Results suggest that disruption in the ability to regulate emotions is the most consistent predictor of mental health in survivors of interpersonal trauma, followed by cognitions regarding the world, self, and others. Treatment implications are discussed.

Research examining meaning-making in the aftermath of interpersonal victimization among women has been restricted by quantitative methods and a focus on single distressing event. Qualitative methods were used to inspect meaning-making cognitions among a community sample of IPV (intimate partner violence) survivors. Consensus coding resulted in eight categories of meaning-making. The most widely endorsed cognition was self-blaming. Other strategies included justification for the abuser, normalizing violence, attribution to karmic or godly intervention, minimization and social comparison, reappraisal/opportunity for growth, absence of a protective figure, and failure to make sense of abuse. Implications with respect to adaptiveness and intervention are discussed.

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It is well documented that most trauma survivors recover from adversity and only a number of them go on to develop posttraumatic stress disorder (PTSD). In addition, survivors of interpersonal trauma (IPT) appear to be at heightened risk for developing PTSD in comparison to survivors of noninterpersonal trauma (NIPT). Despite a robust association between IPT exposure and attachment disruptions, there is a dearth of research examining the role of attachment-related processes implicated in predicting PTSD. Using a sample of college undergraduates exposed to IPT and NIPT, this study explores the mediating effect of self-worth in the relationship between attachment and PTSD. It is hypothesized that insecure attachment will be related to posttraumatic symptomatology via a reduced sense of self-worth in IPT survivors but not in NIPT survivors. Mediation analyses provide support for this hypothesis, suggesting the importance of considering negative cognitions about the self in therapeutic interventions, particularly those offered to IPT survivors.

It is well-documented that insecure attachment poses substantial risks to post-trauma recovery. Although attachment anxiety reliably predicts and is associated with elevated post-traumatic stress symptoms (PTSS), the attachment avoidance–PTSS link has been far less consistent. This suggests both attenuating and enhancing connections between attachment difficulties and post-trauma outcomes. The goal of this study is 2-fold: (a) to review and summarize extant evidence concerning the relation between insecure attachment and PTSS and (b) to review mechanism(s) underlying attachment anxiety and attachment avoidance that may explain the development of PTSS. Following a systematic review of the empirical literature investigating attachment, trauma, and post-trauma reactions, a total of 138 studies were identified and summarized. The review further identifies explanatory mechanisms underlying the association between insecure attachment and PTSS, including stress appraisals, cognitive factors, self-esteem, emotion regulation strategies, social factors, and trauma-specific factors (i.e., type of trauma, extreme stress). Implications for practice, policy, and research are discussed.