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超越标准 A1:关系性和非关系性创伤事件的影响。

Beyond Criterion A1: the effects of relational and non-relational traumatic events.

机构信息

University of Minnesota, 75 East River Road, Minneapolis, MN 55455, USA.

出版信息

J Trauma Dissociation. 2012;13(2):134-51. doi: 10.1080/15299732.2012.642744.

DOI:10.1080/15299732.2012.642744
PMID:22375804
Abstract

Trauma research has historically focused on Criterion A1 traumas, neglecting many other negative interpersonal events that have been shown to lead to posttraumatic stress disorder (PTSD; S. L. Anders, P. A. Frazier, & S. Frankfurt, 2011 ). Trauma research has also focused primarily on PTSD and neglected other important outcomes, such as relationship functioning. This study aimed to assess a broader range of events, including many Criterion A1 interpersonal events; assess the cumulative impact of event exposure; and examine the relation between event exposure and a broad range of outcomes, including relationship functioning. A sample of 181 undergraduate students completed measures assessing exposure to a broad range of events, their worst lifetime event, and current psychological (e.g., psychological distress) and relationship (e.g., partner trust) functioning. Results suggested that non-Criterion A1 relational events were very common in our sample. The number of lifetime relational events experienced, whether Criterion A1 or non-Criterion A1, was strongly and consistently associated with all outcomes. The number of lifetime Criterion A1 non-relational events experienced was significantly associated with current PTSD symptoms but was not associated with other mental health and relationship outcomes. No differences were found between Criterion A1 relational, non-Criterion A1 relational, and Criterion A1 non-relational worst events on any of the mental health or relationship measures. Implications for further research and interventions are discussed.

摘要

创伤研究历来侧重于 A1 类创伤,忽视了许多其他已被证明会导致创伤后应激障碍(PTSD;S. L.安德斯、P. A.弗雷泽和 S. 法兰克福,2011)的负面人际事件。创伤研究也主要集中在 PTSD 上,而忽视了其他重要的结果,如人际关系。本研究旨在评估更广泛的事件,包括许多 A1 类人际事件;评估事件暴露的累积影响;并研究事件暴露与广泛的结果之间的关系,包括人际关系。181 名本科生完成了评估广泛事件暴露、他们一生中最严重的事件以及当前心理(如心理困扰)和人际关系(如伴侣信任)功能的评估。结果表明,非 A1 类关系事件在我们的样本中非常普遍。一生中经历的关系事件数量,无论是 A1 类还是非 A1 类,与所有结果都有很强的一致性。一生中经历的 A1 类非关系事件数量与当前 PTSD 症状显著相关,但与其他心理健康和关系结果无关。在任何心理健康或关系衡量标准上,A1 类关系、非 A1 类关系和 A1 类非关系最严重事件之间都没有差异。讨论了对进一步研究和干预的影响。

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