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Healing collective trauma through the arts: A predominantly online, multimodal trial in Ukraine 通过艺术治愈集体创伤:在乌克兰进行的一项以在线为主的多模式试验
IF 1.9 Q3 PSYCHIATRY Pub Date : 2026-01-07 DOI: 10.1016/j.ejtd.2026.100635
Maryna Teslenko, Viktoriia Shevchuk, Lesia Klevaka
Ukraine’s ongoing war has caused deep and widespread collective trauma, reflected not only in individual PTSD but also in moral distress, loss of shared dignity, and weakened social bonds. Arts therapy provides culturally familiar and non-verbal ways to support emotional regulation, but scientific evidence of its effectiveness in wartime settings is still limited. This article aims to substantiate and empirically verify a predominantly online, multimodal arts therapy program for treating collective trauma in Ukrainian communities. This study evaluated a 12-session multimodal arts therapy program for 192 adults across Ukraine using a pragmatic, predominantly online stepped-wedge cluster randomized trial. Primary outcomes were PTSD symptoms (PCL-5) and moral injury (MISS-M-SF); secondary measures included resilience (CD-RISC-10) and collective self-esteem subscales (CSES). A war-contextualized psychosemantic differential was analyzed with a Bayesian hierarchical mixture of factor analyzers (BH-MFA) to estimate probabilities of four latent response styles to collective trauma. Assessments were conducted at baseline, mid- and post-intervention, and at 3- and 6-month follow-ups. Compared with control periods, the intervention produced small to moderate reductions in PTSD and moral injury, increases in resilience, and selective gains in collective self-esteem. BH-MFA analyses indicated a reliable shift toward a normalizing-progressive (sublimating) response style without heightened aggression. A culturally adapted, online arts-therapy model is thus feasible and beneficial under wartime conditions, improving psychological symptoms and fostering adaptive collective coping.
乌克兰正在进行的战争造成了深刻而广泛的集体创伤,不仅反映在个人的创伤后应激障碍上,还反映在道德困境、共同尊严的丧失和社会纽带的削弱上。艺术疗法提供了文化上熟悉的非语言方式来支持情绪调节,但其在战时环境中的有效性的科学证据仍然有限。本文旨在证实和实证验证一个主要在线,多模式的艺术治疗方案,以治疗乌克兰社区的集体创伤。本研究评估了乌克兰192名成年人的12期多模式艺术治疗方案,采用实用的、主要是在线的楔形聚类随机试验。主要结局为PTSD症状(PCL-5)和道德损伤(MISS-M-SF);二级测量包括心理弹性(CD-RISC-10)和集体自尊量表(CSES)。用贝叶斯层次混合因子分析法(BH-MFA)分析了战争情境化心理语义差异,以估计四种潜在的集体创伤反应风格的概率。在基线、干预中期和干预后以及3个月和6个月随访时进行评估。与对照组相比,干预产生了轻微到中度的创伤后应激障碍和道德伤害的减少,恢复力的增加,集体自尊的选择性增益。BH-MFA分析表明,在不增加攻击性的情况下,向正常化-渐进(升华)反应风格转变是可靠的。因此,适应文化的在线艺术治疗模式在战时条件下是可行和有益的,可以改善心理症状并促进适应性集体应对。
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引用次数: 0
Preliminary treatment outcomes of transition-aged youth receiving cognitive processing therapy for PTSD: A brief report 过渡年龄青年接受创伤后应激障碍认知加工治疗的初步治疗结果:简要报告
IF 1.9 Q3 PSYCHIATRY Pub Date : 2026-01-07 DOI: 10.1016/j.ejtd.2026.100636
Talia Tissera , Emily E. Levitt , Jenna E. Boyd , Jennifer Hewitt , Jennifer Ip , Fan Rosenau , Taylor Hatchard
