ABSTRACT

Background

The co-occurrence of childhood trauma and posttraumatic stress disorder (PTSD) is highly prevalent and clinically significant. Existing research emphasizes the role of emotion regulation in the relation between childhood trauma and PTSD. Yet, research in this area has almost exclusively examined the influence of strategies aimed at regulating negative emotions, such as anger and sadness.

Objective

To extend existing research, the current study examined underlying roles of strategies for regulating positive emotions (i.e., self- and emotion-focused positive rumination and positive dampening) in the association between childhood trauma severity and PTSD symptoms.

Participants and Setting

Participants were 320 trauma-exposed community individuals who reported past 30-day substance use (M_age= 35.78, 50.3% men, 81.6% white).

Method

Analyses examined whether childhood trauma severity was indirectly related to PTSD symptoms through self-focused positive rumination, emotion-focused positive rumination, and positive dampening.

Results

Positive dampening, but not positive self- and emotion-focused positive rumination, indirectly explained associations between childhood trauma severity and PTSD symptoms (B = .17, SE = .03, 95% CI [.12, .24]).

Conclusions

These findings highlight the potential utility of targeting positive dampening in the treatment of PTSD symptoms among individuals who use substances with a history of childhood trauma.

中文翻译：

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积极情绪调节策略在使用物质的创伤暴露个体的童年创伤和创伤后应激障碍之间的关联中的作用

 抽象的

 背景

儿童创伤和创伤后应激障碍 (PTSD) 的同时发生非常普遍且具有临床意义。现有研究强调情绪调节在童年创伤和创伤后应激障碍之间的关系中的作用。然而，这一领域的研究几乎专门考察了旨在调节愤怒和悲伤等负面情绪的策略的影响。

 客观的

为了扩展现有的研究，当前的研究探讨了调节积极情绪的策略（即以自我和情绪为中心的积极反思和积极抑制）在儿童创伤严重程度与 PTSD 症状之间的关联中的潜在作用。

 参与者及设置

参与者是 320 名遭受创伤的社区个体，他们报告过去 30 天的药物使用情况（ M_年龄= 35.78，50.3% 男性，81.6% 白人）。

 方法

分析通过以自我为中心的积极反思、以情绪为中心的积极反思和积极抑制来检验童年创伤严重程度是否与 PTSD 症状间接相关。

 结果

积极的抑制，而不是积极的以自我和情绪为中心的积极反思，间接解释了童年创伤严重程度与 PTSD 症状之间的关联 ( B = .17, SE = .03, 95% CI [.12, .24])。

 结论

这些发现强调了针对使用有童年创伤史的物质的个体的 PTSD 症状进行积极抑制治疗的潜在效用。