A Network Analysis of Symptoms of Post-Traumatic Stress Disorder and Facets of Mindfulness

Mikael Rubin
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Abstract

Post-traumatic Stress Disorder (PTSD) is a mental health concern impacting a large proportion of the population. There is a growing interest in mindfulness-based treatments for PTSD. However, some individuals with PTSD do not respond to treatment. Identifying factors that may provide a more precise treatment approach has the potential to enhance response. Network analysis is a data-driven methodology that has been used to suggest specific targets for treatment. To date, there has not been a network analysis examining the interrelation between PTSD symptoms and trait mindfulness. The current study is an exploratory analysis of N = 214 adults from a non-clinical sample who endorsed a Criterion A traumatic event and completed the PTSD Checklist for DSM-5 and the Five Facet Mindfulness Questionnaire. Both undirected and directed networks were generated to identify links between PTSD symptom clusters and the facets of mindfulness. Both networks highlighted the connection between the PTSD symptom cluster Alterations in Arousal and Reactivity and the Awareness facet of mindfulness; and the PTSD symptom cluster Negative Alterations in Cognitions and Mood with the Non-judging facet of mindfulness. Taken together, these findings provide further evidence that greater mindfulness is generally associated with lower PTSD symptoms. Importantly, the findings highlight Non-judgement and Awareness as facets that might warrant further investigation in the context of mindfulness-based treatment efforts for PTSD.
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创伤后应激障碍症状与正念面貌的网络分析
创伤后应激障碍(PTSD)是一种心理健康问题,影响着很大一部分人。人们对创伤后应激障碍的正念治疗越来越感兴趣。然而,有些创伤后应激障碍患者对治疗没有反应。找出可以提供更精确治疗方法的因素,有可能提高治疗效果。网络分析是一种数据驱动的方法,已被用于建议特定的治疗目标。迄今为止,还没有一项网络分析研究创伤后应激障碍症状与特质正念之间的相互关系。目前的研究是一项探索性分析,研究对象是非临床样本中的 N = 214 名成年人,他们认可标准 A 创伤事件,并完成了 DSM-5 PTSD 核对表和五面正念问卷。为了确定创伤后应激障碍症状群与正念的各个方面之间的联系,我们生成了无定向和有定向网络。这两个网络都强调了创伤后应激障碍症状群 "唤醒和反应性改变 "与正念的 "觉察 "面之间的联系,以及创伤后应激障碍症状群 "认知和情绪的负面改变 "与正念的 "不评判 "面之间的联系。综上所述,这些研究结果进一步证明,正念越强,创伤后应激障碍症状越轻。重要的是,这些研究结果强调了 "不做判断 "和 "觉察 "这两个方面,在以正念为基础的创伤后应激障碍治疗工作中,这两个方面可能值得进一步研究。
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