Emotion regulation difficulties as a prospective predictor of posttraumatic stress symptoms following a mass shooting
Emotion regulation difficulties as a prospective predictor of posttraumatic stress symptoms following a mass shooting
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DOI：
10.1016/j.janxdis.2013.01.003
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发表时间：
2013-03-01
影响因子：
10.3
通讯作者：
Orcutt, Holly K.
中科院分区：
文献类型：
--
作者：
Bardeen, Joseph R.;Kumpula, Mandy J.;Orcutt, Holly K.
在横断面研究中，情绪调节困难（ERD）和创伤后应激症状（PTSS）之间一直存在着很强的正相关性。然而，由于缺乏前瞻性研究，有关创伤暴露、ERD和PTSS之间时间关系的假设有限。本前瞻性研究探讨了创伤前情绪调节困难在创伤后应激综合征（PTSS）发生中的作用。在时间1（T1）和时间2（T2）之间，参与者（n = 691）的大学校园发生了大规模枪击事件。ERD和PTSS在枪击前（T1）、枪击后（T2）和大约8个月后（T3）进行了评估。使用交叉滞后面板设计，发现ERD可前瞻性预测T1至T2和T2至T3的PTSS。此外，PTSS前瞻性预测T1至T2的ERD。然而，T2 PTSS未能预测T3 PTSS。结果表明，从射击前到射击后，ERD和PTSS的影响是不一样的。此外，研究结果表明，情绪失调的潜在创伤性事件的后果影响一个人的能力，随着时间的推移，从PTSS恢复，即使在占现有的创伤学的影响。为了研究ERD和PTSS之间的时间关系的特异性，进行了第二次交叉滞后面板设计，其中一般的困扰结构代替PTSS。本分析的结果，以及概念和临床意义，将进行讨论。(C)2013爱思唯尔有限公司版权所有。
A strong positive association between emotion regulation difficulties (ERD) and posttraumatic stress symptoms (PTSS) has been consistently evidenced in cross-sectional research. However, a lack of prospective research has limited hypotheses regarding the temporal relationship between trauma exposure, ERD, and PTSS. The present prospective study investigated the role of pre-trauma difficulties with emotion regulation in the development of PTSS following exposure to a potentially traumatic event. Between Time 1 (T1) and Time 2 (T2), a mass shooting occurred at the participants' (n = 691) university campus. ERD and PTSS were assessed prior to the shooting (T1), in the acute aftermath of the shooting (T2), and approximately eight months later (T3). Using a cross-lagged panel design, ERD was found to prospectively predict PTSS from T1 to T2 and T2 to T3. Additionally, PTSS prospectively predicted ERD from T1 to T2. However, T2 PTSS failed to predict T3 PTSS. Results indicate that ERD and PTSS are reciprocally influential from pre- to post-shooting. Further, results suggest that emotion dysregulation in the aftermath of a potentially traumatic event influences one's ability to recover from PTSS over time, even after accounting for the effects of existing symptomatology. To examine the specificity of temporal relations between ERD and PTSS a second cross-lagged panel design, in which a general distress construct was substituted for PTSS, was conducted. Results of this analysis, as well as conceptual and clinical implications, will be discussed. (C) 2013 Elsevier Ltd. All rights reserved.