Patterns and transitions of posttraumatic stress symptoms and posttraumatic growth in trauma-exposed youth: A latent transition analysis.

IF 3 2区 心理学 Q2 PSYCHIATRY Stress and Health Pub Date : 2024-10-23 DOI:10.1002/smi.3494
Jiachen Wan, Chengqi Cao, Ruojiao Fang, Chen Chen, Li Wang
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Abstract

The present study examined the transition patterns in latent classes of Post-traumatic stress disorder (PTSD) and post-traumatic growth among a sample of youth 4-13 months after an explosion accident in China. Latent profile analyses identified consistent three classes (Resilient, Growing, and High-Symptom) at both waves. Latent transition analysis found most Resilient individuals remained stable while most Growing and High-symptom individuals transferred. Logistic regression predicting transition pathways suggests younger individuals, males, and those who lack social support are prone to experience reduced post-traumatic growth, whereas individuals with higher trauma exposure are prone to develop PTSD. Our study provides empirical evidence supporting qualitative transitions in PTSD and post-traumatic growth levels from a person-centred perspective. This adds to the current knowledge on the heterogeneity of post-traumatic responses of human beings and offers valuable guidance for post-traumatic interventions among youths.

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受创伤青少年的创伤后应激症状和创伤后成长的模式与转变:潜在转变分析
本研究调查了中国爆炸事故发生 4-13 个月后的青少年样本中创伤后应激障碍(PTSD)和创伤后成长的潜在类别的转变模式。在两次波次中,潜特征分析确定了一致的三个类别(复原型、成长型和高症状型)。潜能转换分析发现,大多数 "复原型 "个体保持稳定,而大多数 "成长型 "和 "高症状型 "个体则发生了转换。预测过渡途径的逻辑回归表明,年轻个体、男性和缺乏社会支持的个体容易经历创伤后成长的减少,而创伤暴露程度较高的个体则容易发展为创伤后应激障碍。我们的研究从以人为本的角度为创伤后应激障碍和创伤后成长水平的质变提供了实证支持。这丰富了当前关于人类创伤后反应异质性的知识,为青少年创伤后干预提供了宝贵的指导。
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来源期刊
Stress and Health
Stress and Health 医学-精神病学
CiteScore
6.40
自引率
4.90%
发文量
91
审稿时长
>12 weeks
期刊介绍: Stress is a normal component of life and a number of mechanisms exist to cope with its effects. The stresses that challenge man"s existence in our modern society may result in failure of these coping mechanisms, with resultant stress-induced illness. The aim of the journal therefore is to provide a forum for discussion of all aspects of stress which affect the individual in both health and disease. The Journal explores the subject from as many aspects as possible, so that when stress becomes a consideration, health information can be presented as to the best ways by which to minimise its effects.
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