龙卷风后中国青少年的创伤后应激症状和创伤后成长:跨滞后面板网络分析

IF 2.7 2区 心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2024-09-01 Epub Date: 2023-06-01 DOI:10.1037/tra0001531
Tong Xie, Jingyuan Huang, Xiaoyan Liu, Wei Xu
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引用次数: 0

摘要

背景:关于创伤后应激症状(PTSS)和创伤后成长(PTG)之间的关系,现有文献的研究结果不一。最近的网络分析提供了在更精细的层面上研究创伤后应激症状与创伤后成长之间关系的机会。以前的横断面网络分析无法解决 PTSS 和 PTG 之间时间关系的方向性问题。因此,本研究旨在利用纵向数据建立PTSS和PTG成分的交叉滞后网络模型,以揭示其关系的方向:方法:以盐城龙卷风中幸存的 202 名青少年(年龄=14.36,男生占 38%)为样本,分别在龙卷风发生后的 9、12 和 18 个月使用儿童创伤后应激障碍症状量表(CPSS)和创伤后成长量表(PTGI)进行评估。对两个交叉滞后的面板网络进行了研究,以模拟创伤后应激障碍症状量表和创伤后成长量表之间的时间关联:结果:T1-T2 网络比 T2-T3 网络更密集。大多数交叉簇边缘都是从 PTSS 指向 PTG。有趣的是,PTSS 的两个主要成分--回避和入侵与 PTG 的关系大相径庭。入侵对 PTG 的成分具有正向预测作用,而回避对 PTG 则具有负向预测作用:该研究强调了 "入侵 "和 "回避 "与 "创伤后应激障碍 "组成部分之间的不同关系,表明干预措施可以从减轻回避和将 "入侵 "纳入积极改变中获益。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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Posttraumatic stress symptoms and posttraumatic growth in Chinese adolescents after tornado: Cross-lagged panel network analysis.

Background: Existing literature has yielded mixed results regarding the relationships between posttraumatic stress symptoms (PTSS) and posttraumatic growth (PTG). The recent network analysis provided opportunities to investigate the associations between PTSS and PTG on a more fine-grained level. Previous cross-sectional network analyses were unable to address the directionality of the temporal relationships between components of PTSS and PTG. Therefore, the current study aimed to model cross-lagged network of components of PTSS and PTG with longitudinal data to unveil the direction of their relationships.

Method: A sample of 202 adolescents (Mage = 14.36, 38% boys) who survived the Yancheng tornado were assessed with the Child PTSD Symptom Scale (CPSS) and Posttraumatic Growth Inventory (PTGI) at 9, 12, and 18 months following the tornado. Two cross-lagged panel networks were examined to model the temporal associations between components of PTSS and PTG.

Results: The T1-T2 Network was much denser than the T2-T3 Network. The majority of cross-cluster edges were directed from PTSS to PTG. Interestingly, two major components of PTSS, Avoidance and Intrusion shared vastly different relationships with PTG. While Intrusion positively predicted components of PTG, Avoidance exhibited negative predictive value on PTG.

Conclusions: The study highlighted the differential relationships that Intrusion and Avoidance shared with the PTG components, suggesting that interventions could benefit from mitigating avoidance and incorporating intrusion into positive change. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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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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