社會支持、創傷後應激障礙與創傷後成長之間的關係：來自雅安地震後小學生的追蹤研究_

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題名：	社會支持、創傷後應激障礙與創傷後成長之間的關係：來自雅安地震後小學生的追蹤研究
書刊名：	心理學報
作者：	周宵／伍新春／王文超／田雨馨
出版日期：	2017
卷期：	2017(11)
頁次：	1428-1438
主題關鍵詞：	社會支持；追蹤研究；Social support；PTSD；PTG；Longitudinal study
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:0 共同引用:0 點閱:9

本文采用追蹤研究的設計,在雅安地震后的6、12和18個月三個時間點,采用社會支持問卷、兒童創傷后應激障礙癥狀量表、DSM-5的PTSD核查表和創傷后成長問卷對303名小學生進行調查。通過建立交叉滯后模型,考察社會支持、創傷后應激障礙(PTSD)與創傷后成長(PTG)三者之間的關系,結果發現在震后6至18個月之間,PTG對PTSD沒有顯著的預測作用,震后6個月的PTSD對震后12個月的PTG具有顯著的跨時間點的正向預測作用,但是該作用在震后12至18個月之間不再顯著;震后6至12個月之間,社會支持對PTSD發揮單向的緩解作用,但與PTG之間不存在顯著的預測作用;在12至18個月之間,PTSD可以單向地降低社會支持,且社會支持與PTG之間也存在顯著的正向相互預測作用。

以文找文

It has been repeatedly documented that posttraumatic stress disorder(PTSD) is a common negative outcome in trauma-related research. Nevertheless, traumatized individuals also reported positive psychological changes in various aspects of life such as personal strength, relationship, and appreciation of life, that were collectively defined as posttraumatic growth(PTG). PTG has been described in many studies as evident in survivor reports following a wide range of traumatic events.Importantly,PTSD and PTG may co-exist in trauma survivors,leading to a heated discussion on the relation between PTSD and PTG.Nevertheless,the relation between PTSD and PTG still remains mixed.For example,some studies found a positive relation between them,indicating that individuals who had high PTSD reported increased PTG.In contrary,some found a negative relation,suggesting that PTG and PTSD could be conceptualized as the two ends of the same continuum.Some even failed to find a significant relation between them,arguing that PTSD and PTG were two independent constructs.The inconsistent findings inhibited our understanding in the relation between the two constructs,thus it is necessary to examine simultaneously the predictive factors of PTSD and PTG to elucidate their relation.Wherein,social support is considered as one of the most important predictors of posttraumatic reactions.Several theories were proposed to explain the role of social support in posttraumatic outcomes,and studies indicated that social support was a protector for PTSD while a facilitator for PTG.Nevertheless,few research has examined the linkages between social support,PTSD,and PTG from a longitudinal perspective.In order to advance the gaps and to assess the longitudinal relation between social support,PTSD,and PTG,we selected 303 children to fill out a social support questionnaire,a children posttraumatic stress scale,and a posttraumatic growth inventory at 6 months(T1),12 months(T2),and 18 months(T3)after the Ya’an earthquake,respectively.Firstly,a cross-lagged model between PTSD and PTG was built,and the results indicated that PTG had no significant effect on PTSD from T1 to T3,but PTSD at T1 had a significant positive effect on PTG at T2.However,the effect of PTSD at T2 on PTG at T3 was non-significant.Then,we inserted social support into the above cross-lagged model,and found no change in the relation between PTSD and PTG.Additionally,social support at T1 had a direct and negative effect on PTSD at T2 but not vice-versa,and there were not any significant mutual effects between social support and PTG from T1 to T2.Moreover,PTSD at T2had a significant negative effect on social support at T3 but not vice-versa,and there were significant positive and mutual effects between social support and PTG from T2 to T3.

以文找文

期刊論文
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