Skip to main content
Top
Gepubliceerd in:

16-07-2021 | ORIGINAL PAPER

The Mediating Role of Emotion Dysregulation in the Association Between Trait Mindfulness and PTSD Symptoms among Trauma-Exposed Adults

Auteurs: Abigail Powers, Hayley Drew Dixon, Alfonsina Guelfo, Yara Mekawi, Bekh Bradley, Nadine Kaslow, Negar Fani

Gepubliceerd in: Mindfulness | Uitgave 9/2021

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

Growing evidence of the effectiveness of mindfulness-based interventions for posttraumatic stress disorder (PTSD) warrants greater understanding of factors relevant to the relation between trait mindfulness and PTSD, such as emotion dysregulation (ED). The goal of this study was to examine associations between trait mindfulness, ED, and PTSD symptoms across two samples of trauma-exposed adults.

Methods

Participants for Sample 1 (n = 39, 90% women, 100% Black) and Sample 2 (n = 60, 100% women, 87% Black) were recruited from an urban hospital in the South. Trait mindfulness, ED, and PTSD were assessed.

Results

Across both samples, mindfulness and ED were significantly associated with overall PTSD severity (r =  − .49 and r =  − .42, ps = .001; r = .53 and r = .51, ps < .001, respectively) in the expected direction. In Sample 1, mindful nonjudgment and difficulty with emotion regulation strategies showed the strongest associations with overall PTSD severity as well as symptom clusters. In Sample 2, mindful acceptance and all ED dimensions (except non-awareness) showed strong associations with overall PTSD severity and particularly with negative cognitions and mood symptoms. In both samples, ED mediated the association between mindfulness and overall PTSD severity (Sample 1: ab =  − .15, 95% CI [− .35, − .02]; Sample 2: ab =  − .11, 95% CI [− .22, − .04]).

Conclusions

These findings demonstrate the important role of ED in the relation between trait mindfulness and PTSD symptoms among trauma-exposed adults. They highlight the value of examining ED as a mechanism of change in mindfulness-based interventions for PTSD.

Clinical Trials Registration

Sample 1: NCT03922581, April 22, 2019; NCT03938350, May 6, 2019; Sample 2: NCT02754557, April 28, 2016.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
go back to reference Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2016). Psychometric properties of the PTSD checklist for diagnostic and statistical manual of mental disorders–fifth edition (PCL-5) in veterans. Psychological Assessment, 28(11), 1379. https://doi.org/10.1037/pas0000254CrossRefPubMed Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2016). Psychometric properties of the PTSD checklist for diagnostic and statistical manual of mental disorders–fifth edition (PCL-5) in veterans. Psychological Assessment, 28(11), 1379. https://​doi.​org/​10.​1037/​pas0000254CrossRefPubMed
go back to reference Gratz, K. L., & Tull, M. T. (2010). Emotion regulation as a mechanism of change in acceptance-and mindfulness-based treatments. In R. A. Baer (Ed.), Assessing mindfulness and acceptance processes in clients: Illuminating the theory and practice of change (pp. 107–133). New Harbinger Publications. https://doi.org/10.1111/j.1465-3362.2010.00284_2.x Gratz, K. L., & Tull, M. T. (2010). Emotion regulation as a mechanism of change in acceptance-and mindfulness-based treatments. In R. A. Baer (Ed.), Assessing mindfulness and acceptance processes in clients: Illuminating the theory and practice of change (pp. 107–133). New Harbinger Publications. https://​doi.​org/​10.​1111/​j.​1465-3362.​2010.​00284_​2.​x
go back to reference Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. Guilford Press. Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. Guilford Press.
go back to reference James, S. A. (1994). John Henryism and the health of African-Americans. Culture, Medicine, and Psychiatry, 18, 163–182. James, S. A. (1994). John Henryism and the health of African-Americans. Culture, Medicine, and Psychiatry, 18, 163–182.
go back to reference Segal, Z. V., Williams, M., & Teasdale, J. (2018). Mindfulness-based cognitive therapy for depression. Guilford Publications. Segal, Z. V., Williams, M., & Teasdale, J. (2018). Mindfulness-based cognitive therapy for depression. Guilford Publications.
go back to reference Sibrava, N. J., Bjornsson, A. S., Pérez Benítez, A. C. I., Moitra, E., Weisberg, R. B., & Keller, M. B. (2019). Posttraumatic stress disorder in African American and Latinx adults: Clinical course and the role of racial and ethnic discrimination. American Psychologist, 74(1), 101. https://doi.org/10.1037/amp0000339CrossRef Sibrava, N. J., Bjornsson, A. S., Pérez Benítez, A. C. I., Moitra, E., Weisberg, R. B., & Keller, M. B. (2019). Posttraumatic stress disorder in African American and Latinx adults: Clinical course and the role of racial and ethnic discrimination. American Psychologist, 74(1), 101. https://​doi.​org/​10.​1037/​amp0000339CrossRef
go back to reference Smith, B. W., Ortiz, J. A., Steffen, L. E., Tooley, E. M., Wiggins, K. T., Yeater, E. A., Montoya, J. D., & Bernard, M. L. (2011). Mindfulness is associated with fewer PTSD symptoms, depressive symptoms, physical symptoms, and alcohol problems in urban firefighters. Journal of Consulting and Clinical Psychology, 79(5), 613. https://doi.org/10.1037/a0025189CrossRefPubMed Smith, B. W., Ortiz, J. A., Steffen, L. E., Tooley, E. M., Wiggins, K. T., Yeater, E. A., Montoya, J. D., & Bernard, M. L. (2011). Mindfulness is associated with fewer PTSD symptoms, depressive symptoms, physical symptoms, and alcohol problems in urban firefighters. Journal of Consulting and Clinical Psychology, 79(5), 613. https://​doi.​org/​10.​1037/​a0025189CrossRefPubMed
go back to reference Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Allyn & Bacon. Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Allyn & Bacon.
go back to reference Weathers, F. W., Bovin, M. J., Lee, D. J., Sloan, D. M., Schnurr, P. P., Kaloupek, D. G., Keane, T. M., & Marx, B. P. (2018). The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5): Development and initial psychometric evaluation in military veterans. Psychological Assessment, 30(3), 383–395. https://doi.org/10.1037/pas0000486CrossRefPubMed Weathers, F. W., Bovin, M. J., Lee, D. J., Sloan, D. M., Schnurr, P. P., Kaloupek, D. G., Keane, T. M., & Marx, B. P. (2018). The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5): Development and initial psychometric evaluation in military veterans. Psychological Assessment, 30(3), 383–395. https://​doi.​org/​10.​1037/​pas0000486CrossRefPubMed
Metagegevens
Titel
The Mediating Role of Emotion Dysregulation in the Association Between Trait Mindfulness and PTSD Symptoms among Trauma-Exposed Adults
Auteurs
Abigail Powers
Hayley Drew Dixon
Alfonsina Guelfo
Yara Mekawi
Bekh Bradley
Nadine Kaslow
Negar Fani
Publicatiedatum
16-07-2021
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 9/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-021-01684-8

Andere artikelen Uitgave 9/2021

Mindfulness 9/2021 Naar de uitgave