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首页> 外文期刊>Psychological trauma: theory, research, practice and policy >Psychological Inflexibility Predicts PTSD Symptom Severity in War Veterans After Accounting for Established PTSD Risk Factors and Personality
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Psychological Inflexibility Predicts PTSD Symptom Severity in War Veterans After Accounting for Established PTSD Risk Factors and Personality

机译：心理抑制性在成立的应激障碍因素和人格核算后，在战争退休金中预测PTSD症状严重程度

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Objective and method: Numerous risk factors for posttraumatic stress disorder (PTSD) have been identified; however, many do not inform treatment. Psychological inflexibility is a modifiable factor that can be targeted in psychological treatment. This study examined whether higher levels of psychological inflexibility predicted unique variance in PTSD symptom severity at 1-year follow-up in 236 U.S. veterans of the wars in Iraq in Afghanistan after accounting for the strongest known risk factors for PTSD. PTSD symptom severity was assessed using the Clinician Administered PTSD Scale. Results: In hierarchical regression analyses, higher baseline psychological inflexibility predicted unique variance in 1-year PTSD symptom severity (p < .001, medium effect) after accounting for the strongest predictors, including: serving in the Army, rank, trauma severity, perceived threat, peritraumatic dissociation, recent life stress, and social support. Psychological inflexibility remained a significant predictor of unique variance in 1-year PTSD symptom severity after accounting for all other predictors and personality factors (neuroticism, extroversion, openness to experience, agreeableness, and conscientiousness; p < .001, small effect) and after accounting for all other predictors, personality factors, and baseline PTSD avoidance symptoms (p < .001; small effect). Conclusions: Findings indicate a key unique association between psychological inflexibility and PTSD symptom severity over time that is not attributable to overlap with personality or PTSD avoidance symptoms. Additional research on psychological inflexibility in the development and maintenance of PTSD is warranted, as well as whether increasing psychological flexibility leads to reductions in PTSD symptoms and improved psychosocial functioning. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
机译：目的及方法：确定了大量应激障碍（PTSD）的危险因素;但是，许多人不通知治疗。心理抑制是一种可修改的因素，可以针对心理治疗。本研究检测了在236美国在阿富汗在阿富汗战争的236名过去的一年后，在伊尔克坦斯坦的战争中的一年后续后，在伊尔克坦斯坦的战争中的1年随访中预测了PTSD症状严重程度的独特差异。使用临床医生的PTSD规模评估PTSD症状严重程度。结果：在分层回归分析中，较高的基线心理抑制性预测1年的PTSD症状严重程度（P <.001，中效）在核算最强的预测因子后，包括：在军队，排名，创伤严重程度，感知威胁，临床解离，近期生命压力和社会支持。心理抑制性在核算所有其他预测因子和人格因素（神经质，促进，经验，令人满意的开放性的人格因素（神经质，促进，休闲症状）和会计后，在核算后的症状严重程度严重预测因素对于所有其他预测因子，人格因素和基线PTSD避免症状（P <.001;小效果）。结论：调查结果表明，心理抑旋性和应激症状症状严重程度之间的关键独特关联随着时间的推移，不归因于与人格或应激障碍症状重叠。有必要进行关于开发和维护PTSD的心理不灵活性的额外研究，以及提高心理柔韧性是否导致可应诊症症状和改善心理社会功能的降低。 （psycinfo数据库记录（c）2019 APA，保留所有权利）

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