Emotion Dysregulation and Social Support in PTSD and Depression: A Study of Trauma-Exposed Veterans

J Trauma Stress. 2017 Oct;30(5):545-549. doi: 10.1002/jts.22226. Epub 2017 Oct 12.

Abstract

Emotion dysregulation has been associated with impaired interpersonal functioning and increased risk of posttraumatic psychopathology. Given that social support is a robust predictor of psychiatric morbidity following trauma exposure, we examined whether emotion dysregulation was associated with posttraumatic psychopathology through its negative effect on social support. Using self-report data from 90 military veterans (89.9% men) enrolled in an outpatient psychotherapy program for posttraumatic stress disorder (PTSD), we found that social support partially mediated the effect of emotion dysregulation on PTSD (PM = .10) and depression symptoms (PM = .14). When source of support was considered, friend (PM = .08) and significant other support (PM = .06) were greater mediators of the effect of emotion dysregulation on depression symptoms than family support (PM = .01). There were no differential mediating effects for support providers on PTSD symptoms. Our findings indicate that social support is a statistically significant yet clinically limited mechanism through which emotion dysregulation is linked with psychiatric symptoms. Implications for these limitations and alternative potentially relevant interpersonal mechanisms are discussed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Canada
  • Depression / diagnosis
  • Depression / psychology*
  • Emotions
  • Female
  • Humans
  • Male
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Self Report
  • Social Support*
  • Stress Disorders, Post-Traumatic / diagnosis
  • Stress Disorders, Post-Traumatic / psychology*
  • Stress Disorders, Post-Traumatic / therapy
  • Veterans / psychology*