Despite posttraumatic stress disorder (PTSD) being prevalent among transition-aged youth (aged 17–25), they face barriers to accessing treatment and have few therapy options tailored to their needs. Therefore, the purpose of this preliminary pilot feasibility study was to investigate the feasibility and effectiveness of a 12-session Cognitive Processing Therapy (CPT) group for 25 transition-aged youth (aged 18–25) with PTSD. Participants completed measures of PTSD symptoms, secondary mental health outcomes (e.g., depression), and substance use and impulsivity at baseline, post-intervention, and 4-week follow-up. Group engagement was measured at post-intervention, and dropout rates were recorded. Generalized Estimating Equations were used to model the effects of the intervention on outcomes between Each timepoint. Results indicated significant decreases in PTSD symptoms χ2 (1) = 17.90, p <.001 and key secondary outcomes, such as depression χ2 (1) = 8.78, p = .012. Group engagement was moderate M = 3.4 out of 6, SD = 1.6 and dropout (48%) was higher than in other CPT interventions but comparable to youth mental health interventions broadly. Youth who did not complete the group had significantly higher PTSD symptoms at baseline t(23) = 2.16, p = .041 and were significantly younger than youth who completed the group t(23) = 2.43, p = .024. These preliminary findings indicate that group-based CPT may be an effective low-barrier intervention for transition-aged youth with low-severity PTSD. Further research with larger samples and a control condition is warranted.
尽管创伤后应激障碍(PTSD)在过渡年龄的青年(17-25岁)中很普遍,但他们在获得治疗方面面临障碍,而且很少有适合他们需求的治疗选择。因此,本初步试点可行性研究的目的是探讨12期认知加工治疗(CPT)组治疗25名过渡年龄青年(18-25岁)PTSD的可行性和有效性。参与者在基线、干预后和4周随访时完成PTSD症状、继发性心理健康结果(如抑郁)、物质使用和冲动的测量。在干预后测量小组参与度,并记录辍学率。使用广义估计方程来模拟干预对每个时间点之间结果的影响。结果显示,创伤后应激障碍症状χ2 (1) = 17.90, p < 001,抑郁等关键次要结局χ2 (1) = 8.78, p = 0.012。小组参与程度中等,M = 3.4 / 6, SD = 1.6,辍学率(48%)高于其他CPT干预措施,但与青少年心理健康干预措施大致相当。未完成该组的青年在基线时PTSD症状显著高于t(23) = 2.16, p = 0.041,且明显比完成该组的青年年轻t(23) = 2.43, p = 0.024。这些初步研究结果表明,基于群体的CPT可能是一种有效的低障碍干预过渡年龄青年低严重PTSD。进一步的研究需要更大的样本和控制条件。
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引用次数: 0
Expressions of impaired mentalization and theory of mind within the therapeutic context perspectives of childhood sexual abuse survivors and their therapis 儿童期性虐待幸存者及其治疗的心理障碍和心理理论的表达
IF 1.9 Q3 PSYCHIATRY Pub Date : 2026-01-07 DOI: 10.1016/j.ejtd.2026.100634
Orit Klapisch , Keren Gueta , Inbal Shlomi
Impacts of childhood sexual abuse (CSA) are profound and long-lasting, often resulting in impairments to survivors’ mentalization and/or Theory of Mind (ToM) abilities. The current study aimed to enhance our understanding of these phenomena and explored potential for recovery via effective therapeutic interventions. The research sample consisted of 18 patients and 19 therapists residing or working in two types of facilities: live-in