Investigating the association between post-traumatic stress symptoms and satisfaction with life: Avoidance is significantly related to life satisfaction with the moderation of Mature defense mechanisms

Alessio Gori, Eleonora Topino, Alessandro Musetti, Giulia Tulli, Giuseppe Craparo, Marco Cacioppo, Luigi Janiri

Abstract


Background: Among the various components of subjective well-being, satisfaction with life attracts considerable interest, and the research about the antecedents of this construct is a thriving field in the scientific literature. Therefore, the present study aimed at investigating the factor that may in-fluence satisfaction with life, by specifically focusing on post-traumatic stress symptoms and mature defense mechanisms, controlling for gender and age as covariates.


Method: A sample of 703 Italian individuals (495 Women; 208 Men) with a mean age of 34.80 years (SD = 11.81) was involved in the research. They completed an online survey including the Satisfaction with Life Scale, Impact of Event Scale - Revised, and the Forty Item Defense Style Questionnaire, after they were briefed on the general aim of the study and provided informed consent. Data were analysed by performing Pearson’s r partial analysis (controlling for gender and age) and implementing two moderation models.


Results: In the first moderation model, the total score of post-traumatic stress symptoms showed a significant and negative association with satisfaction with life, moderated by mature defenses. Such data was further investigated, exploring the role of intrusion, avoidance, and hyperarousal sub-dimensions. Results showed that avoidance was significantly and negatively related to satisfaction with life, with the moderation of mature defenses. Finally, age was found to interact with satisfaction with life, so younger subjects had lower levels of life satisfaction.


Conclusions: The present study highlighted the negative association between post-traumatic stress symptoms (and specifically, avoidance) and satisfaction with life, highlighting the protective role of mature defenses in this relationship. Such data may provide useful knowledge to implement tailored interventions.

Keywords


Life satisfaction; PTSD; impact of event; defense mechanisms; Clinical Psychology.

Full Text:

PDF

References


Aguirre‐Camacho, A., Pelletier, G., González‐Márquez, A., Blanco‐Donoso, L. M., García‐Borreguero, P., & Moreno‐Jiménez, B. (2017). The relevance of experiential avoidance in breast cancer distress: insights from a psychological group intervention. Psychooncology, 26(4), 469-475. https://doi.org/10.1002/pon.4162

American Psychiatric Association (1980). Diagnostic And Statistical Manual of Mental Disorders, 3rd ed. American Psychiatric Publishing.

American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision. American Psychiatric Publishing.

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th ed. American Psychiatric Publishing.

American Psychiatric Association (2022) Diagnostic and Statistical Manual of Mental Disorders, 5th ed., text revision; American Psychiatric Publishing.

Andrews, G., Singh, M., & Bond, M. (1993). The defense style questionnaire. Journal of Nervous and mental Disease, 181(4), 246–256. https://doi.org/10.1097/00005053-199304000-00006

Batz-Barbarich, C., Tay, L., Kuykendall, L., & Cheung, H. K. (2018). A meta-analysis of gender differences in subjective well-being: Estimating effect sizes and associations with gender inequality. Psychological science, 29(9), 1491-1503. https://doi.org/10.1177%2F0956797618774796

Békés, V., Prout, T. A., Di Giuseppe, M., Wildes Ammar, L., Kui, T., Arsena, G., Conversano, C. (2021). Initial validation of the Defense Mechanisms Rating Scales Q-sort: A Comparison of Trained and Untrained Raters. Mediterranean Journal of Clinical Psychology, 9(2). https://doi.org/10.13129/2282-1619/mjcp-3107

Bonsaksen, T., Heir, T., Schou-Bredal, I., Ekeberg, Ø., Skogstad, L., & Grimholt, T. K. (2020). Post-traumatic stress disorder and associated factors during the early stage of the COVID-19 pandemic in Norway. International journal of environmental research and public health, 17(24), 9210. https://doi.org/10.3390/ijerph17249210

