探索创伤后应激障碍症状与失调的积极情绪过程的共同发生:一个网络分析

IF 4.8 2区 医学 Q1 PSYCHIATRY
Siyuan Wang , Madeline M. Rodenbaugh , Casey Straud , Nicole H. Weiss , Ateka A. Contractor
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引用次数: 0

摘要

新兴研究表明,积极情绪过程在创伤后应激障碍(PTSD)症状学中起着重要作用。为了扩展本研究,我们利用网络方法来研究创伤后应激障碍症状群(入侵、回避、认知和情绪的负面改变[ncm]、觉醒和反应性的改变[AAR])与失调的积极情绪过程(积极情绪水平、自我关注的积极反刍、情绪关注的积极反刍、抑制、冲动控制困难、参与目标导向行为的困难、自我关注的积极反刍)之间的关系。不接受积极情绪)。具体而言,我们研究了PTSD症状群与积极情绪过程之间的差异关系,以及与这些结构(即社区)最密切相关的症状。样本包括从亚马逊MTurk招募的191名创伤暴露的成年人(年龄= 38.54 ± 10.99岁,53.4% %为女性,63.4 %可能患有PTSD)。生成一个正则化高斯图形模型,该模型由4个节点代表PTSD症状集群共同体,7个节点代表积极情绪过程共同体组成。各群落间最强的正相关是naco -dampening边和AAR-dampening边。社区间连通性最高的桥状症状为阻尼、AAR、侵入、ncm和冲动控制困难。总的来说,本研究表明了将积极情绪过程纳入PTSD概念化的重要性。我们的研究结果还强调,在经历积极情绪时抑制积极情绪和冲动控制困难可能是创伤后应激障碍治疗的有意义的目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the co-occurrence of posttraumatic stress disorder symptoms and dysregulated positive emotion processes: A network analysis
Emerging research indicates an important role of positive emotion processes in posttraumatic stress disorder (PTSD) symptomatology. To extend this research, we utilized a network approach to examine associations between PTSD symptom clusters (intrusions, avoidance, negative alterations in cognition and mood [NACM], alterations in arousal and reactivity [AAR]) and dysregulated positive emotion processes (levels of positive affect, self-focused positive rumination, emotion-focused positive rumination, dampening, impulse control difficulties, difficulties engaging in goal-directed behaviors, nonacceptance of positive emotions). Specifically, we examined differential relations between PTSD symptom clusters and positive emotion processes, and symptoms that most strongly connected these constructs (i.e., communities). The sample included 191 trauma-exposed adults recruited from Amazon’s MTurk ( Mage = 38.54 ± 10.99 years, 53.4 % women, 63.4 % with probable PTSD). A regularized Guassian Graphic Model consisting of four nodes representing the PTSD symptom clusters’ community and seven nodes representing the positive emotion processes' community was generated. The strongest positive associations across communities were the NACM-dampening and the AAR-dampening edges. Bridge symptoms with the highest inter-community connectivity were dampening, AAR, intrusions, NACM, and impulse control difficulties. Overall, this study indicates the importance of incorporating positive emotion processes in the conceptualization of PTSD. Our results also highlight that dampening of positive emotions and difficulties with impulse control while experiencing positive emotions may be meaningful targets in PTSD treatment.
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来源期刊
CiteScore
16.60
自引率
2.90%
发文量
95
期刊介绍: The Journal of Anxiety Disorders is an interdisciplinary journal that publishes research papers on all aspects of anxiety disorders for individuals of all age groups, including children, adolescents, adults, and the elderly. Manuscripts that focus on disorders previously classified as anxiety disorders such as obsessive-compulsive disorder and posttraumatic stress disorder, as well as the new category of illness anxiety disorder, are also within the scope of the journal. The research areas of focus include traditional, behavioral, cognitive, and biological assessment; diagnosis and classification; psychosocial and psychopharmacological treatment; genetics; epidemiology; and prevention. The journal welcomes theoretical and review articles that significantly contribute to current knowledge in the field. It is abstracted and indexed in various databases such as Elsevier, BIOBASE, PubMed/Medline, PsycINFO, BIOSIS Citation Index, BRS Data, Current Contents - Social & Behavioral Sciences, Pascal Francis, Scopus, and Google Scholar.
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