prisoner rehabilitation centers facilities for female parolees (PRA); and a psychiatric unit hospital ward specializing in sexual abuse survivors (PU). Data were based on semi-structured interviews analyzed using the qualitative thematic analysis approach. Findings demonstrate that survivors are vulnerable to fractured thought processes that reflect their early traumatic experience, impacting their present-day perspectives of themselves, others, and the world, and resultantly projected within the therapeutic relationship. Awareness and identification of these expressions within the therapeutic relationship can help promote mentalization-based healing for survivors.
儿童期性虐待(CSA)的影响是深远而持久的,通常会导致幸存者的精神化和/或心理理论(ToM)能力受损。目前的研究旨在加强我们对这些现象的理解,并探索通过有效的治疗干预来恢复的潜力。研究样本包括18名患者和19名治疗师,他们居住或工作在两种类型的机构:女性假释犯居住康复中心(PRA);以及专门治疗性虐待幸存者(PU)的精神病病房。数据基于半结构化访谈,采用定性专题分析方法进行分析。研究结果表明,幸存者很容易受到断裂的思维过程的影响,这反映了他们早期的创伤经历,影响了他们现在对自己、他人和世界的看法,并最终被投射到治疗关系中。在治疗关系中意识和识别这些表达可以帮助幸存者促进基于心理的治疗。
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引用次数: 0
Genetic polymorphisms associated with posttraumatic stress disorder after natural disaster exposure: a systematic review 自然灾害暴露后与创伤后应激障碍相关的遗传多态性:系统综述
IF 1.9 Q3 PSYCHIATRY Pub Date : 2025-12-24 DOI: 10.1016/j.ejtd.2025.100629
Thelma Beatriz González-Castro , Jorge Arias de Dios , Jorge Luis Hernández-Vicencio , Daina Pérez-Ramírez , Isela Esther Juárez-Rojop , Yazmín Hernández-Díaz , Alma Delia Genis-Mendoza , Carlos Alfonso Tovilla-Zárate , María Lilia López-Narváez
Posttraumatic stress disorder involves multiple genetic and environmental factors. Hurricanes, floods and earthquakes have been the most studied natural disasters over the years, due to the magnitude of the trauma they generate. It is, therefore, essential to clearly identify the risk polymorphisms which may potentially lead to PTSD among disaster survivors. We conducted a comprehensive systematic review of the literature to provide an overview of the relationship between genetic polymorphisms and PTSD risk in order to better understand post-disaster PTSD vulnerability. The literature search was conducted in PubMed, Science Direct, and Scopus databases. Eligibility review, data extraction, and quality assessment were performed by two authors. The methodological quality of the included studies was carefully assessed using the Newcastle-Ottawa Scale (NOS). Twenty-seven studies were included in this qualitative systematic review. The total number of participants across all studies was 21,213 individuals, comprising 17,799 PTSD patients and 3414 healthy controls. The majority of studies focused on earthquakes as the traumatic event. A total of 38 polymorphisms across 21 genes were reported as significantly altered in PTSD (SLC6A4, RGS2, DRD2, DRD3, DRD4, CRHR1, CRHR2, ESR1, RORA, BDNF, GHRL, HCRTR1, COMT, DBH, ADCYAP1R1, OXTR, FKBP5, GHSR, TNF-RII, NPY2R, and NPY5R). This study provides a broad and detailed overview of risk genes for post-disaster PTSD
