Emotion regulation strategy use in PTSD: A daily life study.


Journal

Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073

Informations de publication

Date de publication:
01 10 2023
Historique:
received: 27 02 2023
revised: 02 06 2023
accepted: 07 06 2023
medline: 17 7 2023
pubmed: 12 6 2023
entrez: 11 6 2023
Statut: ppublish

Résumé

Posttraumatic Stress Disorder is associated with emotion regulation difficulties. However, our understanding of these difficulties has been limited by the reliance of previous work on retrospective trait self-reports, which are unable to capture dynamic, ecologically-valid use of emotion regulation strategies. To address this issue, this study used an ecological momentary assessment (EMA) design to understand the impact of PTSD on emotion regulation in daily life. We conducted an EMA study in a trauma exposed sample with varying levels of PTSD severity (N = 70; 7 days; 423 observations). We found that PTSD severity was linked to greater use of disengagement and perseverative-based strategies to manage negative emotions, regardless of emotional intensity. Study design did not allow investigation into the temporal use of emotion regulation strategies and small sample size. This pattern of responding to emotions may interfere with engaging with the fear structure and thus impair emotion processing in current frontline treatments; clinical implications are discussed.

Sections du résumé

BACKGROUND
Posttraumatic Stress Disorder is associated with emotion regulation difficulties. However, our understanding of these difficulties has been limited by the reliance of previous work on retrospective trait self-reports, which are unable to capture dynamic, ecologically-valid use of emotion regulation strategies.
METHODS
To address this issue, this study used an ecological momentary assessment (EMA) design to understand the impact of PTSD on emotion regulation in daily life. We conducted an EMA study in a trauma exposed sample with varying levels of PTSD severity (N = 70; 7 days; 423 observations).
RESULTS
We found that PTSD severity was linked to greater use of disengagement and perseverative-based strategies to manage negative emotions, regardless of emotional intensity.
LIMITATIONS
Study design did not allow investigation into the temporal use of emotion regulation strategies and small sample size.
CONCLUSIONS
This pattern of responding to emotions may interfere with engaging with the fear structure and thus impair emotion processing in current frontline treatments; clinical implications are discussed.

Identifiants

pubmed: 37302510
pii: S0165-0327(23)00789-9
doi: 10.1016/j.jad.2023.06.023
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

365-372

Informations de copyright

Copyright © 2023. Published by Elsevier B.V.

Déclaration de conflit d'intérêts

Declaration of competing interest We have no known conflict of interest to disclose.

Auteurs

Hope O'Brien (H)

Phoenix Australia-Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Parkville, VIC, Australia. Electronic address: hoob@unimelb.edu.au.

Elise K Kalokerinos (EK)

Melbourne School of Psychological Sciences, University of Melbourne, Parkville, VIC, Australia.

Kim Felmingham (K)

Phoenix Australia-Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Parkville, VIC, Australia; Melbourne School of Psychological Sciences, University of Melbourne, Parkville, VIC, Australia.

Winnie Lau (W)

Phoenix Australia-Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Parkville, VIC, Australia.

Meaghan O'Donnell (M)

Phoenix Australia-Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Parkville, VIC, Australia.

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Classifications MeSH