Psychological Trauma: Theory, Research, Practice, and Policy, Vol 15(4), May 2023, 576-583; doi:10.1037/tra0001288
Introduction: The co-occurrence of posttraumatic symptoms (PTS) and impulsivity is associated with higher levels of risky and self-destructive behaviors and consequent safety and health risks. Trauma-related shame (TRS) may influence the association between PTS and impulsivity such that engaging in impulsive behaviors may serve to cope with emotional distress. Alternatively, TRS may motivate a deliberate consideration of behaviors (i.e., less impulsivity) to prevent further cognitive and emotional distress. Objective: The goal of the current study was to examine the influence of TRS on the associations between PTS and impulsivity facets (lack of premeditation, lack of perseverance, negative urgency, positive urgency, sensation seeking). Method: Data were collected from 506 community individuals who endorsed lifetime sexual trauma (Mage = 34.56, 54.3% women, 78.7% White). Results: Findings indicated that TRS moderated associations between PTS and impulsivity facets of lack of perseverance, b = −.001, SE = .0003; t = −2.68, p = .008, 95% confidence interval [−.001, −.0002], and premeditation, b = −.001, SE = .0003; t = −3.70, p