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05-03-2024

Ecological Momentary Assessment of Positive and Negative Affect in Posttraumatic Stress Disorder

Auteurs: Bunmi O. Olatunji, Qimin Liu, Rebecca C. Cox, Sarah C. Jessup

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment

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Abstract

Although posttraumatic stress disorder (PTSD) is characterized by negative affect (NA), much less is known about daily fluctuations in positive affect (PA) and its association with NA in PTSD. In the present study, participants with sexual assault-related PTSD (n = 19), a sexual assault experience without PTSD (n = 20), and healthy controls (n = 21) completed an ecological momentary assessment (EMA) where they reported positive and negative affect in the morning, afternoon, and evening for one week. The results showed that those with PTSD reported less daily positive affect independent of momentary negative affect and more daily negative affect independent of momentary positive affect than controls. Examination of directional affective valence (positive affect minus negative affect) also indicated overall more negative affect among those with PTSD compared to controls. However, those who experienced sexual assault without PTSD did not differ from controls in daily positive affect, daily negative affect, or directional affective valence. Although there was no evidence of differences in daily levels of positive and negative affect as a function of time of day among those with PTSD, decreased positive affect was observed in the evening among those who experienced sexual assault without PTSD. These findings suggest that PTSD is characterized by independent momentary increases in negative affect as well as independent momentary decreases in positive affect, both of which should be addressed during the course of evidence-based treatment.
Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.
go back to reference American Psychiatric Association (Ed.). (2022). Diagnostic and statistical manual of mental disorders: DSM-5-TR. American Psychiatric Association Publishing. Fifth edition, text revision). American Psychiatric Association (Ed.). (2022). Diagnostic and statistical manual of mental disorders: DSM-5-TR. American Psychiatric Association Publishing. Fifth edition, text revision).
go back to reference Benfer, N., Bardeen, J. R., Spitzer, E. G., & Rogers, T. A. (2021). A network analysis of two conceptual approaches to the etiology of PTSD. Journal of Anxiety Disorders, 84, 102479.CrossRefPubMed Benfer, N., Bardeen, J. R., Spitzer, E. G., & Rogers, T. A. (2021). A network analysis of two conceptual approaches to the etiology of PTSD. Journal of Anxiety Disorders, 84, 102479.CrossRefPubMed
go back to reference Bradley, R., Greene, J., Russ, E., Dutra, L., & Westen, D. (2005). A multidimensional meta-analysis of psychotherapy for PTSD. American Journal of Psychiatry, 162, 214–227.CrossRefPubMed Bradley, R., Greene, J., Russ, E., Dutra, L., & Westen, D. (2005). A multidimensional meta-analysis of psychotherapy for PTSD. American Journal of Psychiatry, 162, 214–227.CrossRefPubMed
go back to reference Brake, C. A., Adams, T. G., Hood, C. O., & Badour, C. L. (2019). Posttraumatic mental contamination and the interpersonal psychological theory of suicide: Effects via DSM-5 PTSD symptom clusters. Cognitive Therapy and Research, 43, 259–271.CrossRefPubMed Brake, C. A., Adams, T. G., Hood, C. O., & Badour, C. L. (2019). Posttraumatic mental contamination and the interpersonal psychological theory of suicide: Effects via DSM-5 PTSD symptom clusters. Cognitive Therapy and Research, 43, 259–271.CrossRefPubMed
go back to reference Craske, M. G., Meuret, A. E., Ritz, T., Treanor, M., Dour, H., & Rosenfield, D. (2019). Positive affect treatment for depression and anxiety: A randomized clinical trial for a core feature of anhedonia. Journal of Consulting and Clinical Psychology, 87(5), 457–471.CrossRefPubMed Craske, M. G., Meuret, A. E., Ritz, T., Treanor, M., Dour, H., & Rosenfield, D. (2019). Positive affect treatment for depression and anxiety: A randomized clinical trial for a core feature of anhedonia. Journal of Consulting and Clinical Psychology, 87(5), 457–471.CrossRefPubMed
go back to reference Cunningham, K. C. (2020). Shame and guilt in PTSD. In M. T. Tull, & N. A. Kimbrel (Eds.), Emotion in posttraumatic stress disorder: Etiology, assessment, neurobiology, and treatment (pp. 145–171). Elsevier Academic. Cunningham, K. C. (2020). Shame and guilt in PTSD. In M. T. Tull, & N. A. Kimbrel (Eds.), Emotion in posttraumatic stress disorder: Etiology, assessment, neurobiology, and treatment (pp. 145–171). Elsevier Academic.
