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社会关系与 PTSD 症状:一项对台湾地震灾区青少年的前瞻性研究。

Social relations and PTSD symptoms: a prospective study on earthquake-impacted adolescents in Taiwan.

机构信息

Department of Psychology, National Taiwan University, Taipei, Taiwan.

出版信息

J Trauma Stress. 2009 Oct;22(5):451-9. doi: 10.1002/jts.20447.

DOI:10.1002/jts.20447
PMID:19760741
Abstract

This prospective longitudinal study examined two competing models, a traditional social support model and a supportive and detrimental social relations model, to clarify the association of PTSD symptoms with supportive and detrimental social relations. Seven-hundred five adolescents living near the epicenter of the Taiwan Chi-Chi Earthquake participated in the study. The models were evaluated and cross-validated using structural equation modeling. The supportive and detrimental social relations model appeared to be a better fit. After further evaluation of three nested versions of the supportive and detrimental social relations model, detrimental social relations was found to partially mediate the relationship between PTSD symptoms 1 and 2 years following the earthquake. The findings suggest that helping adolescents deal with detrimental social relations can contribute to postdisaster adjustment.

摘要

本前瞻性纵向研究考察了两个竞争模型,即传统的社会支持模型和支持性与有害性社会关系模型,以阐明 PTSD 症状与支持性和有害性社会关系之间的关联。705 名居住在台湾集集地震震中的青少年参与了这项研究。使用结构方程模型对这些模型进行了评估和交叉验证。支持性和有害性社会关系模型似乎更合适。在进一步评估支持性和有害性社会关系模型的三个嵌套版本后,发现有害社会关系部分中介了地震后 1 年和 2 年 PTSD 症状之间的关系。研究结果表明,帮助青少年应对有害的社会关系有助于灾后的调整。

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