Trauma Symptoms and Deliberate Self-Harm Among Sexual Violence Survivors: Examining State Emotion Regulation and Reactivity as Dual Mechanisms.
Trauma Symptoms and Deliberate Self-Harm Among Sexual Violence Survivors: Examining State Emotion Regulation and Reactivity as Dual Mechanisms.
复制标题
性暴力幸存者的创伤症状和故意自残：检查状态情绪调节和反应作为双重机制。
DOI：
10.1037/vio0000432
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发表时间：
2023
影响因子：
2.8
通讯作者：
DiLillo,David
中科院分区：
文献类型：
--
作者：
Brockdorf,AlexandraN;Gratz,KimL;Messman,TerriL;DiLillo,David
创伤后应激障碍（PTSD）症状与故意自我伤害的发生率升高有关，包括经历过性暴力（SV）的妇女;然而，这种关联背后的过程尚未得到广泛研究。由于故意自残的一个共同功能是减少消极的内部状态，SV幸存者可能会使用自残来科普与PTSD症状相关的更广泛的情感过程中的损伤。为了验证这一假设，本研究探讨了两个方面的情绪反应（即状态情绪反应和情绪失调）之间的机制更大的创伤后应激障碍症状和风险，为未来故意自我伤害之间SV survivors.MethodParticipants的作用是140个社区妇女与SV的历史谁完成了两波数据收集。在基线时，参与者报告了他们的PTSD症状，以及标准化实验室应激任务（即，起搏听觉序列加法任务[PASAT-C]）后的状态情绪反应和状态情绪失调。参与者然后完成了自我报告措施故意自我伤害4 months later.ResultsResults从平行中介分析结果表明，更大的状态情绪失调，但不是状态情绪反应，介导的前瞻性关联更严重的创伤后应激障碍症状在基线和更大的风险故意自我伤害4 months later.ConclusionsApplied to the context of survivors'day lives，这些发现强调了在预测后来故意自残的风险方面，在痛苦时期情绪调节缺陷的重要性。（PsycInfo数据库记录（c）2023阿帕，保留所有权利）
ObjectivePosttraumatic stress disorder (PTSD) symptoms have been associated with elevated rates of deliberate self-harm, including among women who have experienced sexual violence (SV); however, processes underlying this association have not been widely examined. Because a common function of deliberate self-harm is to reduce negative internal states, SV survivors may use self-harm to cope with impairments in broader affective processes associated with PTSD symptoms. To test this hypothesis, the present study examined the role of two aspects of emotional responding (ie, state emotional reactivity and emotion dysregulation) as mechanisms between greater PTSD symptoms and risk for future deliberate self-harm among SV survivors.MethodParticipants were 140 community women with a history of SV who completed two waves of data collection. At baseline, participants reported on their PTSD symptoms, as well as state emotional reactivity and state emotion dysregulation following a standardized laboratory stressor task (ie, the Paced Auditory Serial Addition Task [PASAT-C]). Participants then completed a self-report measure of deliberate self-harm 4 months later.ResultsResults from a parallel mediation analysis indicated that greater state emotion dysregulation, but not state emotional reactivity, mediated prospective associations between more severe PTSD symptoms at baseline and greater risk for deliberate self-harm 4-months later.ConclusionsApplied to the context of survivors’ daily lives, these findings underscore the importance of deficits in emotion regulation during times of distress in predicting risk for later deliberate self-harm.(PsycInfo Database Record (c) 2023 APA, all rights reserved)