Yehuda Rachel, Flory Janine D
Department of Psychiatry, Mount Sinai School of Medicine, New York, and Department of Psychiatry, Bronx VAMC, Bronx, NY 10468, USA.
J Trauma Stress. 2007 Aug;20(4):435-47. doi: 10.1002/jts.20260.
Risk and resilience factors presumably explain the individual differences in the response to adversity. However, little is known about how such factors are related. Risk and protective factors may reflect a quantitative difference along a single dimension (e.g., low IQ might be associated with risk and high IQ with resilience); however, they may also refer to orthogonal constructs that interact and/or moderate stress effects to increase or diminish the probability of developing trauma-related psychopathology (e.g., good coping could offset low IQ). The authors illustrate experimental strategies for distinguishing between these possibilities for any putative measure relating to symptom development, using a database that includes published and unpublished psychological and biological variables from a relatively homogenous cohort of exposed and nonexposed veterans.
风险因素和复原力因素大概可以解释个体在应对逆境时的差异。然而,对于这些因素之间的关联却知之甚少。风险因素和保护因素可能反映了单一维度上的数量差异(例如,低智商可能与风险相关,高智商与复原力相关);然而,它们也可能指的是相互作用和/或调节压力影响以增加或降低发展与创伤相关精神病理学可能性的正交结构(例如,良好的应对方式可以抵消低智商的影响)。作者利用一个数据库说明了区分任何与症状发展相关的假定测量的这些可能性的实验策略,该数据库包含来自相对同质的暴露和未暴露退伍军人队列的已发表和未发表的心理和生物学变量。