期刊
JOURNAL OF AFFECTIVE DISORDERS
卷 283, 期 -, 页码 278-284出版社
ELSEVIER
DOI: 10.1016/j.jad.2021.02.015
关键词
Emotion regulation; Ptsd; Veterans; Suppression; Reappraisal
资金
- Northern California Institute for Research and Education [W81XWH-11-2-0189]
- Department of Defense [W81XWH-11-2-0189]
- National Heart Lung and Blood Institute [K23 HL 094,765-0]
- Irene Perstein Foundation
- American Heart Association [AHA: 12CRP11810021]
- VA Office of Academic Affiliations
- VA Advanced MIRECC Fellowship
- University of California, San Francisco [UCSF: 111583A]
This study showed that in veterans, expressive suppression (ES) is significantly associated with the diagnosis of current PTSD and its symptom clusters, while cognitive reappraisal (CR) is not. Greater suppression of emotional expression is more strongly linked with meeting PTSD criteria in veterans, whereas decreased cognitive reappraisal is not associated with it.
Objective: This study examined whether expressive suppression (ES), a maladaptive regulation strategy, was more strongly associated with PTSD diagnosis and symptom clusters in veterans than cognitive reappraisal (CR), an adaptive regulation strategy. Method: In a cohort study, 746 participants recruited from VHA facilities completed Clinician Administered PTSD Scale-IV, Emotion Regulation Questionnaire, and Patient Health Questionnaire. Participants were categorized into groups: Current, Remitted/Lifetime, and Never PTSD. Results: One-way ANOVA revealed significant differences between Current PTSD and both Remitted and Never PTSD for ES, but not CR. The Remitted and Never PTSD groups did not vary significantly from each other and were collapsed into one group for regressions. Adjusting for sex, race, employment, and comorbid depression, binary logistic regression showed ES, but not CR, was associated with increased likelihood of Current PTSD (p < .001, OR: 1.43). ES was also significantly associated with increased odds of meeting criteria for all symptom clusters (ps < 0.001). CR was not significantly associated with meeting criteria for Current PTSD or any symptom cluster. Limitations: Cross-sectional design and use of self-report limit causality inferences that can be drawn. Conclusions: ES is associated with increased odds of Current PTSD diagnosis and symptom clusters. Veterans in the Remitted and Never PTSD groups did not differ significantly. Greater suppression of emotional expression is more strongly linked with PTSD criteria in veterans than decreased cognitive reappraisal.
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