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Gepubliceerd in: Cognitive Therapy and Research 6/2016

03-06-2016 | Original Article

An Examination of the Specific Associations Between Facets of Difficulties in Emotion Regulation and Posttraumatic Stress Symptom Clusters

Auteurs: Nicole A. Short, Aaron M. Norr, Brittany M. Mathes, Mary E. Oglesby, Norman B. Schmidt

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2016

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Abstract

Prior research has shown that difficulties in emotion regulation is associated with overall levels of posttraumatic stress symptoms (PTSS). However, it is currently unclear which facets of difficulties in emotion regulation (e.g., lack of emotion regulation strategies, impulse control problems, non-acceptance of emotional responses) are associated with specific PTSS clusters. This information may be valuable in refining treatment approaches in PTSS. The aim of the current study was to use structural equation modeling to test the relationships between Difficulties in Emotion Regulation Scale (DERS) subfactors and PTSS in a trauma-exposed community sample (N = 746). Results indicated that impulse control difficulties were most consistently associated across PTSS clusters (i.e., re-experiencing, avoidance, and hyperarousal), while lack of emotion regulation strategies and emotional clarity were uniquely associated with numbing symptoms, after covarying for neuroticism. However, other facets of difficulties in emotion regulation (i.e., non-acceptance of emotional responses and difficulties engaging in goal-directed behavior while upset) were not associated with PTSS. These findings provide further support for the role of difficulties in emotion regulation in specific PTSS clusters. Additionally, they suggest that impulse control problems may be important in the development of most PTSS and thus most beneficial to target clinically, while lack of emotional clarity and effective emotion regulation strategies may be specific to numbing symptoms.
Literatuur
go back to reference Asmundson, G. J., Frombach, I., McQuaid, J., Pedrelli, P., Lenox, R., & Stein, M. B. (2000). Dimensionality of posttraumatic stress symptoms: A confirmatory factor analysis of DSM-IV symptom clusters and other symptom models. Behaviour Research and Therapy, 38, 203–214. doi: 10.​1016/​S0005-7967(99)00061-3. PubMedCrossRef Asmundson, G. J., Frombach, I., McQuaid, J., Pedrelli, P., Lenox, R., & Stein, M. B. (2000). Dimensionality of posttraumatic stress symptoms: A confirmatory factor analysis of DSM-IV symptom clusters and other symptom models. Behaviour Research and Therapy, 38, 203–214. doi: 10.​1016/​S0005-7967(99)00061-3. PubMedCrossRef
go back to reference Bardeen, J. R., Fergus, T. A., & Orcutt, H. K. (2012). An examination of the latent structure of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 34(3), 382–392. doi: 10.​1007/​s10862-012-9280-y. CrossRef Bardeen, J. R., Fergus, T. A., & Orcutt, H. K. (2012). An examination of the latent structure of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 34(3), 382–392. doi: 10.​1007/​s10862-012-9280-y. CrossRef
go back to reference Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (Vol. 154). Newbury Park, CA: Sage Publications. Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (Vol. 154). Newbury Park, CA: Sage Publications.
go back to reference Chard, K. M., Schumm, J. A., McIlvain, S. M., Bailey, G. W., & Parkinson, R. B. (2011). Exploring the efficacy of a residential treatment program incorporating cognitive processing therapy-cognitive for veterans with PTSD and traumatic brain injury. Journal of Traumatic Stress, 24(3), 347–351. doi: 10.​1002/​jts.​20644. PubMedCrossRef Chard, K. M., Schumm, J. A., McIlvain, S. M., Bailey, G. W., & Parkinson, R. B. (2011). Exploring the efficacy of a residential treatment program incorporating cognitive processing therapy-cognitive for veterans with PTSD and traumatic brain injury. Journal of Traumatic Stress, 24(3), 347–351. doi: 10.​1002/​jts.​20644. PubMedCrossRef