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The lancet, 395(10227), 912-920. https://doi.org/10.1016/S0140-6736(20)30460-8

Busseri, M. A. (2018). Examining the structure of subjective well-being through meta-analysis of the associations among positive affect, negative affect, and life satisfaction. Personality and Individual Differences, 122, 68-71. https://doi.org/10.1016/j.paid.2017.10.003

Carvalho, A. F., Hyphantis, T. N., Taunay, T. C., Macêdo, D. S., Floros, G. D., Ottoni, G. L., ... & Lara, D. R. (2013). The relationship between affective temperaments, defensive styles and depressive symptoms in a large sample. Journal of affective disorders, 146(1), 58-65. https://doi.org/10.1016/j.jad.2012.08.038

Chang, Q., Xing, J., Ho, R. T., & Yip, P. S. (2019). Cyberbullying and suicide ideation among Hong Kong adolescents: The mitigating effects of life satisfaction with family, classmates and academic results. Psychiatry research, 274, 269-273. https://doi.org/10.1016/j.psychres.2019.02.054

Chida, Y., & Steptoe, A. (2008). Positive psychological well-being and mortality: a quantitative review of prospective observational studies. Psychosomatic medicine, 70(7), 741-756.https://doi.org/10.1097/PSY.0b013e31818105ba

Cooper, S. H. (1998). Analyst subjectivity, analyst disclosure, and the aims of psychoanalysis. Psychoanalytic Quarterly, 67(3), 379-406. https://doi.org/10.1080/00332828.1998.12006048

Copanitsanou, P., Drakoutos, E., & Kechagias, V. (2018). Posttraumatic stress, depressive emotions, and satisfaction with life after a road traffic accident. Orthopaedic nursing, 37(1), 43-53. https://doi.org/10.1097/NOR.0000000000000417

Cramer, P. (2006). Protecting the self: Defense mechanisms in action. Guilford Press.

Craparo, G., Faraci, P., Rotondo, G., & Gori, A. (2013). The Impact of Event Scale–Revised: psychometric properties of the Italian version in a sample of flood victims. Neuropsychiatric Disease and Treatment, 9, 1427–1432. https://doi.org/10.2147/ndt.s51793

Daig, I., Herschbach, P., Lehmann, A., Knoll, N., & Decker, O. (2009). Gender and age differences in domain-specific life satisfaction and the impact of depressive and anxiety symptoms: a general population survey from Germany. Quality of Life Research, 18, 669-678. https://doi.org/10.1007/s11136-009-9481-3

D'Ardenne, P., Capuzzo, N., Fakhoury, W. K., Jankovic-Gavrilovic, J., & Priebe, S. (2005). Subjective quality of life and posttraumatic stress disorder. The Journal of nervous and mental disease, 193(1), 62-65. https://doi.org/10.1097/01.nmd.0000149221.09294.92

Debell, F., Fear, N. T., Head, M., Batt-Rawden, S., Greenberg, N., Wessely, S., & Goodwin, L. (2014). A systematic review of the comorbidity between PTSD and alcohol misuse. Social psychiatry and psychiatric epidemiology, 49, 1401-1425. https://doi.org/10.1007/s00127-014-0855-7

Di Fabio, A., & Gori, A. (2016). Measuring adolescent life satisfaction: Psychometric properties of the satisfaction with life scale in a sample of Italian adolescents and young adults. Journal of Psychoeducational Assessment, 34(5), 501-506. https://doi.org/10.1177%2F0734282915621223

Di Fabio, A., & Gori, A. (2020). Satisfaction with Life Scale among Italian workers: Reliability, factor structure and validity through a big sample study. Sustainability, 12(14), 5860. https://doi.org/10.3390/su12145860

Di Giuseppe, M., Conversano, C. (2022). Psychological components of chronic diseases: the link between defense mechanisms and alexithymia. Mediterranean Journal of Clinical Psychology, 10(3). https://doi.org/10.13129/2282-1619/mjcp-3602

