Bowen Mya E, McDevitt-Murphy Meghan E, Olin Cecilia C, Buckley Brooke E
Department of Psychology, The University of Memphis, Memphis, Tennessee.
J Nerv Ment Dis. 2023 Jan 1;211(1):17-22. doi: 10.1097/NMD.0000000000001561. Epub 2022 Aug 6.
The distinction between alexithymia and coping in relation to posttraumatic stress has not been fully explored. The present study examined the extent to which alexithymia explained unique variance in posttraumatic stress, beyond the variance explained by coping, in a sample of trauma-exposed adults ( N = 706; M age = 19.41 years, SD = 1.5; 77.1% female). Then, we explored the effect of race on these associations, comparing participants who identified as Black ( n = 275) to those who identified as White ( n = 337). Avoidant-emotional coping showed stronger correlations (compared with problem-focused and active-emotional coping) with total alexithymia, difficulty identifying feelings, and difficulty describing feelings. In regression analyses, we found alexithymia explained unique variance in posttraumatic stress severity beyond the effect of coping. Results did not differ by racial identity. These findings suggest that despite some overlap between alexithymia and coping, each shows unique relations with posttraumatic stress.
关于创伤后应激障碍，述情障碍与应对方式之间的区别尚未得到充分探究。本研究在一组经历过创伤的成年人样本（N = 706；年龄均值M = 19.41岁，标准差SD = 1.5；77.1%为女性）中，考察了述情障碍在解释创伤后应激障碍的独特变异方面的程度，即超出应对方式所解释的变异。然后，我们探讨了种族对这些关联的影响，将自我认定为黑人的参与者（n = 275）与自我认定为白人的参与者（n = 337）进行了比较。回避-情绪应对方式与整体述情障碍、难以识别情感以及难以描述情感之间的相关性更强（与问题聚焦应对方式和积极-情绪应对方式相比）。在回归分析中，我们发现述情障碍在应对方式的影响之外，还解释了创伤后应激障碍严重程度的独特变异。结果在种族身份方面没有差异。这些发现表明，尽管述情障碍和应对方式之间存在一些重叠，但它们各自与创伤后应激障碍都呈现出独特的关系。
