Trait mindfulness and PTSD symptom clusters: Considering the influence of emotion dysregulation

Reffi, Anthony N.; Pinciotti, Caitlin M.; Darnell, Benjamin C.

doi:10.1016/j.paid.2018.08.010

Cited by 18 publications

(6 citation statements)

References 69 publications

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“…use an avoidant coping style, suppression) to better understand how dysregulation influences avoidance. From an intervention perspective, mindfulness-based treatments show promise in improving emotional clarity (Butler et al, 2018 ; Cooper et al, 2018 ), and further trait mindfulness has mediated the relationship between emotion dysregulation and trauma (Reffi et al, 2019 ). Continued research should evaluate whether early utilization of mindfulness when emotional clarity is limited might improve one’s emotional response to trauma cues and subsequent improvement in PTSD symptom severity generally.…”

Section: Discussionmentioning

confidence: 99%

Facets of emotion dysregulation differentially predict depression and PTSD symptom severity following traumatic injury

Timmer-Murillo

Schramm

Geier

et al. 2023

European Journal of Psychotraumatology

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Background: Emotion dysregulation is a hallmark characteristic of psychopathology following trauma. Yet, emotion dysregulation is multifaceted, and little is known about which aspects of emotion dysregulation predict depression and posttraumatic stress disorder (PTSD) symptom severity following traumatic injury. Objective: The aim of this longitudinal study was to evaluate how facets of dysregulation differentially predicted the severity of PTSD symptom clusters and depressive symptoms six months after a traumatic injury requiring medical treatment. Methods: Traumatically injured adults ( N = 99) presenting to a Level 1 trauma centre completed a measure of emotion dysregulation 2 weeks post-injury, and PTSD and depression were assessed at 2-weeks and 6 months later. Results: Using stepwise regressions controlling for baseline symptoms, age, gender, race, and injury severity, results showed baseline emotion dysregulation significantly predicted the four symptom clusters of PTSD 6 months post-injury. Notably, hyperarousal symptoms and negative alterations in mood and cognition were predicted by a lack of clarity. On the other hand, depressive symptoms were significantly predicted by difficulty accessing emotion regulation strategies. Conclusion: Results highlight that specific facets of emotion dysregulation predict PTSD and depression symptom severity differentially after injury. Indeed, lack of emotional clarity appears to predict PTSD symptomatology, suggesting a potential mechanism driving worsening symptoms. Lack of clarity could also be detrimental to engagement in PTSD treatment. Conversely, lack of regulation strategies may represent a sense of helplessness in managing depression after trauma. As such, future research should elucidate whether interventions targeting aspects of emotion dysregulation based on symptom presentations are useful in treating PTSD and depression following injury.

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Section: Discussionmentioning

confidence: 99%

Facets of emotion dysregulation differentially predict depression and PTSD symptom severity following traumatic injury

Timmer-Murillo

Schramm

Geier

et al. 2023

European Journal of Psychotraumatology

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“…The constructs validity using Pearson correlation was found 0.80 for non-acceptance of emotional responses, 0.67 for the difficulty in using targeted behaviors, 0.81 for difficulty controlling momentum, 0.40 for lack of emotional awareness, 0.88 for limited access to adjustment strategies emotionally, and 0.78 for lack of emotional clarity, indicating the construct validity [17]. In another study, Cronbach's alpha of the whole scale was 0.96, indicating the high reliability of the DERS [18]. In this research, to investigate the reliability of the DERS its internal consistency using Cronbach's alpha, coefficients for rejecting emotional responses, difficulty in using targeted behaviors, impulsivity control difficulty, lack of emotional awareness, limited access to emotion regulation strategies, lack of emotional clarity, and total questions were 0.77, 0.79, 0.79, 0.81, 0.71, 0.83, and 0.84, respectively.…”

Section: Difficulty In Emotions Regulation Scale (Ders)mentioning

confidence: 97%

The Relationship Between Illness Perception and Difficulty in Emotion Regulation with the Mediating Role of Quality of Marital Life in Women With Breast Cancer

Firouz

Tizdast

Khalatbari

et al. 2019

Avicenna. J. Neuro. Psycho. Physio.

