Mental health service utilization following a campus mass shooting: The role of preshooting emotion dysregulation and posttraumatic cognitions.
Mental health service utilization following a campus mass shooting: The role of preshooting emotion dysregulation and posttraumatic cognitions.
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DOI：
10.1037/tra0001036
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发表时间：
2022-01
期刊：
影响因子：
--
通讯作者：
Orcutt HK
中科院分区：
文献类型：
--
作者：
Reffi AN;Ellis RA;Darnell BC;Orcutt HK
本研究在控制时间、年龄、枪击后创伤后应激（PTS）和抑郁症状的情况下，探讨了枪击前情绪失调和创伤后认知作为大学生校园大规模枪击事件后心理健康服务利用（MHU；治疗/药物）的预测因子。当北伊利诺伊大学校园发生大规模枪击事件时，大学生女性（N = 483, Mage = 19.23, SD = 2.39）正在进行一项研究。一项单独的纵向研究随后实施，以监测这些妇女拍摄后的适应情况。本研究使用拍摄前评估和拍摄后时间点的数据检验了MHU的预测因素：9个月（T1; n = 416）；14个月（T2; n = 416）；20个月（T3, n = 417）；26个月（T4, n = 405）；33个月（T5; n = 397）。多水平模型显示，在控制协变量的情况下，拍摄前情绪失调和拍摄后PTS和抑郁症状正预测MHU的可能性增加。创伤后认知最初预测治疗使用的增加，但在考虑了射击前的情绪失调后，这种关系变得不显著。拍摄前情绪失调还削弱了抑郁症状与治疗使用的正相关关系，强化了年龄与治疗使用的正相关关系。枪击前情绪失调和枪击后心理健康症状是大规模枪击后MHU增加的最有力预测因子。研究结果表明，遭受大规模枪击事件的女性在需要的时候会接受治疗，但先前存在的情绪失调可能会成为那些继续发展为抑郁症的人的障碍。
This study investigated pre-shooting emotion dysregulation and posttraumatic cognitions as predictors of mental health service utilization (MHU; therapy/medication) following a campus mass shooting among undergraduate women, while controlling for time, age, and post-shooting posttraumatic stress (PTS) and depressive symptoms. Undergraduate women (N = 483, Mage = 19.23, SD = 2.39) were engaged in a study when a mass shooting occurred on Northern Illinois University’s campus. A separate, longitudinal study was then implemented to monitor post-shooting adjustment among these same women. The present study examined predictors of MHU using data from the pre-shooting assessment and the following post-shooting timepoints: nine months (T1; n = 416); 14 months (T2; n = 416); 20 months (T3; n = 417); 26 months (T4; n = 405); and 33 months (T5; n = 397). Multilevel models showed pre-shooting emotion dysregulation and post-shooting PTS and depressive symptoms positively predicted increased likelihood of MHU while controlling for covariates. Posttraumatic cognitions initially predicted increased therapy utilization, but this relationship became nonsignificant after accounting for pre-shooting emotion dysregulation. Pre-shooting emotion dysregulation also weakened the positive relationship between depressive symptoms and therapy utilization and strengthened the positive relationship between age and therapy utilization. Pre-shooting emotion dysregulation and post-shooting mental health symptoms were the most robust predictors of increased MHU following a mass shooting. Findings suggest women exposed to a mass shooting engage in treatment when needed, but preexisting emotion dysregulation may serve as a barrier for those who go on to develop depression.
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3.9
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