Murphy, E, Natividade, JC, Portugal, A, Quinones, A, Relvas, AP, Rumondor, PCB, Rusu, P, Sallay, V, Saul, LA, Schmitt, DP, Sels, L, Shujja, S, Taylor, LK, Ozguluk, SB, Verhofstadt, L, Yoo, G, Zemp, M, Donato, S, Totenhagen, CJ, van Eickels, RL, Adil, A, Anaba, EA, Asampong, E, Beauchemin-Roy, S, Berry, A, Brassard, A, Chesterman, Susan, Ferguson, L, Fonseca, G, Gaugue, J, Geonet, M, Hermesch, N, Khan, RKAW, Knox, Laura, Lafontaine, M-F, Lawless, N, Londero-Santos, A, Major, S, Marot, TA, Mullins, Ellie, Otermans, PCJ, Pagani, AF, Parise, M, Parvin, R, De, M, Peloquin, K, Rebelo, B, Righetti, F, Romano, Daniel, Salavati, S, Samrock, S, Serea, M, Seok, CB, Sotero, L, Stafford, O, Thomadakis, C, Topcu-Uzer, C, Ugarte, C, Low, WY, Simon-Zambori, P, Siau, CS, Duca, D-S, Filip, C, Park, H, Wearen, S, Bodenmann, G, Chiarolanza, C, Randall, AK, Leon, G, Basili, E, Martos, T, Boiger, M, Baldi, M, Hocker, L, Kline, K, Masturzi, A, Aryeetey, R, Bar-Kalifa, E, Boon, SD, Botella, L, Burke, T, Carnelley, KB, Carr, A, Dash, A, Fitriana, M, Gaines, SO, Galdiolo, S, Hart, CM, Joo, S, Kanth, B, Karademas, E, Karantzas, Gery, Landolt, SA, McHugh, L, Milek, A, Murphy, E, Natividade, JC, Portugal, A, Quinones, A, Relvas, AP, Rumondor, PCB, Rusu, P, Sallay, V, Saul, LA, Schmitt, DP, Sels, L, Shujja, S, Taylor, LK, Ozguluk, SB, Verhofstadt, L, Yoo, G, Zemp, M, Donato, S, Totenhagen, CJ, van Eickels, RL, Adil, A, Anaba, EA, Asampong, E, Beauchemin-Roy, S, Berry, A, Brassard, A, Chesterman, Susan, Ferguson, L, Fonseca, G, Gaugue, J, Geonet, M, Hermesch, N, Khan, RKAW, Knox, Laura, Lafontaine, M-F, Lawless, N, Londero-Santos, A, Major, S, Marot, TA, Mullins, Ellie, Otermans, PCJ, Pagani, AF, Parise, M, Parvin, R, De, M, Peloquin, K, Rebelo, B, Righetti, F, Romano, Daniel, Salavati, S, Samrock, S, Serea, M, Seok, CB, Sotero, L, Stafford, O, Thomadakis, C, Topcu-Uzer, C, Ugarte, C, Low, WY, Simon-Zambori, P, Siau, CS, Duca, D-S, Filip, C, Park, H, Wearen, S, Bodenmann, G, and Chiarolanza, C

Published
2022

10. Acceptance commitment therapy (ACT) for psychological distress associated with inflammatory bowel disease (IBD): protocol for a feasibility trial of the ACTforIBD programme

Author

Evans, Subhadra, primary, Olive, Lisa, additional, Dober, Madeleine, additional, Knowles, Simon, additional, Fuller-Tyszkiewicz, Matthew, additional, O, Eric, additional, Gibson, Peter, additional, Raven, Leanne, additional, Gearry, Richard, additional, McCombie, Andrew, additional, van Niekerk, Leesa, additional, Chesterman, Susan, additional, Romano, Daniel, additional, and Mikocka-Walus, Antonina, additional

Published
2022
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12. Coping with global uncertainty: Perceptions of COVID-19 psychological distress, relationship quality, and dyadic coping for romantic partners across 27 countries