go back to reference Cloitre, M., Koenen, K. C., Cohen, L. R., & Han, H. (2002). Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuse. Journal of Consulting and Clinical Psychology, 70(5), 1067–1074. doi: 10.​1037/​0022-006X.​70.​5.​1067. PubMedCrossRef Cloitre, M., Koenen, K. C., Cohen, L. R., & Han, H. (2002). Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuse. Journal of Consulting and Clinical Psychology, 70(5), 1067–1074. doi: 10.​1037/​0022-006X.​70.​5.​1067. PubMedCrossRef
go back to reference Curran, P. J., West, S. G., & Finch, J. F. (1996). The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis. Psychological Methods, 1(1), 16. CrossRef Curran, P. J., West, S. G., & Finch, J. F. (1996). The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis. Psychological Methods, 1(1), 16. CrossRef
go back to reference Ehring, T., Fischer, S., Schnülle, J., Bösterling, A., & Tuschen-Caffier, B. (2008). Characteristics of emotion regulation in recovered depressed versus never depressed individuals. Personality and Individual Differences, 44(7), 1574–1584. doi: 10.​1016/​j.​paid.​2008.​01.​013. CrossRef Ehring, T., Fischer, S., Schnülle, J., Bösterling, A., & Tuschen-Caffier, B. (2008). Characteristics of emotion regulation in recovered depressed versus never depressed individuals. Personality and Individual Differences, 44(7), 1574–1584. doi: 10.​1016/​j.​paid.​2008.​01.​013. CrossRef
go back to reference Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. doi: 10.​1023/​B:​JOBA.​0000007455.​08539.​94. CrossRef Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. doi: 10.​1023/​B:​JOBA.​0000007455.​08539.​94. CrossRef
go back to reference Hoge, C. W., Riviere, L. A., Wilk, J. E., Herrell, R. K., & Weathers, F. W. (2014). The prevalence of post-traumatic stress disorder (PTSD) in US combat soldiers: A head-to-head comparison of DSM-5 versus DSM-IV-TR symptom criteria with the PTSD checklist. The Lancet Psychiatry, 1(4), 269–277. doi: 10.​1016/​S2215-0366(14)70235-4. PubMedCrossRef Hoge, C. W., Riviere, L. A., Wilk, J. E., Herrell, R. K., & Weathers, F. W. (2014). The prevalence of post-traumatic stress disorder (PTSD) in US combat soldiers: A head-to-head comparison of DSM-5 versus DSM-IV-TR symptom criteria with the PTSD checklist. The Lancet Psychiatry, 1(4), 269–277. doi: 10.​1016/​S2215-0366(14)70235-4. PubMedCrossRef
go back to reference Hom, M. A., Stanley, I. H., Rogers, M. L., Tzoneva, M., Bernert, R. A., & Joiner, T. E. (2015). The association between sleep disturbances and depression among firefighters: Emotion dysregulation as an explanatory factor. Journal of Clinical Sleep Medicine, 12(2), 235–245. CrossRef Hom, M. A., Stanley, I. H., Rogers, M. L., Tzoneva, M., Bernert, R. A., & Joiner, T. E. (2015). The association between sleep disturbances and depression among firefighters: Emotion dysregulation as an explanatory factor. Journal of Clinical Sleep Medicine, 12(2), 235–245. CrossRef
go back to reference Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. doi: 10.​1080/​1070551990954011​8. CrossRef Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. doi: 10.​1080/​1070551990954011​8. CrossRef
go back to reference John, O. P., Donahue, E. M., & Kentle, R. L. (1991). The big five inventory—Versions 4a and 54. Berkeley: University of California, Berkeley, Institute of Personality and Social Research. John, O. P., Donahue, E. M., & Kentle, R. L. (1991). The big five inventory—Versions 4a and 54. Berkeley: University of California, Berkeley, Institute of Personality and Social Research.
go back to reference John, O. P., & Srivastava, S. (1999). The big five trait taxonomy: History, measurement, and theoretical perspectives. Handbook of personality: Theory and Research, 2(1999), 102–138. John, O. P., & Srivastava, S. (1999). The big five trait taxonomy: History, measurement, and theoretical perspectives. Handbook of personality: Theory and Research, 2(1999), 102–138.
go back to reference Kessler, R. C. (2000). Posttraumatic stress disorder: The burden to the individual and to society. Journal of Clinical Psychiatry, 61(S5), 4–12. PubMed Kessler, R. C. (2000). Posttraumatic stress disorder: The burden to the individual and to society. Journal of Clinical Psychiatry, 61(S5), 4–12. PubMed
