ارتباط غیر مستقیم اختلال بدتنظیمی هیجانی بین نوعی تروما و علائم PTSD
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ارتباط غیر مستقیم اختلال بدتنظیمی هیجانی بین نوعی تروما و علائم PTSD

عنوان فارسی مقاله: ارتباط غیر مستقیم اختلال بدتنظیمی هیجانی بین نوعی تروما و علائم PTSD در یک نمونه متمایز بالینی آشکار تروما
عنوان انگلیسی مقاله: Emotion dysregulation mediates the relationship between trauma type and PTSD symptoms in a diverse trauma-exposed clinical sample
مجله/کنفرانس: شخصیت و تفاوت های فردی - Personality and Individual Differences
رشته های تحصیلی مرتبط: روانشناسی
گرایش های تحصیلی مرتبط: روانشناسی بالینی، روانشناسی عمومی
کلمات کلیدی فارسی: اختلال استرس پس از سانحه، بدتنظیمی هیجانی، نوعی ضربه روحی، PTSD، مشکلات در تنظیم هیجان
کلمات کلیدی انگلیسی: Posttraumatic stress، Emotion dysregulation، Trauma type، PTSD، Difficulties in emotion regulation
نوع نگارش مقاله: مقاله پژوهشی (Research Article)
نمایه: Scopus - Master Journal List - JCR
شناسه دیجیتال (DOI): https://doi.org/10.1016/j.paid.2018.10.033
دانشگاه: Florida State University, USA
ناشر: الزویر - Elsevier
نوع ارائه مقاله: ژورنال
نوع مقاله: ISI
سال انتشار مقاله: 2019
ایمپکت فاکتور: 2/113 در سال 2017
شاخص H_index: 129 در سال 2019
شاخص SJR: 1/181 در سال 2017
شناسه ISSN: 0191-8869
شاخص Quartile (چارک): Q1 در سال 2017
فرمت مقاله انگلیسی: PDF
تعداد صفحات مقاله انگلیسی: 6
وضعیت ترجمه: ترجمه نشده است
قیمت مقاله انگلیسی: رایگان
آیا این مقاله بیس است: خیر
کد محصول: E11132
فهرست انگلیسی مطالب

Abstract


1- Introduction


2- Method


3- Results


4- Discussion


References

نمونه متن انگلیسی مقاله

Abstract 


Background: Research has explored the influence of trauma type on emotion dysregulation and the role of emotion dysregulation in posttraumatic stress disorder (PTSD). However, it remains unclear whether trauma types differentially impact emotion dysregulation, and whether this in turn contributes to elevated PTSD. The current study tested whether trauma type is related to PTSD symptoms via emotion dysregulation. Methods: Trauma-exposed community members (n = 209) completed a semi-structured clinical interview and self-reported on emotion regulation, trauma exposure, PTSD symptoms, and negative affect. Results: Interpersonal trauma, sexual assault in particular, is associated with greater emotion dysregulation. Furthermore, emotion dysregulation mediates the effects of trauma type on PTSD symptoms for sexual assault but not other trauma types, and effects remained significant after covarying for negative affectivity. More recent and chronic trauma was not associated with greater emotion dysregulation. Conclusions: This study underscores the importance of emotion dysregulation in PTSD development and maintenance. Findings may be used for the development of interventions targeting emotion regulation as a malleable risk factor for PTSD, especially for sexual assault victims.


Introduction


Posttraumatic stress disorder (PTSD) is a chronic disorder with serious individual and economic burdens (Kessler, 2000). Up to 90% of people experience a trauma; yet, a minority of individuals will develop PTSD, making it crucial to identify vulnerability factors (Kilpatrick et al., 2013). One risk factor for PTSD is the type of trauma experienced, with increased PTSD symptoms observed in individuals exposed to interpersonal trauma compared to non-interpersonal trauma (Ford, Stockton, Kaltman, & Green, 2006; LeBouthillier, McMillan, Thibodeau, & Asmundson, 2015). However, it is unclear why certain trauma types lead to the development of PTSD more often than others, in part due to limited empirical research. One promising mechanism underlying the development of PTSD, and differentially associated with trauma type, is emotion dysregulation. Gratz and Roemer (2004) broadly define emotion regulation as an ability to modulate emotional arousal, act in desired ways despite negative emotions, and understand one's emotions. Theoretical and empirical research highlight the role of difficulties with emotion regulation (i.e., emotion dysregulation) in PTSD (O'Bryan, McLeish, Kraemer, & Fleming, 2015; Seligowski, Lee, Bardeen, & Orcutt, 2015), and relevant clinical implications (Cloitre, Koenen, Cohen, & Han, 2002; Wolfsdorf & Zlotnick, 2001). Specifically, individuals who perceive themselves as unable to effectively downregulate negative emotions triggered by trauma reminders may view their emotions as uncontrollable and threatening. This may exacerbate fear of trauma cues, making individuals more likely to avoid trauma reminders that might provoke distress. Emotion regulation is especially important because individuals with difficulties are more likely to engage in maladaptive coping behaviors including avoidance, substance use, and other risky behaviors (Weiss, Tull, Viana, Anestis, & Gratz, 2012). Paradoxically, these avoidant coping strategies maintain PTSD symptoms by preventing individuals from learning accurate information about their ability to handle negative PTSD-related emotions (Naifeh, Tull, & Gratz, 2012).

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