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Posttraumatic Appraisals Mediate the Relationship Between Childhood Psychological Abuse and Complex PTSD Symptom Severity

Bibliographic Data

ID12098660
AuthorsJustin R Watts (University of North Texas, corresponding author), Justin Watts (0009-0005-0083-0797, Department of Rehabilitation Health Services, College of Health and Public Service University of North Texas Denton Texas USA), Jaeyoung Kim (0000-0001-6983-7907, Department of Counseling, Educational Psychology and Special Education, College of Education Michigan State University East Lansing Michigan USA), Lindsey Warwick (0000-0001-7871-2081, Department of Clinical Mental Health Counseling College of Social Sciences Southern Oregon University Ashland Oregon USA)
Year2025
Volume103
Issue3
Pages276-287
Publication date2025-03-31
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Counseling & Development (JOURNAL)
Journal identifiersISSN: 0748-9633 • E-ISSN: 1556-6676
PublisherWiley (PUBLISHER • GB)
DOI10.1002/jcad.12561
OpenAlexW4409060455
LanguageEN
Citations received1
References cited53

Previous research established a connection between childhood psychological abuse (CPA), a common but understudied form of child maltreatment, and symptoms of posttraumatic stress. However, the connection between CPA and complex PTSD remains underexplored. This study investigated the relationship between CPA, posttraumatic appraisals (i.e., fear, alienation, betrayal, self‐blame, anger, and shame), and complex PTSD symptoms among a sample of 263 college students using structural equation modeling. The model uncovered significant direct and indirect effects, demonstrating a significant association between CPA and posttraumatic appraisals. Further, posttraumatic appraisals were significantly associated with complex PTSD symptoms. The indirect effect of CPA on complex PTSD symptoms via posttraumatic appraisals was significant, confirming the mediating role of posttraumatic appraisals between CPA and complex PTSD symptoms. The model demonstrated substantial explanatory power, explaining 51.9% of the variance in posttraumatic appraisals and 94.7% of the variance in complex PTSD symptoms. Implications for counselors are discussed

Child abuse · Childhood abuse · Medical emergency · Poison control · Posttraumatic stress · Psychiatry · Child Abuse and Trauma · Clinical Psychology · Human Factors and Ergonomics · Medicine · Migration, Health and Trauma · Posttraumatic Stress Disorder Research · Psychology

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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