Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, 760 Westwood Plaza, Los Angeles, CA, 90095, USA; Department of Psychology, University of Notre Dame, 390 Corbett Family Hall, Notre Dame, IN 46556, USA.
Department of Psychiatry and Human Behavior, University of California Irvine, 5251 California Avenue, Irvine, CA, 92617, USA; Children's Hospital of Orange County, 1201 West La Veta Ave, Orange, CA, 92868, USA.
Behav Res Ther. 2024 Jan;172:104441. doi: 10.1016/j.brat.2023.104441. Epub 2023 Nov 28.
Posttraumatic stress disorder (PTSD) is associated with impaired emotion regulation (ER). ER diversity, the variety, prevalence, and relative abundance of ER strategy use, may provide resilience against PTSD. This study examined the prospective relation between ER diversity and PTSD, while accounting for negative and positive life events, in interpersonal violence (IPV) survivors. IPV-exposed women with PTSD onset (PTSD; n = 22), without PTSD onset (IPV; n = 37), and non-traumatized control participants (NTC; n = 41) rated their ER strategy use and experience of negative and positive life events. The ER diversity index differentiated the participant groups. Importantly, group differences in ER diversity depended on the experience of life events. When experiencing fewer positive life events and more negative life events, the IPV and NTC groups, but not the PTSD group, demonstrated higher ER diversity. Thus, greater ER diversity during periods with more negative life events and fewer positive life events may play a protective role against PTSD onset for IPV survivors.
创伤后应激障碍(PTSD)与情绪调节(ER)受损有关。ER 多样性,即 ER 策略使用的种类、普遍性和相对丰度,可能为抵抗 PTSD 提供韧性。本研究考察了在考虑到负性和正性生活事件后,ER 多样性与 IPV 幸存者 PTSD 之间的前瞻性关系。 PTSD 发作的 PTSD 组(n=22)、未发作 PTSD 的 IPV 组(n=37)和未受创伤的对照组(NTC;n=41)参与者评估了他们的 ER 策略使用情况以及负性和正性生活事件的经历。ER 多样性指数区分了参与者群体。重要的是,ER 多样性的组间差异取决于生活事件的经历。当经历较少的正性生活事件和更多的负性生活事件时,IPV 组和 NTC 组而非 PTSD 组表现出更高的 ER 多样性。因此,在经历更多负性生活事件和较少正性生活事件期间,更大的 ER 多样性可能对 IPV 幸存者的 PTSD 发作起到保护作用。