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应对策略和特质乐观与掌控感的内在资源作为创伤暴露和 PTSD 症状的预测因素:一项前瞻性研究。

Coping strategies and internal resources of dispositional optimism and mastery as predictors of traumatic exposure and of PTSD symptoms: A prospective study.

机构信息

The Interdisciplinary Clinical Center, School of Social Work, Faculty of Social Welfare and Health Sciences.

出版信息

Psychol Trauma. 2015 Jul;7(4):405-11. doi: 10.1037/tra0000032. Epub 2015 Apr 13.

Abstract

This prospective study aimed at examining the role of trait internal resources and coping strategies in predicting traumatic exposure and levels of posttraumatic stress disorder (PTSD) symptoms after such exposure. In total, 870 Israeli students participated in the study, of whom 182 (20%) reported a lifetime history of traumatic exposure at baseline (t1), and a total of 231 (27%) respondents reported traumatic exposure during follow-up (t2, t3). After controlling the effect of lifetime history of traumatic exposure either by using it as a covariate in a multivariate analysis of covariance (MANCOVA) or as a predictor in regression analyses, the results indicate that individuals high on trait avoidance coping style and low on mastery are at a higher risk for traumatic exposure, while those high on trait problem-focused coping style, mastery and dispositional optimism are at a lower risk for PTSD symptoms after such exposure.

摘要

这项前瞻性研究旨在探讨特质内部资源和应对策略在预测创伤暴露以及创伤暴露后创伤后应激障碍(PTSD)症状水平方面的作用。共有 870 名以色列学生参与了这项研究,其中 182 人(20%)在基线时报告了终生创伤暴露史(t1),共有 231 人(27%)报告了随访期间的创伤暴露(t2、t3)。在控制了终生创伤暴露史的影响后,无论是在多元协方差分析(MANCOVA)中作为协变量,还是在回归分析中作为预测因子,结果表明,特质回避应对方式高、掌握程度低的个体更容易受到创伤暴露的影响,而特质问题聚焦应对方式、掌握程度和性格乐观的个体在创伤暴露后 PTSD 症状的风险较低。

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