Karatzias Thanos, Hyland Philip, Bradley Aoife, Fyvie Claire, Logan Katharine, Easton Paula, Thomas Jackie, Philips Sarah, Bisson Jonathan I, Roberts Neil P, Cloitre Marylene, Shevlin Mark
Edinburgh Napier University,School of Health and Social Care,Edinburgh,UK.
National College of Ireland,School of Business,Dublin,Ireland.
Behav Cogn Psychother. 2019 May;47(3):257-269. doi: 10.1017/S1352465818000577. Epub 2018 Oct 2.
Two 'sibling' disorders have been proposed for the fourthcoming 11th version of the International Classification of Diseases (ICD-11): post-traumatic stress disorder (PTSD) and complex PTSD (CPTSD). Examining psychological factors that may be associated with CPTSD, such as self-compassion, is an important first step in its treatment that can inform consideration of which problems are most salient and what interventions are most relevant.
We set out to investigate the association between self-compassion and the two factors of CPTSD: the PTSD factor (re-experiencing, avoidance, sense of threat) and the Disturbances in Self-Organization (DSO) factor (affect dysregulation, negative self-concept and disturbances in relationships). We hypothesized that self-compassion subscales would be negatively associated with both PTSD and DSO symptom clusters.
A predominantly female, clinical sample (n = 106) completed self-report scales to measure traumatic life events, ICD-11 CPTSD and self-compassion.
Significant negative associations were found between the CPTSD DSO clusters of symptoms and self-compassion subscales, but not for the PTSD ones. Specifically it was also found that self-judgement and common humanity significantly predicted hypoactive affect dysregulation whereas self-judgement and isolation significantly predicted negative self-concept.
Our results indicate that self-compassion may be a useful treatment target for ICD-11 CPTSD, particularly for symptoms of negative self-concept and affect dysregulation. Future research is required to investigate the efficacy and acceptability of interventions that have implicit foundations on compassion.
即将发布的《国际疾病分类》（ICD - 11）第11版提出了两种“姊妹”疾病：创伤后应激障碍（PTSD）和复杂创伤后应激障碍（CPTSD）。研究可能与CPTSD相关的心理因素，如自我同情，是其治疗的重要第一步，可为确定哪些问题最为突出以及哪些干预措施最为相关提供参考。
我们着手研究自我同情与CPTSD的两个因素之间的关联：PTSD因素（重新体验、回避、威胁感）和自我组织障碍（DSO）因素（情绪调节障碍、消极自我概念和人际关系障碍）。我们假设自我同情分量表与PTSD和DSO症状群均呈负相关。
一个以女性为主的临床样本（n = 106）完成了自我报告量表，以测量创伤性生活事件、ICD - 11 CPTSD和自我同情。
发现CPTSD的DSO症状群与自我同情分量表之间存在显著负相关，但PTSD症状群与自我同情分量表之间不存在显著负相关。具体而言，还发现自我评判和共通人性显著预测了低活跃情绪调节障碍，而自我评判和孤立显著预测了消极自我概念。
我们的结果表明，自我同情可能是ICD - 11 CPTSD的一个有用治疗靶点，特别是对于消极自我概念和情绪调节障碍的症状。未来需要开展研究，以调查基于同情的干预措施的疗效和可接受性。
