Trauma reactivity, avoidant coping, and PTSD symptoms: a moderating relationship?
Trauma reactivity, avoidant coping, and PTSD symptoms: a moderating relationship?
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DOI：
10.1037/a0022123
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发表时间：
2011-02
影响因子：
4.6
通讯作者：
Resick, Patricia A.
中科院分区：
文献类型：
--
作者：
Pineles, Suzanne L.;Mostoufi, Sheeva M.;Ready, C. Beth;Street, Amy E.;Griffin, Michael G.;Resick, Patricia A.
在创伤性事件的直接后果中，许多个体经历响应于创伤性事件的提醒的生理反应，其通常随时间减少。然而，过度依赖回避应对策略可能会干扰自然恢复过程，特别是对于那些对创伤提醒反应强烈的人。在目前的调查中，我们研究了回避应对作为一个仲裁员的心率反应性创伤独白后不久测量的创伤事件和严重程度的创伤后应激障碍（PTSD）症状几个月后测量之间的关联。55名女性幸存者的攻击完成了创伤后应激障碍诊断访谈和自我报告的应对措施，并参加了创伤独白程序，其中包括连续的心率测量。这些程序在攻击后1个月内完成，并在攻击后3个月再次完成。在我们控制了初始症状水平的影响后，在时间1测量的心率反应性对创伤独白和回避应对的相互作用与时间2的PTSD症状严重程度相关。相对高度依赖回避应对策略和对创伤提醒反应相对高度的个体可能在创伤后的最初几个月内维持或可能增加其PTSD症状的风险最大。这些发现可能有助于为创伤事件的幸存者提供早期干预措施。
In the immediate aftermath of a traumatic event, many individuals experience physiological reactivity in response to reminders of the traumatic event that typically lessens over time. However, an overreliance on avoidant coping strategies may interfere with the natural recovery process, particularly for those who are highly reactive to trauma reminders. In the current investigation, we examined avoidant coping as a moderator of the association between heart rate reactivity to a trauma monologue measured shortly after a traumatic event and severity of posttraumatic stress disorder (PTSD) symptoms measured several months later. Fifty-five female survivors of assault completed PTSD diagnostic interviews and a self-report coping measure and participated in a trauma monologue procedure that included continuous heart rate measurement. These procedures were completed within 1 month of the assault and again 3 months postassault. After we controlled for the effect of initial symptom levels, the interaction of heart rate reactivity to the trauma monologue and avoidant coping measured at Time 1 was associated with PTSD symptom severity at Time 2. Individuals who are relatively highly reliant on avoidant coping strategies and relatively highly reactive to trauma reminders may be at greatest risk of maintaining or potentially increasing their PTSD symptoms within the first few months following the trauma. These findings may help inform early intervention efforts for survivors of traumatic events.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
5.9
作者：
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通讯作者：
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影响因子：
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作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
3.3
作者：
ROTHBAUM, BO;FOA, EB;WALSH, W
通讯作者：
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