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The mediating effect of cognitive and emotional processing on PTSD and depression symptoms reduction in women victims of IPV

Intimate partner violence (IPV) is a serious social, physical and mental health issue. Women victims of IPV can develop short- and long-term consequences such as depression and post-traumatic stress disorder (PTSD). Where trauma has been incurred, standard psychotherapies may usefully be complemente...

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Autores principales: Procaccia, Rossella, Castiglioni, Marco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9822704/
https://www.ncbi.nlm.nih.gov/pubmed/36619070
http://dx.doi.org/10.3389/fpsyg.2022.1071477
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author Procaccia, Rossella
Castiglioni, Marco
author_facet Procaccia, Rossella
Castiglioni, Marco
author_sort Procaccia, Rossella
collection PubMed
description Intimate partner violence (IPV) is a serious social, physical and mental health issue. Women victims of IPV can develop short- and long-term consequences such as depression and post-traumatic stress disorder (PTSD). Where trauma has been incurred, standard psychotherapies may usefully be complemented by interventions based on expressive writing (EW). Numerous studies have explored the mechanisms underpinning improvement after writing, focusing on the cognitive and emotional processing of traumatic experiences. The aims of this study were to evaluate changes in PTSD and depression symptoms following EW and to examine the mediating effect of emotional and cognitive processing on symptom reduction in subjects who engaged in EW. Seventy-seven abused women (mean age = 41.43, SD = 10.75) were randomly assigned to a three-session expressive writing condition (n = 43) or a neutral writing condition (n = 34). Psychological distress (PTSD and depression) was assessed both before and after the writing sessions. Linguistic inquiry word count software was used to analyze the women’s narratives in relation to emotional processing (positive and negative emotions) and cognitive processing (insight and causal attributions). The mediation model indicated that the reduction in depression was fully mediated by negative emotion processing and partially mediated by cognitive processing, while the reduction in PTSD was partially mediated by negative emotion processing and fully mediated by cognitive processing. No effect of positive emotion processing was found. The clinical implications are discussed.
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spelling pubmed-98227042023-01-07 The mediating effect of cognitive and emotional processing on PTSD and depression symptoms reduction in women victims of IPV Procaccia, Rossella Castiglioni, Marco Front Psychol Psychology Intimate partner violence (IPV) is a serious social, physical and mental health issue. Women victims of IPV can develop short- and long-term consequences such as depression and post-traumatic stress disorder (PTSD). Where trauma has been incurred, standard psychotherapies may usefully be complemented by interventions based on expressive writing (EW). Numerous studies have explored the mechanisms underpinning improvement after writing, focusing on the cognitive and emotional processing of traumatic experiences. The aims of this study were to evaluate changes in PTSD and depression symptoms following EW and to examine the mediating effect of emotional and cognitive processing on symptom reduction in subjects who engaged in EW. Seventy-seven abused women (mean age = 41.43, SD = 10.75) were randomly assigned to a three-session expressive writing condition (n = 43) or a neutral writing condition (n = 34). Psychological distress (PTSD and depression) was assessed both before and after the writing sessions. Linguistic inquiry word count software was used to analyze the women’s narratives in relation to emotional processing (positive and negative emotions) and cognitive processing (insight and causal attributions). The mediation model indicated that the reduction in depression was fully mediated by negative emotion processing and partially mediated by cognitive processing, while the reduction in PTSD was partially mediated by negative emotion processing and fully mediated by cognitive processing. No effect of positive emotion processing was found. The clinical implications are discussed. Frontiers Media S.A. 2022-12-23 /pmc/articles/PMC9822704/ /pubmed/36619070 http://dx.doi.org/10.3389/fpsyg.2022.1071477 Text en Copyright © 2022 Procaccia and Castiglioni. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Procaccia, Rossella
Castiglioni, Marco
The mediating effect of cognitive and emotional processing on PTSD and depression symptoms reduction in women victims of IPV
title The mediating effect of cognitive and emotional processing on PTSD and depression symptoms reduction in women victims of IPV
title_full The mediating effect of cognitive and emotional processing on PTSD and depression symptoms reduction in women victims of IPV
title_fullStr The mediating effect of cognitive and emotional processing on PTSD and depression symptoms reduction in women victims of IPV
title_full_unstemmed The mediating effect of cognitive and emotional processing on PTSD and depression symptoms reduction in women victims of IPV
title_short The mediating effect of cognitive and emotional processing on PTSD and depression symptoms reduction in women victims of IPV
title_sort mediating effect of cognitive and emotional processing on ptsd and depression symptoms reduction in women victims of ipv
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9822704/
https://www.ncbi.nlm.nih.gov/pubmed/36619070
http://dx.doi.org/10.3389/fpsyg.2022.1071477
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