Warsaw School of Psychology, Warsaw, Poland.
Anxiety Stress Coping. 2009 Jul;22(4):449-63. doi: 10.1080/10615800802403815.
The study tested the model of adaptation after trauma by Benight and Bandura (2004) indicating that posttraumatic recovery may be predicted directly by coping self-efficacy (CSE) and indirectly by social support. These relations were investigated in the context of posttraumatic growth (PTG) among Hurricane Katrina survivors living with HIV. Additionally, it was hypothesized that among individuals with more intensive Posttraumatic Stress Disorder (PTSD) symptoms, those with strong CSE would experience the strongest PTG. Cross-sectional data were collected among 90 patients with HIV who reinitiated care at the HIV outpatient clinic. Questionnaires were administered approximately 14 months after the hurricane. Higher CSE was related to higher PTG among the survivors who suffered from more intensive PTSD symptoms. Received social support was directly related to only one index of PTG, relating to others. Furthermore, although there was a significant relationship between social support and CSE, the indirect conditional effect of received social support on PTG was not confirmed. Similar results were obtained across the indices of PTG, controlling for the level of exposure to hurricane-related trauma. Cross-sectional design and convenience character of the sample warrants replications.
本研究检验了 Benight 和 Bandura（2004）提出的创伤后适应模型，表明应对自我效能感（CSE）可以直接预测创伤后恢复，而社会支持则可以间接预测创伤后恢复。该模型在感染艾滋病毒的卡特里娜飓风幸存者的创伤后成长（PTG）背景下进行了研究。此外，研究还假设在创伤后应激障碍（PTSD）症状更为严重的个体中，CSE 较强的个体将经历最强的 PTG。在飓风过后约 14 个月，在重新开始接受艾滋病毒门诊治疗的 90 名艾滋病毒感染者中收集了横断面数据。问卷在飓风发生后约 14 个月发放。在 PTSD 症状更为严重的幸存者中，较高的 CSE 与较高的 PTG 有关。获得的社会支持仅与与他人有关的 PTG 的一个指标直接相关。此外，尽管社会支持与 CSE 之间存在显著关系，但获得的社会支持对 PTG 的间接条件效应并未得到证实。在控制与飓风相关创伤暴露水平的情况下，PTG 的各个指标均得到了类似的结果。横断面设计和样本的便利性特征需要进行复制。
