Childhood trauma and problem behavior: Examining the mediating roles of experiential avoidance and mindfulness processes

J Am Coll Health. 2019 Jan;67(1):17-26. doi: 10.1080/07448481.2018.1455689. Epub 2018 Jun 19.

Abstract

Objective: Childhood trauma is associated with a variety of risky, unhealthy, or problem behaviors. The current study aimed to explore experiential avoidance and mindfulness processes as mechanisms through which childhood trauma and problem behavior are linked in a college sample.

Participants: The sample consisted of college-aged young adults recruited November-December, 2016 (N = 414).

Methods: Participants completed self-report measures of childhood trauma, current problem behavior, experiential avoidance, and mindfulness processes. Bootstrapped mediation analyses examined the mechanistic associations of interest.

Results: Mediation analyses indicated that experiential avoidance was a significant mediator of the association between childhood trauma and problem behavior. Additionally, multiple mediation analyses indicated that specific mindfulness facets-act with awareness and nonjudgment of inner experience-significantly mediated the same association.

Conclusions: Interventions for college students who have experienced childhood trauma might profitably target mechanisms such as avoidance and mindfulness in order to minimize engagement in problem behavior.

Keywords: Mental health; experiential avoidance; mindfulness; problem behavior; trauma.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Avoidance Learning*
  • Female
  • Humans
  • Male
  • Midwestern United States
  • Mindfulness*
  • Problem Behavior / psychology*
  • Self Report
  • Stress Disorders, Post-Traumatic / psychology*
  • Students / psychology*
  • Students / statistics & numerical data
  • Universities
  • Young Adult