Emotion Dysregulation Prospectively Predicts Posttraumatic Stress Disorder Symptom Severity 3 Months After Trauma Exposure.
Emotion Dysregulation Prospectively Predicts Posttraumatic Stress Disorder Symptom Severity 3 Months After Trauma Exposure.
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DOI：
10.1002/jts.22551
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发表时间：
2020-12
影响因子：
3.3
通讯作者：
Wang, Xin
中科院分区：
文献类型：
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作者：
Forbes, Courtney N;Tull, Matthew T;Rapport, Daniel;Xie, Hong;Kaminski, Brian;Wang, Xin
尽管越来越多的证据表明，情绪调节障碍是创伤暴露后创伤后应激障碍（PTSD）发展的一个风险因素，但很少有研究探讨情绪调节障碍与PTSD症状随时间推移的发作和/或恶化之间的时间关系。本研究的目的是，在创伤事件发生后不久从医院急诊科招募的个体样本中，拓展关于情绪调节障碍与PTSD之间时间关联的研究。成年参与者（N = 85；62.4%为女性）在经历创伤事件后2周内完成了情绪调节障碍和PTSD症状的自我报告测量。PTSD症状在创伤后约3个月进行评估。分层线性回归分析结果表明，纳入情绪调节障碍这一因素，在控制其他风险因素和基线PTSD症状后，能显著解释3个月时PTSD症状严重程度的独特变异量，β = 0.23，ΔR² = 0.04，p = 0.042。当模型同一步骤中纳入情绪调节障碍的所有方面时，没有任何一个特定方面能显著预测3个月时的PTSD症状，β值范围为 -0.04至0.33，p值范围为0.133至0.954。这些结果表明，创伤后的情绪调节障碍可能预测创伤暴露3个月后的PTSD症状。这些发现与越来越多的文献一致，这些文献表明情绪过程与创伤事件暴露后PTSD的发作和持续存在相关。
Despite growing evidence in support of emotion dysregulation as a risk factor for the development of posttraumatic stress disorder (PTSD) following trauma exposure, few studies have examined temporal relations between emotion dysregulation and the onset and/or worsening of PTSD symptoms over time. The aim of the present study was to extend research on temporal associations between emotion dysregulation and PTSD in a sample of individuals recruited from hospital emergency departments soon after a traumatic event. Adult participants (N = 85; 62.4% female) completed self-report measures of emotion dysregulation and PTSD symptoms within 2 weeks of experiencing a traumatic event. Symptoms of PTSD were assessed approximately 3 months posttrauma. The results of a hierarchical linear regression analysis demonstrated that the inclusion of emotion dysregulation accounted for a significant amount of unique variance, β = .23, ΔR2 = .04, p = .042, in 3-month PTSD symptom severity over and above other risk factors and baseline PTSD symptoms. No specific facet of emotion dysregulation emerged as a significant predictor of 3-month PTSD symptoms when all facets were included on the same step of the model, βs = −.04–.33, ps = .133–.954. These results demonstrate that posttraumatic emotion dysregulation may predict PTSD symptoms 3 months after trauma exposure. These findings are consistent with a growing body of literature that speaks to the relevance of emotional processes to the onset and maintenance of PTSD following exposure to a traumatic event.