Kwon Ha Rin, Eoh Yookyung, Park Soo Hyun
Department of Psychology, Yonsei University, Seoul, South Korea.
Yongmoon Graduate School of Counseling Psychology, Seoul, South Korea.
Front Psychol. 2020 Jun 17;11:1114. doi: 10.3389/fpsyg.2020.01114. eCollection 2020.
Difficulties in emotion regulation reportedly contribute to the development and maintenance of PTSD following exposure to natural disasters. Based on the extended process model of emotion regulation, the present study hypothesized that maladaptive emotion regulation strategies will mediate the relationship between emotional clarity and posttraumatic stress symptoms in a sample of earthquake survivors. A total of 195 adult residents of Gyeongju and Pohang, southeastern coastal cities in Korea, who had experienced recent earthquakes participated in an online survey study. They completed questionnaires assessing emotional clarity, emotion regulation, and posttraumatic stress symptoms a year and 10 months after the Gyeongju earthquake and 7 months after the Pohang earthquake. Bootstrapping procedures were used to test for a mediation effect. The results suggest that emotional clarity was indirectly associated with posttraumatic stress symptoms through maladaptive emotion regulation strategies, especially catastrophizing. The findings suggest that individuals with low emotional clarity tend to use maladaptive strategies, catastrophizing in particular, which may contribute to posttraumatic stress symptoms. This may reflect the mechanism underlying emotional clarity and offer suggestions for target of treatment in the management of long-term psychological difficulties in earthquake survivors. Replication of the current results in a sample of patients diagnosed with PTSD is necessary to better understand the development and progression of the disorder, as well as effective interventions for PTSD.
据报道，情绪调节困难会导致在经历自然灾害后创伤后应激障碍（PTSD）的发展和维持。基于情绪调节的扩展过程模型，本研究假设在地震幸存者样本中，适应不良的情绪调节策略将介导情绪清晰度与创伤后应激症状之间的关系。韩国东南部沿海城市庆州和浦项的195名成年居民经历了近期的地震，他们参与了一项在线调查研究。他们在庆州地震一年零十个月后以及浦项地震七个月后完成了评估情绪清晰度、情绪调节和创伤后应激症状的问卷。采用自抽样程序来检验中介效应。结果表明，情绪清晰度通过适应不良的情绪调节策略，尤其是灾难化思维，与创伤后应激症状间接相关。研究结果表明，情绪清晰度低的个体倾向于使用适应不良的策略，尤其是灾难化思维，这可能会导致创伤后应激症状。这可能反映了情绪清晰度背后的机制，并为地震幸存者长期心理困难管理中的治疗靶点提供建议。有必要在被诊断为创伤后应激障碍的患者样本中重复当前结果，以更好地理解该障碍的发展和进程，以及对创伤后应激障碍的有效干预措施。
