情绪失调作为社区普通人群阿片类药物过量反应所致创伤后应激障碍的一个风险因素。
Emotion Dysregulation as a Risk Factor for Posttraumatic Stress Disorder Stemming from Opioid Overdose Responding Among Community Laypeople.
作者信息
Weiss Nicole H, Forkus Shannon R, Raudales Alexa M, Kiefer Reina, Thomas Emmanuel D, Goldstein Silvi C, Lin Nelson, Samuels Elizabeth A, Marshall Brandon D L, Jacka Brendan P
机构信息
Department of Psychology, University of Rhode, Rhode Island, USA.
Department of Epidemiology, School of Public Health, Brown University, Rhode Island, USA.
出版信息
Int J Ment Health Addict. 2024 Dec;22(6):3510-3519. doi: 10.1007/s11469-023-01063-5. Epub 2023 Apr 28.
OBJECTIVE
Efforts to prevent opioid overdose mortality have rapidly expanded, including community-based distribution of naloxone to laypeople. In turn, responding to the opioid overdose crisis has increasingly fallen on the shoulders of community laypeople. Yet, little attention has been given to studying the mental health consequences of responding to an opioid overdose for community laypeople. This study examined emotion dysregulation as a risk factor for posttraumatic stress disorder (PTSD) stemming from opioid overdose responding among community laypeople.
METHODS
Participants were 80 community laypeople who had responded to an opioid overdose ( = 39.10, 59.5% women, 86.3% white).
RESULTS
Elevated emotion dysregulation was found in community laypeople with versus without PTSD stemming from opioid overdose responding. Limited access to effective emotion regulation strategies was uniquely associated with PTSD stemming from opioid overdose responding.
CONCLUSIONS
Opioid overdose trainings may benefit from the addition of trauma first aid to bolster emotion regulation skills.
目的
预防阿片类药物过量致死的努力迅速扩大，包括向普通民众进行基于社区的纳洛酮分发。相应地，应对阿片类药物过量危机的责任越来越多地落在了社区普通民众肩上。然而，对于研究社区普通民众应对阿片类药物过量所产生的心理健康后果，关注甚少。本研究将情绪调节障碍作为社区普通民众因应对阿片类药物过量而引发创伤后应激障碍（PTSD）的一个风险因素进行了考察。
方法
参与者为80名应对过阿片类药物过量情况的社区普通民众（平均年龄 = 39.10岁，59.5%为女性，86.3%为白人）。
结果
在因应对阿片类药物过量而患有与未患有PTSD的社区普通民众中，均发现存在情绪调节障碍加剧的情况。获得有效情绪调节策略的机会有限与因应对阿片类药物过量而引发的PTSD存在独特关联。
结论
阿片类药物过量培训可能受益于增加创伤急救内容，以增强情绪调节技能。
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