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2024, Número 6

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Salud Mental 2024; 47 (6)


Emotional Dysregulation and Worry as Mediators between Stressful Life Events and Posttraumatic Stress Symptoms in Adult Mexican Women: A Cross-Sectional Study

de la Rosa GA, Hernández PA, Valencia PD, Flores PLA, Flores EA
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Idioma: Ingles.
Referencias bibliográficas: 67
Paginas: 263-270
Archivo PDF: 324.71 Kb.


PALABRAS CLAVE

Preocupación, desregulación emocional, PTSS, mujeres, violencia.

RESUMEN

Introducción. Las mujeres experimentan múltiples episodios de eventos adversos que con frecuencia están vinculados a la violencia, los cuales generan dificultades emocionales que influyen en el desarrollo del trastorno por estrés postraumático. Objetivo. Examinar si la desregulación emocional y la preocupación median la relación entre las experiencias de eventos estresantes y los síntomas de estrés postraumático en una muestra de mujeres adultas mexicanas que buscan tratamiento psicológico en línea. Método. Se realizó un estudio transversal con una muestra no probabilística de 687 mujeres entre 18 y 76 años. Resultados. Los datos indicaron que la desregulación emocional medía la relación entre el tipo de trauma y los síntomas de estrés postraumático en eventos relacionados con la enfermedad y la muerte, pero no en otros tipos de estresores, mientras que la preocupación medía la asociación entre la agresión sexual y física y los síntomas de estrés postraumático. Discusión y conclusión. Este estudio contribuye a los modelos actuales de la psicopatología centrados en la perspectiva transdiagnóstica. Los hallazgos pueden guiar las intervenciones dirigidas a la regulación emocional y la preocupación como a factores de riesgo modificables para el desarrollo de estrés postraumático.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Akel, M., Berro, J., Rahme, C., Haddad, C., Obeid, S., & Hallit, S. (2021). Violenciacontra las mujeres durante la pandemia de COVID-19. Revista de ViolenciaInterpersonal, 37, 13-14. https://doi.org/10.1177/0886260521997953

  2. Al-Jbouri, N., Mashkury, Z., & Al-Ameri, R. (2021). Salud mental durante la pandemiade COVID-19 / Bagdad Al-Karkh. Revista Internacional de Psiquiatría Social,68, 4. https://doi.org/10.1177/00207640211004987

  3. Almeida, M., Shrestha, A. D., Stojanac, D., & Miller, L. J. (2020). The impact of theCOVID-19 pandemic on women’s mental health. Archives of Women's MentalHealth, 23(6), 741-748. https://doi.org/10.1007/s00737-020-01092-2

  4. Ardino, V., Milani, L., & Di Blasio, P. (2013). PTSD and re-offending risk: themediating role of worry and a negative perception of other people’s support.European Journal of Psychotraumatology, 4. https://doi.org/10.3402/ejpt.v4i0.21382

  5. Bardeen, J. R., Kumpula, M. J., & Orcutt, H. K. (2013). Emotion regulationdifficulties as a prospective predictor of posttraumatic stress symptomsfollowing a mass shooting. Journal of Anxiety Disorders, 27(2), 188-196.https://doi.org/10.1016/j.janxdis.2013.01.003

  6. Berking, M., & Whitley, B. (2014). Emotion regulation: Definition and relevance formental health. En M. Berking & B. Whitley (Eds.), Affect regulation training:A practitioners’ manual (pp. 5-17). New York, NY: Springer. https://doi.org/10.1007/978-1-4939-1022-9_2

  7. Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg,N., & Rubin, G. J. (2020). The psychological impact of quarantine and how toreduce it: rapid review of the evidence. Lancet, 395(10227), 912-920. https://doi.org/10.1016/S0140-6736(20)30460-8

  8. Cabras, C., Mondo, M. Diana, A., & Sechi, C. (2020). Relationships between TraitEmotional Intelligence, mood states, and future orientation among femaleItalian victims of Intimate Partner Violence. Heliyon, 6(11), e05538. https://doi.org/10.1016/j.heliyon.2020.e05538

