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丧失后的创伤周围解离:潜在结构及其与精神病理学的关联

Peritraumatic dissociation after loss: latent structure and associations with psychopathology.

作者信息

Boelen Paul A, Keijsers Loes, van den Hout Marcel A

机构信息

Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands.

出版信息

J Nerv Ment Dis. 2012 Apr;200(4):362-4. doi: 10.1097/NMD.0b013e31824cc60e.

Abstract

This study investigated the factor-structure of retrospectively assessed peritraumatic dissociation in the moments surrounding the death of a loved one and concurrent and prospective associations of such peritraumatic dissociation with loss-related emotional distress. Data were available from 168 people, bereaved in the preceding year. They completed the Peritraumatic Dissociative Experiences Questionnaire with their loss as the index event, together with measures of prolonged grief disorder, depression, and posttraumatic stress disorder; 117 completed symptom measures again 1 year later. Confirmatory factor analysis comparing the fit of four competing models showed that the eight-item one-factor model found in the first study using the Peritraumatic Dissociative Experiences Questionnaire provided the best fit to the data. Peritraumatic dissociation predicted concurrent and prospective symptom levels even when controlling for neuroticism and demographic and loss-related variables.

摘要

本研究调查了在亲人死亡前后即刻通过回顾性评估的创伤周围解离的因素结构,以及这种创伤周围解离与丧失相关情绪困扰的并发和前瞻性关联。数据来自168名在前一年经历丧亲之痛的人。他们以自己的丧亲事件为索引事件,完成了创伤周围解离体验问卷,同时还完成了持续性悲伤障碍、抑郁和创伤后应激障碍的测量;117人在1年后再次完成了症状测量。比较四个竞争模型拟合度的验证性因素分析表明,在第一项使用创伤周围解离体验问卷的研究中发现的八项单因素模型对数据的拟合度最佳。即使在控制了神经质以及人口统计学和丧失相关变量后,创伤周围解离仍能预测并发和前瞻性症状水平。

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