The mediating role of the metacognition, time perspectives and experiential avoidance on the relationship between childhood trauma and post-traumatic stress disorder symptoms

Ramaghani, Nasrin Alsadat Hosseini; Rezaei, F; Sepahvandi, Mohammad Ali; Gholamrezaei, Simin; Mirderikvand, Fazlolah

doi:10.1080/20008198.2019.1648173

Cited by 20 publications

(24 citation statements)

References 48 publications

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“…There are fewer studies investigating the link between psychological inflexibility and its association with childhood traumas. The present study is in line with several studies in which psychological inflexibility was found to be related with childhood abuse (Batten et al, 2001 ), and mediated the association between history of childhood maltreatment and negative emotional state (Reddy et al, 2006 ; Richardson & Jost, 2019 ), depressive symptom severity in depression (Ghazanfari et al, 2018 ), behavioral problems (Roche et al, 2019 ), PTSD (Ramaghani et al, 2019 ), and trauma related psychological distress (Rosenthal et al, 2005 ). On the other hand, one study failed to find a relationship between adverse childhood experiences and experiential avoidance (Makriyianis et al, 2019 ), while another study reported increased psychological flexibility in individuals with multiple early traumas, suggesting that early trauma helped in developing resilience (Richardson & Jost, 2019 ).…”

Section: Discussionsupporting

confidence: 92%

Childhood maltreatment and emotional distress: The role of beliefs about emotion and psychological inflexibility

Taşören

2022

Curr Psychol

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The current study aimed to investigate the mediating role of negative beliefs about emotion and psychological inflexibility on the relationship between childhood maltreatment and emotional distress. A total of 519 participants completed the Childhood Trauma Questionnaire (CTQ), Depression Anxiety Stress Scale-21 (DASS-21), the Leahy Emotional Schema Scale II (LESS-II), and the Acceptance and Action Questionnaire-II (AAQ-II). All scales were significantly correlated. Two mediation analyses were tested. In the first model negative beliefs about emotion and psychological inflexibility mediated the relationship between childhood maltreatment and emotional distress measured by DASS-21 total score. In the second model, negative beliefs about emotion and psychological inflexibility mediated the relationship between childhood maltreatment and depression, anxiety, and stress measured by the subscales of DASS-21. Results suggest that maltreatment in childhood is associated with the individuals’ approaches, plans and strategies in response to emotions, and psychological inflexibility which together further determine emotional distress.

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Section: Discussionsupporting

confidence: 92%

Childhood maltreatment and emotional distress: The role of beliefs about emotion and psychological inflexibility

Taşören

2022

Curr Psychol

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“…Importantly, psychological flexibility is a broad term that includes aspects of experiential avoidance, which is theoretically related to maladaptive responses to trauma through avoidance of thoughts and feelings related to the trauma. 1 Indeed, several PTSD symptom clusters (reexperiencing, avoidance, and physiological hyperarousal) have also been associated with higher AAQ-II scores (eg, Hosseini Ramaghani et al, 52 Meyer et al, 53 and Tull and Roemer 54 ), and thus, one could expect that symptoms of racial trauma and psychological flexibility might also be correlated.…”

Section: Introductionmentioning

confidence: 99%

Increases in Psychological Flexibility Mediate Relationship Between Acute Psychedelic Effects and Decreases in Racial Trauma Symptoms Among People of Color

