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两次大地震后的创伤后成长和折旧轨迹。

Trajectories of posttraumatic growth and depreciation after two major earthquakes.

机构信息

Department of Psychology.

Department of Psychology, University of Minnesota, Twin Cities.

出版信息

Psychol Trauma. 2015 Mar;7(2):112-21. doi: 10.1037/tra0000005. Epub 2014 Sep 1.

Abstract

This study examined trajectories of posttraumatic growth or depreciation (i.e., positive or negative life change) in personal strength and relationships after 2 major earthquakes in Canterbury, New Zealand using group-based trajectory modeling. Participants completed questionnaires regarding posttraumatic growth or depreciation in personal strength and relationship domains 1 month after the first earthquake in September 2010 (N = 185) and 3 months (n = 156) and 12 months (n = 144) after the more severe February 2011 earthquake. Three classes of growth or depreciation patterns were found for both domains. For personal strength, most of the participants were grouped into a "no growth or depreciation" class and smaller proportions were grouped into either a "posttraumatic depreciation" or "posttraumatic growth" class. The 3 classes for relationships all reported posttraumatic growth, differing only in degree. None of the slopes were significant for any of the classes, indicating that levels of growth or depreciation reported after the first earthquake remained stable when assessed at 2 time points after the second earthquake. Multinomial logistic regression analyses examining pre- and postearthquake predictors of trajectory class membership revealed that those in the "posttraumatic growth" personal strength class were significantly younger and had significantly higher pre-earthquake mental health than those in the "posttraumatic depreciation" class. Sex was the only predictor of the relationship classes: No men were assigned to the "high posttraumatic growth" class. Implications and future directions are discussed.

摘要

本研究使用基于群组的轨迹建模方法,考察了在新西兰坎特伯雷两次大地震后个人力量和人际关系方面的创伤后成长或折旧(即积极或消极的生活变化)轨迹。参与者在 2010 年 9 月第一次地震后一个月(n=185)、3 个月(n=156)和 12 个月(n=144)后,完成了关于个人力量和关系领域创伤后成长或折旧的问卷调查。在两个领域都发现了三种成长或折旧模式。对于个人力量,大多数参与者被归入“无成长或折旧”类别,较小比例的参与者归入“创伤后折旧”或“创伤后成长”类别。三个关系类别都报告了创伤后成长,只是程度不同。任何类别都没有斜率显著,这表明在第二次地震后的两个时间点评估时,第一次地震后报告的成长或折旧水平保持稳定。检查轨迹类别成员的地震前和地震后预测因素的多项逻辑回归分析表明,那些处于“创伤后成长”个人力量类别的人比处于“创伤后折旧”类别的人明显更年轻,且心理健康水平明显更高。性别是关系类别的唯一预测因素:没有男性被分配到“高度创伤后成长”类。讨论了其影响和未来方向。

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