The latent transition of posttraumatic stress disorder and growth among adolescents surviving Jiuzhaigou earthquake.

IF 2.7 2区 心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2024-09-12 DOI:10.1037/tra0001789
Jun Qi,Xinyue Zhang,Xiao Zhou
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Abstract

OBJECTIVE Knowledge of longitudinal changes in posttraumatic stress disorder (PTSD) and posttraumatic growth (PTG) may help survivors recover better. Yet, researchers dispute the population-based typologies of PTSD and PTG as well as the temporal transition between these subpopulations across time, especially among adolescents. Thus, the transition pattern still needs further research. Besides, parent-child factors (parenting styles, parent-child cohesion, and parental attachment styles) may influence the transition, but it keeps unclear. In the study, we aimed to solve these questions. METHOD A three-wave investigation was conducted among 620 adolescents, 12 months, 21 months, and 27 months, after the Jiuzhaigou earthquake by using self-report measures on PTSD, PTG, and parent-child factors at the three time points. Finally, 339 of them finished the three-wave investigation. RESULTS Latent profile analysis models showed that three heterogeneous classes of PTSD and PTG existed across time: low-affected (low-level PTSD and PTG), thriving (low-level PTSD but high-level PTG), and struggling (high-level PTSD and PTG) groups. Random intercept latent transition analysis model suggested that samples mainly stayed in the original classes across time, with three main transitional paths: from struggling group to thriving group, from thriving group to low-affected group, and from low-affected group to struggling group. Besides, the study also found that parental rejection, overprotection, and anxious attachment were the possible factors that kept the stability of the struggling group. Parent-child cohesion increased the stability of the thriving group across time. Anxious attachment may worsen PTSD among adolescents and lower the stability of low-affected groups across time. CONCLUSIONS Coexisting and transitional patterns exist in PTSD and PTG across time. Wrong parenting styles and insecure attachments can exacerbate PTSD symptoms and diminish adolescents' resilience, but parent-child cohesion can facilitate their growth after trauma. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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九寨沟地震幸存青少年创伤后应激障碍的潜伏转变与成长。
目的 了解创伤后应激障碍(PTSD)和创伤后成长(PTG)的纵向变化有助于幸存者更好地康复。然而,研究人员对创伤后应激障碍(PTSD)和创伤后成长(PTG)的人群类型以及这些亚人群之间的时间过渡存在争议,尤其是在青少年中。因此,过渡模式仍需进一步研究。此外,亲子因素(养育方式、亲子凝聚力和父母依恋方式)也可能影响过渡,但目前尚不清楚。方法 在九寨沟地震后的 12 个月、21 个月和 27 个月,我们对 620 名青少年进行了三波调查,在三个时间点对创伤后应激障碍、PTG 和亲子因素进行了自我报告。结果潜在特征分析模型显示,不同时间段的 PTSD 和 PTG 存在三个异质性类别:低受影响组(低水平 PTSD 和 PTG)、茁壮成长组(低水平 PTSD 但高水平 PTG)和挣扎组(高水平 PTSD 和 PTG)。随机截距潜转分析模型表明,样本在不同时期主要停留在原来的组别,主要有三种过渡路径:从挣扎组到茁壮组、从茁壮组到低受影响组、从低受影响组到挣扎组。此外,研究还发现,父母的排斥、过度保护和焦虑依恋是保持挣扎组稳定的可能因素。亲子凝聚力提高了茁壮成长组在不同时期的稳定性。焦虑依恋可能会加重青少年创伤后应激障碍,并降低低受影响群体在不同时期的稳定性。错误的养育方式和不安全的依恋关系会加重创伤后应激障碍症状并降低青少年的恢复能力,但亲子凝聚力可促进青少年在创伤后的成长。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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