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经验性回避在创伤后应激症状以及抑郁、焦虑和躯体化症状中的作用。

The role of experiential avoidance in posttraumatic stress symptoms and symptoms of depression, anxiety, and somatization.

作者信息

Tull Matthew T, Gratz Kim L, Salters Kristalyn, Roemer Lizabeth

机构信息

Department of Psychology, University of Massachusetts Boston, Boston, Massachusetts 02125, USA.

出版信息

J Nerv Ment Dis. 2004 Nov;192(11):754-61. doi: 10.1097/01.nmd.0000144694.30121.89.

Abstract

This study examined the relationships between experiential avoidance in general (and thought suppression in particular), posttraumatic stress symptom severity, and symptoms of depression, anxiety, and somatization among a sample of individuals exposed to multiple potentially traumatic events. Although experiential avoidance was not associated with severity of posttraumatic stress symptoms beyond their shared relationship with general psychiatric symptom severity, it was associated with symptoms of depression, anxiety, and somatization when controlling for posttraumatic stress symptom severity. Thought suppression, on the other hand, was associated with severity of posttraumatic stress symptoms when controlling for their shared relationship with general psychiatric symptom severity. No significant relationships were found between thought suppression and the presence of depression, anxiety, and somatization symptoms when controlling for posttraumatic stress symptom severity. Results suggest the importance of separately examining the influence of different forms of experiential avoidance on posttraumatic psychopathology.

摘要

本研究考察了在经历多重潜在创伤事件的个体样本中,一般经验性回避(特别是思维抑制)、创伤后应激症状严重程度与抑郁、焦虑和躯体化症状之间的关系。尽管经验性回避除了与一般精神症状严重程度的共同关系外,与创伤后应激症状的严重程度无关,但在控制创伤后应激症状严重程度时,它与抑郁、焦虑和躯体化症状有关。另一方面,在控制思维抑制与一般精神症状严重程度的共同关系时,思维抑制与创伤后应激症状的严重程度有关。在控制创伤后应激症状严重程度时,未发现思维抑制与抑郁、焦虑和躯体化症状的存在之间有显著关系。结果表明,分别考察不同形式的经验性回避对创伤后精神病理学的影响具有重要意义。

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