Author

Randall, Ashley K., primary, Leon, Gabriel, additional, Basili, Emanuele, additional, Martos, Tamás, additional, Boiger, Michael, additional, Baldi, Michela, additional, Hocker, Lauren, additional, Kline, Kai, additional, Masturzi, Alessio, additional, Aryeetey, Richmond, additional, Bar-Kalifa, Eran, additional, Boon, Susan D., additional, Botella, Luis, additional, Burke, Tom, additional, Carnelley, Katherine B., additional, Carr, Alan, additional, Dash, Arobindu, additional, Fitriana, Mimi, additional, Gaines, Stanley O., additional, Galdiolo, Sarah, additional, Hart, Claire M., additional, Joo, Susanna, additional, Kanth, Barani, additional, Karademas, Evangelos, additional, Karantzas, Gery, additional, Landolt, Selina A., additional, McHugh, Louise, additional, Milek, Anne, additional, Murphy, Eddie, additional, Natividade, Jean C., additional, Portugal, Alda, additional, Quiñones, Álvaro, additional, Relvas, Ana Paula, additional, Rumondor, Pingkan C. B., additional, Rusu, Petruta, additional, Sallay, Viola, additional, Saul, Luis Angel, additional, Schmitt, David P., additional, Sels, Laura, additional, Shujja, Sultan, additional, Taylor, Laura K., additional, Ozguluk, S. Burcu, additional, Verhofstadt, Leslie, additional, Yoo, Gyesook, additional, Zemp, Martina, additional, Donato, Silvia, additional, Totenhagen, Casey J., additional, van Eickels, Rahel L., additional, Adil, Adnan, additional, Anaba, Emmanuel Anongeba, additional, Asampong, Emmanuel, additional, Beauchemin-Roy, Sarah, additional, Berry, Anna, additional, Brassard, Audrey, additional, Chesterman, Susan, additional, Ferguson, Lizzie, additional, Fonseca, Gabriela, additional, Gaugue, Justine, additional, Geonet, Marie, additional, Hermesch, Neele, additional, Abdul Wahab Khan, Rahmattullah Khan, additional, Knox, Laura, additional, Lafontaine, Marie-France, additional, Lawless, Nicholas, additional, Londero-Santos, Amanda, additional, Major, Sofia, additional, Marot, Tiago A., additional, Mullins, Ellie, additional, Otermans, Pauldy C. J., additional, Pagani, Ariela F., additional, Parise, Miriam, additional, Parvin, Roksana, additional, De, Mallika, additional, Péloquin, Katherine, additional, Rebelo, Bárbara, additional, Righetti, Francesca, additional, Romano, Daniel, additional, Salavati, Sara, additional, Samrock, Steven, additional, Serea, Mary, additional, Seok, Chua Bee, additional, Sotero, Luciana, additional, Stafford, Owen, additional, Thomadakis, Christoforos, additional, Topcu-Uzer, Cigdem, additional, Ugarte, Carla, additional, Low, Wah Yun, additional, Simon-Zámbori, Petra, additional, Siau, Ching Sin, additional, Duca, Diana-Sînziana, additional, Filip, Cornelia, additional, Park, Hayoung, additional, Wearen, Sinead, additional, Bodenmann, Guy, additional, and Chiarolanza, Claudia, additional

Published
2021
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13. The association between relationship events and experiences and partner evaluations: an ideal standards perspective

Author

Chesterman, Susan, Karantzas, Gery C., Marshall, Emma M., Chesterman, Susan, Karantzas, Gery C., and Marshall, Emma M.

Abstract

Drawing on the Ideal Standards Model, the current study investigated whether the relationship events and experiences that occur on a given day in romantic relationships were associated with partner evaluations. Individuals in a current romantic relationship (N = 104) completed daily measures of positive and negative relationship events and experiences and partner evaluations for seven consecutive days. As hypothesized, findings demonstrated that on a given day negative relationship events and experiences were associated with evaluating partners as falling short of mate ideals, while positive relationship events and experiences were associated with evaluating partners as more closely meeting ideals. The findings demonstrate the importance of the relational context in evaluations of a partner against ideal standards.

Published
2021

14. Supplemental Material, sj-pdf-1-spr-10.1177_02654075211034236 - Coping with global uncertainty: Perceptions of COVID-19 psychological distress, relationship quality, and dyadic coping for romantic partners across 27 countries

