Hobfoll Stevan E, Palmieri Patrick A, Johnson Robert J, Canetti-Nisim Daphna, Hall Brian J, Galea Sandro
Department of Behavioral Sciences, Rush Medical College, 1653 West Congress Parkway, Chicago, IL 60612-3244, USA.
J Consult Clin Psychol. 2009 Feb;77(1):138-48. doi: 10.1037/a0014360.
This is the 1st longitudinal examination of trajectories of resilience and resistance (rather than ill-being) among a national sample under ongoing threat of mass casualty. The authors interviewed a nationally representative sample of Jews and Arabs in Israel (N = 709) at 2 times during a period of terrorist and rocket attacks (2004-2005). The resistance trajectory, exhibiting few or no symptoms of traumatic stress and depression at both time points, was substantially less common (22.1%) than has previously been documented in studies following single mass casualty events. The resilience trajectory, exhibiting initial symptoms and becoming relatively nonsymptomatic, was evidenced by 13.5% of interviewees. The chronic distress trajectory was documented among a majority of participants (54.0%), and a small proportion of persons were initially relatively symptom-free but became distressed (termed delayed distress trajectory; 10.3%). Less psychosocial resource loss and majority status (Jewish) were the most consistent predictors of resistance and resilience trajectories, followed by greater socioeconomic status, greater support from friends, and less report of posttraumatic growth.
这是对处于大规模伤亡持续威胁下的全国样本中恢复力和抵抗力(而非不良状态)轨迹的首次纵向研究。作者在恐怖袭击和火箭弹袭击期间(2004 - 2005年)对以色列具有全国代表性的犹太人和阿拉伯人样本(N = 709)进行了两次访谈。抵抗力轨迹在两个时间点均表现出极少或没有创伤后应激和抑郁症状,其出现比例(22.1%)远低于此前在单次大规模伤亡事件后的研究中所记录的比例。恢复力轨迹表现为最初有症状但后来相对无症状,13.5%的受访者呈现出这种轨迹。大多数参与者(54.0%)呈现出慢性困扰轨迹,一小部分人最初相对无症状但后来出现困扰(称为延迟困扰轨迹;10.3%)。较少的心理社会资源损失和多数群体身份(犹太)是抵抗力和恢复力轨迹最一致的预测因素,其次是较高的社会经济地位、来自朋友的更多支持以及较少的创伤后成长报告。