Abstract：
BACKGROUND:Recent research has linked emotion dysregulation with increases in subjective ratings of negative affect (NA reactivity) to trauma reminders, a central symptom of posttraumatic stress disorder (PTSD). The current study adds to this burgeoning line of research by exploring elicited PTSD symptoms as a mechanism explicating the relation between emotion dysregulation and NA reactivity following trauma cue exposure. METHODS:Participants were 60 treatment-seeking marijuana users with insomnia symptoms who reported exposure to a traumatic event. Participants were administered questionnaires assessing emotion dysregulation, PTSD symptoms, and NA prior to and/or after listening to a personalized trauma script, and subsequently completed a diagnostic interview. RESULTS:Results demonstrated that greater emotion dysregulation was associated with heightened NA reactivity through re-experiencing symptoms, but not avoidance or dissociation symptoms, even after accounting for past 30-day PTSD symptom severity and pre-trauma script NA. These effects were driven by the dimensions of emotion dysregulation characterized by nonacceptance of negative emotions and limited access to effective emotion regulation strategies. LIMITATIONS:This study requires replication among other clinical samples, and is limited by use of self-report measures. CONCLUSIONS:Findings provide novel empirical support for one mechanism through which emotion dysregulation may confer vulnerability to PTSD symptomology, and offer implications for refining PTSD treatments.
journal_name
J Affect Disordjournal_title
Journal of affective disordersauthors
Raudales AM,Weiss NH,Schmidt NB,Short NAdoi
10.1016/j.jad.2020.02.028subject
Has Abstractpub_date
2020-04-15 00:00:00pages
203-210eissn
0165-0327issn
1573-2517pii
S0165-0327(19)32517-0journal_volume
267pub_type
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