Benight Charles C, Harper Michelle L
Department of Psychology, University of Colorado at Colorado Springs, 80933-7150, USA.
J Trauma Stress. 2002 Jun;15(3):177-86. doi: 10.1023/A:1015295025950.
The mediating effect of coping self-efficacy (CSE) perceptions between acute stress responses (ASR) and 1-year distress following two disasters was tested. Between 3 and 8 weeks after the second disaster and again at 1 year, 46 residents completed questionnaires. Posttraumatic Stress Disorder (PTSD) symptoms and global distress served as outcomes. Multiple regression demonstrated that ASR and Time I CSE were significant predictors of both Time 1 outcomes. Time 1 PTSD symptoms and Time 2 CSE were significant factors for Time 2 PTSD symptoms. Gender was significant for Time 2 PTSD symptoms, but not for Time 2 global distress. Longitudinally, Time 1 CSE predicted Time 2 PTSD symptoms, but not general distress. CSE mediated between ASR and both psychological outcomes at Time 2. Coping self-efficacy perceptions provide a possible intervention target.
本研究检验了应对自我效能感（CSE）认知在两次灾难后的急性应激反应（ASR）与1年痛苦之间的中介作用。在第二次灾难发生后的3至8周以及1年时，46名居民完成了问卷调查。创伤后应激障碍（PTSD）症状和总体痛苦作为结果变量。多元回归分析表明，ASR和第一次测量时的CSE是第一次测量时两个结果变量的显著预测因素。第一次测量时的PTSD症状和第二次测量时的CSE是第二次测量时PTSD症状的显著影响因素。性别对第二次测量时的PTSD症状有显著影响，但对第二次测量时的总体痛苦没有显著影响。纵向来看，第一次测量时的CSE可以预测第二次测量时的PTSD症状，但不能预测总体痛苦。CSE在第二次测量时的ASR与两种心理结果之间起中介作用。应对自我效能感认知提供了一个可能的干预靶点。
