{"id":"https://openalex.org/W7204229461","doi":"https://doi.org/10.1111/bjc.70094","title":"Mapping PTSD across the symptom spectrum: Affective, emotion regulation and cumulative trauma predictors in Syrian refugees: A quantile regression approach","display_name":"Mapping PTSD across the symptom spectrum: Affective, emotion regulation and cumulative trauma predictors in Syrian refugees: A quantile regression approach","publication_year":2026,"publication_date":"2026-08-25","ids":{"openalex":"https://openalex.org/W7204229461","doi":"https://doi.org/10.1111/bjc.70094","pmid":"https://pubmed.ncbi.nlm.nih.gov/42642861"},"language":"en","primary_location":{"id":"doi:10.1111/bjc.70094","doi":"https://doi.org/10.1111/bjc.70094","is_oa":true,"landing_page_url":"https://doi.org/10.1111/bjc.70094","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/bjc.70094","source":{"id":"https://openalex.org/S36339387","display_name":"British Journal of Clinical Psychology","issn_l":"0144-6657","issn":["0144-6657","2044-8260"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"British Journal of Clinical Psychology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/bjc.70094","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5017906101","display_name":"Emre Han Alpay","orcid":"https://orcid.org/0000-0002-3479-2013","observed_orcids":["https://orcid.org/0000-0002-3479-2013"]},"institutions":[{"id":"https://openalex.org/I51780484","display_name":"Mersin \u00dcniversitesi","ror":"https://ror.org/04nqdwb39","country_code":"TR","type":"education","lineage":["https://openalex.org/I51780484"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"Emre Han Alpay","raw_affiliation_strings":["Department of Psychology Mersin University  Mersin T\u00fcrkiye","Guidance and Psychological Counseling Practice and Research Center Mersin University  Mersin T\u00fcrkiye"],"raw_orcid":"https://orcid.org/0000-0002-3479-2013","affiliations":[{"raw_affiliation_string":"Department of Psychology Mersin University  Mersin T\u00fcrkiye","institution_ids":["https://openalex.org/I51780484"]},{"raw_affiliation_string":"Guidance and Psychological Counseling Practice and Research Center Mersin University  Mersin T\u00fcrkiye","institution_ids":["https://openalex.org/I51780484"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5017906101"],"corresponding_institution_ids":["https://openalex.org/I51780484"],"apc_list":{"value":3760,"currency":"USD","value_usd":3760},"apc_paid":{"value":3760,"currency":"USD","value_usd":3760},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.69089472,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10242","display_name":"Posttraumatic Stress Disorder Research","score":0.6807000041007996,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10242","display_name":"Posttraumatic Stress Disorder Research","score":0.6807000041007996,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10762","display_name":"Migration, Health and Trauma","score":0.31540000438690186,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11761","display_name":"Resilience and Mental Health","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/posttraumatic-stress-disorder","display_name":"post-traumatic stress disorder","score":0.902999997138977},{"id":"https://openalex.org/keywords/syrian-refugees","display_name":"Syrian refugees","score":0.9169999957084656},{"id":"https://openalex.org/keywords/ptsd-symptom-severity","display_name":"PTSD symptom severity","score":0.699999988079071},{"id":"https://openalex.org/keywords/symptom-spectrum","display_name":"symptom spectrum","score":0.6499999761581421},{"id":"https://openalex.org/keywords/emotional-distress","display_name":"emotional distress","score":0.7020000219345093},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.9340000152587891},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":1.0},{"id":"https://openalex.org/keywords/emotion-regulation-strategies","display_name":"emotion regulation strategies","score":0.8970000147819519},{"id":"https://openalex.org/keywords/cognitive-reappraisal","display_name":"cognitive reappraisal","score":0.9950000047683716},{"id":"https://openalex.org/keywords/expressive-suppression","display_name":"expressive suppression","score":0.9909999966621399},{"id":"https://openalex.org/keywords/cumulative-trauma","display_name":"cumulative trauma","score":0.9959999918937683},{"id":"https://openalex.org/keywords/resilience","display_name":"resilience","score":0.953000009059906},{"id":"https://openalex.org/keywords/perceived-social-support","display_name":"perceived social support","score":0.9229999780654907},{"id":"https://openalex.org/keywords/refugee-mental-health","display_name":"refugee mental health","score":0.6629999876022339}],"concepts":[{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.7768999934196472},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.6266000270843506},{"id":"https://openalex.org/C2776376825","wikidata":"https://www.wikidata.org/wiki/Q5141187","display_name":"Cognitive