Self-compassion as a mediator of attachment anxiety, attachment avoidance, and complex PTSD in college students with adverse childhood experiences

Abstract Given the significant prevalence of adverse childhood experiences (ACEs) and their detrimental impact on mental health, this study examines the relationship between attachment anxiety, attachment avoidance, and complex post-traumatic stress disorder (CPTSD) among college students with ACEs,...

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Main Authors: Yu Peng, Zahari Ishak
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-84947-3
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author Yu Peng
Zahari Ishak
author_facet Yu Peng
Zahari Ishak
author_sort Yu Peng
collection DOAJ
description Abstract Given the significant prevalence of adverse childhood experiences (ACEs) and their detrimental impact on mental health, this study examines the relationship between attachment anxiety, attachment avoidance, and complex post-traumatic stress disorder (CPTSD) among college students with ACEs, emphasizing the mediating role of self-compassion (SC). A sample of 32,388 students from Kunming, China completed a survey including the Revised Adverse Childhood Experiences Questionnaire (ACEQ-R), the Adult Attachment Scale (AAS), the International Trauma Questionnaire (ITQ), and the Self-Compassion Scale-Short Form (SCS-SF). Among the participants, 3,896 reported at least one ACE. Data were analyzed using structural equation modeling (SEM) to explore the proposed mediation model. Results revealed that both attachment anxiety and avoidance positively influenced CPTSD symptoms while negatively affecting SC. SC negatively influenced CPTSD symptoms, acting as a significant mediator. The mediating effect of SC was stronger for disturbances in self-organization (DSO) than for post-traumatic stress disorder (PTSD) symptoms. These findings underscore the importance of fostering SC in interventions aimed at mitigating the influence of attachment anxiety and avoidance on CPTSD among college students with ACEs.
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spelling doaj-art-ef590f9c6a3347b08f4eb6b178744c3e2025-01-05T12:21:11ZengNature PortfolioScientific Reports2045-23222025-01-0115111010.1038/s41598-024-84947-3Self-compassion as a mediator of attachment anxiety, attachment avoidance, and complex PTSD in college students with adverse childhood experiencesYu Peng0Zahari Ishak1Students Mental Health Education and Counseling Center, Kunming University of Science and TechnologyFaculty of Social Sciences and Liberal Arts, UCSI UniversityAbstract Given the significant prevalence of adverse childhood experiences (ACEs) and their detrimental impact on mental health, this study examines the relationship between attachment anxiety, attachment avoidance, and complex post-traumatic stress disorder (CPTSD) among college students with ACEs, emphasizing the mediating role of self-compassion (SC). A sample of 32,388 students from Kunming, China completed a survey including the Revised Adverse Childhood Experiences Questionnaire (ACEQ-R), the Adult Attachment Scale (AAS), the International Trauma Questionnaire (ITQ), and the Self-Compassion Scale-Short Form (SCS-SF). Among the participants, 3,896 reported at least one ACE. Data were analyzed using structural equation modeling (SEM) to explore the proposed mediation model. Results revealed that both attachment anxiety and avoidance positively influenced CPTSD symptoms while negatively affecting SC. SC negatively influenced CPTSD symptoms, acting as a significant mediator. The mediating effect of SC was stronger for disturbances in self-organization (DSO) than for post-traumatic stress disorder (PTSD) symptoms. These findings underscore the importance of fostering SC in interventions aimed at mitigating the influence of attachment anxiety and avoidance on CPTSD among college students with ACEs.https://doi.org/10.1038/s41598-024-84947-3Adverse childhood experiencesAttachment anxietyAttachment avoidanceComplex post-traumatic stress disorderDisturbances in self-organizationPost-traumatic stress disorder
spellingShingle Yu Peng
Zahari Ishak
Self-compassion as a mediator of attachment anxiety, attachment avoidance, and complex PTSD in college students with adverse childhood experiences
Scientific Reports
Adverse childhood experiences
Attachment anxiety
Attachment avoidance
Complex post-traumatic stress disorder
Disturbances in self-organization
Post-traumatic stress disorder
title Self-compassion as a mediator of attachment anxiety, attachment avoidance, and complex PTSD in college students with adverse childhood experiences
title_full Self-compassion as a mediator of attachment anxiety, attachment avoidance, and complex PTSD in college students with adverse childhood experiences
title_fullStr Self-compassion as a mediator of attachment anxiety, attachment avoidance, and complex PTSD in college students with adverse childhood experiences
title_full_unstemmed Self-compassion as a mediator of attachment anxiety, attachment avoidance, and complex PTSD in college students with adverse childhood experiences
title_short Self-compassion as a mediator of attachment anxiety, attachment avoidance, and complex PTSD in college students with adverse childhood experiences
title_sort self compassion as a mediator of attachment anxiety attachment avoidance and complex ptsd in college students with adverse childhood experiences
topic Adverse childhood experiences
Attachment anxiety
Attachment avoidance
Complex post-traumatic stress disorder
Disturbances in self-organization
Post-traumatic stress disorder
url https://doi.org/10.1038/s41598-024-84947-3
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AT zahariishak selfcompassionasamediatorofattachmentanxietyattachmentavoidanceandcomplexptsdincollegestudentswithadversechildhoodexperiences