Di Giuseppe, M., Miniati, M., Miccoli, M., Ciacchini, R., Orrù, R., Lo Sterzo, R., Di Silvestre, A., Conversano, C. (2020a). Defensive responses to stressful life events associated with cancer diagnosis. Mediterranean Journal of Clinical Psychology, 8(1). https://doi.org/10.6092/2282-1619/mjcp-2384

Di Giuseppe, M., Prout, T.A., Fabiani, M., Kui, T. (2020b). Defensive profile of parents of children with externalizing problems receiving RegulationFocused Psychotherapy for Children (RFP-C): A pilot study. Mediterranean Journal of Clinical Psychology, 8(2). https://doi.org/10.6092/2282-1619/mjcp-2515

Di Trani, M., Pippo, A.C., Renzi, A. (2022). Burnout in Italian hospital physicians during the COVID-19 pandemic: a pilot study on the roles of alexithymia and defense mechanisms. Mediterranean Journal of Clinical Psychology, 10(1). https://doi.org/10.13129/2282-1619/mjcp-3250

Diener, E. D., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of personality assessment, 49(1), 71-75. https://doi.org/10.1207/s15327752jpa4901_13

Diener, E., & Suh, E. M. (1999). National differences in subjective wellbeing. In Kahneman, D., Diener, E., & Schwarz, N., (Eds), Well-being: The foundations of hedonic psychology (pp 434–450). Russell Sage Foundation.

Egede, L. E., Acierno, R., Knapp, R. G., Walker, R. J., Payne, E. H., & Frueh, B. C. (2016). Psychotherapy for depression in older veterans via telemedicine: effect on quality of life, satisfaction, treatment credibility, and service delivery perception. The Journal of clinical psychiatry, 77(12), 16304. https://doi.org/10.4088/JCP.16m10951

Erdogan, B., Bauer, T. N., Truxillo, D. M., & Mansfield, L. R. (2012). Whistle while you work: A review of the life satisfaction literature. Journal of management, 38(4), 1038-1083. https://doi.org/10.1177%2F0149206311429379

Farma, T., & Cortinovis, I. (2000). Misurare i meccanismi di diffesa attraverso il "Defense Style Questionnaire" a 40 item. Attendibilita' dello strumento e suo utilizzo nel contesto Italiano [Measuring defense mechanism through the 40 items of the "Defense Style Questionnaire." Reliability of the instrument and its use in the Italian context]. Ricerche di Psicologia, 24(3-4), 127–144.

Fergusson, D. M., McLeod, G. F. H., Horwood, L. J., Swain, N. R., Chapple, S., & Poulton, R. (2015). Life satisfaction and mental health problems (18 to 35 years). Psychological medicine, 45(11), 2427-2436. https://doi.org/10.1017/S0033291715000422

Fischer, I. C., Shanahan, M. L., Hirsh, A. T., Stewart, J. C., & Rand, K. L. (2020). The relationship between meaning in life and post-traumatic stress symptoms in US military personnel: A meta-analysis. Journal of Affective Disorders, 277, 658-670. https://doi.org/10.1016/j.jad.2020.08.063

Freud, S. (1894). The neuro-psychoses of defence. Hogarth Press.

Freud, S. (1915). Repression. Hogarth Press.

Freud, S. (1926). Inhibitions, symptoms and anxiety. Hogarth Press.

Gori, A., & Topino, E. (2021). Across the COVID-19 waves; assessing temporal fluctuations in perceived stress, post-traumatic symptoms, worry, anxiety and civic moral disengagement over one year of pandemic. International Journal of Environmental Research and Public Health, 18(11), 5651. https://doi.org/10.3390/ijerph18115651

Gori, A., Topino, E., & Caretti, V. (2022a). The impact of COVID‐19 lockdown on perceived stress: The role of defence mechanisms and coping strategies. Journal of Contingencies and Crisis Management, 30(4), 379-390. https://doi.org/10.1111/1468-5973.12380

