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Positive Emotion Dysregulation in Posttraumatic Stress Disorder
Larissa Wolkenstein1, Amanda Sommerhoff1, Maria Voss1
1Department of Psychology, Clinical Psychology and Psychotherapy, Ludwig-Maximilians-Universität München, Leopoldstr. 13, 80802 München, Germany.
Post-traumatic stress disorder (PTSD) patients struggle with regulating positive emotions, similar to negative emotions. Deficits in positive emotion regulation are linked to PTSD symptom severity, suggesting new therapeutic targets.
Area of Science:
- Psychology
- Psychiatry
- Trauma Studies
Background:
- Post-traumatic stress disorder (PTSD) is linked to emotion regulation (ER) difficulties, including challenges with positive emotions.
- Research on positive ER in PTSD remains limited, despite its potential impact on the disorder.
Purpose of the Study:
- To investigate dysfunctional positive emotion responses in PTSD patients.
- To determine the association between positive ER and PTSD symptom severity.
Main Methods:
- Compared PTSD patients (N=59) with healthy controls (HC, N=58) on self-reported emotion regulation.
- Utilized the Responses to Positive Affect Questionnaire for positive ER assessment.
- Employed the Difficulties in Emotion Regulation Scale and Response Styles Questionnaire for negative ER assessment.
Main Results:
- PTSD patients exhibited deficient positive and negative ER compared to HC.
- Both dampening of positive emotions and positive rumination correlated with PTSD symptom severity.
- Dampening predicted PTSD symptom severity independently of depressive symptoms and negative rumination.
Conclusions:
- Findings support and extend previous evidence of dysfunctional positive ER in PTSD.
- Deficits in positive ER may play a role in PTSD onset and maintenance.
- Therapeutic interventions should consider addressing positive emotion regulation skills in PTSD treatment.
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