创伤后应激障碍的不良认知与情绪调节

Nawal Ouhmad, W. El-Hage, N. Combalbert
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摘要

背景:创伤后应激障碍导致认知功能的改变,比如情绪调节和认知扭曲的产生。目的:探讨创伤后应激障碍对情绪调节和认知扭曲产生的影响。方法:将180例患者分为3组进行组间比较。第一组(n=60)从精神创伤中心招募,第二组(n=60)从受害者支持协会招募,第三组(n=60)从普通人群中招募。所有参与者完成了经伦理委员会验证的问卷,包括PCL-5、LEC -5、CERQ、DES和EDC-A。结果:创伤后应激障碍个体产生更多的负性认知扭曲,使用更多的不良情绪调节策略。负性认知扭曲的产生与不良情绪调节策略正相关。这种关系维持了创伤后应激障碍症状的严重性。结论:创伤后应激障碍组的临床表现最为不利,为今后的治疗提供了指导。此外,中间组的存在仍然相关,因为它允许我们识别观察到的变化的变化。将这里使用的实验设计扩展到可能导致特定类型障碍的创伤性事件的研究上将是相关的。”
本文章由计算机程序翻译,如有差异,请以英文原文为准。
MALADAPTIVE COGNITIONS AND EMOTIONAL REGULATION IN PTSD
"Background: PTSD causes alterations in cognitive functioning like in emotional regulation and the production of cognitive distortions. Objective: To determine how PTSD impacts emotional regulation and the production of cognitive distortions. Method: An intergroup comparison was performed on the 180 participants divided into 3 groups. First group (n=60) was recruited from a psychotrauma center, second group (n=60) was recruited from victim support associations, and third group (n=60) was recruited from the general population. All participants completed a questionnaire validated by the ethics committee, including the PCL-5, LEC 5, CERQ, DES, and EDC-A. Results: Outcomes indicate that individuals with PTSD produce more negative cognitive distortions and use more maladaptive emotion regulation strategies. Furthermore, the production of negative cognitive distortions and maladaptive emotion regulation strategies are positively correlated. This relationship maintains the severity of PTSD symptoms. Conclusion: The results confirm that the PTSD group has the most unfavorable clinical picture, which gives indications on the management to be put in place. Moreover, the presence of the intermediate group remains relevant since it allows us to identify changes in the observed alterations. It would be relevant to extend the experimental design used here to the study of traumatic events that may cause a specific type of disorder."
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