Evidence map›Paper›PMID 38001536›Full record

ArticleBMC psychology2023

Polytraumatization, defense mechanisms, PTSD and complex PTSD in Indian adolescents: a mediation model.

Paulo Ferrajão, Carolina Isabel Batista, Ask Elklit

Open access · goldAbstract read
In one paragraph

Article in BMC psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Paulo FerrajãoFaculdade de Ciências Sociais e Tecnologia, Universidade Europeia, Quinta do Bom Nome, Estrada da Correia 53, Lisbon, 1500-210, Portugal. paulo.ferrajao@universidadeeuropeia.pt.ORCID http://orcid.org/0000-0002-2837-0965
Carolina Isabel BatistaFaculdade de Ciências Sociais e Tecnologia, Universidade Europeia, Quinta do Bom Nome, Estrada da Correia 53, Lisbon, 1500-210, Portugal.ORCID https://orcid.org/0000-0001-6488-1984
Ask ElklitNational Center for Psychotraumatology, University of Southern Denmark, Odense, Denmark.ORCID http://orcid.org/0000-0002-8469-7372
Universidade Europeia · PTUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdolescence is recognized as a particularly susceptible developmental period for experiencing multiple types of Adverse Childhood Experiences (ACE), increasing the vulnerability to higher levels of Post-Traumatic Stress Disorder (PTSD) and Complex PTSD symptoms. Some studies found that defense mechanisms play an important role on the association between ACE and psychological symptoms.

methodsWe analyzed the associations between direct and indirect exposure to ACE and PTSD and Complex PTSD (affective dysregulation, negative self-concept and disturbances in relationships) through the mediation role of mature defense mechanisms: mature, neurotic, and immature defense mechanisms in Indian adolescents. A sample of 411 Indian adolescents (M = 14.2 years old; S.D. = 0.5) completed validated self-report questionnaires. Serial multiple mediation models were tested by conducting a structural equation modelling employing Preacher and Hayes' procedures (2008).

resultsImmature and neurotic defense mechanisms mediated the association between direct exposure to ACE with PTSD symptoms. Immature defense mechanisms were mediators of the relationship between direct exposure to ACE and Complex PTSD symptoms clusters.

conclusionsMaladaptive defense mechanisms can disturb the process of self-regulation and emotion regulation capabilities in coping with traumatic experiences, leading to higher PTSD and Complex PTSD symptoms severity.

Indexed as

Emotional RegulationStress Disorders, Post-TraumaticAdaptation, PsychologicalAdolescentDefense MechanismsHumansSurveys and QuestionnairesAdolescentsAdverse childhood experiencesDefense mechanismsEmotion regulationStructural equation modelling

Identifiers

PMID38001536
PMCPMC10675876
OpenAlexW4388968244

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.