The role of emotional functioning in military-related PTSD and its treatment
Abstract
This two-part study investigated the cross-sectional and across-treatment relationships among measures of emotional functioning and posttraumatic stress disorder (PTSD) symptomatology for veterans receiving specialized treatment for military-related PTSD. Cross-sectional analyses revealed overlap among emotion regulation, affective control, depressive symptoms, and PTSD symptoms at pre-treatment. In regression analyses, fear of losing affective control was most predictive of PTSD symptoms. Bivariate analyses of residualized change scores showed that changes in emotion regulation and fear of losing affective control were associated with changes in PTSD and depressive symptoms across treatment. Regression analyses revealed that changes in fear of losing affective control most strongly predicted changes in PTSD and depressive symptoms. Theoretical and clinical implications are discussed, including an understanding of the differences between emotion regulation and affective control processes. Future research directions are offered, including improved measurement of emotional functioning and longitudinal research delineating the likely bi-directional relationship between emotional functioning and PTSD.
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In PTSD, greater reliance on cognitive reappraisal strategies compared to suppression strategies to regulate affect is associated with less severe symptomatology and better treatment outcomes.
“In PTSD, greater reliance on cognitive reappraisal strategies as compared to suppression strategies to regulate affect has been associated with less severe symptomatology and better treatment outcomes (Price et al., 2006, Shepherd and Wild, 2014).”
From Rt-fMRI neurofeedback-guided cognitive reappraisal training modulates amygdala responsivity in posttraumatic stress disorder (2020) · cites this paper as Price et al., 2006
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- Authors
- Price, J. L., Monson, C. M., Callahan, K., & Rodriguez, B. F.
- Affiliations
- Dartmouth College (US)
- Southern Illinois University Carbondale (US)
- Corresponding author
- Price, Jennifer L.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2006
- Volume
- 20
- Issue
- 5
- Pages
- 661-674
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2039566365
- Cited by
- 111
- References
- 42
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 1 · 2023: 4 · 2022: 4 · 2021: 7 · 2020: 5 · 2019: 1 · 2018: 5 · 2017: 6 · 2016: 4 · 2015: 8 · 2014: 10 · 2013: 8 · 2012: 8
- FWCI
- 3.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Center for PTSD, U.S. Department of Veterans Affairs
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- post-traumatic stress disorder, military veterans, emotional functioning, emotion regulation, affective control, depressive symptoms, PTSD treatment, treatment modification
- MeSH terms
- Affect, Cross-Sectional Studies, Depression, Female, Humans, Male, Middle Aged, Military Personnel, Psychotherapy, Stress Disorders, Post-Traumatic, Warfare
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