ArticleClinical psychology & psychotherapy2018
Does experiential avoidance explain the relationships between shame, PTSD symptoms, and compulsive sexual behaviour among women in substance use treatment?
Article in Clinical psychology & psychotherapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 22 citations in OpenAlex.
- Compulsive Sexual Behaviors, Pornography Consumption, and Co-Occurring Disorders Among College Students.Archives of sexual behavior · 2026Article
- Experiential Avoidance and Psychoactive Substance Use: Systematic Review.European journal of investigation in health, psychology and education · 2026Review
- Neural correlates of emotional processing in trauma-related narratives.Psychological medicine · 2025Article
- The Role of Shame in the Sexual-Orientation Disparity in Mental Health: A Prospective Population-Based Study of Multimodal Emotional Reactions to Stigma.Clinical psychological science : a journal of the Association for Psychological Science · 2024Article
- Compulsive sexual behavior disorder in an inpatient sample with substance use disorder.Sexual medicine · 2024Article
- Case Conceptualizing in Acceptance and Commitment Therapy for Moral Injury: An Active and Ongoing Approach to Understanding and Intervening on Moral Injury.Frontiers in psychiatry · 2022Review
- An integrated model to assess and treat compulsive sexual behaviour disorder.Nature reviews. Urology · 2020Review
- Spotlight on Compulsive Sexual Behavior Disorder: A Systematic Review of Research on Women.Neuropsychiatric disease and treatment · 2020Review
- Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveUntreated compulsive sexual behaviour (CSB) poses a risk to efficacious substance use disorder (SUD) treatment. Yet the ways in which CSB manifests in women with SUDs remains poorly understood. Shame and trauma exposure are well-documented correlates for women's CSB. Prior theory suggested women with shame and trauma-related symptoms may engage in CSB in an effort to escape aversive internal experiences. Thus, the present study examined experiential avoidance as a mediator of the relationship between defectiveness/shame beliefs, post-traumatic stress disorder symptoms, and CSB in a sample of women with SUDs.
methodCross-sectional, self-report data were collected from 446 women (M age = 37.40) in residential treatment for SUDs.
resultsExperiential avoidance partially mediated the relationship between both post-traumatic stress disorder symptoms and defectiveness/shame beliefs and CSB.
conclusionsThese results extend theoretical conceptualizations of women's CSB to a treatment population. CSB intervention efforts may benefit from targeting women's avoidance of painful experiences.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.