Facets of emotion regulation and posttraumatic stress: An indirect effect via peritraumatic dissociation

Alyssa C. Jones; Christal L. Badour; C. Alex Brake; Caitlyn O. Hood; Matthew T. Feldner

doi:10.1007/s10608-018-9899-4

Facets of emotion regulation and posttraumatic stress: An indirect effect via peritraumatic dissociation

Alyssa C. Jones, Christal L. Badour, C. Alex Brake, Caitlyn O. Hood, Matthew T. Feldner

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Research suggests important associations between emotion regulation difficulties and posttraumatic stress disorder (PTSD) symptomology, with prospective studies indicating that emotion regulation difficulties may lead to increased PTSD symptoms. Peritraumatic dissociation is considered an important and consistent predictor of PTSD symptoms. The present study examines whether peritraumatic dissociation accounts for associations between facets of emotion regulation difficulties and PTSD symptoms. Adult women with a history of sexual victimization participated in an interview to assess past-month PTSD symptoms and self-report questionnaires to assess peritraumatic dissociation and emotion regulation difficulties. Results showed a partial indirect effect of three facets of emotion regulation difficulties (i.e., nonacceptance of negative emotional responses, limited access to emotion regulation strategies perceived as effective in the context of distress, and impulse control difficulties when experiencing negative emotions) on PTSD symptoms through peritraumatic dissociation. Reverse indirect effects models were also explored. The present study offers preliminary evidence that peritraumatic dissociation by traumatized individuals may signal the presence of specific emotion regulation deficits, which may indicate increased risk of heightened PTSD severity.

Original language	English
Pages (from-to)	497-509
Number of pages	13
Journal	Cognitive Therapy and Research
Volume	42
Issue number	4
DOIs	https://doi.org/10.1007/s10608-018-9899-4
State	Published - Mar 2 2018

Bibliographical note

Publisher Copyright:
© Springer Science+Business Media, LLC, part of Springer Nature 2018.

Funding

Funding This research was supported by a grant from the National Institute of Mental Health (F31 MH-092994; PI: Badour). Dr. Badour receives support from a K12 award (DA-0355150; PI: Thomas Curry) through the National Institute on Drug Abuse (NIDA) and the Office for Research on Women’s Health (ORWH). Ms. Jones receives support from the Office for Policy Studies on Violence Against Women (OPSVAW) at the University of Kentucky. These views do not necessarily represent those of the National Institutes of Health. This research was supported by a grant from the National Institute of Mental Health (F31 MH-092994; PI: Badour). Dr. Badour receives support from a K12 award (DA-0355150; PI: Thomas Curry) through the National Institute on Drug Abuse (NIDA) and the Office for Research on Women?s Health (ORWH). Ms. Jones receives support from the Office for Policy Studies on Violence Against Women (OPSVAW) at the University of Kentucky. These views do not necessarily represent those of the National Institutes of Health.

Funders	Funder number
Office for Research on Women?s Health
Office for Research on Women’s Health
National Institutes of Health (NIH)
National Institute of Mental Health	F31 MH-092994, DA-0355150
National Institute on Drug Abuse
University of Kentucky

Keywords

Dissociation
Emotion regulation
PTSD
Posttraumatic stress

ASJC Scopus subject areas

Experimental and Cognitive Psychology
Clinical Psychology

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10.1007/s10608-018-9899-4

Cite this

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abstract = "Research suggests important associations between emotion regulation difficulties and posttraumatic stress disorder (PTSD) symptomology, with prospective studies indicating that emotion regulation difficulties may lead to increased PTSD symptoms. Peritraumatic dissociation is considered an important and consistent predictor of PTSD symptoms. The present study examines whether peritraumatic dissociation accounts for associations between facets of emotion regulation difficulties and PTSD symptoms. Adult women with a history of sexual victimization participated in an interview to assess past-month PTSD symptoms and self-report questionnaires to assess peritraumatic dissociation and emotion regulation difficulties. Results showed a partial indirect effect of three facets of emotion regulation difficulties (i.e., nonacceptance of negative emotional responses, limited access to emotion regulation strategies perceived as effective in the context of distress, and impulse control difficulties when experiencing negative emotions) on PTSD symptoms through peritraumatic dissociation. Reverse indirect effects models were also explored. The present study offers preliminary evidence that peritraumatic dissociation by traumatized individuals may signal the presence of specific emotion regulation deficits, which may indicate increased risk of heightened PTSD severity.",

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AU - Feldner, Matthew T.

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N2 - Research suggests important associations between emotion regulation difficulties and posttraumatic stress disorder (PTSD) symptomology, with prospective studies indicating that emotion regulation difficulties may lead to increased PTSD symptoms. Peritraumatic dissociation is considered an important and consistent predictor of PTSD symptoms. The present study examines whether peritraumatic dissociation accounts for associations between facets of emotion regulation difficulties and PTSD symptoms. Adult women with a history of sexual victimization participated in an interview to assess past-month PTSD symptoms and self-report questionnaires to assess peritraumatic dissociation and emotion regulation difficulties. Results showed a partial indirect effect of three facets of emotion regulation difficulties (i.e., nonacceptance of negative emotional responses, limited access to emotion regulation strategies perceived as effective in the context of distress, and impulse control difficulties when experiencing negative emotions) on PTSD symptoms through peritraumatic dissociation. Reverse indirect effects models were also explored. The present study offers preliminary evidence that peritraumatic dissociation by traumatized individuals may signal the presence of specific emotion regulation deficits, which may indicate increased risk of heightened PTSD severity.

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Facets of emotion regulation and posttraumatic stress: An indirect effect via peritraumatic dissociation

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

Access to Document

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