Department of Psychology, University of Rhode Island, Kingston, Rhode Island.
Department of Psychology, University of North Texas, Denton, Texas.
Stress Health. 2020 Apr;36(2):172-178. doi: 10.1002/smi.2920. Epub 2020 Jan 29.
Post-traumatic stress disorder (PTSD) is characterized by avoidance of trauma-related emotions. Research indicates that this avoidance may extend to any emotional experience that elicits distress, including those that are unrelated to the trauma. Literature in this area has been limited in its exclusive focus on negative emotions. Despite evidence of gender differences in PTSD and emotional avoidance separately, no studies to date have examined gender as a moderator of their association. The goal of the current study was to extend research by exploring the moderating role of gender in the relation between PTSD symptom severity and positive and negative emotional avoidance. Participants were 276 trauma-exposed individuals (65.9% female, 65.6% White, M = 19.24) from a university in the north-eastern United States. Moderation results indicated a main effect for PTSD symptom severity on both positive (b = 0.07, p < .001) and negative (b = 0.04, p = .03) emotional avoidance. The interaction of gender and PTSD symptom severity was significant for positive emotion avoidance (b = 0.97, p = .01). Analysis of simple slopes revealed that PTSD symptom severity was significantly associated with positive emotional avoidance for males (b = 0.13, p < .001) but not females (b = 0.03, p = .08). Results suggest the importance of gender-sensitive recommendations for assessment and treatment of emotional avoidance in PTSD.
创伤后应激障碍(PTSD)的特征是避免与创伤相关的情绪。研究表明,这种回避可能会扩展到任何引起痛苦的情绪体验,包括与创伤无关的情绪体验。该领域的文献仅限于对负面情绪的关注。尽管 PTSD 和情绪回避方面存在性别差异的证据,但迄今为止尚无研究探讨性别在其相关性中的调节作用。本研究的目的是通过探讨 PTSD 症状严重程度与积极和消极情绪回避之间的关系中性别调节作用来扩展研究。参与者是来自美国东北部一所大学的 276 名创伤后个体(女性占 65.9%,白人占 65.6%,M = 19.24)。调节结果表明,PTSD 症状严重程度对积极(b = 0.07,p <.001)和消极(b = 0.04,p =.03)情绪回避均有主要影响。性别和 PTSD 症状严重程度的相互作用对积极情绪回避具有显著影响(b = 0.97,p =.01)。简单斜率分析表明,对于男性(b = 0.13,p <.001),但不是女性(b = 0.03,p =.08),PTSD 症状严重程度与积极情绪回避显著相关。结果表明,在 PTSD 中评估和治疗情绪回避时,需要考虑性别敏感的建议。