创伤后应激障碍涉及多种遗传和环境因素。飓风、洪水和地震是多年来研究最多的自然灾害,因为它们造成的创伤很大。因此,有必要明确识别可能导致灾难幸存者患PTSD的风险多态性。为了更好地理解灾后创伤后应激障碍的易感性,我们对相关文献进行了全面系统的综述,概述了遗传多态性与创伤后应激障碍风险之间的关系。文献检索在PubMed、Science Direct和Scopus数据库中进行。资格审查、数据提取和质量评估由两位作者完成。采用纽卡斯尔-渥太华量表(NOS)仔细评估纳入研究的方法学质量。本定性系统综述纳入了27项研究。所有研究的参与者总数为21213人,其中包括17799名PTSD患者和3414名健康对照者。大多数研究都把地震作为创伤性事件。共有21个基因的38个多态性(SLC6A4、RGS2、DRD2、DRD3、DRD4、CRHR1、CRHR2、ESR1、RORA、BDNF、GHRL、HCRTR1、COMT、DBH、ADCYAP1R1、OXTR、FKBP5、GHSR、TNF-RII、NPY2R和NPY5R)在PTSD中发生显著改变。这项研究为灾后PTSD的风险基因提供了广泛而详细的概述
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引用次数: 0
The relationship between BDNF blood levels and posttraumatic stress disorder: A systematic review and meta-analysis BDNF血液水平与创伤后应激障碍的关系:系统回顾和荟萃分析
IF 1.9 Q3 PSYCHIATRY Pub Date : 2025-12-23 DOI: 10.1016/j.ejtd.2025.100628
Thelma Beatriz González-Castro , Jorge Arias de Dios , Nimrod Torres-León , Jorge Luis Hernández-Vicencio , Daina Pérez-Ramírez , Yazmín Hernández-Díaz , David Ruiz-Ramos , Germán Alberto Nolasco-Rosales , Isela Esther Juárez-Rojop , Carlos Alfonso Tovilla-Zárate , Maria Lilia López-Narváez
Several studies have indicated that brain-derived neurotrophic factor (BDNF) is correlated with posttraumatic stress disorder (PTSD) occurrence. However, this issue remains controversial. Therefore, we conducted an updated meta-analysis to investigate the role of BDNF in PTSD.
A systematic search and screening of relevant studies was performed in the PubMed, Scopus, and Web of Science databases. Standardized mean differences (SMDs) with 95% confidence intervals (CIs) were used to evaluate effect sizes.
Twenty-five eligible studies with 1283 cases and 1739 controls were included in the current meta-analysis. No significant differences in BDNF blood levels were found between PTSD patients and healthy controls when all studies were pooled into the meta-analysis (pooled SMD=-0.016, 95% CI=-0.088 to 0.057, p = 0.668). Meanwhile, subgroup analyses also showed no significant differences in BDNF levels between cases group and controls.
The results of the meta-analysis indicate no significant association between BDNF blood levels and PTSD risk.
多项研究表明,脑源性神经营养因子(BDNF)与创伤后应激障碍(PTSD)的发生有关。然而,这个问题仍然存在争议。因此,我们进行了一项最新的荟萃分析,以调查BDNF在PTSD中的作用。在PubMed、Scopus和Web of Science数据库中进行了相关研究的系统搜索和筛选。采用95%置信区间(ci)的标准化平均差异(SMDs)来评估效应大小。目前的荟萃分析纳入了25项符合条件的研究,包括1283例病例和1739例对照。将所有研究合并到meta分析中,PTSD患者与健康对照组血中BDNF水平无显著差异(合并SMD=-0.016, 95% CI=-0.088 ~ 0.057, p = 0.668)。同时,亚组分析也显示病例组与对照组之间BDNF水平无显著差异。荟萃分析结果显示BDNF血液水平与PTSD风险之间无显著关联。
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引用次数: 0
Chevauchement sémiologique entre troubles dissociatifs et troubles du spectre de la schizophrénie: Revue systématique 分离障碍与精神分裂症谱系障碍的符号学重叠:系统回顾
IF 1.9 Q3 PSYCHIATRY Pub Date : 2025-12-22 DOI: 10.1016/j.ejtd.2025.100631
Romain Fleury, Assia Ben Ammar, Pierre Antoine Gillouin, Alice Einloft Brunnet