go back to reference Davidson, R. J. (1998). Affective style and affective disorders: Perspectives from affective neuroscience. Cognition and Emotion, 12, 307–330.CrossRef Davidson, R. J. (1998). Affective style and affective disorders: Perspectives from affective neuroscience. Cognition and Emotion, 12, 307–330.CrossRef
go back to reference Davidson, R. J., Marshall, J. R., Tomarken, A. J., & Henriques, J. B. (2000). While a phobic waits: Regional brain electrical and autonomic activity in social phobics during anticipation of public speaking. Biological Psychiatry, 47, 85–95.CrossRefPubMed Davidson, R. J., Marshall, J. R., Tomarken, A. J., & Henriques, J. B. (2000). While a phobic waits: Regional brain electrical and autonomic activity in social phobics during anticipation of public speaking. Biological Psychiatry, 47, 85–95.CrossRefPubMed
go back to reference Dedert, E., Dennis, P. A., Swinkels, C. M., Calhoun, P. S., Dennis, M. F., & Beckham, J. C. (2014). Ecological Momentary Assessment of Posttraumatic stress disorder symptoms during a smoking quit attempt. Nicotine & Tobacco Research, 16, 430–436. https://doi.org/10.1093/ntr/ntt167.CrossRef Dedert, E., Dennis, P. A., Swinkels, C. M., Calhoun, P. S., Dennis, M. F., & Beckham, J. C. (2014). Ecological Momentary Assessment of Posttraumatic stress disorder symptoms during a smoking quit attempt. Nicotine & Tobacco Research, 16, 430–436. https://​doi.​org/​10.​1093/​ntr/​ntt167.CrossRef
go back to reference Dewey, D., McDonald, M. K., Brown, W. J., Boyd, S. J., Bunnell, B. E., & Schuldberg, D. (2015). The impact of ecological momentary assessment on posttraumatic stress symptom trajectory. Psychiatry Research, 230(2), 300–303.CrossRefPubMed Dewey, D., McDonald, M. K., Brown, W. J., Boyd, S. J., Bunnell, B. E., & Schuldberg, D. (2015). The impact of ecological momentary assessment on posttraumatic stress symptom trajectory. Psychiatry Research, 230(2), 300–303.CrossRefPubMed
go back to reference Dornbach-Bender, A., Ruggero, C. J., Schuler, K., Contractor, A. A., Waszczuk, M., Kleva, C. S., & Kotov, R. (2020a). Positive and negative affect in the daily life of world trade center responders with PTSD: An ecological momentary assessment study. Psychological Trauma: Theory Research Practice and Policy, 12(1), 75–83.CrossRefPubMed Dornbach-Bender, A., Ruggero, C. J., Schuler, K., Contractor, A. A., Waszczuk, M., Kleva, C. S., & Kotov, R. (2020a). Positive and negative affect in the daily life of world trade center responders with PTSD: An ecological momentary assessment study. Psychological Trauma: Theory Research Practice and Policy, 12(1), 75–83.CrossRefPubMed
go back to reference Emens, J. S., Berman, A. M., Thosar, S. S., Butler, M. P., Roberts, S. A., Clemons, N. A., Herzig, M. X., McHill, A. W., Morimoto, M., Bowles, N. P., & Shea, S. A. (2020). Circadian rhythm in negative affect: Implications for mood disorders. Psychiatry Research, 293, https://doi.org/10.1016/j.psychres.2020.113337. Article 113337. Emens, J. S., Berman, A. M., Thosar, S. S., Butler, M. P., Roberts, S. A., Clemons, N. A., Herzig, M. X., McHill, A. W., Morimoto, M., Bowles, N. P., & Shea, S. A. (2020). Circadian rhythm in negative affect: Implications for mood disorders. Psychiatry Research, 293, https://​doi.​org/​10.​1016/​j.​psychres.​2020.​113337. Article 113337.