Author

Randall, Ashley K., Leon, Gabriel, Basili, Emanuele, Martos, Tam��s, Boiger, Michael, Baldi, Michela, Hocker, Lauren, Kline, Kai, Masturzi, Alessio, Aryeetey, Richmond, Bar-Kalifa, Eran, Boon, Susan D., Botella, Luis, Burke, Tom, Carnelley, Katherine, Carr, Alan, Dash, Arobindu, Fitriana, Mimi, Gaines, Stanley O., Galdiolo, Sarah, Claire M, Hart, Joo, Susanna, Kanth, Barani, Karademas, Evangelos, Karantzas, Gery, Landolt, Selina A., McHugh, Louise, Milek, Anne, Murphy, Eddie, Natividade, Jean C., Portugal, Alda, Qui��ones, ��lvaro, Relvas, Ana Paula, Rumondor, Pingkan C. B., Rusu, Petruta, Sallay, Viola, Saul, Luis Angel, Schmitt, David P., Sels, Laura, Shujja, Sultan, Taylor, Laura K., Ozguluk, S. Burcu, Verhofstadt, Leslie, Yoo, Gyesook, Zemp, Martina, Donato, Silvia, Totenhagen, Casey J., van Eickels, Rahel L., Anaba, Emmanuel Anongeba, Beauchemin-Roy, Sarah, Berry, Anna, Brassard, Audrey, Chesterman, Susan, Ferguson, Lizzie, Fonseca, Gabriela, Gaugue, Justine, Geonet, Marie, Hermesch, Neele, Knox, Laura, Lafontaine, Marie-France, Lawless, Nicholas, Londero-Santos, Amanda, Major, Sofia, Marot, Tiago A., Mullins, Ellie, Otermans, Pauldy C. J., Ariela F, Pagani, Parise, Miriam, Parvin, Roksana, De, Mallika, P��loquin, Katherine, Rebelo, B��rbara, Righetti, Francesca, Romano, Daniel, Salavati, Sara, Samrock, Steven, Serea, Mary, Seok, Chua Bee, Sotero, Luciana, Stafford, Owen, Thomadakis, Christoforos, Topcu-Uzer, Cigdem, Ugarte, Carla, Yun, Low Wah, Simon-Z��mbori, Petra, Siau, Ching Sin, Duca, Diana-S��nziana, Filip, Cornelia, Park, Hayoung, Wearen, Sinead, Bodenmann, Guy, and Chiarolanza, Claudia

Subjects
200199 Communication and Media Studies not elsewhere classified, FOS: Media and communications, FOS: Psychology, 170199 Psychology not elsewhere classified
Abstract

Supplemental Material, sj-pdf-1-spr-10.1177_02654075211034236 for Coping with global uncertainty: Perceptions of COVID-19 psychological distress, relationship quality, and dyadic coping for romantic partners across 27 countries by Ashley K. Randall, Gabriel Leon, Emanuele Basili, Tam��s Martos, Michael Boiger, Michela Baldi, Lauren Hocker, Kai Kline, Alessio Masturzi, Richmond Aryeetey, Eran Bar-Kalifa, Susan D. Boon, Luis Botella, Tom Burke, Katherine Carnelley, Alan Carr, Arobindu Dash, Mimi Fitriana, Stanley O. Gaines, Sarah Galdiolo, Hart Claire M, Susanna Joo, Barani Kanth, Evangelos Karademas, Gery Karantzas, Selina A. Landolt, Louise McHugh, Anne Milek, Eddie Murphy, Jean C. Natividade, Alda Portugal, ��lvaro Qui��ones, Ana Paula Relvas, Pingkan C. B. Rumondor, Petruta Rusu, Viola Sallay, Luis Angel Saul, David P. Schmitt, Laura Sels, Sultan Shujja, Laura K. Taylor, S. Burcu Ozguluk, Leslie Verhofstadt, Gyesook Yoo, Martina Zemp, Silvia Donato, Casey J. Totenhagen, Rahel L. van Eickels, Emmanuel Anongeba Anaba, Sarah Beauchemin-Roy, Anna Berry, Audrey Brassard, Susan Chesterman, Lizzie Ferguson, Gabriela Fonseca, Justine Gaugue, Marie Geonet, Neele Hermesch, Laura Knox, Marie-France Lafontaine, Nicholas Lawless, Amanda Londero-Santos, Sofia Major, Tiago A. Marot, Ellie Mullins, Pauldy C. J. Otermans, Pagani Ariela F, Miriam Parise, Roksana Parvin, Mallika De, Katherine P��loquin, B��rbara Rebelo, Francesca Righetti, Daniel Romano, Sara Salavati, Steven Samrock, Mary Serea, Chua Bee Seok, Luciana Sotero, Owen Stafford, Christoforos Thomadakis, Cigdem Topcu-Uzer, Carla Ugarte, Low Wah Yun, Petra Simon-Z��mbori, Ching Sin Siau, Diana-S��nziana Duca, Cornelia Filip, Hayoung Park, Sinead Wearen, Guy Bodenmann and Claudia Chiarolanza in Journal of Social and Personal Relationships

Published
2021
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17. Acceptance and Commitment Therapy for Adults Living With Inflammatory Bowel Disease and Distress: A Randomized Controlled Trial.

