Examining indirect effects of emotion dysregulation between PTSD symptom clusters and reckless/self-destructive behaviors.

Abstract

Objectives: Emotion dysregulation theoretically and empirically explains the link between posttraumatic stress disorder (PTSD) and posttrauma reckless and self-destructive behaviors (RSDBs). Method: The current study uniquely examined the role of emotion dysregulation in the association between the four heterogeneous PTSD clusters (intrusions, avoidance, negative alterations in cognitions and mood [NACM], and alterations in arousal and reactivity [AAR]) and an overall measure of posttrauma RSDBs. Traumaexposed participants (n = 411) completed self-report measures assessing PTSD symptoms (PTSD Checklist for DSM-5), emotion dysregulation (Difficulties in Emotion Regulation Scale-16), and engagement in RSDBs (Posttrauma Risky Behaviors Questionnaire). Results: Direct and indirect effects were examined using PROCESS Model 4. The bias-corrected bootstrap revealed a significant indirect effect of emotion dysregulation in posttrauma RSDBs' relation with PTSD's intrusions (B = À.

Self-harm in sexually abused adolescents: The role of posttraumatic symptoms, emotional impulsivity, and negative cognition.

“…The mechanisms of each of these two factors are partially consistent with emotion regulation models and defective self-models that explain self-harm. While studies have examined the role of each of the two factors in both direct and indirect forms of self-injurious behavior in traumatized individuals (Chamberlain et al, 2017; Dyer et al, 2013; Jin et al, 2022; Weismoore & Esposito-Smythers, 2010; Weiss et al, 2015), none have examined both emotional and cognitive factors together. More recently, integrative models focusing on nonsuicidal self-harm such as the cognitive-affective model (Hasking et al, 2017) and the benefits and barriers model (Hooley & Franklin, 2018) have been proposed, but empirical studies are lacking.…”