go back to reference Feldner, M. T., Frala, J., Badour, C., Leen-Feldner, E. W., & Olatunji, B. O. (2010). An empirical test of the association between disgust and sexual assault. International Journal of Cognitive Therapy, 3, 11–22.CrossRef Feldner, M. T., Frala, J., Badour, C., Leen-Feldner, E. W., & Olatunji, B. O. (2010). An empirical test of the association between disgust and sexual assault. International Journal of Cognitive Therapy, 3, 11–22.CrossRef
go back to reference Hopper, J. W., Pitman, R. K., Su, Z., Heyman, G. M., Lasko, N. B., Macklin, M. L., et al. (2008). Probing reward function in posttraumatic stress disorder: Expectancy and satisfaction with monetary gains and losses. Journal of Psychiatric Research, 42, 802–807.CrossRefPubMedPubMedCentral Hopper, J. W., Pitman, R. K., Su, Z., Heyman, G. M., Lasko, N. B., Macklin, M. L., et al. (2008). Probing reward function in posttraumatic stress disorder: Expectancy and satisfaction with monetary gains and losses. Journal of Psychiatric Research, 42, 802–807.CrossRefPubMedPubMedCentral
go back to reference Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048–1060.Koss, M. P., Abbey, A., Campbell, R., Cook, S., Norris, J., Testa, M., … White, J. (2007). Revising the SES: A collaborative process to improve assessment of sexual aggression and victimization. Psychology of Women Quarterly, 31(4), 357–370. https://doi.org/10.1111/j.1471-6402.2007.00385.x. Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048–1060.Koss, M. P., Abbey, A., Campbell, R., Cook, S., Norris, J., Testa, M., … White, J. (2007). Revising the SES: A collaborative process to improve assessment of sexual aggression and victimization. Psychology of Women Quarterly, 31(4), 357–370. https://​doi.​org/​10.​1111/​j.​1471-6402.​2007.​00385.​x.
go back to reference Lovibond, S. H., & Lovibond, P. F. (1993). Manual for the Depression anxiety stress scales (DASS). Psychology Foundation Monograph. Lovibond, S. H., & Lovibond, P. F. (1993). Manual for the Depression anxiety stress scales (DASS). Psychology Foundation Monograph.
go back to reference Mackinnon, A., Jorm, A., Christensen, H., Korten, A., Jacomb, P., & Rodgers, B. (1999). A short form of the positive and negative affect schedule: Evaluation of factorial validity and invariance across demographic variables in a community sample. Personality and Individual Differences, 27, 405–416.CrossRef Mackinnon, A., Jorm, A., Christensen, H., Korten, A., Jacomb, P., & Rodgers, B. (1999). A short form of the positive and negative affect schedule: Evaluation of factorial validity and invariance across demographic variables in a community sample. Personality and Individual Differences, 27, 405–416.CrossRef
go back to reference Murray, G. (2007). Diurnal mood variation in depression: A signal of disturbed circadian function? Journal of Affective Disorders, 102(1–3), 47–53.CrossRefPubMed Murray, G. (2007). Diurnal mood variation in depression: A signal of disturbed circadian function? Journal of Affective Disorders, 102(1–3), 47–53.CrossRefPubMed
go back to reference Olatunji, B. O., Ciesielski, B., & Tolin, D. (2010). Fear and loathing: A meta-analytic review of the specificity of anger in PTSD. Behavior Therapy, 41, 93–105.CrossRefPubMed Olatunji, B. O., Ciesielski, B., & Tolin, D. (2010). Fear and loathing: A meta-analytic review of the specificity of anger in PTSD. Behavior Therapy, 41, 93–105.CrossRefPubMed
go back to reference Pugach, C. P., Starr, L. R., Silvia, P. J., & Wisco, B. E. (2023b). Negative emotion differentiation in trauma-exposed community members: Associations with posttraumatic stress disorder symptoms in daily life. Journal of Psychopathology and Clinical Science. https://doi.org/10.1037/abn0000851. Advance online publication.CrossRefPubMed Pugach, C. P., Starr, L. R., Silvia, P. J., & Wisco, B. E. (2023b). Negative emotion differentiation in trauma-exposed community members: Associations with posttraumatic stress disorder symptoms in daily life. Journal of Psychopathology and Clinical Science. https://​doi.​org/​10.​1037/​abn0000851. Advance online publication.CrossRefPubMed
