New York Harbor VA Medical Center.
Fordham University.
Am J Orthopsychiatry. 2010 Oct;80(4):557-563. doi: 10.1111/j.1939-0025.2010.01060.x.
Research with survivors of torture has generated considerable variability in prevalence rates of posttraumatic stress disorder (PTSD). Multiple risk and resilience factors may affect this variability, increasing or decreasing the likelihood of experiencing psychological distress. This study sought to investigate the effect of several such resilience factors, coping style, social support, cognitive appraisals, and social comparisons on PTSD symptom severity. Furthermore, this study examined whether coping style moderated the relationship between resilience variables and PTSD symptoms. Seventy-five torture survivors completed an intake interview and several self-report measures upon entry into a treatment program for survivors of torture. Results indicated that emotion-focused coping styles significantly moderated the relationship between cognitive appraisal and social comparison variables and PTSD, and usually increased the likelihood of developing severe symptoms. These results indicate that the salience of resilience variables may differ depending on the individual's coping style, which present implications for clinical practice with torture survivors.
对酷刑幸存者的研究产生了相当大的创伤后应激障碍（PTSD）患病率差异。多种风险和恢复力因素可能会影响这种差异，增加或减少经历心理困扰的可能性。本研究旨在探讨几种恢复力因素（应对方式、社会支持、认知评估和社会比较）对 PTSD 症状严重程度的影响。此外，本研究还考察了应对方式是否调节了恢复力变量与 PTSD 症状之间的关系。75 名酷刑幸存者在进入酷刑幸存者治疗计划时完成了一次摄入性访谈和几项自我报告测量。结果表明，情绪聚焦应对方式显著调节了认知评估和社会比较变量与 PTSD 之间的关系，通常会增加出现严重症状的可能性。这些结果表明，恢复力变量的显著性可能取决于个体的应对方式，这对酷刑幸存者的临床实践具有重要意义。
