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It is important to understand how the constituent dimensions of CPTSD (PTSD and Disturbances in Self-Organisation [DSO]) are associated with different ER strategies in order to help inform the development of interventions to aid recovery from this debilitating condition. This study examined the network structure of PTSD and DSO symptoms of CPTSD, along with components of emotion regulation strategies (cognitive reappraisal and expressive suppression), in a sample of Spanish women who had experienced intimate partner violence (N = 317).The results showed that the most central symptom was \u201cfeeling distant or cut off from others.\u201d In addition, other DSO symptoms were positively associated with the maladaptive strategies of expressive suppression and negatively associated with the cognitive reappraisal strategies. In the case of affective dysregulation symptoms, hypoactivation was found to play a more central role than hyperactivation. Future research is needed to examine whether targeting emotion regulation strategies may contribute to changes in affective dysregulation (particularly hypoactivation) and other DSO symptoms.<\/jats:p>","DOI":"10.1177\/08862605261417331","type":"journal-article","created":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T11:07:11Z","timestamp":1772017631000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Network Analysis Exploring the Relationship Between ICD-11 Complex Post-Traumatic Stress Disorder (CPTSD) Symptoms and Emotion Regulation Strategies in Women Survivors of Intimate Partner Violence in Spain"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1811-8894","authenticated-orcid":false,"given":"Carmen","family":"Fern\u00e1ndez-Fillol","sequence":"first","affiliation":[{"name":"Valencian International University, Spain"},{"name":"Isabel I University, Burgos, Spain"},{"name":"Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9242-4668","authenticated-orcid":false,"given":"Marcin","family":"Owczarek","sequence":"additional","affiliation":[{"name":"Teesside University, Middlesbrough, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4775-7556","authenticated-orcid":false,"given":"Miguel","family":"Perez-Garcia","sequence":"additional","affiliation":[{"name":"Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain"},{"name":"University of Granada, Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thanos","family":"Karatzias","sequence":"additional","affiliation":[{"name":"Edinburgh Napier University, UK"},{"name":"Rivers Centre for Traumatic Stress, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6262-5223","authenticated-orcid":false,"given":"Mark","family":"Shevlin","sequence":"additional","affiliation":[{"name":"Ulster University, Londonderry, Northern Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Hyland","sequence":"additional","affiliation":[{"name":"Maynooth University, Kildare, Ireland"},{"name":"Trinity College Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9952-9478","authenticated-orcid":false,"given":"Natalia","family":"Hidalgo-Ruzzante","sequence":"additional","affiliation":[{"name":"Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain"},{"name":"University of Granada, Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"crossref","unstructured":"Alsaker K. 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