  9. Campos, J., Campos, L., Martins, B., Valadão, F., Ruano, R., & Maroco, J. (2021).El impacto psicológico del COVID-19 en personas con y sin trastornosde salud mental. Informes Psicológicos, 125(5), 2435-2455. https://doi.org/10.1177/00332941211026850

  10. Chávez-Valdez, S. M., Domínguez Rodríguez, A., Esparza-Del Villar, O. A., HernándezJiménez, M. J., de la Rosa-Gómez, A., Arenas-Landgrave, P., Martínez-Luna, S.C., Ramírez-Martínez, F. R., & Salinas-Saldívar, J. T. (2021). Coping strategiesassociated to widespread fear and post-traumatic stress criteria in a Mexicansample during COVID-19 pandemic: A cross-sectional study. Salud Mental,44(4), 159-166. https://doi.org/10.17711/sm.0185-3325.2021.021

  11. Cloitre, M., Garvert, D. W., Brewin, C. R., Bryant, R. A., & Maercker, A. (2013).Evidencia para el PTSD propuesto por la CIE-11 y el PTSD complejo: unanálisis de perfil latente. Revista Europea de Psicotraumatología, 4. https://doi.org/10.3402/ejpt.v4i0.20706

  12. Coker, A. L., Weston, R., Creson, D. L., Justice, B., & Blakeney, P. (2005). PTSDsymptoms among men and women survivors of intimate partner violence: therole of risk and protective factors. Violence and Victims, 20(6), 625-643.

  13. Connor, J., Madhavan, S., Mokashi, M., Amanuel, H., Johnson, N., Pace, L., &Bartz, D. (2020). Health risks and outcomes that disproportionately affectwomen during the Covid-19 pandemic: A review. Social Science & Medicine,266(1):113364. https://doi.org/10.1016/j.socscimed.2020.113364

  14. Czeisler, M. É., Howard, M. E., & Rajaratnam, S. M. W. (2021). Mental Health Duringthe COVID-19 Pandemic: Challenges, Populations at Risk, Implications, andOpportunities. American Journal of Health Promotion, 35(2), 301-311. https://doi.org/10.1177/0890117120983982bDavey, G. C. L. (1994). Worrying, social problem-solving abilities, and socialproblem-solving confidence. Behaviour Research and Therapy, 32(3), 327-330.https://doi.org/10.1016/0005-7967(94)90130-9

  15. De la Rosa-Gómez, A., Hernández-Posadas, A., Valencia, P. D., & Guajardo-Garcini,D. A. (2021). Análisis dimensional de la Escala de Dificultades en la RegulaciónEmocional (DERS-15) en universitarios mexicanos. Revista Evaluar, 21(2), 80-97. https://doi.org/10.35670/1667-4545.v21.n2.34401

  16. Demissie, D. B., & Bitew, Z. W. (2021). Efecto en la salud mental de la pandemiade COVID-19 entre mujeres embarazadas y / o lactantes: una revisiónsistemática y un metanálisis. Medicina Abierta SAGE, 9. https://doi.org/10.1177/20503121211026195

  17. Dlamini, N. J. (2021). Violencia de género, pandemia gemela a COVID-19. SociologíaCrítica, 47(4-5), 583-590. https://doi.org/10.1177/0896920520975465

  18. Dominguez-Rodriguez, A., Herdoiza-Arroyo, P. E., Martínez-Arriaga, R. J., Bautista-Valerio, E., Mateu-Mollá, J., de la Rosa-Gómez, A., Farfallini, L., Hernández-Jiménez, M. J., Esquivel-Santoveña, E. E., Ramírez-Martínez, F. R., Castellanos-Vargas, R. O., Arzola-Sánchez, C. A., Arenas-Landgrave, P., & Martínez-Luna,S. C. (2022). Prevalence of Anxiety Symptoms and Associated Clinical andSociodemographic Factors in Mexican Adults Seeking Psychological Supportfor Grief During the COVID-19 Pandemic: A Cross-Sectional Study. Frontiersin Psychiatry, 13, 749236. https://doi.org/10.3389/fpsyt.2022.749236

