title: Examining the role of emotional avoidance in the relationship between posttraumatic stress disorder symptom severity and worry.
abstract: A growing body of literature suggests that worry is a cognitive activity functioning to avoid unpleasant internal experiences such as negative thoughts, emotions, and somatic responses. Given the highly aversive internal events associated with posttraumatic stress disorder (PTSD), individuals experiencing PTSD symptoms following exposure to a traumatic event may be particularly motivated to engage in avoidant regulation strategies such as worry. Surprisingly, however, few studies to date have examined the relationship between PTSD and worry as well as potential factors that might explain this association. Therefore, the goal of this study was to examine the association between PTSD symptom severity and worry and the extent to which emotional avoidance explains this relationship. To this end, 207 college students with a history of traumatic exposure (meeting Criterion A for a PTSD diagnosis) completed a series of questionnaires assessing history of exposure to potentially traumatic events, PTSD symptom severity, emotional avoidance tendencies, and worry. Results demonstrated that PTSD symptom severity was positively associated with worry and emotional avoidance. Further, emotional avoidance was found to fully account for this relationship, providing support for the proposed emotionally avoidant function of worry. The implications of these findings for future research and the treatment of worry among individuals with a history of traumatic exposure are discussed.
authors.affiliation: Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, 39216, USA. mtull@psychiatry.umsmed.edu
authors.forename: Matthew T
authors.initials: MT
authors.lastname: Tull
authors.forename: Kathryn S
authors.initials: KS
authors.lastname: Hahn
authors.forename: Shenell D
authors.initials: SD
authors.lastname: Evans
authors.forename: Kristalyn
authors.initials: K
authors.lastname: Salters-Pedneault
authors.forename: Kim L
authors.initials: KL
authors.lastname: Gratz
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000523:psychology*; D004644:Emotions; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D011569:Psychiatric Status Rating Scales; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology*; D013315:Stress, Psychological / Q000523:psychology*; D011795:Surveys and Questionnaires