Gori, A., Topino, E., & Di Fabio, A. (2020a). The protective role of life satisfaction, coping strategies and defense mechanisms on perceived stress due to COVID-19 emergency: A chained mediation model. Plos one, 15(11), e0242402. https://doi.org/10.1371/journal.pone.0242402

Gori, A., Topino, E., & Musetti, A. (2023a). The relationship among anxiety, worry, perceived stress, defense mechanisms, and high levels of post-traumatic stress symptoms: A discriminant analytic approach. Journal of Personalized Medicine, 13(2), 237. https://doi.org/10.3390/jpm13020237

Gori, A., Topino, E., & Musetti, A. (2023b). Pathways towards posttraumatic stress symptomatology: A moderated mediation model including perceived stress, worry, and defense mechanisms. Psychological Trauma: Theory, Research, Practice, and Policy. Advance online publication. https://doi.org/10.1037/tra0001435

Gori, A., Topino, E., Craparo, G., Grotto, R. L., & Caretti, V. (2021b). An empirical model for understanding the threat responses at the time of COVID-19. Mediterranean Journal of Clinical Psychology, 9(1). https://doi.org/10.6092/2282-1619/mjcp-2916

Gori, A., Topino, E., Musetti, A., Giannini, M., Grotto, R. L., Svicher, A., & Di Fabio, A. (2022b). The Protective Role of Mature Defense Mechanisms on Satisfaction with Life in the COVID-19 Era: A Moderated Mediation Analysis. Behavioral Sciences, 12(8), 290. https://doi.org/10.3390/bs12080290

Gori, A., Topino, E., Palazzeschi, L., & Di Fabio, A. (2021a). Which personality traits can mitigate the impact of the pandemic? Assessment of the relationship between personality traits and traumatic events in the COVID-19 pandemic as mediated by defense mechanisms. PloS one, 16(5), e0251984. https://doi.org/10.1371/journal.pone.0251984

Gori, A., Topino, E., Sette, A., & Cramer, H. (2021c). Mental health outcomes in patients with cancer diagnosis: Data showing the influence of resilience and coping strategies on post-traumatic growth and post-traumatic symptoms. Data in brief, 34, 106667. https://doi.org/10.1016/j.dib.2020.106667

Gori, A., Topino, E., Sette, A., & Cramer, H. (2021d). Pathways to post-traumatic growth in cancer patients: moderated mediation and single mediation analyses with resilience, personality, and coping strategies. Journal of affective disorders, 279, 692-700. https://doi.org/10.1016/j.jad.2020.10.044

Grubbs, J. B., & Chapman, H. (2019). Predicting gambling situations: the roles of impulsivity, substance use, and post-traumatic stress. Substance abuse: research and treatment, 13, 1178221819852641. https://doi.org/10.1177%2F1178221819852641

Haar, J. M., & Roche, M. A. (2010). Family supportive organization perceptions and employee outcomes: The mediating effects of life satisfaction. The International Journal of Human Resource Management, 21(7), 999-1014. https://doi.org/10.1080/09585191003783462

Hassan, A. N., Le Foll, B., Imtiaz, S., & Rehm, J. (2017). The effect of post-traumatic stress disorder on the risk of developing prescription opioid use disorder: Results from the National Epidemiologic Survey on Alcohol and Related Conditions III. Drug and alcohol dependence, 179, 260-266. https://doi.org/10.1016/j.drugalcdep.2017.07.012

Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis second edition: A regression-based approach. Guilford Press, New York.