  19. Durón-Figueroa, R., Cárdenas-López, G., Castro-Calvo, J., & De la Rosa-Gómez, A.(2019). Adaptación de la Lista Checable de Trastorno por Estrés Postraumáticopara DSM-5 en Población Mexicana. Acta de Investigación Psicológica, 9(1),26-36. https://doi.org/10.22201/fpsi.20074719e.2019.1.03

  20. Ehring, T., & Quack, D. (2010). Emotion regulation difficulties in trauma survivors:the role of trauma type and PTSD symptom severity. Behavior Therapy, 41(4),587-598. https://doi.org/10.1016/j.beth.2010.04.004

  21. Feeny, N., Zoellner, L., Fitzgibbons, L., & Foa E. (2000). Exploring the Roles ofEmotional Numbing, Depression, and Dissociation in PTSD. Journal ofTraumatic Stress, 13, 489-498. https://doi.org/10.1023/A:1007789409330

  22. Forbes, C. N., Tull, M. T., Rapport, D., Xie, H., Kaminski, B., & Wang, X. (2020).Emotion dysregulation Prospectively Predicts Posttraumatic Stress DisorderSymptom Severity 3 Months After Trauma Exposure. Journal of TraumaticStress, 33(6), 1007-1016. https://doi.org/10.1002/jts.22551

  23. Freyd, J., Deprince, A., & Zurbriggen, E. (2001) Self-Reported Memory forAbuse Depends Upon Victim-Perpetrator Relationship. Journal of Trauma &Dissociation, 2(3), 5-15. https://doi.org/10.1300/J229v02n03_02

  24. Galindo-Vázquez, O., Ramírez-Orozco, M., Costas-Muñiz, R., Mendoza-Contreras,L. A., Calderillo-Ruíz, G., & Meneses-García, A. (2020). Symptoms ofanxiety, depression and self-care behaviors during the COVID-19 pandemicin the general population. [Síntomas de ansiedad, depresión y conductas deautocuidado durante la pandemia de COVID-19 en la población general]. GacetaMédica de México, 156(4), 298-305. https://doi.org/10.24875/GMM.20000266

  25. Gilmore, A., Lopez, C., Muzzy, W., Brown, W., Grubaugh, A., Oesterle, D., &Acierno, R. (2020). Emotion dysregulation Predicts Dropout from ProlongedExposure Treatment among Women Veterans with Military Sexual Trauma-Related Posttraumatic Stress Disorder. Women’s Health Issues, 30(6), 462-469.https://doi.org/10.1016/j.whi.2020.07.004

  26. Gratz, K., & Roemer, L. (2004). Multidimensional Assessment of EmotionRegulation and Dysregulation: Development, Factor Structure, and InitialValidation of the Difficulties in Emotion Regulation Scale. Journal ofPsychopathology and Behavioral Assessment, 26(1), 41-54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94

  27. Hilko, T., & Chalder, T. (2018). Childhood adversity as a transdiagnostic riskfactor for affective disorders in adulthood: A systematic review focusing onbiopsychosocial moderating and mediating variables. Clinical PsychologyReview, 65, 81-151. https://doi.org/10.1016/j.cpr.2018.08.002

  28. Holladay, K. R., Hagedorn, W. B., Boote, D. N., & Ladier, D. T. (2021). The Traumaof Cyber-Sexual Assault: Heightened Dimensions of Emotional DysregulationAmong Survivors. The Practitioner Scholar: Journal of the InternationalTrauma Training Institute, 3, 60-77.

  29. Huerta Rosales, R., Miljánovich, M., Pequeña, J., Campos, E., Santivañez, R., & Aliaga,J. (2014). Estrés post traumático e inadaptación en mujeres víctimas de violenciadoméstica en la relación de pareja en función de la edad. Revista de Investigaciónen Psicología, 17(2), 59-75. https://doi.org/10.15381/rinvp.v17i2.11258

  30. Irizarry, W., & Rivero, M. (2018). Post-traumatic stress disorder in women victimof domestic violence: An Integrative Review of Literature. Nure Investigación,15(95), 1-17.

