创伤性生活事件、认知情绪调节策略与躯体主诉之间的关系。
Relationships Between Traumatic Life Events, Cognitive Emotion Regulation Strategies, and Somatic Complaints.
作者信息
Garnefski Nadia, van Rood Yanda, de Roos Carlijn, Kraaij Vivian
机构信息
Department of Clinical Psychology, Leiden University, P. O. Box 9555, 2300 RB, Leiden, The Netherlands.
Department of Psychiatry, Leiden University Medical Centre, Leiden, The Netherlands.
出版信息
J Clin Psychol Med Settings. 2017 Jun;24(2):144-151. doi: 10.1007/s10880-017-9494-y.
Abstract
The aim of this study was to investigate the relationships between traumatic life events, specific cognitive emotion regulation strategies, and present somatic complaints. The sample consisted of 465 adults from the general population. The participants filled in online self-report questionnaires with regard to somatic complaints (SCL-90), cognitive emotion regulation strategies (CERQ) and traumatic life events. Multiple regression analysis was performed to study the relationships. The results showed that present somatic complaints were significantly related to the reporting of past negative events (such as loss and maltreatment) that still produce strong and negative feelings in the present. Somatic complaints were also significantly related to a more frequent use of maladaptive cognitive coping strategies, such as blaming oneself, ruminating, and catastrophizing about negative life events. Inquiring about unresolved traumatic memories and coping strategies can help guide a clinicians' approach to managing patients with somatic complaints that have no clear medical explanation.
摘要
本研究的目的是调查创伤性生活事件、特定的认知情绪调节策略与当前躯体不适之间的关系。样本包括465名来自普通人群的成年人。参与者填写了关于躯体不适（SCL-90）、认知情绪调节策略（CERQ）和创伤性生活事件的在线自我报告问卷。进行了多元回归分析以研究这些关系。结果表明，当前的躯体不适与过去负面事件（如丧失和虐待）的报告显著相关，这些事件在当前仍会产生强烈的负面情绪。躯体不适还与更频繁地使用适应不良的认知应对策略显著相关，如自责、反复思考和夸大负面生活事件。询问未解决的创伤记忆和应对策略有助于指导临床医生处理没有明确医学解释的躯体不适患者的方法。
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