Broad Clinical Phenotype and Facets of Emotion Regulation in Interpersonal Trauma Survivors

J Clin Psychol. 2015 Sep;71(9):885-97. doi: 10.1002/jclp.22177. Epub 2015 Apr 13.

Abstract

Objectives: This study examines broad-based psychopathology in a community sample of female survivors of interpersonal trauma. The extent to which facets of emotion regulation predict symptom presentation among this population is examined.

Method: Hierarchical cluster analysis examining symptoms of posttraumatic stress disorder, depression, somatization, and alcohol abuse was used to identify symptom clusters in an ethnically diverse sample (N = 205).

Results: Approximately 17% of the sample fell into a severe symptom group characterized by clinical levels of distress across all four disorders. The largest group (46%) was marked by subclinical distress across all four disorders, while the final group (37%) reported subclinical distress, but with a relative absence of alcohol abuse. Of the 6 emotion regulation subscales from the Difficulties in Emotion Regulation Scale (Gratz & Roemer, 2004), 2 consistently predicted group membership: nonacceptance and impulsivity.

Conclusions: Cluster analyses revealed symptom clusters that may vary in their appropriateness for current posttrauma interventions. Implications for research and clinical practice are discussed.

Keywords: emotion regulation; interpersonal trauma; psychopathology.

MeSH terms

  • Adult
  • Alcoholism / epidemiology
  • Alcoholism / psychology*
  • Cluster Analysis
  • Depression / epidemiology
  • Depression / psychology*
  • Emotions*
  • Female
  • Humans
  • Interpersonal Relations
  • Middle Aged
  • Midwestern United States / epidemiology
  • Psychological Tests
  • Risk Factors
  • Somatoform Disorders / epidemiology
  • Somatoform Disorders / psychology*
  • Spouse Abuse / psychology*
  • Stress Disorders, Post-Traumatic / epidemiology
  • Stress Disorders, Post-Traumatic / psychology*
  • Survivors / psychology
  • Women's Health
  • Young Adult