Changes in Trauma-Related Cognitions and Emotions After Eliciting Moral Elevation: Examining the Effects of Viewing Others' Virtuous Behavior on Veterans with PTSD.
Changes in Trauma-Related Cognitions and Emotions After Eliciting Moral Elevation: Examining the Effects of Viewing Others' Virtuous Behavior on Veterans with PTSD.
复制标题
DOI：
10.3389/frhs.2021.831032
复制
发表时间：
2022-02-04
期刊：
影响因子：
--
通讯作者：
Szabo, Yvette Z
中科院分区：
文献类型：
--
作者：
McGuire, Adam P;Fagan, Joanna;Howard, Binh An N;Wurm, Annika;Szabo, Yvette Z
道德提升被描述为在目睹某人做了一件好事后感到受到鼓舞。过去的研究表明，道德提升的特征可能与PTSD相反，但很少有研究直接测试其对相关症状的影响。本实验研究评估了创伤相关的认知和情绪的变化后，创伤提醒任务后，海拔诱导运动。我们假设，诱导练习后的高度升高与认知和情绪的降低有关。可能患有PTSD的退伍军人（N = 38）完成了创伤相关认知和情绪的测量，一次是在书面创伤叙述练习（T1）后，另一次是在观看两个旨在引起提升的视频（T2）后。退伍军人还完成了国家海拔的措施后，每一个视频。结果表明，退伍军人经历了小，自责（d = 0.36）和对他人的消极信念（d = 0.46），和中等，内疚（d = 0.68），羞耻（d = 0.60），对自己的消极信念（d = 0.69）T1和T2之间的显着下降。正如假设的那样，更高的海拔与多个结果的显著更大的减少有关，这些结果超出了一般积极影响的影响。具体来说，对于羞耻感的变化，（β = −0.42，SE = 0.17，p = 0.019，Δf2 = 0.25），对他人的负面看法（β = −0.34，SE = 0.16，p = 0.044，Δf2 = 0.20），对自我的负面看法的变化有很大的影响（β = −0.31，SE = 0.13，p = 0.019，Δf2 = 0.54）。这些研究结果表明，海拔可能非常适合靶向创伤相关症状，未来的研究应进一步研究其临床实用性。
Moral elevation is described as feeling inspired after witnessing someone perform a virtuous act. Past work suggests the features of moral elevation may be contrary to PTSD, yet few studies have directly tested its impact on relevant symptoms. This experimental study assessed changes in trauma-related cognitions and emotions from after a trauma reminder task to after an elevation induction exercise. We hypothesized that higher elevation after the induction exercise would be associated with greater reductions in cognitions and emotions. Veterans with probable PTSD (N = 38) completed measures of trauma-related cognitions and emotions, once after a written trauma narrative exercise (T1) and again after watching two videos designed to elicit elevation (T2). Veterans also completed measures of state elevation after each video. Results suggest veterans experienced small, significant decreases in self-blame (d = 0.36) and negative beliefs about others (d = 0.46), and medium, significant decreases in guilt (d = 0.68), shame (d = 0.60), and negative beliefs about self (d = 0.69) between T1 and T2. As hypothesized, higher elevation was associated with significantly greater reductions in multiple outcomes above and beyond the effects of general positive affect. Specifically, there were medium effects for changes in shame (β = −0.42, SE = 0.17, p = 0.019, Δf2 = 0.25), negative view of others (β = −0.34, SE = 0.16, p = 0.044, Δf2 = 0.20), and a large effect for changes in negative view of self (β = −0.31, SE = 0.13, p = 0.019, Δf2 = 0.54). These findings suggest elevation may be well-suited to target trauma-related symptoms and future research should further examine its clinical utility.