Heresco-Levy, U., Kremer, I., Javitt, D. C., Goichman, R., Reshef, A., Blanaru, M., & Cohen, T. (2002). Pilot-controlled trial of D-cycloserine for the treatment of post-traumatic stress disorder. International Journal of Neuropsychopharmacology, 5(4), 301-307. https://doi.org/10.1017/S1461145702003061

Hersoug, A. G., Wærsted, M., & Lau, B. (2021). Defensive functioning moderates the effects of nondirective meditation. Frontiers in psychology, 12, 629784. https://doi.org/10.3389/fpsyg.2021.629784

Holowka, D. W., & Marx, B. P. (2012) Assessing PTSD-related functional impairment and quality of life. In Beck, J. G., Sloan, D. M. (Eds.), The Oxford handbook of traumatic stress disorders (pp 315-330). Oxford University Press. https://doi.org/10.1093/oxfordhb/9780195399066.013.0021

Huang, L., Xu, X., Zhang, L., Zheng, D., Liu, Y., Feng, B., ... & Zhang, Z. (2022). Post-traumatic stress disorder symptoms and quality of life of COVID-19 survivors at 6-month follow-up: a cross-sectional observational study. Frontiers in Psychiatry, 2416. https://doi.org/10.3389%2Ffpsyt.2021.782478

ISTAT (2022). Internet: accesso e tipo di utilizzo. Available online: http://dati.istat.it/Index.aspx?DataSetCode=DCCV_ICT (accessed on 28 August 2022).

Jakupcak, M., Conybeare, D., Phelps, L., Hunt, S., Holmes, H. A., Felker, B., ... & McFall, M. E. (2007). Anger, hostility, and aggression among Iraq and Afghanistan war veterans reporting PTSD and subthreshold PTSD. Journal of Traumatic Stress: Official Publication of the International Society for Traumatic Stress Studies, 20(6), 945-954. https://doi.org/10.1002/jts.20258

Jakupcak, M., Hoerster, K. D., Varra, A., Vannoy, S., Felker, B., & Hunt, S. (2011). Hopelessness and suicidal ideation in Iraq and Afghanistan war veterans reporting subthreshold and threshold posttraumatic stress disorder. The Journal of nervous and mental disease, 199(4), 272-275. https://doi.org/10.1097/NMD.0b013e3182124604

James, G., Witten, D., Hastie, T., & Tibshirani, R. (2013). An introduction to statistical learning (Vol. 112, p. 18). New York: springer. https://doi.org/10.1007/978-1-4614-7138-7

Johnson, P. O., & Neyman, J. (1936). Tests of certain linear hypotheses and their application to some educational problems. Statistical Research Memoirs, 1, 57–93.

Joshanloo, M. (2018). Gender differences in the predictors of life satisfaction across 150 nations. Personality and Individual Differences, 135, 312-315. https://doi.org/10.1016/j.paid.2018.07.043

Joshanloo, M., & Jovanović, V. (2020). The relationship between gender and life satisfaction: Analysis across demographic groups and global regions. Archives of women's mental health, 23, 331-338. https://doi.org/10.1007/s00737-019-00998-w

Kahraman-Erkuş, Ö. (2020). Lacanian Perverse Structure and Disavowal Mechanism: A Clinical Examination. Mediterranean Journal of Clinical Psychology, 8(2), 2282-1619. https://doi.org/10.6092/2282-1619/mjcp-2283

Karatzias, T., Chouliara, Z., Power, K., Brown, K., Begum, M., McGoldrick, T., & MacLean, R. (2013). Life satisfaction in people with post-traumatic stress disorder. Journal of Mental Health, 22(6), 501-508. Ùhttps://doi.org/10.3109/09638237.2013.819418

Kashdan, T. B., Breen, W. E., & Julian, T. (2010). Everyday strivings in war veterans with posttraumatic stress disorder: Suffering from a hyper-focus on avoidance and emotion regulation. Behavior therapy, 41(3), 350-363. https://doi.org/10.1016/j.beth.2009.09.003

Kimbrough, E., Magyari, T., Langenberg, P., Chesney, M., & Berman, B. (2010). Mindfulness intervention for child abuse survivors. Journal of clinical psychology, 66(1), 17-33. https://doi.org/10.1002/jclp.20624

Laurel Franklin, C., Raines, A. M., & Hurlocker, M. C. (2019). No trauma, no problem: Symptoms of posttraumatic stress in the absence of a criterion a stressor. Journal of Psychopathology and Behavioral Assessment, 41, 107-111. https://doi.org/10.1007/s10862-018-9692-4

Lyke, J. (2016). Defense style predicts subjective well-being in a non-clinical sample. The Journal of Happiness & Well-Being, 4(1), 62-71.

