Fragile self-esteem and affective instability in posttraumatic stress disorder
Fragile self-esteem and affective instability in posttraumatic stress disorder
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DOI：
10.1016/j.brat.2005.12.003
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发表时间：
2006-11-01
影响因子：
4.1
通讯作者：
Julian, Terri
中科院分区：
文献类型：
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作者：
Kashdan, Todd B.;Uswatte, Gitendra;Julian, Terri
自尊和情感的时间波动是几种临床状况的突出特征（例如，抑郁症），但缺乏实证工作，检查他们在创伤后应激障碍（PTSD）中的作用。在自我评价和情感方面经历大幅度波动的人被认为比能够充分调节自我形象和情绪反应的人更容易受到精神病理学的影响。我们研究了自尊和情感不稳定与PTSD的相关性。有和没有创伤后应激障碍的退伍军人每天完成14个自尊，积极影响，消极影响和感激的评级。与没有创伤后应激障碍的退伍军人相比，创伤后应激障碍的退伍军人在自尊、消极情感和感恩方面表现出更多的时间波动，而积极情感的影响较小。对于所有的退伍军人，自尊和消极的情感不稳定与幸福感下降。除了自尊不稳定，大多数调查结果大大减少后，占方差归因于创伤后应激障碍的诊断和平均强度水平在14天的监测期。这些数据表明，自尊不稳定对于理解有和没有PTSD的退伍军人的生活很重要。(c)2006爱思唯尔有限公司保留所有权利。
Temporal fluctuations in self-esteem and affect are prominent features of several clinical conditions (e.g., depression), but there is an absence of empirical work examining their role in posttraumatic stress disorder (PTSD). Individuals who experience large fluctuations in self-evaluations and affect are considered more vulnerable to psychopathology than individuals able to adequately modulate their self-image and emotional responses. We examined the relevance of self-esteem and affective instability to PTSD. Veterans with and without PTSD completed 14 daily ratings of self-esteem, positive affect, negative affect, and gratitude. Compared to veterans without PTSD, veterans with PTSD exhibited more temporal fluctuations in self-esteem, negative affect, and gratitude, with a smaller effect for positive affect. For all veterans, self-esteem and negative affective instability was associated with diminished well-being. Except for self-esteem instability, most findings were substantially reduced after accounting for variance attributable to PTSD diagnoses and mean intensity levels over the 14-day monitoring period. These data suggest self-esteem instability is important in understanding the lives of veterans with and without PTSD. (c) 2006 Elsevier Ltd. All rights reserved.