Davis

Xin

Sepeda³

et al. 2021

Chronic Stress

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Background Previous research showed acute psychedelic effects were associated with decreases in racial trauma (RT) symptoms among black, indigenous, and people of color (BIPOC). Among samples comprised primarily of white participants, positive outcomes of psychedelic experiences have been mediated by increases in psychological flexibility. Therefore, we examined whether changes in psychological flexibility from before to after a psychedelic experience mediated the relationship between acute psychedelic effects and changes in RT symptoms among BIPOC. Methods This cross-sectional online survey study included 313 BIPOC (mean age = 33.1; SD = 11.2; female = 57%). A multiple linear regression analysis was used to examine the association between acute psychedelic effects and decreases in RT symptoms in a nonclinical setting; a path analysis was used to explore whether changes in psychological flexibility mediated this relationship. Results Acute insight and challenging effects were significantly ( p < .001) associated with decreases in RT symptoms following a psychedelic experience. Increases in psychological flexibility partially mediated relationships between greater intensity of psychological insight and less intensity of challenging experiences and decreases in RT symptoms ( ps<.001). Conclusion This research suggests psychedelics confer potential benefits in decreasing RT symptoms among BIPOC and psychological flexibility may be an important mediator of these effects. Future research should test this hypothesis in a longitudinal clinical trial among BIPOC.

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“…Nine studies investigated metacognitive beliefs (Bardeen & Fergus, 2018; Bennett & Wells, 2010; Fergus & Bardeen, 2017; Hosseini Ramaghani et al, 2019; Jelinek et al, 2013; Kadak et al, 2013; Mazloom et al, 2016; Roussis & Wells, 2006; Takarangi et al, 2017). Metacognitive beliefs were moderately correlated with PTSD symptoms (Hosseini Ramaghani et al, 2019: r = 0.54, p < 0.01; Jelinek et al, 2013: r = 0.54, p < 0.001; Kadak et al, 2013: r = 0.41, p < 0.01; and Mazloom et al, 2016: r = 0.49, p < 0.01). Further, Mazloom et al (2016) found that metacognitive beliefs directly impacted PTSD symptoms ( β = 0.60, p < 0.001); however, Kadak et al (2013) found that PTSD was predicted by gender, age, prior mental health problems, both state and trait anxiety, and anxiety sensitivity, but not metacognitive beliefs ( p = 0.361).…”

Section: Resultsmentioning

confidence: 99%

The metacognitive model of post‐traumatic stress disorder and metacognitive therapy for post‐traumatic stress disorder: A systematic review

Brown

Wood

Carter

et al. 2021

Clin Psychology and Psychoth

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The metacognitive model of post-traumatic stress disorder (PTSD) implicates metacognitive beliefs, meta-memory beliefs and metacognitive control strategies in perpetuating and maintaining symptoms of PTSD. Despite this expanding area of research, the evidence for the metacognitive model of PTSD has not been reviewed.A systematic review according to the PRISMA statement was conducted. Searches across MEDLINE, PubMed and PsycNET, as well as reference lists of the included studies (2004 to March 2020), yielded 221 records. Two independent reviewers screened articles, which were included where the impact of the constructs of interest on PTSD symptoms was investigated within the framework of the metacognitive model for PTSD. Eighteen articles were included in the review. Eleven studies were determined to have good methodological robustness. Metacognitive therapy for PTSD demonstrated reductions in symptoms from pretreatment to post-treatment, which were maintained at follow-up. Predictors of greater PTSD symptom severity included metacognitive beliefs, meta-memory beliefs, and worry, punishment, thought suppression, experiential avoidance, and rumination. Overall, support was found for the validity of the metacognitive model of PTSD.

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The mediating role of the metacognition, time perspectives and experiential avoidance on the relationship between childhood trauma and post-traumatic stress disorder symptoms

Abstract: Mirderikvand (2019) The mediating role of the metacognition, time perspectives and experiential avoidance on the relationship between childhood trauma and post-traumatic stress disorder symptoms,

Cited by 20 publications

References 48 publications

Childhood maltreatment and emotional distress: The role of beliefs about emotion and psychological inflexibility

Childhood maltreatment and emotional distress: The role of beliefs about emotion and psychological inflexibility

Increases in Psychological Flexibility Mediate Relationship Between Acute Psychedelic Effects and Decreases in Racial Trauma Symptoms Among People of Color

The metacognitive model of post‐traumatic stress disorder and metacognitive therapy for post‐traumatic stress disorder: A systematic review

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