go back to reference King, D., Leskin, G., King, L., & Weathers, F. (1998). Confirmatory factor analysis of the Clinician-Administered PTSD Scale: Evidence for the dimensionality of posttraumatic stress disorder. Psychological Assessment, 10, 90–96. doi: 10.​1037/​1040-3590.​10.​2.​90. CrossRef King, D., Leskin, G., King, L., & Weathers, F. (1998). Confirmatory factor analysis of the Clinician-Administered PTSD Scale: Evidence for the dimensionality of posttraumatic stress disorder. Psychological Assessment, 10, 90–96. doi: 10.​1037/​1040-3590.​10.​2.​90. CrossRef
go back to reference Loncar, M., Plasc, I. D., Bunjevac, T., Hrabac, P., Jaksic, N., Kozina, S., & Marcinko, D. (2014). Predicting symptom clusters of posttraumatic stress disorder (PTSD) in Croatian war veterans: the role of socio-demographics, war experiences and subjective quality of life. Psychiatria Danubina, 26, 231–238. PubMed Loncar, M., Plasc, I. D., Bunjevac, T., Hrabac, P., Jaksic, N., Kozina, S., & Marcinko, D. (2014). Predicting symptom clusters of posttraumatic stress disorder (PTSD) in Croatian war veterans: the role of socio-demographics, war experiences and subjective quality of life. Psychiatria Danubina, 26, 231–238. PubMed
go back to reference Muthén, B. O., & Muthén, P. K. (1998–2012). Mplus user’s guide (Vol. 7th Edition). Muthen & Muthen: Los Angeles, CA. Muthén, B. O., & Muthén, P. K. (1998–2012). Mplus user’s guide (Vol. 7th Edition). Muthen & Muthen: Los Angeles, CA.
go back to reference O’Bryan, E. M., McLeish, A. C., Kraemer, K. M., & Fleming, J. B. (2015). Emotion regulation difficulties and posttraumatic stress disorder symptom cluster severity among trauma-exposed college students. Psychological Trauma: Theory, Research, Practice, and Policy, 7(2), 131–137. doi: 10.​1037/​a0037764. CrossRef O’Bryan, E. M., McLeish, A. C., Kraemer, K. M., & Fleming, J. B. (2015). Emotion regulation difficulties and posttraumatic stress disorder symptom cluster severity among trauma-exposed college students. Psychological Trauma: Theory, Research, Practice, and Policy, 7(2), 131–137. doi: 10.​1037/​a0037764. CrossRef
go back to reference Rothbaum, B. O., Foa, E. B., Riggs, D. S., Murdock, T., & Walsh, W. (1992). A prospective examination of post-traumatic stress disorder in rape victims. Journal of Traumatic Stress, 5(3), 455–475. doi: 10.​1002/​jts.​2490050309. CrossRef Rothbaum, B. O., Foa, E. B., Riggs, D. S., Murdock, T., & Walsh, W. (1992). A prospective examination of post-traumatic stress disorder in rape victims. Journal of Traumatic Stress, 5(3), 455–475. doi: 10.​1002/​jts.​2490050309. CrossRef
go back to reference Steil, R., Dyer, A., Priebe, K., Kleindienst, N., & Bohus, M. (2011). Dialectical behavior therapy for posttraumatic stress disorder related to childhood sexual abuse: A pilot study of an intensive residential treatment program. Journal of Traumatic Stress, 24(1), 102–106. doi: 10.​1002/​jts.​20617. PubMedCrossRef Steil, R., Dyer, A., Priebe, K., Kleindienst, N., & Bohus, M. (2011). Dialectical behavior therapy for posttraumatic stress disorder related to childhood sexual abuse: A pilot study of an intensive residential treatment program. Journal of Traumatic Stress, 24(1), 102–106. doi: 10.​1002/​jts.​20617. PubMedCrossRef
go back to reference Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (1993). The PTSD checklist (PCL): Reliability, validity, and diagnostic utility. In Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX. Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (1993). The PTSD checklist (PCL): Reliability, validity, and diagnostic utility. In Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX.
Metagegevens
Titel
An Examination of the Specific Associations Between Facets of Difficulties in Emotion Regulation and Posttraumatic Stress Symptom Clusters
Auteurs
Nicole A. Short
Aaron M. Norr
Brittany M. Mathes
Mary E. Oglesby
Norman B. Schmidt
Publicatiedatum
03-06-2016
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 6/2016
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-016-9787-8

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