Beyond the mean: examining associations between intraindividual variability in posttraumatic stress disorder symptoms and posttrauma reckless behaviors.

IF 2.3 3区心理学 Q2 PSYCHIATRY

Anxiety Stress and Coping Pub Date : 2024-09-01 Epub Date: 2024-01-24 DOI:10.1080/10615806.2024.2307465

Brett A Messman, Sidonia E Compton, Ifrah Majeed, Nicole H Weiss, Ateka A Contractor

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引用次数: 0

Abstract

Background/objectives: Posttrauma reckless behaviors have been linked to the onset and exacerbation of posttraumatic stress disorder (PTSD) symptoms. However, PTSD symptoms fluctuate across time, triggered by environmental stimuli in daily life, referred to as (intraindividual) variability in PTSD symptoms.

Design: We utilized experience sampling methods to investigate associations between engagement in posttrauma reckless behaviors and variability in PTSD symptoms and the moderating role of emotion dysregulation in this association.

Methods: Data from 166 trauma-exposed university students (M_age= 21.43 ± 5.07, 85.4% women) were collected between January 2019 to August 2020. Participants completed baseline and follow-up surveys to assess engagement in posttrauma reckless behaviors and daily surveys (10-days) to assess variability in PTSD symptoms. Results. Analyzes indicated greater baseline engagement in posttrauma reckless behaviors was associated with greater 10-day variability in PTSD symptoms (β = 0.23, p = .031), and baseline emotion dysregulation moderated this association (β = -0.33, p = .003). Additionally, greater 10-day variability in PTSD symptoms was associated with greater follow-up engagement in posttrauma reckless behaviors (β = 0.14, p = .045).

Conclusions: Findings substantiate the interplay between engagement in posttrauma reckless behaviors and daily fluctuations in PTSD symptoms and support therapeutically targeting both engagement in posttrauma reckless behaviors and emotion dysregulation to impact PTSD symptoms.

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超越平均值：研究创伤后应激障碍症状的个体内差异性与创伤后鲁莽行为之间的关联。

背景/目的：创伤后的鲁莽行为与创伤后应激障碍（PTSD）症状的出现和加重有关。然而，创伤后应激障碍症状会因日常生活中的环境刺激而随时间波动，这被称为创伤后应激障碍症状的（个体内）变异性：设计：我们利用经验取样法研究创伤后鲁莽行为与创伤后应激障碍症状变异性之间的关联，以及情绪失调在这种关联中的调节作用：在2019年1月至2020年8月期间收集了166名受过创伤的大学生（年龄=21.43 ± 5.07，85.4%为女性）的数据。参与者完成了基线和后续调查，以评估创伤后鲁莽行为的参与情况，并完成了每日调查（10天），以评估创伤后应激障碍症状的变化情况。结果分析表明，创伤后鲁莽行为的基线参与度越高，创伤后应激障碍症状的 10 天变异性越大（β = 0.23，p = .031），基线情绪失调调节了这种关联（β = -0.33，p = .003）。此外，创伤后应激障碍症状在10天内的变化幅度越大，后续参与创伤后鲁莽行为的程度越高（β = 0.14，p = .045）：研究结果证实了创伤后鲁莽行为的参与与创伤后应激障碍症状每日波动之间的相互作用，并支持针对创伤后鲁莽行为的参与和情绪失调进行治疗，以影响创伤后应激障碍症状。

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来源期刊

Anxiety Stress and Coping Multiple-

CiteScore

7.20

自引率

0.00%

发文量

期刊介绍： This journal provides a forum for scientific, theoretically important, and clinically significant research reports and conceptual contributions. It deals with experimental and field studies on anxiety dimensions and stress and coping processes, but also with related topics such as the antecedents and consequences of stress and emotion. We also encourage submissions contributing to the understanding of the relationship between psychological and physiological processes, specific for stress and anxiety. Manuscripts should report novel findings that are of interest to an international readership. While the journal is open to a diversity of articles.