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However, there is limited research regarding the use of specific strategies to regulate specific emotions following exposure to traumatic events. The aim of the current study was to investigate the indirect effects of four trauma\u2010related emotions (anger, sadness, disgust, and fear) on PTSD severity via two mediators: derealization and self\u2010harm. In particular, we tested that if the two hypothetical mediators operate sequentially, derealization precedes self\u2010harm and\/or self\u2010harm precedes derealization. A predominate female clinical sample (<jats:italic>N<\/jats:italic>\u00a0=\u00a0109) of CSA survivors completed measures of experience of emotions, ER, and post\u2010traumatic stress. Bivariate and serial mediation analyses were conducted to test the direct and indirect effects of trauma\u2010related emotions on PTSD severity. Serial mediation analyses indicated that there were significant total effects of all trauma\u2010related emotions on PTSD severity. Three trauma\u2010related emotions (sadness, disgust, and fear) were indirectly associated to PTSD severity via derealization and self\u2010harm and via self\u2010harm and derealization. Results indicate that difficulties in regulating the emotions of sadness, disgust, and fear may result in more severe derealization and self\u2010harm as coping strategies, which in turn lead to greater PTSD severity. The sequence of mediators does not hold great importance in these pathways. Overall, our findings suggest that therapeutically targeting derealization and self\u2010harm might enable the reduction of PTSD among CSA survivors.<\/jats:p>","DOI":"10.1002\/cpp.2333","type":"journal-article","created":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T12:01:12Z","timestamp":1537358472000},"page":"94-104","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Derealization and self\u2010harm strategies are used to regulate disgust, fear, and sadness in adult survivors of childhood sexual abuse"],"prefix":"10.1002","volume":"26","author":[{"given":"Aoife","family":"Bradley","sequence":"first","affiliation":[{"name":"School of Health and Social Care Edinburgh Napier University  Edinburgh 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