A longitudinal test of the bi-directional relations between avoidance coping and PTSD severity during and after PTSD treatment

► Research supports a bi-directional relation between PTSD and avoidance coping. ► This study examined this relation during and following treatment of chronic PTSD. ► Avoidance at intake predicted PTSD symptoms at post-treatment. ► PTSD symptoms at post-treatment predicted avoidance at follow-up. ► Clinical implications and future research directions are discussed.