» Articles » PMID: 32952232

Facets of Emotion Regulation and Posttraumatic Stress: An Indirect Effect Via Peritraumatic Dissociation

Overview
Journal Cognit Ther Res
Specialty Psychology
Date 2020 Sep 21
PMID 32952232
Citations 3
Authors
Affiliations
Soon will be listed here.
Abstract

Research suggests important associations between emotion regulation difficulties and posttraumatic stress disorder (PTSD) symptomology, with prospective studies indicating that emotion regulation difficulties may lead to increased PTSD symptoms. Peritraumatic dissociation is considered an important and consistent predictor of PTSD symptoms. The present study examines whether peritraumatic dissociation accounts for associations between facets of emotion regulation difficulties and PTSD symptoms. Adult women with a history of sexual victimization participated in an interview to assess past-month PTSD symptoms and self-report questionnaires to assess peritraumatic dissociation and emotion regulation difficulties. Results showed a partial indirect effect of three facets of emotion regulation difficulties (i.e., nonacceptance of negative emotional responses, limited access to emotion regulation strategies perceived as effective in the context of distress, and impulse control difficulties when experiencing negative emotions) on PTSD symptoms through peritraumatic dissociation. Reverse indirect effects models were also explored. The present study offers preliminary evidence that peritraumatic dissociation by traumatized individuals may signal the presence of specific emotion regulation deficits, which may indicate increased risk of heightened PTSD severity.

Citing Articles

Flexible emotional regulation typology: associations with PTSD symptomology and trait resilience.

Spikol E, McGlinchey E, Robinson M, Armour C BMC Psychol. 2024; 12(1):79.

PMID: 38365706 PMC: 10874029. DOI: 10.1186/s40359-024-01573-4.


Experiencing racial discrimination increases vulnerability to PTSD after trauma via peritraumatic dissociation.

Harb F, Bird C, Webb E, Torres L, deRoon-Cassini T, Larson C Eur J Psychotraumatol. 2023; 14(2):2211486.

PMID: 37229524 PMC: 10215023. DOI: 10.1080/20008066.2023.2211486.


Investigating the associations between cognitive appraisals, emotion regulation and symptoms of posttraumatic stress disorder among Asian American and European American trauma survivors.

Jobson L, Willoughby C, Specker P, Wong J, Draganidis A, Lau W Sci Rep. 2022; 12(1):18127.

PMID: 36307529 PMC: 9616820. DOI: 10.1038/s41598-022-22995-3.

References
1.
Boden M, Bonn-Miller M, Kashdan T, Alvarez J, Gross J . The interactive effects of emotional clarity and cognitive reappraisal in Posttraumatic Stress Disorder. J Anxiety Disord. 2011; 26(1):233-8. DOI: 10.1016/j.janxdis.2011.11.007. View

2.
Marmar C, Weiss D, Metzler T, Delucchi K . Characteristics of emergency services personnel related to peritraumatic dissociation during critical incident exposure. Am J Psychiatry. 1996; 153(7 Suppl):94-102. DOI: 10.1176/ajp.153.7.94. View

3.
Cloitre M, Scarvalone P, Difede J . Posttraumatic stress disorder, self- and interpersonal dysfunction among sexually retraumatized women. J Trauma Stress. 1997; 10(3):437-52. DOI: 10.1023/a:1024893305226. View

4.
Hetzel M, McCanne T . The roles of peritraumatic dissociation, child physical abuse, and child sexual abuse in the development of posttraumatic stress disorder and adult victimization. Child Abuse Negl. 2005; 29(8):915-30. DOI: 10.1016/j.chiabu.2004.11.008. View

5.
McDermott M, Tull M, Gratz K, Daughters S, Lejuez C . The role of anxiety sensitivity and difficulties in emotion regulation in posttraumatic stress disorder among crack/cocaine dependent patients in residential substance abuse treatment. J Anxiety Disord. 2009; 23(5):591-9. PMC: 2698460. DOI: 10.1016/j.janxdis.2009.01.006. View