Ruiz-Párraga Gema T, Serrano-Ibáñez Elena R, Gómez-Pérez Lydia, Ramírez-Maestre Carmen, Esteve Rosa, López-Martínez Alicia E
Facultad de Psicología, Universidad de Málaga, Instituto de Investigaciones Biomédicas de Málaga, Málaga, Spain.
Facultad de Psicología, Universidad Pontificia Católica de Chile, Santiago de Chile, Chile.
Scand J Psychol. 2021 Jun;62(3):386-392. doi: 10.1111/sjop.12711. Epub 2021 Feb 5.
Traumatic experiences have consistently been linked to poor health and well-being, particularly in women. Psychological factors have been theorized to directly affect the reporting of physical symptoms and perceptions of general health. Posttraumatic stress disorder (PTSD) has been proposed as a major pathway through which trauma affects health and emotion dysregulation. Trauma is considered to be a key psychological variable in the pathogenesis of PTSD. Fortunately, not all women who have experienced trauma manifest adverse effects. Resilience acts as a psychological protective variable following trauma. The present study tested a hypothetical model of the contribution of resilience, emotional dysregulation, and PTSD symptoms to physical and psychological well-being in a large sample of trauma-exposed women. A transversal study with 753 female participants is used. Structural modeling was used to test linear associations between variables. After experiencing trauma, resilience was negatively and significantly associated with emotional dysregulation, which, in turn, was positively associated with PTSD symptoms. Both resilience and PTSD symptoms were associated with physical and psychological well-being. The results suggest that resilience and emotional dysregulation are relevant to the health and well-being of women with PTSD symptoms and may help guide the development of psychological treatment in this group. Therefore, these findings may be relevant in promoting health and well-being in such women, and may help to identify individuals who would receive the most benefit from interventions addressing emotional regulation and psychological resilience.
创伤经历一直与健康状况不佳和幸福感缺失相关,尤其是在女性群体中。从理论上来说,心理因素会直接影响身体症状的报告以及对总体健康状况的认知。创伤后应激障碍(PTSD)被认为是创伤影响健康及情绪失调的一条主要途径。创伤被视作PTSD发病机制中的一个关键心理变量。幸运的是,并非所有经历过创伤的女性都会出现不良影响。适应力在创伤后起到心理保护变量的作用。本研究在大量遭受过创伤的女性样本中,对适应力、情绪失调和PTSD症状对身心健康的影响的一个假设模型进行了测试。采用了一项对753名女性参与者的横向研究。使用结构模型来测试变量之间的线性关联。经历创伤后,适应力与情绪失调呈显著负相关,而情绪失调又与PTSD症状呈正相关。适应力和PTSD症状均与身心健康相关。结果表明,适应力和情绪失调与有PTSD症状的女性的健康和幸福感相关,可能有助于指导该群体心理治疗方法的开发。因此,这些发现可能与促进此类女性的健康和幸福感相关,并且可能有助于识别那些能从针对情绪调节和心理适应力的干预措施中获益最多的个体。