Martz Erin
Educational, School, and Counseling Psychology Department, University of Missouri, Columbia, Missouri 65211-2130, USA.
Int J Rehabil Res. 2004 Sep;27(3):185-94. doi: 10.1097/00004356-200409000-00003.
Based on the perspective that post-traumatic stress disorder (PTSD) reflects a reaction of adaptation to trauma, the goal of this research was to examine the ability of PTSD symptom clusters (re-experiencing, avoidance, and hyperarousal) to predict eight reactions of adaptation to disability (shock, anxiety, denial, depression, internalized anger, externalized hostility, acknowledgment, and adjustment) among individuals with non-congenital spinal cord injuries. Individuals (all of whom attended either a specialized civilian or a veteran spinal cord injury clinic in Texas) completed two self-report questionnaires--the Reactions to Impairment and Disability Inventory (RIDI) and the Purdue Posttraumatic Stress Disorder Scale Revised (PPTSD-R). According to the statistical fit indices, five of the fit indices suggested that the revised model was a good fit to the data, whereas one fit index and the chi/df ratio indicated that the revised model fit the data poorly. The model provided information on the ability of PTSD clusters to predict reactions of adaptation, which suggested a specific pattern of vacillation of post-traumatic responses during the process of adaptation. These findings need replication before proposing interventions for post-traumatic stress responses after the onset of a spinal cord injury.
基于创伤后应激障碍（PTSD）反映了对创伤的适应性反应这一观点，本研究的目的是检验PTSD症状群（重新体验、回避和过度警觉）对非先天性脊髓损伤个体的八种残疾适应性反应（震惊、焦虑、否认、抑郁、内化愤怒、外化敌意、承认和调整）的预测能力。研究对象（均来自德克萨斯州的一家专门的平民或退伍军人脊髓损伤诊所）完成了两份自我报告问卷——《损伤与残疾反应量表》（RIDI）和《普渡创伤后应激障碍量表修订版》（PPTSD-R）。根据统计拟合指数，其中五个拟合指数表明修订模型与数据拟合良好，而一个拟合指数和卡方/自由度比表明修订模型与数据拟合较差。该模型提供了关于PTSD症状群预测适应性反应能力的信息，这表明在适应过程中创伤后反应存在一种特定的波动模式。在针对脊髓损伤后创伤后应激反应提出干预措施之前，这些发现需要重复验证。
