Maladaptive cognitions and emotion regulation in posttraumatic stress disorder.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-06-01 DOI:10.1007/s40211-022-00453-w

Nawal Ouhmad, Wissam El-Hage, Nicolas Combalbert

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引用次数: 1

Abstract

Purpose: The present study investigated the interactions between emotion regulation strategies and cognitive distortions in posttraumatic stress disorder (PTSD). We also examined differences in emotion regulation and cognitive distortions across the trauma spectrum.

Methods: The study was conducted in France between December 2019 and August 2020 and was approved by the university ethics committee. We recruited 180 participants aged over 18, with 3 groups of 60 each: (1) patients diagnosed with PTSD, (2) trauma-exposed without PTSD, (3) no history of trauma. Exclusion criteria were a history of neurological or mental disorders, psychoactive substance abuse, and a history of physical injury that could affect outcomes. All participants completed the Life Events Checklist‑5 (LEC-5), Post-traumatic Check List‑5 (PCL-5), Dissociative Experiences Scale (DES), Cognitive Emotion Regulation Questionnaire (CERQ), and Cognitive Distortions scale for Adults (EDC-A). Correlation analysis was performed to observe the relationship between PTSD severity and cognitive functioning. Correlations between cognitive distortions and maladaptive emotion regulation strategies were calculated for the PTSD group. A moderation analysis of the whole sample was conducted to examine the relationship between cognitive distortions, emotion regulation strategies, and PTSD.

Results: Participants with PTSD scored significantly higher on the PCL‑5 and for dissociation than the other groups. PCL‑5 scores were positively correlated with maladaptive emotion regulation strategies and acceptance. They were also correlated with positive and negative dichotomous reasoning and negative minimization. Analysis of the PTSD group revealed correlations between maladaptive emotion regulation strategies and negative cognitive distortions. The moderation analysis revealed the cognitive distortions explaining the relationship between emotion regulation strategies and trauma exposure overall, and how they exacerbate emotional problems in PTSD.

Conclusion: The study provides indications for management of PTSD patients. Inclusion of an intermediate group of individuals exposed to trauma without PTSD revealed differences in the observed alterations. It would be interesting to extend the cross-sectional observation design to study traumatic events that may cause a specific type of disorder.

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创伤后应激障碍的不良认知与情绪调节。

目的:探讨创伤后应激障碍(PTSD)患者情绪调节策略与认知扭曲的相互作用。我们还研究了创伤谱系中情绪调节和认知扭曲的差异。方法:该研究于2019年12月至2020年8月在法国进行，并经大学伦理委员会批准。我们招募了180名年龄在18岁以上的参与者，分为三组，每组60人:(1)诊断为创伤后应激障碍的患者，(2)没有创伤后应激障碍的创伤暴露，(3)没有创伤史。排除标准为神经或精神障碍史、精神活性物质滥用史和可能影响预后的身体伤害史。所有参与者完成了生活事件检查表-5 (LEC-5)、创伤后检查表-5 (PCL-5)、分离体验量表(DES)、认知情绪调节问卷(CERQ)和成人认知扭曲量表(EDC-A)。通过相关分析观察PTSD严重程度与认知功能的关系。计算PTSD组认知扭曲与不良情绪调节策略之间的相关性。对整个样本进行适度分析，以检验认知扭曲、情绪调节策略与创伤后应激障碍之间的关系。结果:PTSD参与者在PCL - 5和分离方面的得分明显高于其他组。PCL‑5得分与适应不良情绪调节策略和接受度呈正相关。它们还与正、负二分推理和负最小化相关。对创伤后应激障碍组的分析揭示了适应不良情绪调节策略与负性认知扭曲之间的相关性。调节分析揭示了情绪调节策略与创伤暴露之间的认知扭曲，以及它们如何加剧创伤后应激障碍的情绪问题。结论:本研究为PTSD患者的治疗提供了指征。在没有创伤后应激障碍的创伤中纳入中间组的个体显示了观察到的变化的差异。将横断面观察设计扩展到研究可能导致特定类型障碍的创伤性事件将是有趣的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.