  31. Karakurt, G., Smith, D., & Whiting, J. (2014). Impact of Intimate Partner Violenceon Women’s Mental Health. Journal of Family Violence, 29(7), 693-702. https://doi.org/10.1007/s10896-014-9633-2

  32. Lilly, M., London, M., & Bridgett, D. (2014). Using SEM to examine emotionregulation and revictimization in predicting PTSD symptoms among childhoodabuse survivors. Psychological Trauma: Theory, Research, Practice, andPolicy, 6(6), 644-651. https://doi.org/10.1037/a0036460

  33. Liu, N., Zhang, F., Wei, C., Jia, Y., Shang, Z., Sun, L., Wu, L., Sun, Z., Zhou, Y., Wang,Y., & Liu, W. (2020). Prevalence and predictors of PTSS during COVID-19outbreak in China hardest-hit areas: Gender differences matter. PsychiatryResearch, 287, 112921. https://doi.org/10.1016/j.psychres.2020.112921

  34. McEvoy, P., Watson, H., Watkins, E., & Nathan, P. (2013). The relationship betweenworry, rumination, and comorbidity: Evidence for repetitive negative thinkingas a transdiagnostic construct. Journal of Affective Disorders, 151(1), 313-320.https://doi.org/10.1016/j.jad.2013.06.014

  35. McLean, C., & Foa, E. (2017). Emotions and emotion regulation in posttraumaticstress disorder. Current Opinion in Psychology, 14, 72-77. https://doi.org/10.1016/j.copsyc.2016.10.006

  36. Messman-Moore, T. L., Walsh, K. L., & DiLillo, D. (2010). Emotion dysregulationand risky sexual behavior in revictimization. Child Abuse & Neglect, 34(12),967-976. https://doi.org/10.1016/j.chiabu.2010.06.004

  37. Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Developmentand validation of the penn state worry questionnaire. Behaviour Research andTherapy, 28(6), 487-495. https://doi.org/10.1016/0005-7967(90)90135-6

  38. Muñoz-Rivas, M., Bellot, A., Montorio, I., Ronzón-Tirado, R., & Redondo, N.(2021). Profiles of Emotion Regulation and Post-Traumatic Stress Severityamong Female Victims of Intimate Partner Violence. International Journalof Environmental Research and Public Health, 18(13), 6865. http://dx.doi.org/10.3390/ijerph18136865

  39. Neria, Y., Nandi, A., & Galea, S. (2008). Post-traumatic stress disorder followingdisasters: a systematic review. Psychological Medicine, 38(4), 467-480. https://doi.org/10.1017/S0033291707001353

  40. Olatunji, B. O., Wolitzky-Taylor, K. B., Sawchuk, C. N., & Ciesielski, B. G. (2010).Worry and the anxiety disorders: A meta-analytic synthesis of specificityto GAD, Applied and Preventive Psychology, 14(1-4), 1-24. https://doi.org/10.1016/j.appsy.2011.03.001

  41. Padros-Blazquez, F., Gonzalez-Betanzos, F., Martinez-Medina, M. P., & Wagner,F. (2018). Psychometric characteristics of the original and brief version of thePenn State Worry Questionnaire (PSWQ) in Mexican samples. Actas Españolasde Psiquiatría, 46(4), 117-124.

  42. Paulus, D. J., Gallagher, M. W., Bartlett, B. A., Tran, J., & Vujanovic, A. A. (2018). Theunique and interactive effects of anxiety sensitivity and emotional dysregulationin relation to posttraumatic stress, depressive, and anxiety symptoms amongtrauma-exposed firefighters. Comprehensive Psychiatry, 84, 54-61. https://doi.org/10.1016/j.comppsych.2018.03.012

  43. Pencea, I., Munoz, A. P., Maples-Keller, J. L., Fiorillo, D., Schultebraucks, K.,Galatzer-Levy, I., Rothbaum, B. O., Ressler, K. J., Stevens, J. S., Michopoulos,V., & Powers, A. (2020). Emotion dysregulation is associated with increasedprospective risk for chronic PTSD development. Journal of PsychiatricResearch, 121, 222-228. https://doi.org/10.1016/j.jpsychires.2019.12.008