Lyons, M. D., Huebner, E. S., Hills, K. J., & Van Horn, M. L. (2013). Mechanisms of change in adolescent life satisfaction: A longitudinal analysis. Journal of school psychology, 51(5), 587-598. https://doi.org/10.1016/j.jsp.2013.07.001

Mahamid, F. A., Berte, D. Z., & Bdier, D. (2022). Problematic internet use and its association with sleep disturbance and life satisfaction among Palestinians during the COVID-19 pandemic. Current Psychology, 41(11), 8167-8174. https://doi.org/10.1007/s12144-021-02124-5

Mahmoud, J. S. R., Staten, R. T., Hall, L. A., & Lennie, T. A. (2012). The relationship among young adult college students’ depression, anxiety, stress, demographics, life satisfaction, and coping styles. Issues in mental health nursing, 33(3), 149-156. https://doi.org/10.3109/01612840.2011.632708

Malone, J. C., Cohen, S., Liu, S. R., Vaillant, G. E., & Waldinger, R. J. (2013). Adaptive midlife defense mechanisms and late-life health. Personality and individual differences, 55(2), 85-89. https://doi.org/10.1016/j.paid.2013.01.025

Matud, M. P., Bethencourt, J. M., & Ibáñez, I. (2014). Relevance of gender roles in life satisfaction in adult people. Personality and individual differences, 70, 206-211. https://doi.org/10.1016/j.paid.2014.06.046

Menard, S. (1995). Applied logistic regression analysis. Sage.

Morgan, J. K., Desmarais, S. L., Mitchell, R. E., & Simons-Rudolph, J. M. (2017). Posttraumatic stress, posttraumatic growth, and satisfaction with life in military veterans. Military Psychology, 29(5), 434-447. https://doi.org/10.1037/mil0000182

Morriss, J., Saldarini, F., & Van Reekum, C. M. (2019). The role of threat level and intolerance of uncertainty in extinction. International Journal of Psychophysiology, 142, 1-9. https://doi.org/10.1016/j.ijpsycho.2019.05.013

Oliveri, S., Arnaboldi, P., Pizzoli, S. F. M., Faccio, F., Giudice, A. V., Sangalli, C., ... & Pravettoni, G. (2019). PTSD symptom clusters associated with short-and long-term adjustment in early diagnosed breast cancer patients. ecancermedicalscience, 13, 917. https://doi.org/10.3332%2Fecancer.2019.917

Pacella, M. L., Hruska, B., & Delahanty, D. L. (2013). The physical health consequences of PTSD and PTSD symptoms: a meta-analytic review. Journal of anxiety disorders, 27(1), 33-46. https://doi.org/10.1016/j.janxdis.2012.08.004

Pavot, W., & Diener, E. (1993). Review of the satisfaction with life scale. Psychological Assesment, 5 (2), 164-172. https://doi.org/1040-3590.5.2.164

Salovey, P., Rothman, A. J., Detweiler, J. B., & Steward, W. T. (2000). Emotional states and physical health. American psychologist, 55(1), 110–121. https://doi.org/10.1037//0003-066x.55.1.110

Schnurr, P. P., Hayes, A. F., Lunney, C. A., McFall, M., & Uddo, M. (2006). Longitudinal analysis of the relationship between symptoms and quality of life in veterans treated for posttraumatic stress disorder. Journal of consulting and clinical psychology, 74(4), 707. https://doi.org/10.1037/0022-006X.74.4.707

Settineri, S., Merlo, E. M., Frisone, F., Alibrandi, A., Carrozzino, D., Diaconu, C. C., & Pappalardo, S. M. (2019). Suppression Mental Questionnaire App: a mobile web service-based application for automated real-time evaluation of adolescent and adult suppression. Mediterranean Journal of Clinical Psychology, 7(1). https://doi.org/10.6092/2282-1619/2019.7.2056

