Department of Psychology, Oakland University, Rochester, Michigan, USA.
Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, Florida, USA.
Stress Health. 2021 Feb;37(1):151-161. doi: 10.1002/smi.2981. Epub 2020 Sep 17.
The current study examined a conceptual model of the association between potentially morally injurious events (PMIEs) and depression symptoms. It was hypothesized that interpersonal needs (i.e., perceived burdensomeness and thwarted belongingness) would independently mediate the relationship between PMIEs and depression symptoms, while emotion dysregulation would moderate the associations. Individuals who experienced a traumatic event and were residing in the United States (N = 147) completed a cross-sectional questionnaire containing measures of PMIEs, interpersonal needs, emotion dysregulation and depression symptoms. Results indicated that the indirect effect through perceived burdensomeness was significant at high levels of emotion dysregulation, whereas the indirect effect through thwarted belongingness was non-significant. Additionally, emotion dysregulation moderated each pathway, with the exception of the direct effects from PMIEs to depression symptoms. The proposed model may be informative for researchers and clinicians interested in the association between PMIEs and depression symptoms. The results may encourage the use of emotion regulation strategies to assist patients suffering from depression symptoms, especially when exposure to a PMIE has occurred.
本研究考察了一个可能具有道德伤害性事件（PMIEs）与抑郁症状之间关联的概念模型。研究假设人际需求（即感知负担和归属感受挫）将独立中介 PMIEs 与抑郁症状之间的关系，而情绪失调将调节这些关联。经历过创伤事件并居住在美国的个体（N=147）完成了一份包含 PMIEs、人际需求、情绪失调和抑郁症状测量的横断面问卷。结果表明，在情绪失调水平较高时，通过感知负担的间接效应具有统计学意义，而通过归属感受挫的间接效应则无统计学意义。此外，情绪失调调节了每条途径，除了 PMIEs 与抑郁症状之间的直接效应。对于那些对 PMIEs 与抑郁症状之间关联感兴趣的研究人员和临床医生来说，该模型可能具有启发性。当发生 PMIE 时，这些结果可能会鼓励使用情绪调节策略来帮助患有抑郁症状的患者。
