ArticleJournal of traumatic stress2022
A cascade model of complex posttraumatic stress disorder centered on childhood trauma and maltreatment, attachment, and socio-interpersonal factors.
Article in Journal of traumatic stress, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Tracing the paths: a systematic review of mediators of complex trauma and complex post-traumatic stress disorder.Frontiers in psychiatry · 2024Pooled it
- Determinants of mental health in earthquake survivors: Trauma memories, cognitions, identity and safety-seeking behaviours in PTSD and CPTSD models.Psychology and psychotherapy · 2026Article
- A Systematic Review of Trauma Disclosure Behaviors to Informal Support Sources.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2026Article
- Stress and mental health in older adulthood: testing linear dose-response and steeling effects of early-life adversity.European journal of ageing · 2026Article
- When does social support help? Differential effects on the relationship between post-migration stress and internalizing symptoms in young male refugees and immigrant-origin peers from the Middle East.Child and adolescent psychiatry and mental health · 2025Article
- Childhood abuse and neglect and adult body attitude.European journal of psychotraumatology · 2025Article
- Attachment representations in Afghan refugees undergoing psychological treatment: a pilot study.European journal of psychotraumatology · 2025Article
- The mediating role of resilience in the association between trauma type and CPTSD among Swiss older adults.European journal of psychotraumatology · 2025Article
- ICD-11 posttraumatic stress disorder and complex PTSD: prevalence, predictors, and construct validity in Swiss older adults.European journal of psychotraumatology · 2025Article
- Long-Term Improvements of Complex Post-Traumatic Stress Disorder (CPTSD) Symptoms After Multimodal Psychodynamic Inpatient Rehabilitation Treatment-An Observational Single Center Pilot Study.Journal of clinical psychology · 2025Observational
- Post-traumatic stress disorder in older adults: a global collaboration on setting the future research agenda.The lancet. Healthy longevity · 2025Review
- Trauma and identity predictors of ICD-11 PTSD and complex PTSD in a trauma-exposed Colombian sample.The International journal of social psychiatry · 2025Article
- Self-compassion as a mediator of attachment anxiety, attachment avoidance, and complex PTSD in college students with adverse childhood experiences.Scientific reports · 2025Article
- Cross-Lagged Panel Networks of Distinct Complex Post-Traumatic Stress Disorder Symptom Trajectories Among Young Adults With Adverse Childhood Experiences.Depression and anxiety · 2025Article
- Retrospective ACEs predict complex PTSD symptoms in a large sample of Chinese young adults longitudinally: the moderating role of self-compassion.BMC psychiatry · 2024Article
- Exploring Independent and Cumulative Effects of Adverse Childhood Experiences on PTSD and CPTSD a Study in Ugandan Adolescents.Children (Basel, Switzerland) · 2024Article
- Insecure Attachment and Depressive Symptoms among a Large Sample of Chinese Young Adults: The Mediating Role of Positive and Negative Self-Compassion.Behavioral sciences (Basel, Switzerland) · 2024Article
- Predictors and (in-)stability of ICD-11 complex posttraumatic stress disorder in older adults: findings from a longitudinal study in Switzerland.European journal of psychotraumatology · 2024Article
- Cultural psychological factors in posttraumatic symptom development and expression: a study protocol.European journal of psychotraumatology · 2024Article
- Social support and (complex) posttraumatic stress symptom severity: does gender matter?European journal of psychotraumatology · 2024Article
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4 authors.
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Abstract
The present study proposes and tests a cascade model of complex posttraumatic stress disorder (CPTSD) focusing on childhood trauma and maltreatment, attachment, and socio-interpersonal factors. Multigroup path analysis was used to examine data from 126 individuals formerly affected by compulsory social measures and placements (CSMP) in their childhood and/or adolescence (i.e., risk group [RG]; M age = 70.8 years) and an age-matched control group (CG; n = 125; M age = 70.6 years). The final model confirmed the cascade structure, with stronger associations emerging in the RG. Childhood trauma and maltreatment were associated with attachment anxiety, β = |.20|-.30, which was related to all socio-interpersonal factors (i.e., disclosure of trauma, social acknowledgment, and social support), β = .27-|.54|; the latter were associated with substantial aspects of the CPTSD symptoms as well as life satisfaction, β = |.21|-.42. Among participants in the CG, we observed more direct, rather than mediated, paths to CPTSD symptoms. Adulthood trauma exposure did not follow the full cascade pattern but was associated with the socio-interpersonal factors. Nevertheless, more in-depth clinical knowledge of CPTSD and potential targets for psychological treatment may be gained from the confirmation of this newly proposed cascade model of CPTSD.
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