Thomasenlevy1372

RESULTS Emotion regulation difficulties contributed significantly, while dissociative symptoms and PTSD arousal and reactivity symptoms showed a signal toward contributing significantly to a model accounting for variance in functional impairment among individuals with probable PTSD. Differential patterns of contributors emerged for the various domains of functional impairment measured. CONCLUSIONS These findings add to a growing body of literature highlighting the importance of emotion regulation difficulties, dissociative symptoms, and arousal and reactivity symptoms in contributing to functional impairment in this disorder. Recovery to premorbid functional status in PTSD may require interventions that target directly these symptoms. (PsycInfo Database Record (c) 2020 APA, all rights reserved).OBJECTIVE The goal of the present study was to conduct a quantitative review to determine the degree to which specific forms of suicidality (i.e., lifetime and past-year suicidal ideation and attempts) are associated with sexual assault (SA). It also examined whether the strength of the association between SA and suicidality was moderated by sample characteristics or the type of suicidality assessed. METHOD A subset of studies (25 samples and 36 effects, reflecting N = 88,376 participants) from a prior meta-analysis assessing associations between SA and psychopathology was examined. Included studies provided the prevalence of suicidality in subsamples that had and had not been exposed to SA and/or an odds ratio comparing the prevalence in these groups. Random effects metaregression models aggregated prevalence estimates and odds ratios for lifetime and past-year suicidal ideation and suicide attempts in individuals in SA and no-SA groups. Analyses also examined whether sample characteristics (i.e., percent women, college sample) or type of suicidality moderated the magnitude of odds ratios. RESULTS Subsamples exposed to SA reported a substantially higher prevalence of suicidality (27.25%) compared with unassaulted subsamples (9.37%). There were significantly higher rates of lifetime and past-year suicidal ideation, and lifetime suicide attempts in assaulted subsamples than in unassaulted subsamples. No tested moderators had significant associations with the strength of the relationship between SA and suicidality. CONCLUSION Findings underscore the robust relationship between SA and both suicidal ideation and attempts and suggest that identifying moderators and mediators that explain it is a key directive for future research. (PsycInfo Database Record (c) 2020 APA, all rights reserved).OBJECTIVE Emotion regulation difficulties have been associated with traumatic event exposure, posttraumatic stress disorder (PTSD) symptoms, and associated sleep disturbances. Dispositional mindfulness, the tendency to experience the present moment, on purpose with acceptance and nonjudgment, can be conceptualized as adaptive emotion regulation. While dispositional mindfulness has been associated with adaptive posttrauma outcomes, it has not been examined in relation to trauma sequelae, such as sleep disturbance. The current study aimed to expand upon previous research to further explore the relationship between dispositional mindfulness and trauma sequelae. METHOD Participants (N = 217) were recruited using Amazon's Mechanical Turk to complete online surveys assessing PTSD symptom severity (PTSS), sleep disturbance, emotion regulation difficulties, and mindfulness. RESULTS After controlling for PTSS, the results suggest that dispositional mindfulness is associated with lower frequency of PTSD-related sleep disturbance and better sleep quality (daily disturbances). Additionally, the results suggest that specific dispositional mindfulness domains remain significant when emotion regulation difficulties domains were included in the model. CONCLUSIONS Future research should further examine this relationship to inform mindfulness-based interventions for PTSD and sleep disturbance. (PsycInfo Database Record (c) 2020 APA, all rights reserved).OBJECTIVE Posttraumatic stress disorder (PTSD) is characterized by broad-based difficulties with emotion. However, the extent to which the disorder is associated with fear of particular emotions remains less well understood. The Affective Control Scale (ACS) is a frequently used measure of fear of emotion, but relatively little work has been done to validate this measure, particularly for use in psychiatric research. This study examined the ACS's factor structure and its associations with PTSD symptoms among trauma-exposed male veterans. METHOD Participants (N = 347) completed online assessments, including the ACS and the PTSD Checklist for the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). RESULTS The data supported a bifactor structure with 1 general fear of emotion factor and 4 specific fear of emotion factors (i.e., fear of anger, fear of positive affect, fear of depressed mood, and fear of anxiety). Fear of emotion was positively associated with all 4 DSM-5 PTSD symptom clusters. After controlling for general fear of emotion, fear of particular emotion states was associated with some specific PTSD symptoms. CONCLUSION Both general and specific fears of emotion were associated with specific PTSD symptoms in trauma-exposed veterans. Guadecitabine research buy Despite this, results support the use of a modified ACS total score, capturing general fear of emotion, rather than the subscale scores, capturing fear of specific emotions. (PsycInfo Database Record (c) 2020 APA, all rights reserved).Referring to provider burn-out as a foe to be conquered is a palatable representation that fits within a familiar medical narrative-combating disease, fighting illness, curing and vanquishing the cancer. Even the words we use to describe our daily work-"on the front lines" or "in the trenches" or "fighting the good fight"-places us on a metaphorical battlefield. Is provider burn-out inflicted by another entity, and if so by whom or by what? Is it, by contrast, a disease or a condition? Is burn-out something that just happens or is it created? The World Health Organization International Classification of Disease (World Health Organization, 2019) added burn-out in 2019, but also made a clear statement that this is an occupational phenomenon and not a medical condition. It defines burn-out as "a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed. It is characterized by three dimensions feelings of energy depletion or exhaustion; increased mental distance from one's job, or feelings of negativism or cynicism related to one's job; and reduced professional efficacy.