Department of Psychology, University of Rhode Island, Kingston, Rhode Island, USA.
Department of Psychology, University of Massachusetts, Amherst, Massachusetts, USA.
J Clin Psychol. 2021 Sep;77(9):2096-2108. doi: 10.1002/jclp.23084. Epub 2020 Nov 11.
Although research has established a link between posttraumatic stress disorder (PTSD) symptoms and suicidal thoughts and behaviors (STBs), little is known about factors that may accentuate this relation. This study evaluated the influences of negative and positive emotion dysregulation on the association between PTSD symptoms and STBs among veterans.
Four-hundred and sixty-five trauma-exposed military veterans in the community (M = 38.00, 71.4% male, 69.5% White) completed online questionnaires.
Negative emotion dysregulation did not moderate the relation between PTSD symptoms and STBs. Results showed significant interactive effects of PTSD symptoms and positive emotion dysregulation on STBs, such that PTSD symptoms were more strongly related to STBs at high (vs. low) levels of positive emotion dysregulation. This effect was sustained across domains of positive emotion dysregulation.
Findings suggest a potential need to consider positive emotion dysregulation in the assessment and treatment of STBs among veterans with PTSD symptoms.
尽管研究已经确定了创伤后应激障碍（PTSD）症状与自杀念头和行为（STBs）之间存在联系，但对于可能加剧这种关系的因素知之甚少。本研究评估了负性和正性情绪失调对 PTSD 症状与退伍军人 STBs 之间关联的影响。
社区中 465 名创伤后暴露的退伍军人（M = 38.00，71.4%为男性，69.5%为白人）完成了在线问卷。
负性情绪失调并没有调节 PTSD 症状和 STBs 之间的关系。结果显示 PTSD 症状和正性情绪失调对 STBs 存在显著的交互作用，即 PTSD 症状与 STBs 的关系在正性情绪失调高（而非低）水平时更强。这种效应在正性情绪失调的各个领域都存在。
这些发现表明，对于 PTSD 症状的退伍军人的 STBs，在评估和治疗中可能需要考虑正性情绪失调。