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The aim of this research was to investigate the relationship between perception of illness and difficulty in emotion regulation with the mediating role of quality of marital life in married women with breast cancer. Objectives: It is very important to study The Relationship Between Illness Perception and Difficulty in Emotion Regulation with the Mediating Role of Quality of Marital Life in Women With Breast Cancer. Materials and Methods: This correlational study using a structural equation modeling was conducted on 385 married women suffering from breast cancer who referred to the Amol and Babol medical centers in 2018. The samples were selected based on the available sampling method and completed Illness Perception Questionnaire (IPQ), Difficulty in Emotion Regulation Scale (DERS), and Marital Quality of Life Questionnaire. The proposed model was evaluated by structural equation modeling using LISREL software. The bootstrap method was used to test indirectly. Results: Based on the results of this study, the proposed model had a good fitness (RMSEA=0.057, GFI=0.92, IFI=0.98, χ 2 =0.225, and P<0.05). Generally, the results showed that all direct pathways were significant (P<0.05). Conclusion: The results also showed that indirect pathways of illness perception through marital life quality with difficulty in emotion regulation were significant. The evaluated model had a good fit that is an important step in understanding the factors affecting the difficulty in emotion regulation in married women with breast cancer. Therefore, it can be useful as a model for designing and developing programs for the prevention of emotional problems in women with breast cancer.

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“…Therefore, mindfulness may help in the management of trauma-related internal and external cues in an approach-oriented way and reduce experience avoidance, thus alleviating PTSS. Many studies have reported that trait mindfulness is negatively correlated with PTSS (Chen et al, 2019 ; Reffi et al, 2019 ; Wen et al, 2021 ) and a meta-analysis found that mindfulness-based interventions can reduce PTSS (Hopwood & Schutte, 2017 ). Therefore, mindfulness may help alleviate PTSS caused by COVID-19.…”

Section: Mindfulness and Ptssmentioning

confidence: 99%

The more mindfulness practice, the more post-trauma stress symptoms? Trait mindfulness and PTSS during the COVID-19 pandemic

et al. 2022

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Investigating the contributing factors of post-traumatic stress symptoms (PTSS) has always been an important topic in the field of traumatic psychology research. The current study explored the influences of pandemic/epidemic experiences, meditation experiences, and trait mindfulness on PTSS and the mediating role of emotional resilience during the COVID-19 pandemic. A total of 522 participants in Hubei province completed the Five Facet Mindfulness Questionnaire, the Adolescents’ Emotional Resilience Questionnaire, and the PTSD Checklist for DSM-5. The results showed that (1) participants who had family or friends diagnosed with COVID-19 scored higher on avoidance. (2) Participants who had family or friends had been diagnosed with SARS or H1N1 scored higher on PTSS. (3) Participants with meditation experience scored significantly higher on all dimensions of PTSS, other than avoidance. (4) The mediating role of recovering from negative emotions in the relationship between trait mindfulness and PTSS was significant (95%CI= [-0.212, -0.094]), while the generating positive emotion was not significant (95%CI= [-0.050, 0.071]). Individuals with pandemic/epidemic experience are more likely to have a high level of PTSS. Individuals who have meditation experience also express a higher level of PTSS, which may be a result of the quality of meditation. Trait mindfulness and the ability to recover from negative emotions were protective factors against PTSS.

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Trait mindfulness and PTSD symptom clusters: Considering the influence of emotion dysregulation

Cited by 18 publications

References 69 publications

Facets of emotion dysregulation differentially predict depression and PTSD symptom severity following traumatic injury

Facets of emotion dysregulation differentially predict depression and PTSD symptom severity following traumatic injury

The Relationship Between Illness Perception and Difficulty in Emotion Regulation with the Mediating Role of Quality of Marital Life in Women With Breast Cancer

The more mindfulness practice, the more post-trauma stress symptoms? Trait mindfulness and PTSS during the COVID-19 pandemic

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