  44. Pérez-Cano, H. J., Moreno-Murguía, M. B., Morales-López, O., Crow-Buchanan, O.,English, J. A., Lozano-Alcázar, J., & Somilleda-Ventura, S. A. (2020). Anxiety,depression, and stress in response to the coronavirus disease-19 pandemic.Cirugía y Cirujanos, 88(5), 562-568. https://doi.org/10.24875/CIRU.20000561

  45. Piquero, A. R., Jennings, W. G., Jemison, E., Kaukinen, C., & Knaul, F. M. (2021).Domestic violence during the COVID-19 pandemic - Evidence from asystematic review and meta-analysis. Journal of Criminal Justice, 74, 101806.https://doi.org/10.1016/j.jcrimjus.2021.101806

  46. Raudales, A., Short, N. A., & Schmidt, N. B. (2019). Emotion dysregulation mediatesthe relationship between trauma type and PTSD symptoms in a diverse traumaexposedclinical sample. Personality and Individual Differences, 139(8), 28-33.https://doi.org/10.1016/j.paid.2018.10.033

  47. Rodríguez-Quiroga, A., Buiza, C., de Mon, M. A. A., & Quintero, J. (2020).Update on COVID-19 and mental health. Medicine - Programa de FormaciónMédica Continuada Acreditado, 13(23), 1285-1296. https://doi.org/10.1016/j.med.2020.12.010

  48. Rosenthal, M. Z., Cheavens, J. S., Lynch, T. R., & Follette, V. (2006). Thoughtsuppression mediates the relationship between negative mood and PTSD insexually assaulted women. Journal of Traumatic Stress, 19(5), 741-745. https://doi.org/10.1002/jts.20162

  49. Ruork, A. K., McLean, C. L., & Fruzzetti, A. E. (2021). It Happened Matters MoreThan What Happened: Associations Between Intimate Partner Violence AbuseType, Emotion Regulation, and Post-Traumatic Stress Symptoms. ViolenceAgainst Women, 28(5), 1158-1170. https://doi.org/10.1177/10778012211013895

  50. Sandín, B., Chorot, P., Valiente, R. M., & Lostao, L. (2009). Validación españoladel cuestionario de preocupación PSWQ: estructura factorial y propiedadespsicométricas. Revista de Psicopatología y Psicología Clínica, 14(2). https://doi.org/10.5944/rppc.vol.14.num.2.2009.4070

  51. Santomauro, D., Mantilla, A., Shadid, J., Zheng, P., Ashbaugh, C., Pigorr, D.,Abbafati, C., Adolph, C., Amlag, J. O., Aravkin, A. Y., Bang-Jensen, B. L.,Bertolacci, G. J., Bloom, S. S., Castellano, R., Castro, E., Chakrabarti, S.,Chattopadhyay, J., Cogen, R. M., Collins, J. K., … Ferrari, A. (2021). Globalprevalence and burden of depressive and anxiety disorders in 204 countries andterritories in 2020 due to the COVID-19 pandemic. Lancet, 398(10312), 1700-1712. https://doi.org/10.1016/S0140-6736(21)02143-7

  52. Sardinha, L., Maheu-Giroux, M., Stöckl, H., Meyer, S. R., & García-Moreno, C.(2022). Global, regional, and national prevalence estimates of physical orsexual, or both, intimate partner violence against women in 2018. Lancet,399(10327), 803-813. https://doi.org/10.1016/S0140-6736(21)02664-7

  53. Secretaría de Seguridad y Protección Ciudadana [SSPC]. (2020). Información sobreviolencia contra las mujeres e incidencia delictiva y llamadas de emergenciaal 911. Retrieved from https://www.gob.mx/sesnsp/acciones-y-programas/incidencia-delictiva-299891?state=published

  54. Sediri, S., Zgueb, Y., Ouanes, S., Ouali, U., Bourgou, S., Jomli, R., & Nacef, F.(2020). Women’s mental health: acute impact of COVID-19 pandemic ondomestic violence. Archives of Women's Mental Health, 23(6), 749-756. https://doi.org/10.1007/s00737-020-01082-4

