Emotion Dysregulation and Social Support in PTSD and Depression: A Study of Trauma-Exposed Veterans
Emotion Dysregulation and Social Support in PTSD and Depression: A Study of Trauma-Exposed Veterans
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DOI：
10.1002/jts.22226
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发表时间：
2017-10-01
影响因子：
3.3
通讯作者：
Naifeh, James A.
中科院分区：
文献类型：
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作者：
Cox, Daniel W.;Bakker, A. Myfanwy;Naifeh, James A.
情绪失调与人际功能受损和创伤后精神病理学风险增加有关。鉴于社会支持是创伤暴露后精神病发病率的一个强有力的预测因素，我们通过对社会支持的负面影响来研究情绪失调是否与创伤后精神病理学有关。使用90名退伍军人（89.9%男性）参加创伤后应激障碍（PTSD）门诊心理治疗计划的自我报告数据，我们发现社会支持部分介导了情绪失调对PTSD（P-M = .10）和抑郁症状（P-M = .14）的影响。当考虑支持来源时，朋友（P-M = .08）和其他重要支持（P-M = .06）比家庭支持（P-M = .01）更能调节情绪失调对抑郁症状的影响。支持者对PTSD症状没有不同的中介作用。我们的研究结果表明，社会支持是一个统计上显着的，但临床上有限的机制，通过情绪失调与精神症状。这些限制和替代潜在的相关人际机制的影响进行了讨论。
Emotion dysregulation has been associated with impaired interpersonal functioning and increased risk of posttraumatic psychopathology. Given that social support is a robust predictor of psychiatric morbidity following trauma exposure, we examined whether emotion dysregulation was associated with posttraumatic psychopathology through its negative effect on social support. Using self-report data from 90 military veterans (89.9% men) enrolled in an outpatient psychotherapy program for posttraumatic stress disorder (PTSD), we found that social support partially mediated the effect of emotion dysregulation on PTSD (P-M = .10) and depression symptoms (P-M = .14). When source of support was considered, friend (P-M = .08) and significant other support (P-M = .06) were greater mediators of the effect of emotion dysregulation on depression symptoms than family support (P-M = .01). There were no differential mediating effects for support providers on PTSD symptoms. Our findings indicate that social support is a statistically significant yet clinically limited mechanism through which emotion dysregulation is linked with psychiatric symptoms. Implications for these limitations and alternative potentially relevant interpersonal mechanisms are discussed.