Mechanistic Role of Emotion Regulation in the PTSD and Alcohol Association.
Mechanistic Role of Emotion Regulation in the PTSD and Alcohol Association.
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情绪调节在创伤后应激障碍和酒精协会中的机制作用。
DOI：
10.1037/trm0000068
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发表时间：
2016
期刊：
影响因子：
3.2
通讯作者：
Read,JenniferP
中科院分区：
文献类型：
--
作者：
Radomski,SharonA;Read,JenniferP
创伤后应激障碍（PTSD）与酗酒有关。患有创伤后应激障碍 (PTSD) 的人在调节情绪方面更加困难，这可能有助于解释创伤后应激障碍 (PTSD) 与饮酒同时发生的情况。然而，情绪调节作为 PTSD 与酒精关联的中介作用是有限的。在本研究中，我们研究了这种关联。通过结构化临床访谈对大学生（N = 466，Mage = 19.5，53% 女性）进行 PTSD 评估，并将其分为 3 组：未经历过重大创伤的学生（无创伤，n = 182）、经历过重大创伤但目前没有 PTSD 症状的学生（仅创伤，n = 171）以及有重大创伤且当前患有 PTSD 的学生（部分或完全；PTSD， n = 113）。通过自我报告评估过去 6 个月的饮酒情况和情绪调节情况（每日饮酒问卷，Collins、Parks 和 Marlatt，1985；情绪调节困难量表，Gratz 和 Roemer，2004）。研究结果显示，那些患有创伤和具有临床意义的创伤后应激障碍（PTSD）的人比那些没有遭受过创伤的人在情绪调节方面遇到更大的困难，这反过来又显着预测了饮酒情况。在那些仅经历过创伤的人中没有发现这种中介效应，这表明 PTSD 在这一途径中发挥着重要作用。研究结果还表明，控制基于情绪的冲动的能力是情绪调节的一个特别相关的中介方面。这些结果表明情绪调节是 PTSD 和饮酒之间的潜在解释联系，进一步支持将情绪调节训练纳入 PTSD 治疗中。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）
Posttraumatic stress disorder (PTSD) has been linked to problematic alcohol use. Those with PTSD have greater difficulty regulating emotions, which may help to explain the PTSD–drinking co-occurrence. However, emotion regulation as a mediator of PTSD–alcohol associations has been limited. In the present study, we examined this association. College students (N= 466, Mage= 19.5, 53% female) were assessed for PTSD by structured clinical interview, and were categorized into 3 groups: those who had not experienced a significant trauma (No Trauma, n= 182), those who had experienced a significant trauma but did not have current PTSD symptoms (Trauma Only, n= 171), and those with significant trauma and with current PTSD (partial or full; PTSD, n= 113). Alcohol use over the past 6 months and emotion regulation were assessed via self-report (Daily Drinking Questionnaire, Collins, Parks, & Marlatt, 1985; Difficulties in Emotion Regulation Scale, Gratz & Roemer, 2004). Findings revealed that those with trauma and clinically significant PTSD reported greater difficulty with emotion regulation than those who had not been exposed to trauma, which in turn significantly predicted alcohol use. This mediating effect was not found in those with trauma exposure alone, suggesting an important role for PTSD in this pathway. Findings also indicated that the ability to control emotion-based impulses is a particularly relevant mediating facet of emotion regulation. These results implicate emotion regulation as a potential explanatory link between PTSD and alcohol use, lending further support to the inclusion of emotion regulation training in PTSD treatment.(PsycInfo Database Record (c) 2023 APA, all rights reserved)