  55. Seligowski, A. V., Lee, D. J., Bardeen, J. R., & Orcutt, H. K. (2015). Emotionregulation and posttraumatic stress symptoms: a meta-analysis. CognitiveBehaviour Therapy, 44(2), 87-102. https://doi.org/10.1080/16506073.2014.980753

  56. Siegel, A., Mor, I., & Lahav, Y. (2021). Profiles in COVID-19: peritraumatic stresssymptoms and their relation with death anxiety, anxiety sensitivity, and emotiondysregulation. European Journal of Psychotraumatology, 12(1), 1968597.https://doi.org/10.1080/20008198.2021.1968597

  57. Thibaut, F., & van Wijngaarden-Cremers, P. J. M. (2020). Women’s Mental Healthin the Time of Covid-19 Pandemic. Frontiers in Global Women’s Health, 1,588372. https://doi.org/10.3389/fgwh.2020.588372

  58. Tull, M. T., Hahn, K. S., Evans, S. D., Salters-Pedneault, K., & Gratz, K. L. (2011).Examining the Role of Emotional Avoidance in the Relationship BetweenPosttraumatic Stress Disorder Symptom Severity and Worry. CognitiveBehaviour Therapy, 40(1), 5-14. https://doi.org/10.1080/16506073.2010.515187

  59. Tyra, A. T., Ginty, A. T., & John-Henderson, N. A. (2021). Emotion RegulationStrategies Predict PTSS During the COVID-19 Pandemic in an AmericanIndian Population. International Journal of Behavioral Medicine, 28(6), 808-812. https://doi.org/10.1007/s12529-021-09964-2

  60. United Nations Entity Dedicated to Gender Equality and the Empowerment ofWomen [UN Women]. (2020). Violence Against Women and Girls: the ShadowPandemic. Retrieved from https://www.unwomen.org/es/news/stories/2020/4/statement-ed-phumzile-violence-against-women-during-pandemic

  61. United Nations Entity Dedicated to Gender Equality and the Empowerment ofWomen [UN Women]. (2021). Una de cada tres mujeres en el mundo sufreviolencia física o sexual desde que es muy joven. Retrieved from https://news.un.org/es/story/2021/03/1489292#:~:text=La%20violencia%20de%20g%C3%A9nero%20es,pareja%20o%20de%20otras%20personas

  62. Velotti, P., Civilla, C., Rogier, G., & Beomonte Zobel, S. (2021). A Fear of COVID-19and PTSD Symptoms in Pathological Personality: The Mediating Effect ofDissociation and Emotion dysregulation. Frontiers in Psychiatry, 12, 590021.https://doi.org/10.3389/fpsyt.2021.590021

  63. Villalta, L., Khadr, S., Chua, K.-C., Kramer, T., Clarke, V., Viner, R. M., Stringaris,A., & Smith, P. (2020) Complex post-traumatic stress symptoms in femaleadolescents: the role of emotion dysregulation in impairment and traumaexposure after an acute sexual assault. European Journal of Psychotraumatology,11(1). https://doi.org/10.1080/20008198.2019.1710400

  64. Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). ImmediatePsychological Responses and Associated Factors during the Initial Stage ofthe 2019 Coronavirus Disease (COVID-19) Epidemic among the GeneralPopulation in China. International Journal of Environmental Research andPublic Health, 17(5), 1729. https://doi.org/10.3390/ijerph17051729

  65. Weathers, F., Litz, B., Keane, T., Palmieri, P., Marx, B., & Schnurr, P. (2013). ThePTSD Checklist for DSM-5 (PCL-5). Retrieved from https://www.ptsd.va.gov/

  66. World Health Organization [WHO]. (2021). Violencia contra la mujer. Retrievedfrom https://www.who.int/es/news-room/fact-sheets/detail/violence-againstwomen

  67. Yiğit, I., & Guzey-Yiğit, M. (2019). Psychometric properties of Turkish versionof Difficulties in Emotion Regulation Scale-Brief Form (DERS-16). CurrentPsychology, 36, 1503-1511. https://doi.org/10.1007/s12144-017-9712




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