go back to reference Raudales, A. M., Yang, M., Forkus, S. R., Kiefer, R., & Weiss, N. H. (2022). Daily reciprocal relations between negative and positive emotion dysregulation and posttraumatic stress symptoms among individuals with a history of sexual assault. Psychiatry Research, 315, 114724.CrossRefPubMed Raudales, A. M., Yang, M., Forkus, S. R., Kiefer, R., & Weiss, N. H. (2022). Daily reciprocal relations between negative and positive emotion dysregulation and posttraumatic stress symptoms among individuals with a history of sexual assault. Psychiatry Research, 315, 114724.CrossRefPubMed
go back to reference Reich, J. W., Zautra, A. J., & Davis, M. (2003). Dimensions of affect relationships: Models and their integrative implications. Review of General Psychology, 7, 66–83.CrossRef Reich, J. W., Zautra, A. J., & Davis, M. (2003). Dimensions of affect relationships: Models and their integrative implications. Review of General Psychology, 7, 66–83.CrossRef
go back to reference Schmukle, S. C., Egloff, B., & Burns, L. R. (2002). The relationship between positive and negative affect in the positive and negative affect schedule. Journal of Research in Personality, 36, 463–475.CrossRef Schmukle, S. C., Egloff, B., & Burns, L. R. (2002). The relationship between positive and negative affect in the positive and negative affect schedule. Journal of Research in Personality, 36, 463–475.CrossRef
go back to reference Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., Hergueta, T., Baker, R., & Dunbar, G. C. (1998). The mini-international neuropsychiatric interview (M.I.N.I): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry, 59(Suppl 20), 22–33.PubMed Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., Hergueta, T., Baker, R., & Dunbar, G. C. (1998). The mini-international neuropsychiatric interview (M.I.N.I): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry, 59(Suppl 20), 22–33.PubMed
go back to reference Tull, M. T., & Kimbrel, N. A. (Eds.). (2020). Emotion in posttraumatic stress disorder: Etiology, assessment, neurobiology, and treatment. Elsevier Academic. Tull, M. T., & Kimbrel, N. A. (Eds.). (2020). Emotion in posttraumatic stress disorder: Etiology, assessment, neurobiology, and treatment. Elsevier Academic.
go back to reference Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 47, 1063–1070.CrossRef Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 47, 1063–1070.CrossRef
go back to reference Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at. www.ptsd.va.gov. Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at. www.​ptsd.​va.​gov.
go back to reference Weems, C. F., Piña, A. A., Costa, N. M., Watts, S. E., Taylor, L. K., & Cannon, M. F. (2007). Pre-disaster trait anxiety and negative affect predict posttraumatic stress in youth after Hurricane Katrina. Journal of Consulting and Clinical Psychology, 75, 154–159.CrossRefPubMed Weems, C. F., Piña, A. A., Costa, N. M., Watts, S. E., Taylor, L. K., & Cannon, M. F. (2007). Pre-disaster trait anxiety and negative affect predict posttraumatic stress in youth after Hurricane Katrina. Journal of Consulting and Clinical Psychology, 75, 154–159.CrossRefPubMed
go back to reference Zautra, A. J., Berkhof, J., & Nicolson, N. A. (2002). Changes in affect interrelations as a function of stressful events. Cognition and Emotion, 16, 309–318.CrossRef Zautra, A. J., Berkhof, J., & Nicolson, N. A. (2002). Changes in affect interrelations as a function of stressful events. Cognition and Emotion, 16, 309–318.CrossRef
go back to reference Zoellner, L. A., Ojalehto, H. J., Rosencrans, P., Walker, R. W., Garcia, N. M., Sheikh, I. S., & Bedard-Gilligan, M. A. (2020). Anxiety and fear in PTSD. In M. T. Tull & N. A. Kimbrel (Eds.), Emotion in posttraumatic stress disorder: Etiology, assessment, neurobiology, and treatment (pp. 43–63). Elsevier Academic Press. https://doi.org/10.1016/B978-0-12-816022-0.00002-8. Zoellner, L. A., Ojalehto, H. J., Rosencrans, P., Walker, R. W., Garcia, N. M., Sheikh, I. S., & Bedard-Gilligan, M. A. (2020). Anxiety and fear in PTSD. In M. T. Tull & N. A. Kimbrel (Eds.), Emotion in posttraumatic stress disorder: Etiology, assessment, neurobiology, and treatment (pp. 43–63). Elsevier Academic Press. https://​doi.​org/​10.​1016/​B978-0-12-816022-0.​00002-8.
Metagegevens
Titel
Ecological Momentary Assessment of Positive and Negative Affect in Posttraumatic Stress Disorder
Auteurs
Bunmi O. Olatunji
Qimin Liu
Rebecca C. Cox
Sarah C. Jessup
Publicatiedatum
05-03-2024
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-024-10126-3