{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T23:19:21Z","timestamp":1792279161080,"version":"4.4.0"},"reference-count":55,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,6,5]],"date-time":"2018-06-05T00:00:00Z","timestamp":1528156800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["K24AA019707"],"award-info":[{"award-number":["K24AA019707"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Untreated compulsive sexual behaviour (CSB) poses a risk to efficacious substance use disorder (SUD) treatment. Yet the ways in which CSB manifests in women with SUDs remains poorly understood. Shame and trauma exposure are well\u2010documented correlates for women's CSB. Prior theory suggested women with shame and trauma\u2010related symptoms may engage in CSB in an effort to escape aversive internal experiences. Thus, the present study examined experiential avoidance as a mediator of the relationship between defectiveness\/shame beliefs, post\u2010traumatic stress disorder symptoms, and CSB in a sample of women with SUDs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Cross\u2010sectional, self\u2010report data were collected from 446 women (<jats:italic>M<\/jats:italic> age\u00a0=\u00a037.40) in residential treatment for SUDs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Experiential avoidance partially mediated the relationship between both post\u2010traumatic stress disorder symptoms and defectiveness\/shame beliefs and CSB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These results extend theoretical conceptualizations of women's CSB to a treatment population. CSB intervention efforts may benefit from targeting women's avoidance of painful experiences.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cpp.2300","type":"journal-article","created":{"date-parts":[[2018,6,6]],"date-time":"2018-06-06T02:35:56Z","timestamp":1528252556000},"page":"692-700","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Does experiential avoidance explain the relationships between shame, PTSD symptoms, and compulsive sexual behaviour among women in substance use treatment?"],"prefix":"10.1002","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9036-1277","authenticated-orcid":false,"given":"Meagan J.","family":"Brem","sequence":"first","affiliation":[{"name":"Psychology University of Tennessee \u2013 Knoxville  Knoxville TN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan C.","family":"Shorey","sequence":"additional","affiliation":[{"name":"Psychology Ohio University  Athens OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Anderson","sequence":"additional","affiliation":[{"name":"Clinical Director Cornerstone of Recovery  Louisville TN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory L.","family":"Stuart","sequence":"additional","affiliation":[{"name":"Psychology University of Tennessee \u2013 Knoxville  Knoxville TN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,6,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_4_1","volume-title":"The Alcohol Use Disorders Identification Test: Guideline for use in primary care","author":"Babor T. 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