自我同情是防止童年不良经历引发创伤后应激症状的保护因素:日本航空自卫队新兵横断面研究。

IF 3.7 2区 医学 Q1 PSYCHIATRY Journal of psychiatric research Pub Date : 2024-10-15 DOI:10.1016/j.jpsychires.2024.10.010
Masato Kitano , Florentine H.S. van der Does , Taku Saito , Erik J. Giltay , Toshinori Chiba , Naoki Edo , Fumiko Waki , Hisateru Tachimori , Minori Koga , Nic J. van der Wee , Eric Vermetten , Masanori Nagamine
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引用次数: 0

摘要

童年的不良经历(ACE)可能会导致长期的心理健康并发症,包括创伤后应激障碍(PTSD)。众所周知,尽管军人需要保持心理健康以完成任务,但他们的 ACE 在军人中更为常见。自我同情,即善待和理解自己,可以减轻逆境的心理影响,但也会受到逆境的影响。这项横断面研究旨在确定日本航空自卫队 752 名新兵中的 ACE、自我同情和创伤后应激障碍症状之间的复杂关系,其中 537 名有 ACE 的新兵完成了 DSM-5 的创伤后应激障碍检查表。我们使用层次多元回归分析法来研究自我同情对创伤后应激障碍症状的独立影响,该方法使用自我同情量表(Self-Compassion Scale)进行测量。以自我同情为中介,对 ACE 与创伤后应激障碍症状之间的关系进行了中介效应分析。与之前一项研究中的健康人群相比,我们证实参与者中的 ACE 水平较高,约有 6% 的人出现了超过临界值的创伤后应激障碍症状。自我同情与创伤后应激障碍症状呈显著负相关(β = -.22,95% 置信区间 [CI],-.34 至 -.11)。中介效应分析显示,自我同情部分中介了ACE与创伤后应激障碍症状之间的关系,解释了这一效应的6.9%,ACE与自我同情负相关(β = -.13, 95% CI, -.22 to -.04)。这些研究结果表明,自我同情是创伤后应激障碍症状的保护因素,而ACE则会降低自我同情。进一步的研究应探讨如何采取教育干预措施,增强有ACE的个体的自我同情,以减轻创伤后应激障碍症状。
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Self-compassion as a protective factor against post-traumatic stress symptoms induced by adverse childhood experiences: A cross-sectional study among Japan air self-defense force new recruits
Adverse childhood experiences (ACEs) may result in long-term mental health complications, including post-traumatic stress disorder (PTSD). ACEs are known to be more frequent among military personnel, despite their need to maintain their mental health to accomplish their missions. Self-compassion, or treating oneself with kindness and understanding, can mitigate the psychological effects of adversity but is also affected by adversity. This cross-sectional study aimed to identify the complex relationships between ACEs, self-compassion, and PTSD symptoms among 752 new recruits of the Japan Air Self-Defense Force, of whom 537 with ACEs completed the PTSD Checklist for DSM-5. Hierarchical multiple regression analysis was used to examine the independent effect of self-compassion, measured using the Self-Compassion Scale, on PTSD symptoms. Mediation effect analysis with self-compassion as a mediator was conducted on the relationship between ACEs and PTSD symptoms. We confirmed high levels of ACEs among our participants compared to a healthy population of a previous study, and approximately 6% presented PTSD symptoms above a threshold. Self-compassion was significantly negatively associated with PTSD symptoms (β = −.22, 95% confidence interval [CI], −.34 to −.11). Mediation effect analysis revealed that self-compassion partially mediated the relationship between ACEs and PTSD symptoms, explaining 6.9% of this effect, and ACEs were negatively associated with self-compassion (β = −.13, 95% CI, −.22 to −.04). These findings suggested that self-compassion is a protective factor against PTSD symptoms, whereas ACEs can decrease self-compassion. Further research should explore educational interventions to enhance self-compassion among individuals with ACEs to mitigate PTSD symptoms.
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来源期刊
Journal of psychiatric research
Journal of psychiatric research 医学-精神病学
CiteScore
7.30
自引率
2.10%
发文量
622
审稿时长
130 days
期刊介绍: Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;
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