Background

Dissociative disorders and schizophrenia spectrum disorders share some semiological similarities, particularly in terms of positive symptomatology. This proximity frequently contributes to diagnostic errors and inappropriate treatments. A better understanding of the semiological overlap and relationships between these two nosographic entities would help to improve assessment and management for the people concerned.

Objectives

The aim of this systematic review is to define and characterize the semiological overlap between dissociative disorders and schizophrenia spectrum disorders, and to provide elements for clarifying the differential diagnosis between these diagnostic categories.

Method

The PRISMA method was applied, based on a search of three databases: APA PsycInfo, PubMed and ScienceDirect. The selection was then subjected to a quality assessment.

Results

639 articles were extracted from these databases, 14 were selected, and 2 additional articles were selected from a second, more recent search, giving a total of 16 articles selected.

Conclusions

With a mean quality of 89.34%, the results confirm the existence of a significant symptomatic overlap between DD and SSD, particularly between positive psychotic symptoms, dissociation and exposure to traumatic events. This systematic review supports the hypothesis of a dissociative subtype within SSD, and underpins the value of transdiagnostic perspectives in research and clinical work with patients affected by these disorders.
背景:分离性障碍和精神分裂症谱系障碍在符号学上有一些相似之处,特别是在阳性症状方面。这种接近常常导致诊断错误和不适当的治疗。更好地了解这两种病种之间的符号学重叠和关系将有助于改善对有关人员的评估和管理。目的本系统综述的目的是定义和表征分离性障碍和精神分裂症谱系障碍之间的符合学重叠,并为澄清这些诊断类别之间的鉴别诊断提供要素。方法采用PRISMA方法,检索APA PsycInfo、PubMed和ScienceDirect三个数据库。然后进行质量评估。结果从这些数据库中提取了639篇文章,其中选择了14篇,另外从最近的第二次检索中选择了2篇,总共选择了16篇文章。结论平均质量为89.34%,结果证实了DD和SSD之间存在显著的症状重叠,特别是在阳性精神病症状、分离和创伤性事件暴露之间。这一系统综述支持了SSD中存在分离亚型的假设,并支持了这些疾病患者的研究和临床工作中跨诊断观点的价值。
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引用次数: 0
Post-traumatic stress symptoms in women with a history of sexual trauma: A network approach 性创伤史女性的创伤后应激症状:网络方法
IF 1.9 Q3 PSYCHIATRY Pub Date : 2025-12-22 DOI: 10.1016/j.ejtd.2025.100630
Pablo D. Valencia , Anabel de la Rosa-Gómez

Background

Post-traumatic stress disorder (PTSD) is a common outcome of sexual violence. Network analysis offers a novel approach to examine symptom interactions, though prior research in sexual trauma survivors has shown instability of centrality metrics.

Aim

This study examined the DSM-5 PTSD symptom network in women with sexual trauma histories, focusing on symptom communities, central symptoms, and strong edges.

Method

313 women (ages 18–58, M = 31.34), mainly survivors of child sexual abuse, completed the PTSD Checklist for DSM-5 (PCL-5). A Gaussian Graphical Model with GLASSO regularization estimated the network; community detection and node centrality were assessed.

Results

The DSM-5 structure lacked clear support, with some Cluster D symptoms aligning with Cluster E. Strong associations emerged between the avoidance symptoms and between hypervigilance and exaggerated startle. Negative emotional state and exaggerated startle were the most central and predictable symptoms; memory impairment was the least.

