Department of Psychology, University of Memphis.
Psychol Trauma. 2015 Jan;7(1):3-10. doi: 10.1037/a0032716. Epub 2013 Jul 8.
In order to broaden theoretical models of adaptation following trauma and inform current diagnostic practices, the goal of the current study was to examine associations between negative emotions and dysfunctional trauma-related cognitions. In a sample of 109 women who were seeking mental health assistance after intimate partner violence (IPV), anxiety, depression, shame, and guilt were explored in association with negative thoughts about the self, negative thoughts about the world, and self-blame. Higher levels of shame and depression were significantly associated with higher levels of negative thoughts about the self. An increased level of guilt was the only significant finding in the analysis involving negative thoughts about the world. Lower levels of depression and higher levels of shame and guilt were significantly associated with increased levels of self-blame. Anxiety did not emerge as a significant predictor in any of these analyses. Implications for current models of posttraumatic stress disorder (PTSD), revisions to diagnostic practices, and treatment of individuals who have experienced interpersonal trauma are discussed.
为了拓宽创伤后适应的理论模型，并为当前的诊断实践提供信息，本研究的目的是探讨负面情绪与功能失调的创伤相关认知之间的关联。在一个寻求亲密伴侣暴力（IPV）后心理健康援助的 109 名女性样本中，研究了焦虑、抑郁、羞耻和内疚与对自我的负面想法、对世界的负面想法和自责之间的关系。较高的羞耻感和抑郁水平与对自我的负面想法水平显著相关。在涉及对世界的负面想法的分析中，唯一显著的发现是内疚感增加。较低的抑郁水平和较高的羞耻感和内疚感与自我责备水平的增加显著相关。在这些分析中，焦虑都没有成为一个显著的预测因素。讨论了对创伤后应激障碍（PTSD）的当前模型、诊断实践的修订以及对经历人际创伤的个体的治疗的影响。
