Associations between International Trauma Questionnaire complex posttraumatic stress disorder symptom clusters and moral injury in a sample of U.K. treatment-seeking veterans: A network approach.

IF 2.7 2区 心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2024-03-01 Epub Date: 2023-01-26 DOI:10.1037/tra0001426
Laura Josephine Hendrikx, Dominic Murphy
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Abstract

Objective: Complex posttraumatic stress disorder (CPTSD) and moral injury are receiving increasing empirical attention. The network approach offers a novel method to understand the association between such mental health constructs.

Method: The present study investigated: (a) the network structure of CPTSD symptom clusters according to the International Trauma Questionnaire to determine centrality (i.e., the most influential symptom cluster) and (b) the network structure of CPTSD symptom clusters and moral injury symptoms according to the Moral Injury Outcome Scale to determine bridge symptoms (i.e., the symptoms linking comorbid presentation of CPTSD and moral injury) within a clinical sample of veterans.

Results: Emotional dysregulation, avoidance, and interpersonal difficulties were found to be most central in the CPTSD network, and interpersonal difficulties, negative self-concept, and emotional dysregulation were found to be the strongest bridge symptoms in the CPTSD and moral injury network.

Conclusions: The two networks suggest a key role of disturbance in self-organization symptoms in the presentation of CPTSD and its association with moral injury among treatment-seeking veterans. Despite the limitations of the present study, it offers an insightful starting point as the first network analysis study of CPTSD in treatment-seeking veterans as well as its association with moral injury. Implications in terms of points of intervention and further research are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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在英国寻求治疗的退伍军人样本中,国际创伤问卷复杂创伤后应激障碍症状群与精神伤害之间的关联:网络方法。
目的:复杂创伤后应激障碍(CPTSD)和精神伤害正受到越来越多的实证关注。网络方法为了解此类心理健康建构之间的关联提供了一种新方法:本研究调查了:(a)根据国际创伤问卷调查CPTSD症状群的网络结构,以确定中心性(即最有影响力的症状群);(b)根据道德伤害结果量表(Moral Injury Outcome Scale)调查CPTSD症状群和道德伤害症状的网络结构,以确定退伍军人临床样本中的桥接症状(即将CPTSD和道德伤害合并表现联系起来的症状):结果:在 CPTSD 网络中,情绪失调、回避和人际交往障碍被认为是最核心的症状,而在 CPTSD 和道德伤害网络中,人际交往障碍、消极自我概念和情绪失调被认为是最强的桥接症状:这两个网络表明,在寻求治疗的退伍军人中,自我组织症状紊乱在 CPTSD 的表现及其与道德伤害的关联中起着关键作用。尽管本研究有其局限性,但作为首个对寻求治疗的退伍军人中的 CPTSD 及其与精神伤害的关联性进行网络分析的研究,它提供了一个具有洞察力的起点。本研究还讨论了干预要点和进一步研究的意义。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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