Conclusions

PTSD symptom structure in sexually traumatized women may not align with DSM-5 clusters. Central symptoms like negative emotion and exaggerated startle may be key intervention targets. Longitudinal research is needed to clarify symptom dynamics.
创伤后应激障碍(PTSD)是性暴力的常见后果。网络分析提供了一种新的方法来检查症状的相互作用,尽管先前对性创伤幸存者的研究显示了中心性度量的不稳定性。目的研究DSM-5中有性创伤史的女性PTSD症状网络,重点研究症状群体、中心症状和强边缘。方法313名女性(年龄18 ~ 58岁,M = 31.34),主要为儿童性侵幸存者,填写《精神障碍诊断与诊断手册-5 (PCL-5)》PTSD检查表。采用GLASSO正则化的高斯图模型对网络进行估计;评估社区检测和节点中心性。结果DSM-5的结构缺乏明确的支持,一些D类症状与e类症状一致。回避症状、过度警惕与夸张惊吓之间存在较强的关联。消极情绪状态和夸张惊吓是最核心和可预测的症状;记忆损伤最小。结论性创伤女性ptsd的症状结构可能与DSM-5分类不一致。消极情绪和夸张惊吓等中心症状可能是关键的干预目标。需要进行纵向研究来阐明症状动态。
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引用次数: 0
When dissociation is mistaken for possession: Implications for adolescent mental health in Indonesia 当分离被误认为占有:对印度尼西亚青少年心理健康的影响
IF 1.9 Q3 PSYCHIATRY Pub Date : 2025-12-15 DOI: 10.1016/j.ejtd.2025.100627
Erma Pratiwi Nufi
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引用次数: 0
Secondary traumatic stress among mental health professionals working with war refugees in Pakistan: A qualitative exploration of lived experiences 在巴基斯坦与战争难民一起工作的精神卫生专业人员的继发性创伤压力:对生活经历的定性探索
IF 1.9 Q3 PSYCHIATRY Pub Date : 2025-12-10 DOI: 10.1016/j.ejtd.2025.100626
Momina Khalid Butt , Rizwana Amin , Neringa Grigutytė , Jonas Eimontas

Introduction

Mental health professionals (MHPs) working with war-affected refugees are highly susceptible to Secondary Traumatic Stress (STS) an occupational hazard that mirrors post-traumatic reactions due to prolonged empathic engagement with trauma survivors. In Pakistan’s humanitarian context, this vulnerability is heightened by inadequate supervision, limited trauma-informed training, and persistent sociocultural stigma surrounding mental illness. This study explored the lived experiences of Pakistani MHPs exhibiting high levels of STS while providing psychological care to war-affected refugees.

Methods

A qualitative design grounded in reflexive thematic analysis was employed. Six clinicians actively engaged in refugee mental-health services participated in semi-structured interviews. The interviews were audio-recorded, transcribed verbatim, and analyzed inductively and reflexively to capture the emotional, moral, and systemic dimensions of STS within the Pakistani clinical and cultural context.

Results

Six overarching themes were identified: (1) immersion in humanitarian duty; (2) emotional saturation and empathic strain; (3) blurred boundaries between self and client; (4) professional isolation within unsupportive systems; (5) coping strategies and sources of resilience; and (6) transformation through suffering. Participants described moral over-responsibility, emotional exhaustion, and organizational neglect, yet also reported meaning-making, spiritual coping, and professional growth as pathways to resilience.

Conclusions

STS among MHPs in Pakistan reflects a multifaceted interplay between emotional, cultural, and institutional factors. The findings underscore the need for culturally attuned supervision, trauma-informed training, and systemic organizational support to protect clinician well-being and sustain ethical, effective humanitarian mental-health practice. This study contributes to a broader cross-cultural understanding of STS by situating clinicians’ experiences within their moral, cultural, and institutional contexts.
与受战争影响的难民一起工作的心理健康专业人员(MHPs)极易受到继发性创伤应激(STS)的影响,这是一种职业危害,反映了由于与创伤幸存者长期共情接触而产生的创伤后反应。在巴基斯坦的人道主义背景下,监督不足、创伤知识培训有限以及围绕精神疾病的持续社会文化污名加剧了这种脆弱性。本研究探讨了巴基斯坦MHPs在为受战争影响的难民提供心理护理时表现出高水平STS的生活经历。方法采用反身性主题分析为基础的定性设计。6名积极从事难民心理健康服务的临床医生参加了半结构化访谈。访谈录音,逐字转录,并归纳和反射性分析,以捕捉巴基斯坦临床和文化背景下STS的情感、道德和系统维度。结果确定了六个总体主题:(1)沉浸在人道主义责任中;(2)情绪饱和和共情紧张;(3)自我与客户界限模糊;(4)在不支持的系统中进行专业隔离;(5)弹性的应对策略和来源;(6)苦难转化。参与者描述了道德上的过度责任、情感上的疲惫和组织上的忽视,但也报告了意义创造、精神上的应对和专业上的成长是通往恢复力的途径。结论:巴基斯坦mhp中的sts反映了情感、文化和制度因素之间的多方面相互作用。研究结果强调了文化协调监督、创伤知情培训和系统组织支持的必要性,以保护临床医生的福祉,并维持道德、有效的人道主义精神卫生实践。本研究通过将临床医生的经验置于其道德、文化和制度背景中,有助于对STS进行更广泛的跨文化理解。
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引用次数: 0
Main and Interactive effects of self-disgust and affect intensity in predicting the severity of mental contamination, contact contamination, and PTSD symptoms 自我厌恶和情绪强度在预测精神污染、接触污染严重程度和创伤后应激障碍症状中的主要作用和交互作用
IF 1.9 Q3 PSYCHIATRY Pub Date : 2025-12-03 DOI: 10.1016/j.ejtd.2025.100624
Jordyn M. Tipsword , Grace M. Seymour , Christal L. Badour