Steger, M. F., Owens, G. P., & Park, C. L. (2015). Violations of war: Testing the meaning‐making model among Vietnam veterans. Journal of Clinical Psychology, 71(1), 105-116. https://doi.org/10.1002/jclp.22121

Tanaka, T., Takeshita, S., Inoue, T., Yoshino, A., Sawamura, T., & Toda, H. (2022). Psychological and traumatic stress and the risk of developing diabetes and psychiatric disorders after a disaster-relief mission: An eight-year longitudinal study of Japan Maritime Self-Defense Force personnel dispatched for the 2011 Great East Japan Earthquake disaster-relief mission. Journal of psychiatric research, 146, 118-124. https://doi.org/10.1016/j.jpsychires.2021.12.046

Tanzilli, A., Di Giuseppe, M., Giovanardi, G., Boldrini, T., Caviglia, G., Conversano, C., & Lingiardi, V. (2021). Mentalization, attachment, and defense mechanisms: a Psychodynamic Diagnostic Manual-2-oriented empirical investigation. Research in Psychotherapy: Psychopathology, Process, and Outcome, 24(1), 31–41. https://doi.org/10.4081%2Fripppo.2021.531

Topino, E., & Gori, A. (2023). Data showing that post-traumatic stress symptoms and defense mechanisms change based on perceived stress levels: A multivariate analysis of variance approach during the COVID-19 pandemic. Data in Brief, 109298. https://doi.org/10.1016/j.dib.2023.109298

Trzebiński, J., Cabański, M., & Czarnecka, J. Z. (2020). Reaction to the COVID-19 pandemic: The influence of meaning in life, life satisfaction, and assumptions on world orderliness and positivity. Journal of Loss and Trauma, 25(6-7), 544-557. https://doi.org/10.1080/15325024.2020.1765098

Vaillant, G. E. (1992). Ego mechanisms of defense: a guide for clinicans and researchers. American Psychiatric Pub.

Vaillant, G. E. (1995). The wisdom of the ego. Harvard University Press.

Vallant, G. E. (2022). Involuntary coping mechanisms: a psychodynamic perspective. Dialogues in clinical neuroscience, 13(3), 366-370. https://doi.org/10.31887/DCNS.2011.13.2/gvaillant

Van den Berg, L. J., Tollenaar, M. S., Spinhoven, P., Penninx, B. W., & Elzinga, B. M. (2017). A new perspective on PTSD symptoms after traumatic vs stressful life events and the role of gender. European Journal of Psychotraumatology, 8(1), 1380470. https://doi.org/10.1080/20008198.2017.1380470

Van Hooff, M., McFarlane, A. C., Baur, J., Abraham, M., & Barnes, D. J. (2009). The stressor Criterion-A1 and PTSD: a matter of opinion?. Journal of Anxiety Disorders, 23(1), 77-86.https://doi.org/10.1016/j.janxdis.2008.04.001

Wathelet, M., d'Hondt, F., Bui, E., Vaiva, G., & Fovet, T. (2021). Posttraumatic stress disorder in time of COVID‐19: Trauma or not trauma, is that the question?. Acta Psychiatrica Scandinavica, 144(3), 310 – 311. https://doi.org/10.1111%2Facps.13336

Weiss, D. S. & Marmar, C. R. (1996) The Impact of Event Scale – Revised. In Wilson J. P. & Keane T. M. (Eds.), Assessing psychological trauma and PTSD (pp. 399-411). Guilford.

Zaragoza Scherman, A., Salgado, S., Shao, Z., & Berntsen, D. (2020). Younger adults report more distress and less well‐being: A cross‐cultural study of event centrality, depression, post‐traumatic stress disorder and life satisfaction. Applied Cognitive Psychology, 34(5), 1180-1196. https://doi.org/10.1002/acp.3707




DOI: https://doi.org/10.13129/2282-1619/mjcp-3689

Refbacks

  • There are currently no refbacks.