青少年的情緒調節策略對創傷後應激障礙和創傷後成長的影響：社會支持的調節作用_

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題名：	青少年的情緒調節策略對創傷後應激障礙和創傷後成長的影響：社會支持的調節作用
書刊名：	心理學報
作者：	周宵／伍新春／曾旻／田雨馨
作者(外文)：	Zhou, Xiao／Wu, Xin-chun／Zeng, Min／Tian, Yu-xin
出版日期：	2016
卷期：	2016(8)
頁次：	969-980
主題關鍵詞：	青少年；情緒調節策略；社會支持；adolescents；Emotion regulation；Social support；PTSD；PTG
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:20

為了考察雅安地震后青少年的情緒調節策略、社會支持與創傷后應激障礙(PTSD)和創傷后成長(PTG)之間的關系，采用創傷暴露程度問卷、情緒調節策略問卷、社會支持問卷、兒童創傷后應激障礙癥狀量表和創傷后成長問卷對雅安市蘆山縣的315名中學生進行調查，結果發現:創傷暴露程度對認知重評和表達抑制的預測作用不顯著，對PTSD和PTG具有顯著的正向預測作用。青少年的認知重評策略可以顯著地負向預測PTSD、正向預測PTG，表達抑制策略僅對PTSD有顯著的正向預測作用、對PTG的預測作用不顯著;社會支持可以顯著地調節表達抑制策略對PTSD和PTG的作用，表現為表達抑制對PTSD的正向預測作用隨著社會支持的增加而降低，并可隨著社會支持的增加而對PTG發揮促進作用。

以文找文

It has been documented that posttraumatic stress disorder(PTSD) and posttraumatic growth(PTG) are common and representative posttraumatic reactions. The former can be considered as pathological results after trauma, involving intrusive symptoms, avoidance symptoms, and hyper-arousal symptoms. The latter is reckoned as positive changes following trauma including perceived changes in self, changed sense of relationships with others, and changed philosophy of life. More importantly, PTSD and PTG may co-exist among traumatic survivors. Therefore, some researchers suggested that it is necessary to examine their shared factors, and to compare their determining factors. The aim of this study was to examine and compare the roles of possible factors or processes on the development of PTSD and PTG. A number of studies found that cognitive activities might be important factors for the development of PTSD and PTG, but these studies ignored the effect of emotional activities on PTSD and PTG. Based on the process model of emotion regulation, we found that the emotional activities had a significant effect on PTSD and PTG. However, this theory suggests that there are different emotional regulation modes such as cognitive reappraisal and expressive suppression. Previous studies have achieved a consistent conclusion that cognitive reappraisal has a positive role in improving PTG and relieving PTSD, whereas previous studies placed inconsistent views on the role of expressive suppression. Why did studies on the relation between expressive suppression and PTSD/PTG have a mixed conclusion? To make this question clear, we reviewed much relevant literature and proposed that there might be a moderating factor in the relation between expressive suppression and PTSD/PTG. Wherein, social support may play the potential moderating effect. When people perceive high level of social support, their expressive suppression may also result in positive outcomes under stressful surrounding. To examine the relations among emotion regulation, social support, and PTSD/PTG, 315 adolescents weresurveyed by using the trauma exposure inventory, the emotion regulation questionnaire, the social support question questionnaire, the posttraumatic growth inventory, and the child PTSD symptom scale. The results found that there were no significant associations between traumatic exposure and cognitive reappraisal and expressive suppression, but traumatic exposure had positive and significant effects on both PTSD and PTG. Additionally, after controlling for the traumatic exposures, cognitive reappraisal had a positive effect on PTSD, and a negative effect on PTG; expressive suppression only had a significant and positive effect on PTSD, but not PTG. Moreover, social support had a moderating role in the relations between expressive suppression and PTSD/PTG. Specifically, while under a high level of social support, expressive suppression had a positive and significant effect on PTG, but not PTSD; under a low level of social support, expressive suppression had a positive and significant effect on PTSD, but not PTG.

以文找文

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臺灣人文及社會科學引文索引資料庫