Pebole Michelle M, Lyons Robert C, Gobin Robyn L
Department of Kinesiology and Community Health.
San Diego Joint Doctoral Program in Clinical Psychology.
Psychol Trauma. 2022 Feb;14(2):326-335. doi: 10.1037/tra0001046. Epub 2021 Jun 10.
This study examined trauma frequency, alcohol use, and posttraumatic stress disorder (PTSD) symptoms as predictors of emotion regulation (ER) difficulties among post-9/11 Veterans.
Seventy-four Veterans (95.5% male; mean age = 40; 45.9% Caucasian) completed questionnaires on demographics, PTSD symptoms, ER, trauma frequency, and drinking.
Positive correlations were observed between PTSD symptom severity and ER difficulties (r = .6, p < .001) and drinking behavior and emotion dysregulation (r = .25, p < .05). PTSD symptoms above the clinical cutoff resulted in significantly higher ER difficulties than subclinical symptoms, t(66) = -2.975, p < .01). Linear regressions revealed that PTSD accounted for 37% of the variance in ER difficulties, F(1, 66) = 37.34, p < .05. Cluster C was the only significant predictor of Difficulties in Emotion Regulation Scale (DERS) total scores (B = 1.40, p < .05). Regression analyses on DERS subscales were also examined. Both PTSD Checklist-Specific (PCL-S) total and Cluster C significantly predicted the subscales of nonacceptance (PCL-S total, B = .30, p < .001; Cluster C, B = .45, p < .05) and clarity (PCL-S total, B = .12, p < .05; Cluster C, B = .31, p < .05). PCL-S total predicted strategies (PCL-S total, B = .43, p < .01). PCL-S total was the only significant predictor of the DERS subscales of goals (B = .21, p < .001) and impulse (B = .27, p < .001). There were no significant predictors for the subscale of awareness.
The findings will aid the development of targeted intervention strategies in Veterans. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
本研究考察了创伤频率、酒精使用和创伤后应激障碍（PTSD）症状，以此作为“9·11”事件后退伍军人情绪调节（ER）困难的预测因素。
74名退伍军人（95.5%为男性；平均年龄 = 40岁；45.9%为白种人）完成了关于人口统计学、PTSD症状、情绪调节、创伤频率和饮酒情况的问卷调查。
观察到PTSD症状严重程度与情绪调节困难之间存在正相关（r = .6，p < .001）以及饮酒行为与情绪失调之间存在正相关（r = .25，p < .05）。高于临床临界值的PTSD症状导致的情绪调节困难显著高于亚临床症状，t(66) = -2.975，p < .01）。线性回归显示，PTSD占情绪调节困难方差的37%，F(1, 66) = 37.34，p < .05。C类人格特质是情绪调节困难量表（DERS）总分的唯一显著预测因素（B = 1.40，p < .05）。还对DERS子量表进行了回归分析。PTSD检查表特定版（PCL - S）总分和C类人格特质均显著预测了不接受子量表（PCL - S总分，B = .30，p < .001；C类人格特质：B = .45，p < .05）和清晰度子量表（PCL - S总分，B = .12，p < .05；C类人格特质：B = .31，p < .05）得分。PCL - S总分预测了策略子量表得分（PCL - S总分，B = .43，p < .01）。PCL - S总分是目标子量表（B = .21，p < .001）和冲动子量表（B = .27，p < .001）得分的唯一显著预测因素。意识子量表没有显著的预测因素。
这些发现将有助于为退伍军人制定有针对性地干预策略。（《心理学文摘数据库记录》（c）2022美国心理学会，保留所有权利）
