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经验回避作为行为抑制系统敏感性与创伤后应激症状关系的调节因素。

Experiential avoidance as a moderator of the relationship between behavioral inhibition system sensitivity and posttraumatic stress symptoms.

机构信息

Department of Psychology, Oakland University, Rochester, MI 48309, United States.

出版信息

J Anxiety Disord. 2011 Dec;25(8):1038-45. doi: 10.1016/j.janxdis.2011.06.013. Epub 2011 Jul 6.

Abstract

Preliminary evidence suggests that high emotional reactivity, in conjunction with maladaptive self-regulatory processes, increases one's vulnerability to develop psychopathology. In the present study, associations between behavioral inhibition system (BIS) and behavioral activation system (BAS) sensitivity, experiential avoidance (EA) and trauma-related outcomes (i.e., posttraumatic stress symptoms [PTSS]) were examined in a sample (N=851) of female college students who had experienced at least one traumatic event. Positive associations were observed between BIS sensitivity, EA, and PTSS. In addition, EA moderated the relationship between BIS sensitivity and PTSS, with participants high in BIS sensitivity and high in EA reporting significantly more PTSS than participants high in BIS sensitivity and low in EA. No association was observed between BIS sensitivity and PTSS for participants low in EA. These findings suggest that an unwillingness to experience unwanted private events, in conjunction with increased BIS sensitivity, contributes to PTSS severity. Further, there was a positive association and a negative association found between PTSS and BAS-Drive and BAS-Reward Responsiveness, respectively. A marginally significant EA×BAS-Fun Seeking interaction was also observed. Present findings suggests the importance of pursuing an etiological model of posttraumatic stress disorder in which neurobiological factors (i.e., BIS/BAS sensitivity) and self-regulatory processes (i.e., EA) interact to produce psychopathology.

摘要

初步证据表明,高情绪反应性与适应不良的自我调节过程相结合,会增加一个人患上精神病理学的脆弱性。在本研究中,我们在一个经历过至少一次创伤事件的女性大学生样本(N=851)中,考察了行为抑制系统(BIS)和行为激活系统(BAS)敏感性、体验回避(EA)与创伤相关结果(即创伤后应激症状[PTSS])之间的关系。BIS 敏感性、EA 与 PTSS 之间存在正相关。此外,EA 调节了 BIS 敏感性与 PTSS 之间的关系,BIS 敏感性高且 EA 水平高的参与者报告的 PTSS 明显多于 BIS 敏感性高且 EA 水平低的参与者。对于 EA 水平低的参与者,BIS 敏感性与 PTSS 之间没有关联。这些发现表明,不愿意体验到不受欢迎的私人事件,加上 BIS 敏感性增加,会导致 PTSS 严重程度增加。此外,PTSS 与 BAS-Drive 和 BAS-Reward Responsiveness 之间分别存在正相关和负相关。还观察到 EA×BAS-Fun Seeking 交互作用具有边缘显著性。目前的研究结果表明,需要采用创伤后应激障碍的病因模型,其中神经生物学因素(即 BIS/BAS 敏感性)和自我调节过程(即 EA)相互作用产生精神病理学。

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