reappraisal","level":3,"score":0.5605000257492065},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.5388000011444092},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.5120999813079834},{"id":"https://openalex.org/C137176749","wikidata":"https://www.wikidata.org/wiki/Q4105337","display_name":"Psychological resilience","level":2,"score":0.48030000925064087},{"id":"https://openalex.org/C53059260","wikidata":"https://www.wikidata.org/wiki/Q374758","display_name":"Multilevel model","level":2,"score":0.47920000553131104},{"id":"https://openalex.org/C2777545354","wikidata":"https://www.wikidata.org/wiki/Q3557657","display_name":"Social anxiety","level":3,"score":0.474700003862381},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.42579999566078186},{"id":"https://openalex.org/C2776317618","wikidata":"https://www.wikidata.org/wiki/Q544006","display_name":"Anxiety disorder","level":3,"score":0.4081999957561493},{"id":"https://openalex.org/C2991847609","wikidata":"https://www.wikidata.org/wiki/Q202387","display_name":"Posttraumatic stress","level":2,"score":0.37560001015663147},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.37400001287460327},{"id":"https://openalex.org/C2780374836","wikidata":"https://www.wikidata.org/wiki/Q17012938","display_name":"Expressive Suppression","level":4,"score":0.36469998955726624},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.3472999930381775},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.34439998865127563},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.33709999918937683},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.32409998774528503},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3224000036716461},{"id":"https://openalex.org/C151913843","wikidata":"https://www.wikidata.org/wiki/Q3454555","display_name":"Dominance (genetics)","level":3,"score":0.3174999952316284},{"id":"https://openalex.org/C2778251122","wikidata":"https://www.wikidata.org/wiki/Q446198","display_name":"Exposure therapy","level":3,"score":0.30570000410079956},{"id":"https://openalex.org/C2778119494","wikidata":"https://www.wikidata.org/wiki/Q5141187","display_name":"Cognitive appraisal","level":3,"score":0.3041999936103821},{"id":"https://openalex.org/C3019858935","wikidata":"https://www.wikidata.org/wiki/Q4340209","display_name":"Depressive symptoms","level":3,"score":0.3003999888896942},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.2989000082015991},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.29179999232292175},{"id":"https://openalex.org/C3017945913","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Emotional distress","level":3,"score":0.2734000086784363},{"id":"https://openalex.org/C30036603","wikidata":"https://www.wikidata.org/wiki/Q17125150","display_name":"Severity of illness","level":2,"score":0.2687000036239624},{"id":"https://openalex.org/C2776060345","wikidata":"https://www.wikidata.org/wiki/Q1411912","display_name":"Rumination","level":3,"score":0.2669999897480011},{"id":"https://openalex.org/C2780559815","wikidata":"https://www.wikidata.org/wiki/Q1129046","display_name":"Alexithymia","level":2,"score":0.26420000195503235},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.2632000148296356},{"id":"https://openalex.org/C16634123","wikidata":"https://www.wikidata.org/wiki/Q7551393","display_name":"Social stress","level":2,"score":0.2556000053882599},{"id":"https://openalex.org/C123273963","wikidata":"https://www.wikidata.org/wiki/Q624758","display_name":"Psychopathology","level":2,"score":0.25450000166893005}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1111/bjc.70094","doi":"https://doi.org/10.1111/bjc.70094","is_oa":true,"landing_page_url":"https://doi.org/10.1111/bjc.70094","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/bjc.70094","source":{"id":"https://openalex.org/S36339387","display_name":"British Journal of Clinical Psychology","issn_l":"0144-6657","issn":["0144-6657","2044-8260"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"British Journal of Clinical Psychology","raw_type":"journal-article"},{"id":"pmid:42642861","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42642861","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The British journal of clinical psychology","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1111/bjc.70094","doi":"https://doi.org/10.1111/bjc.70094","is_oa":true,"landing_page_url":"https://doi.org/10.1111/bjc.70094","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/bjc.70094","source":{"id":"https://openalex.org/S36339387","display_name":"British Journal of Clinical Psychology","issn_l":"0144-6657","issn":["0144-6657","2044-8260"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","erih-plus","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"British Journal of Clinical