Purpose

Self-disgust has been linked to contact contamination (i.e., experiences of dirtiness caused by exposure to a contaminant), mental contamination (i.e., experiences of dirtiness that occur absent a contaminant), and PTSD symptoms in theoretical work. Separate lines of research have also linked higher affect intensity (i.e., the tendency to experience emotions strongly) to negative mental health outcomes, including more severe PTSD symptoms. However, empirical research examining associations between self-disgust and both contamination concerns and PTSD symptoms remains limited, and these associations may differ as a function of affect intensity.

Method

The current study evaluated main and interactive effects of self-disgust and affect intensity as predictors of contact contamination, mental contamination, and PTSD symptoms among 217 undergraduates with mixed trauma histories. Participants completed an online survey assessing lifetime trauma history, self-disgust, affect intensity, contact and mental contamination, PTSD symptoms, and depressive symptoms.

Results

After adjusting for sex assigned at birth and depressive symptoms, self-disgust predicted more severe contact contamination. Two unexpected interactions also revealed that self-disgust was only associated with more severe PTSD symptoms among individuals low in affect intensity and was more strongly positively associated with mental contamination among those low in affect intensity than those high in affect intensity.

Conclusions

Findings suggest that self-disgust may be relevant in understanding both trauma- and contamination-related concerns. Future research should explore mechanisms by which self-disgust contributes to these outcomes.
在理论研究中,自我厌恶与接触污染(即由于暴露于污染物而引起的肮脏体验)、精神污染(即在没有污染物的情况下发生的肮脏体验)和创伤后应激障碍症状有关。不同的研究也将较高的情感强度(即,倾向于体验强烈的情绪)与负面的心理健康结果联系起来,包括更严重的创伤后应激障碍症状。然而,关于自我厌恶与污染担忧和创伤后应激障碍症状之间联系的实证研究仍然有限,这些联系可能因情感强度的不同而有所不同。方法对217名有混合创伤史的大学生进行接触污染、精神污染和创伤后应激障碍症状的预测,评价自我厌恶和情绪强度的主作用和交互作用。参与者完成了一项在线调查,评估终身创伤史、自我厌恶、影响强度、接触和精神污染、创伤后应激障碍症状和抑郁症状。结果在调整出生性别和抑郁症状后,自我厌恶预示着更严重的接触污染。两种意想不到的相互作用也表明,自我厌恶只与情感强度低的个体更严重的创伤后应激障碍症状相关,而与情感强度高的个体相比,情感强度低的个体与精神污染的正相关更为强烈。研究结果表明,自我厌恶可能与理解创伤和污染相关的问题有关。未来的研究应该探索自我厌恶对这些结果的影响机制。
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引用次数: 0
期刊
European Journal of Trauma & Dissociation
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