School of Psychology, University of New South Wales, NSW, Sydney, Australia.
Unit for Social and Community Psychiatry, Barts' and the London School of Medicine and Dentistry, Queen Mary University of London, United Kingdom.
PLoS One. 2014 Mar 21;9(3):e90503. doi: 10.1371/journal.pone.0090503. eCollection 2014.
While high prevalence rates of psychological symptoms have been documented in civilian survivors of war, little is known about the mechanisms by which trauma exposure might lead to poor psychological outcomes in these populations. One potential mechanism that may underpin the association between war-related traumatic experiences and psychopathology is interpersonal sensitivity. In the current study, we applied structural equation modeling to investigate the impact of interpersonal sensitivity on posttraumatic stress disorder (PTSD) symptoms, depression symptoms, and anger responses following exposure to war trauma. 3313 survivors of the war in the former Yugoslavia were identified and selected using a multistage, probabilistic sampling frame and random walk technique. Participants were interviewed regarding trauma exposure, interpersonal sensitivity, and PTSD symptoms, depression symptoms, and anger responses. Structural equation modeling analyses revealed that the relationship between trauma and PTSD symptoms and depression symptoms was partly statistically mediated by interpersonal sensitivity. Further, findings indicated that the relationship between trauma and anger responses was fully statistically mediated by interpersonal sensitivity. These results suggest that interpersonal sensitivity may function as a key mechanism that contributes to psychopathology following trauma.
虽然有大量文献记录了平民在战争中的心理症状高发率，但对于创伤暴露如何导致这些人群出现不良心理后果的机制却知之甚少。一种可能的机制是人际关系敏感，它可能是与战争相关的创伤经历和精神病理学之间关联的基础。在本研究中，我们应用结构方程模型来调查人际关系敏感对创伤后应激障碍（PTSD）症状、抑郁症状和愤怒反应的影响，这些症状是在经历战争创伤后出现的。使用多阶段、概率抽样框架和随机游走技术，确定并选择了 3313 名前南斯拉夫战争的幸存者作为研究对象。参与者接受了有关创伤暴露、人际关系敏感以及 PTSD 症状、抑郁症状和愤怒反应的访谈。结构方程模型分析表明，创伤与 PTSD 症状和抑郁症状之间的关系部分由人际关系敏感进行了统计学中介。此外，研究结果表明，创伤与愤怒反应之间的关系完全由人际关系敏感进行了统计学中介。这些结果表明，人际关系敏感可能是创伤后精神病理学的关键机制之一。
