The Centrality of Humiliation in Complex Posttraumatic Stress Disorder.

IF 2.3 3区 医学 Q2 PSYCHIATRY
Journal of Trauma & Dissociation Pub Date : 2024-10-01 Epub Date: 2024-07-25 DOI:10.1080/15299732.2024.2383182
Isabelle Aprigio, Gustavo Gauer
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引用次数: 0

Abstract

Victims of traumatic events that involve repeated interpersonal aggression and low or no chance of escape frequently report intense Self-Conscious Emotions (SCEs), such as Shame, Guilt, and Humiliation. Humiliation is the reaction to a forced loss of status and is hypothesized to have unique contributions to the development and maintenance of Posttraumatic Stress Disorder (PTSD) and Complex Posttraumatic Stress Disorder (CPTSD). However, previous studies did not include humiliation or did not simultaneously probe the relative contribution of each SCE to posttraumatic symptoms. This study aimed to investigate the dynamics between specific SCEs and trauma-related symptomatology in the general population who suffered a form of complex trauma. Four hundred forty-nine people (77.11% women) exposed to domestic violence and sexual abuse answered an online survey. We investigated whether each emotion would accurately predict probable PTSD and CPTSD levels above the proposed cutoff. We estimated a network model to understand the dynamics of their interactions and whether the traumatic event type would moderate relationships between SCEs and posttraumatic stress symptoms, comparing networks of two types of complex trauma. No SCE predicted PTSD, but humiliation was a predictor of CPTSD while controlling for Shame and Guilt. Humiliation was also the most central SCE domain in the networks of both traumatic events. Our results stress the relevance of Humiliation to understanding posttraumatic stress symptoms and the necessity to consider humiliation when studying the emotional processing in complex trauma.

羞辱在复杂创伤后应激障碍中的中心地位。
创伤事件的受害者经常会报告强烈的自我意识情绪(SCE),如羞愧、内疚和羞辱。羞辱是对被迫失去地位的反应,被认为对创伤后应激障碍(PTSD)和复杂创伤后应激障碍(CPTSD)的发展和维持有独特的作用。然而,以前的研究并不包括羞辱,也没有同时探究每种 SCE 对创伤后症状的相对贡献。本研究旨在调查遭受过某种形式复杂创伤的普通人群中特定 SCE 与创伤相关症状之间的动态关系。449 名遭受过家庭暴力和性虐待的人员(77.11% 为女性)回答了在线调查。我们研究了每种情绪是否都能准确预测创伤后应激障碍和 CPTSD 的可能水平,并高于建议的临界值。我们估算了一个网络模型,以了解它们之间相互作用的动态,以及创伤事件类型是否会缓和 SCE 与创伤后应激症状之间的关系,并比较了两种类型的复杂创伤网络。没有 SCE 预测创伤后应激障碍,但在控制羞耻感和内疚感的情况下,羞辱是 CPTSD 的预测因素。羞辱也是两种创伤事件网络中最核心的 SCE 领域。我们的研究结果强调了羞辱与理解创伤后应激症状的相关性,以及在研究复杂创伤的情绪处理时考虑羞辱的必要性。
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
CiteScore
6.00
自引率
6.10%
发文量
39
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