Emotional avoidance and social support interact to predict depression symptom severity one year after traumatic exposure
Emotional avoidance and social support interact to predict depression symptom severity one year after traumatic exposure
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DOI：
10.1016/j.psychres.2020.112746
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发表时间：
2020-02-01
影响因子：
11.3
通讯作者：
Wang, Xin
中科院分区：
文献类型：
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作者：
Forbes, Courtney N.;Tull, Matthew T.;Wang, Xin
暴露于创伤性事件的个人通常会出现抑郁症的症状，这是一种与许多负面临床和公共卫生后果相关的精神疾病。自我和人际风险因素都与创伤事件暴露后抑郁症的风险增加有关;然而，关于这些风险因素如何相互作用以预测创伤暴露个体随后发展抑郁症状的风险，人们知之甚少。本研究探讨了情绪回避（一个内在的风险因素）和感知的社会支持（一个人际关系的风险因素）的发展抑郁症状在一年的时间内在N = 46个人招募后不久，访问医院急诊科治疗暴露于创伤性事件的交互影响。结果显示，情绪回避对12个月的抑郁症状有显著的主效应。的主要影响是合格的情绪回避感知社会支持的互动：情绪回避12个月的抑郁症状的关系是积极的，只有低水平的感知社会支持的个人显着。结果强调，需要考虑个人和人际关系的风险因素，以及它们的相互作用，当预测哪些人可能是最有风险的创伤性事件暴露后发展抑郁症。
Individuals exposed to a traumatic event commonly develop symptoms of depression, a psychiatric disorder associated with a number of negative clinical and public health consequences. Both intrapersonal and interpersonal risk factors have been associated with heightened risk for depression following traumatic event exposure; however, less is known about how these risk factors may interact to predict trauma-exposed individuals' risk of subsequently developing depression symptoms. This study examined the interactive influence of emotional avoidance (an intrapersonal risk factor) and perceived social support (an interpersonal risk factor) on the development of depression symptoms over a one-year period among N = 46 individuals recruited shortly after visiting a hospital emergency department for treatment following exposure to a traumatic event. Results revealed a significant main effect of emotional avoidance on 12-month depression symptoms. The main effect was qualified by an emotional avoidance by perceived social support interaction: the relation of emotional avoidance to 12-month depression symptoms was positive and significant only for individuals with low levels of perceived social support. Results highlight the need to consider both intrapersonal and interpersonal risk factors, as well as their interaction, when predicting which individuals may be most at risk to develop depression following traumatic event exposure.