Shame and Guilt Proneness as Mediators of PTSD/DSO Symptoms in Young Adults

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Main Authors: Osmano Oasi, Mark Shevlin, Antonio Lasalvia, Chiara Bonetto, Doriana Cristofalo, Giulia Marzocco, Camilla Somma, Marco Toscano, Thanos Karatzias, Cesare Cavalera
Format: Artículo Open Access
Published: Wiley 2025
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author Osmano Oasi
Mark Shevlin
Antonio Lasalvia
Chiara Bonetto
Doriana Cristofalo
Giulia Marzocco
Camilla Somma
Marco Toscano
Thanos Karatzias
Cesare Cavalera
author_facet Osmano Oasi
Mark Shevlin
Antonio Lasalvia
Chiara Bonetto
Doriana Cristofalo
Giulia Marzocco
Camilla Somma
Marco Toscano
Thanos Karatzias
Cesare Cavalera
Osmano Oasi
Mark Shevlin
Antonio Lasalvia
Chiara Bonetto
Doriana Cristofalo
Giulia Marzocco
Camilla Somma
Marco Toscano
Thanos Karatzias
Cesare Cavalera
collection Wiley Open Access
contents Shame and Guilt Proneness as Mediators of PTSD/DSO Symptoms in Young Adults Osmano Oasi Mark Shevlin Antonio Lasalvia Chiara Bonetto Doriana Cristofalo Giulia Marzocco Camilla Somma Marco Toscano Thanos Karatzias Cesare Cavalera Clinical Psychology & Psychotherapy ABSTRACT The aim of this study was to investigate the relationships between trauma exposure, shame and guilt proneness and the development of PTSD and Disturbances in Self‐Organisation (DSO) symptoms in young adults. Specifically, we hypothesised that trauma exposure would be positively correlated with PTSD and DSO symptoms and that shame and guilt would mediate this relationship. A total of 160 young adults participated in this study. Three models were tested: (1) a model with direct effects from trauma exposure to PTSD and DSO, (2) an indirect effects model where the direct paths were constrained and (3) a full model with both direct and indirect effects. Shame and guilt proneness showed a strong correlation with PTSD and DSO. Direct effects revealed that trauma exposure predicted PTSD, DSO, guilt and shame proneness. Guilt had a strong effect on PTSD, while shame had the strongest effect on DSO. Indirect effects showed that trauma exposure significantly predicted both PTSD and DSO through heightened guilt and shame. The strongest indirect relationships were trauma exposure to PTSD via guilt and trauma exposure to DSO via shame. This study demonstrates that trauma exposure is associated with heightened levels of shame and guilt proneness, which, in turn, predict greater severity of PTSD and DSO symptoms. These findings suggest that emotional regulation, particularly in relation to shame and guilt proneness, should be targeted in interventions for trauma‐related disorders. Future research should further explore the role of these emotions in the development of complex PTSD. 10.1002/cpp.70131 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1002/cpp.70131
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id wiley_oa_10_1002_cpp_70131
institution Wiley Open Access
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publishDate 2025
publisher Wiley
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spellingShingle Shame and Guilt Proneness as Mediators of PTSD/DSO Symptoms in Young Adults
Osmano Oasi
Mark Shevlin
Antonio Lasalvia
Chiara Bonetto
Doriana Cristofalo
Giulia Marzocco
Camilla Somma
Marco Toscano
Thanos Karatzias
Cesare Cavalera
Clinical Psychology & Psychotherapy
Shame and Guilt Proneness as Mediators of PTSD/DSO Symptoms in Young Adults Osmano Oasi Mark Shevlin Antonio Lasalvia Chiara Bonetto Doriana Cristofalo Giulia Marzocco Camilla Somma Marco Toscano Thanos Karatzias Cesare Cavalera Clinical Psychology & Psychotherapy ABSTRACT The aim of this study was to investigate the relationships between trauma exposure, shame and guilt proneness and the development of PTSD and Disturbances in Self‐Organisation (DSO) symptoms in young adults. Specifically, we hypothesised that trauma exposure would be positively correlated with PTSD and DSO symptoms and that shame and guilt would mediate this relationship. A total of 160 young adults participated in this study. Three models were tested: (1) a model with direct effects from trauma exposure to PTSD and DSO, (2) an indirect effects model where the direct paths were constrained and (3) a full model with both direct and indirect effects. Shame and guilt proneness showed a strong correlation with PTSD and DSO. Direct effects revealed that trauma exposure predicted PTSD, DSO, guilt and shame proneness. Guilt had a strong effect on PTSD, while shame had the strongest effect on DSO. Indirect effects showed that trauma exposure significantly predicted both PTSD and DSO through heightened guilt and shame. The strongest indirect relationships were trauma exposure to PTSD via guilt and trauma exposure to DSO via shame. This study demonstrates that trauma exposure is associated with heightened levels of shame and guilt proneness, which, in turn, predict greater severity of PTSD and DSO symptoms. These findings suggest that emotional regulation, particularly in relation to shame and guilt proneness, should be targeted in interventions for trauma‐related disorders. Future research should further explore the role of these emotions in the development of complex PTSD. 10.1002/cpp.70131 http://creativecommons.org/licenses/by/4.0/
title Shame and Guilt Proneness as Mediators of PTSD/DSO Symptoms in Young Adults
topic Clinical Psychology & Psychotherapy
url https://onlinelibrary.wiley.com/doi/10.1002/cpp.70131