Beyond anger: emotion regulation and social connectedness in veterans with traumatic brain injury.
Beyond anger: emotion regulation and social connectedness in veterans with traumatic brain injury.
复制标题
除了愤怒：脑外伤退伍军人的情绪调节和社会联系。
DOI：
10.1080/02699052.2018.1432895
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发表时间：
2018
期刊：
影响因子：
1.9
通讯作者：
Short,ThomasH
中科院分区：
文献类型：
--
作者：
Winter,Laraine;Moriarty,HeleneJ;Short,ThomasH
主要目标：创伤性脑损伤（TBI）患者经常出现情绪失调。大多数创伤性脑损伤康复治疗主要解决了与愤怒、烦躁和攻击性相关的损伤。然而，情绪调节（ER）可能对心理健康产生更广泛的影响。本研究考察了 ER 与社会联系的几个方面的关联。 研究设计：横断面研究 方法和程序：在 VA 医疗康复服务门诊就诊的 83 名患有 TBI 的退伍军人在家中接受采访。取自患者能力评定量表的 5 项 ER 子量表经过心理测量分析，并作为五种社会联系指标的预测因子进行检验：社区重新融入 (CR)、人际功能、与主要家庭成员的关系质量以及由于身体问题和情感问题导致的社会角色限制。还收集了社会人口、军事和医疗信息。主要结局和结果：ER 分量表显示出良好的心理测量特性。 ER 对 CR、人际功能和社会角色限制有显着贡献。这强调了 ER 在患有 TBI 的退伍军人的社会联系中的作用。结论：ER 受损应被视为人际关系结果不佳的危险因素、心理健康治疗的目标以及旨在改善 TBI 心理健康的干预措施的重点。
Primary objective:Patients with traumatic brain injury (TBI) often present with emotion dysregulation. Most TBI rehabilitation has addressed this impairment primarily in relation to anger, irritability and aggressiveness. Yet, emotion regulation (ER) may have broader ramifications for psychological well-being. The present study examined ER’s association to several aspects of social connectedness.Research design:Cross-sectional studyMethods and procedures:83 veterans with TBI who were outpatients at a VA medical rehabilitation service were interviewed in their homes. A 5-item ER subscale, drawn from the Patient Competency Rating Scale, was subjected to psychometric analysis and examined as a predictor of five social connectedness measures: community reintegration (CR), interpersonal functioning, quality of relationship with key family members and social role limitations due to physical problems and due to emotional problems. Sociodemographic, military and medical information was also collected.Main outcomes and results:The ER subscale showed good psychometric properties. ER contributed significantly to CR, interpersonal functioning and limitations in social roles. This underscores ER’s role in social connectedness among veterans with TBI.Conclusions:Impairments in ER should be regarded as a risk factor for poor interpersonal outcomes, a target for mental health treatment and a focus for interventions aimed at improving psychological well-being in TBI.