Psychology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/10","score":0.4635763466358185,"display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204229461.pdf","grobid_xml":"https://content.openalex.org/works/W7204229461.grobid-xml"},"referenced_works_count":59,"referenced_works":["https://openalex.org/W2008729960","https://openalex.org/W2016669923","https://openalex.org/W2030863659","https://openalex.org/W2040281880","https://openalex.org/W2043206475","https://openalex.org/W2043705607","https://openalex.org/W2060655528","https://openalex.org/W2061830039","https://openalex.org/W2062742350","https://openalex.org/W2063806809","https://openalex.org/W2067808083","https://openalex.org/W2068055929","https://openalex.org/W2072677740","https://openalex.org/W2088692967","https://openalex.org/W2093407506","https://openalex.org/W2096904991","https://openalex.org/W2103025279","https://openalex.org/W2118185372","https://openalex.org/W2119389629","https://openalex.org/W2123198963","https://openalex.org/W2128126978","https://openalex.org/W2132322340","https://openalex.org/W2132479976","https://openalex.org/W2135525719","https://openalex.org/W2145499550","https://openalex.org/W2148916146","https://openalex.org/W2150042510","https://openalex.org/W2152264416","https://openalex.org/W2163215199","https://openalex.org/W2166705802","https://openalex.org/W2174561539","https://openalex.org/W2209839430","https://openalex.org/W2261330615","https://openalex.org/W2298911878","https://openalex.org/W2412976663","https://openalex.org/W2414922822","https://openalex.org/W2443602544","https://openalex.org/W2469074773","https://openalex.org/W2481562100","https://openalex.org/W2523802790","https://openalex.org/W2553282953","https://openalex.org/W2613172870","https://openalex.org/W2740567311","https://openalex.org/W2775773204","https://openalex.org/W2776084637","https://openalex.org/W2779487070","https://openalex.org/W2802237213","https://openalex.org/W2885996441","https://openalex.org/W2886397543","https://openalex.org/W2983900299","https://openalex.org/W3043059238","https://openalex.org/W4241653265","https://openalex.org/W4291582684","https://openalex.org/W4361208938","https://openalex.org/W4388493017","https://openalex.org/W4392806313","https://openalex.org/W4400086202","https://openalex.org/W4412649124","https://openalex.org/W4416995271"],"related_works":[],"abstract_inverted_index":{"OBJECTIVES:":[0],"This":[1],"study":[2],"examined":[3],"whether":[4,65],"affective":[5,68,102],"factors,":[6],"emotion":[7,70,114],"regulation":[8,71,115,215],"strategies,":[9,72],"cumulative":[10,73,195,218],"trauma":[11,74,196,219],"exposure,":[12,75,171],"resilience":[13,76],"and":[14,77,89,152,168,179,194,217,227],"perceived":[15,78,180],"social":[16,79,181],"support":[17,80,182],"are":[18],"differentially":[19],"associated":[20,92,142,156,173,186],"with":[21,67,93,130,143,158,174,187],"PTSD":[22,84,94,131,160,188,210,239],"symptom":[23,27,85,121,134,176,206,240],"severity":[24,110],"across":[25,82,96,108,120],"the":[26,83,109,202,238],"spectrum":[28],"in":[29,43,211],"Syrian":[30,40],"refugees.":[31],"DESIGN:":[32],"Cross-sectional":[33],"study.":[34],"METHODS:":[35],"Participants":[36],"were":[37,57,91,155,172,183],"461":[38],"adult":[39],"refugees":[41],"residing":[42],"T\u00fcrkiye":[44],"(M":[45],"=":[46,49,55],"41.54,":[47],"SD":[48],"12.08),":[50],"of":[51,204],"whom":[52],"73.5%":[53],"(n":[54],"339)":[56],"women.":[58],"Quantile":[59],"regression":[60],"was":[61,139],"used":[62],"to":[63],"examine":[64],"associations":[66,119],"variables,":[69],"varied":[81],"distribution.":[86],"RESULTS:":[87],"Depression":[88],"anxiety":[90],"symptoms":[95],"all":[97],"quantiles,":[98],"indicating":[99],"that":[100,225],"transdiagnostic":[101],"distress":[103,193],"is":[104],"a":[105,126],"stable":[106],"correlate":[107],"continuum.":[111],"By":[112],"contrast,":[113],"strategies":[116],"showed":[117],"heterogeneous":[118],"levels.":[122,177],"Cognitive":[123],"reappraisal":[124],"demonstrated":[125,221],"stronger":[127],"inverse":[128],"association":[129],"at":[132],"higher":[133],"levels,":[135],"whereas":[136,162],"expressive":[137],"suppression":[138],"more":[140],"strongly":[141],"severe":[144],"symptoms.":[145],"Type":[146,163],"II":[147],"traumas,":[148,165],"reflecting":[149,166],"repeated":[150],"relational":[151],"identity-related":[153],"adversities,":[154],"primarily":[157],"lower-to-moderate":[159],"severity,":[161],"III":[164],"chronic":[167],"ongoing":[169],"stress":[170],"moderate-to-severe":[175],"Resilience":[178],"not":[184],"independently":[185],"after":[189],"accounting":[190],"for":[191],"emotional":[192],"exposure.":[197],"CONCLUSIONS:":[198],"The":[199],"findings":[200],"highlight":[201],"importance":[203],"considering":[205,233],"heterogeneity":[207],"when":[208],"examining":[209],"refugee":[212],"populations.":[213],"Emotion":[214],"processes":[216],"exposure":[220],"severity-specific":[222],"associations,":[223],"suggesting":[224],"assessment":[226],"intervention":[228],"planning":[229],"may":[230],"benefit":[231],"from":[232],"where":[234],"individuals":[235],"fall":[236],"along":[237],"continuum":[241],"rather":[242],"than":[243],"relying":[244],"solely":[245],"on":[246],"average":[247],"population-level":[248],"effects.":[249]},"counts_by_year":[],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2026-08-27T00:00:00"}
