School of Psychology, Institute of Developmental Psychology, Beijing Normal University, Beijing, China.
School of Psychology, Institute of Developmental Psychology, Beijing Normal University, Beijing, China.
Psychiatry Res. 2015 Jul 30;228(1):107-11. doi: 10.1016/j.psychres.2015.04.024. Epub 2015 Apr 29.
The aim of this study is to examine the longitudinal relationships between posttraumatic stress disorder (PTSD) and posttraumatic growth (PTG) among adolescent survivors of the 2008 Wenchuan earthquake in China. The participants in our study included 245 adolescent survivors who were randomly selected from several primary and secondary schools in the counties of Wenchuan, which are the areas most severely affected by the Wenchuan earthquake. Participants completed the Revised Child PTSD Symptom Scale and the Posttraumatic Growth Inventory (PTGI) at 3.5 years after the earthquake (T1), 4.5 years after the earthquake (T2), and 5.5 years after the earthquake (T3). The results found that PTSD reported in T1 and T2 predicted subsequent PTG reported at T2 and T3 and that PTG did not predict PTSD from T1 to T3. In addition, the cross-sectional correlation between PTSD and PTG weakened from T1 to T3. These results indicate that PTSD and PTG can coexist in individuals after a traumatic experience, and they further suggest that the reduction in PTSD does not indicate the appearance of PTG.
本研究旨在探讨汶川地震后青少年幸存者创伤后应激障碍（PTSD）和创伤后成长（PTG）之间的纵向关系。我们的研究对象包括 245 名从汶川地震受灾最严重的几个县的几所中小学中随机抽取的青少年幸存者。参与者在地震后 3.5 年（T1）、4.5 年（T2）和 5.5 年（T3）时完成了修订后的儿童 PTSD 症状量表和创伤后成长量表（PTGI）。研究结果发现，T1 和 T2 时报告的 PTSD 预测了 T2 和 T3 时报告的随后的 PTG，而 PTG 并没有从 T1 到 T3 预测 PTSD。此外，PTSD 和 PTG 之间的横断面相关性从 T1 到 T3 减弱。这些结果表明，创伤后个体可能同时存在 PTSD 和 PTG，而且进一步表明 PTSD 的减少并不意味着 PTG 的出现。