Author

Naude C, Skvarc D, Maunick B, Evans S, Romano D, Chesterman S, Russell L, Dober M, Fuller-Tyszkiewicz M, Gearry R, Gibson PR, Knowles S, McCombie A, O E, Raven L, Van Niekerk L, and Mikocka-Walus A

Abstract

Introduction: The bidirectional relationship between disease activity and mental health in inflammatory bowel disease (IBD) has prompted investigations into the efficacy of psychotherapeutic interventions such as acceptance and commitment therapy (ACT) on biopsychosocial outcomes. We aimed to examine the efficacy of an ACT program (intervention) in comparison with a cognitive behavioral therapy-informed psychoeducation program (active control) for individuals with IBD and coexistent psychological distress. Both programs were delivered online through a hybrid format (i.e., therapist-led and participant-led sessions)., Methods: A total of 120 adults with IBD were randomized to either the intervention (N = 61) or active control groups (N = 59). Efficacy was determined using linear mixed models for group differences, in rate of changes in study outcomes, between baseline, postintervention, and 3-month follow-up., Results: The primary outcome health-related quality of life significantly improved in the intervention group when compared with the active control group, with a significantly different rate of change observed from baseline to postintervention ( t [190] = 2.15, P = 0.033) in favor of the intervention group with a medium effect size (β = 0.41, mean difference = 0.07, 95% confidence interval 0.01-0.12, P = 0.014). Similarly, the secondary outcome Crohn's disease activity significantly reduced in the intervention group when compared with the active control group, with a significantly different rate of change observed from baseline to 3-month follow-up ( t [90] = -2.40, P = 0.018) in favor of the intervention group with a large effect size (β = -0.77, mean difference = -9.43, 95% confidence interval -13.72 to -5.13, P < 0.001) ( P = 0.014). Furthermore, when observing the rate of change in outcomes over time for the groups separately, anxiety symptoms and pain significantly improved in the intervention group only, and conversely, ulcerative colitis activity and stress symptoms significantly improved in the active control group only. All other outcomes (N = 14) significantly improved over time in both groups including IBD activity, gastrointestinal unhelpful thinking patterns, visceral anxiety, fatigue interference, fatigue severity, fatigue frequency, psychological inflexibility, self-efficacy, resilience, current health status, depression symptoms, IBD control, and pain catastrophizing; however, these changes were not significantly different between the groups., Discussion: Both programs were of benefit to people with IBD and distress. However, ACT offers a significant added benefit for health-related quality of life and self-reported Crohn's disease activity and may be a useful adjuvant therapy in integrated IBD care., (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.)

Published
2024
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18. Unpacking the association between attachment insecurity and PTSD symptoms: The mediating role of coping strategies.

Author

Marshall EM, Karantzas GC, Chesterman S, and Kambouropoulos N

Subjects
Humans, Coping Skills, Object Attachment, Anxiety, Anxiety Disorders, Stress Disorders, Post-Traumatic
Abstract

Objective: The current study provides a proof of concept for an aspect of the trauma and attachment model outlined in Marshall and Frazier (2019), which argues that attachment insecurity is associated with PTSD symptoms via hyperactivating/deactivating coping strategies, especially in the context of high trauma severity., Method: 302 participants who had experienced a traumatic event(s) completed a survey., Results: The results showed significant indirect effects between attachment insecurity and PTSD symptoms via hyperactivating/deactivating coping strategies, especially in the context of high trauma severity. In low trauma severity, hyperactivating strategies were not as strongly associated with PTSD symptoms and deactivating strategies not associated with PTSD symptoms. Hyperactivating and deactivating strategies were the mediators for attachment anxiety models and deactivating strategies was the mediator for attachment avoidance models., Conclusions: This proof of concept for Marshall and Frazier (2019) provides a platform for future research to better understand PTSD symptoms from an attachment framework. Interventions are likely to benefit by assisting people high on attachment avoidance and anxiety to modify their deactivating tendencies following a trauma of high severity and also assisting people high on attachment anxiety to modify their hyperactivating tendencies posttrauma, especially following a high trauma severity. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Published
2024
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