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创伤后成长和困扰的共同和独特预测因素。

Shared and unique predictors of post-traumatic growth and distress.

机构信息

Tel Aviv University.

出版信息

J Clin Psychol. 2011 Mar;67(3):241-52. doi: 10.1002/jclp.20747. Epub 2010 Nov 23.

Abstract

This prospective longitudinal study compared pretraumatic, peritraumatic, and post-traumatic predictors of post-traumatic growth (PTG) and post-traumatic stress disorder (PTSD). A total of 103 Israeli former prisoners of the Yom Kippur War were followed over 30 years. Sociodemographic variables, trauma exposure, reactions in captivity, world assumptions, social support, and personality factors were assessed in 1991, and PTG and PTSD symptoms in 2003. Hierarchical regression modeling showed that although some predictors, namely, loss of control and active coping during captivity, predicted both PTG and PTSD, others predicted one outcome and not the other. Self-controllability predicted PTG while sociodemographic factors predicted PTSD when controlling for PTSD and PTG, respectively. The findings indicate that salutary and pathogenic trauma outcomes share some but not all precursors, underscoring their multifaceted relationship.

摘要

这项前瞻性纵向研究比较了创伤前、创伤时和创伤后因素对创伤后成长(PTG)和创伤后应激障碍(PTSD)的预测作用。共有 103 名以色列前赎罪日战争的前囚犯在 30 多年的时间里接受了随访。1991 年评估了社会人口统计学变量、创伤暴露、被俘期间的反应、世界观假设、社会支持和人格因素,2003 年评估了创伤后成长和创伤后应激障碍症状。分层回归模型显示,尽管一些预测因素,即被俘期间的失控和积极应对,同时预测了创伤后成长和创伤后应激障碍,但其他因素只预测了其中一个结果,而不是另一个。自我控制能力预测了创伤后成长,而社会人口统计学因素则在控制了创伤后应激障碍和创伤后成长后,分别预测了创伤后应激障碍。研究结果表明,有益和致病的创伤结果有一些但不是所有的共同前因,强调了它们多方面的关系。

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