交通事故受害者创伤后应激障碍预测中的人格与创伤时解离
Personality and peritraumatic dissociation in the prediction of PTSD in victims of road traffic accidents.
作者信息
Holeva V, Tarrier N
机构信息
Academic Division of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester, Withington Hospital, Manchester M20 8LR, UK.
出版信息
J Psychosom Res. 2001 Nov;51(5):687-92. doi: 10.1016/s0022-3999(01)00256-2.
OBJECTIVES
To investigate the contribution of personality and peritraumatic dissociation in the development of posttraumatic stress disorder (PTSD).
METHOD
Victims of road traffic accidents (RTA) were assessed within 2-4 weeks (Time 1) of the accident and again between 4 and 6 months (Time 2). The Eysenck Personality Questionnaire (EPQ) and Peritraumatic Dissociation Experience Questionnaire (PDEQ) were administered at Time 1 and posttraumatic stress symptoms were assessed at Time 2.
RESULTS
265 subjects were assessed at both time points, although neuroticism, psychoticism, and peritraumatic dissociation were significantly correlated with posttraumatic symptoms, only the personality dimensions were independent and significant predictors of subsequent PTSD in a logistic regression.
CONCLUSIONS
Consistent with the literature personality measures, especially neuroticism, is associated with the development of PTSD. However, peritraumatic dissociation was not found to be an independent predictor of PTSD.
目的
探讨人格及创伤时解离在创伤后应激障碍（PTSD）发生发展中的作用。
方法
对道路交通事故（RTA）受害者在事故发生后2至4周（时间1）进行评估，并在4至6个月之间（时间2）再次评估。在时间1时进行艾森克人格问卷（EPQ）和创伤时解离体验问卷（PDEQ）评估，并在时间2时评估创伤后应激症状。
结果
265名受试者在两个时间点均接受了评估，尽管神经质、精神质和创伤时解离与创伤后症状显著相关，但在逻辑回归分析中，只有人格维度是随后PTSD的独立且显著的预测因素。
结论
与文献中的人格测量结果一致，人格特质，尤其是神经质，与PTSD的发生有关。然而，未发现创伤时解离是PTSD的独立预测因素。
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