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The association between traumatic life events and psychological symptoms from a conservative transdiagnostic perspective

机译:从保守的经诊断的角度看创伤性生活事件与心理症状之间的关联

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摘要

Exposure to traumatic life events (TLEs) is strongly linked to the onset and exacerbation of an array of psychological sequelae. While studies yield minimal evidence of specificity for one disorder emerging in the aftermath of TLEs versus another, most studies do not adopt a conservative approach in controlling for multiple psychological symptoms linked to TLEs. The present study explored the association between TLEs and eight psychological constructs before and after adjusting for concurrent symptomatology in a diverse sample of 2342 undergraduates. We predicted three symptom domains would withstand conservative adjustments in their relationship to TLEs: posttraumatic stress disorder (PTSD), borderline personality disorder (BPD), and attenuated positive psychotic symptoms (APPS). Results indicated that exposure to at least one TLE, but especially four or more TLEs, was significantly associated with PTSD and BPD symptoms even after controlling for concurrent symptoms. Additionally, the association between four or more TLEs and APPS persisted despite adjusting for covariates. Findings underscore the critical role that TLE histories play in posttraumatic stress, borderline personality, and attenuated psychotic symptom expression. The relationship between TLEs and depression, cannabis and other drug use, generalized anxiety, and social anxiety disappeared after adjusting for comorbid symptoms.
机译:遭受创伤性生活事件(TLE)的暴露与一系列心理后遗症的发作和恶化密切相关。尽管研究仅产生了很少的证据表明一种疾病是在TLEs发生后出现的,而另一种疾病则是另一种疾病,但大多数研究并未采用保守的方法来控制与TLEs相关的多种心理症状。本研究探讨了在2342名本科生的不同样本中,调整并发症状之前和之后,TLE与八种心理构造之间的关联。我们预测三个症状域在与TLE的关系中将承受保守的调整:创伤后应激障碍(PTSD),边缘性人格障碍(BPD)和阳性精神病症状减弱(APPS)。结果表明,即使控制了并发症状,暴露于至少一种TLE,尤其是四个或更多TLE也与PTSD和BPD症状显着相关。此外,尽管对协变量进行了调整,但四个或多个TLE与APPS之间的关联仍然存在。这些发现强调了TLE历史在创伤后压力,临界人格和精神病性症状减轻中所起的关键作用。调整合并症后,TLE与抑郁,大麻和其他药物使用,广泛性焦虑和社交焦虑之间的关系消失。

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