Identifying latent profiles of emotion dysregulation in a sample of primarily Black women with trauma exposure.
Identifying latent profiles of emotion dysregulation in a sample of primarily Black women with trauma exposure.
复制标题
识别主要是遭受创伤的黑人女性样本中情绪失调的潜在特征。
DOI：
10.1016/j.jpsychires.2022.10.004
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发表时间：
2022
影响因子：
4.8
通讯作者：
Powers,Abigail
中科院分区：
文献类型：
--
作者：
Kuzyk,Eva;Mekawi,Yara;Michopoulos,Vasiliki;Powers,Abigail
研究背景情绪失调（艾德）是一种异质性、多维度的跨诊断危险因素，与内在和外在精神病理学的发展和维持有关，尤其是对那些经历过创伤的人。本研究的目标是使用以人为中心的分析，以确定独特的个人特征的独特模式的艾德尺寸，并检查差异的内化和外化症状在社区sample.MethodsParticipants（n = 783，97%的黑人，93%的妇女）被招募从城市安全网医院创伤暴露率高。潜在的配置文件分析被用来揭示独特的模式，艾德和多项逻辑回归，以评估我们的相关跨profiles.ResultsThe最佳拟合模型的条件分布发现四个类：低艾德（42%），低意识/清晰度（34%），低冲动控制（17%），和高艾德（6%）。所有类别的内在症状（焦虑敏感性，抑郁症，创伤后应激障碍）不同，具有较高的艾德报告更严重的症状的类的特点。对于外化症状（食物成瘾行为，酒精和药物滥用，攻击行为），低艾德类报告的症状比所有其他配置文件少，而低意识/清晰度，低冲动控制，高艾德没有不同的other.ConclusionsPatterns情绪失调应该进行评估，并考虑为那些经历了内化和外化的精神病理学症状的治疗目标。
BackgroundEmotion dysregulation (ED) is a heterogenous, multi-dimensional transdiagnostic risk factor relevant to the development and maintenance of both internalizing and externalizing psychopathology, especially for those who have experienced trauma. The goals of the current study were to use person-centered analyses to identify distinct profiles of individuals characterized by unique patterns of ED dimensions, and to examine differences in internalizing and externalizing symptoms in a community sample.MethodsParticipants (n = 783, 97% Black, 93% women) were recruited from an urban safety net hospital with high rates of trauma exposure. Latent profile analysis was used to uncover unique patterns of ED and multinomial logistic regression to evaluate the conditional distribution of our correlates across profiles.ResultsThe best-fitting model uncovered four classes: Low ED (42%), Low Awareness/Clarity (34%), Low Impulse Control (17%), and High ED (6%). All classes differed in terms of internalizing symptoms (anxiety sensitivity, depression, PTSD), with classes characterized by higher ED reporting more severe symptoms. For externalizing symptoms (food addiction behaviors, alcohol and drug abuse, aggressive behavior), the Low ED class reported fewer symptoms than all other profiles, while Low Awareness/Clarity, Low Impulse Control, and High ED did not differ from each other.ConclusionsPatterns of emotion dysregulation ought to be assessed and considered as treatment targets for those experiencing both internalizing and externalizing psychopathology symptoms.