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人格素质与桑迪飓风:对灾后抑郁的影响。

Personality diatheses and Hurricane Sandy: effects on post-disaster depression.

作者信息

Kopala-Sibley D C, Kotov R, Bromet E J, Carlson G A, Danzig A P, Black S R, Klein D N

机构信息

Psychology Department,Stony Brook University,Stony Brook,NY,USA.

Psychiatry Department,Stony Brook University,Stony Brook,NY,USA.

出版信息

Psychol Med. 2016 Mar;46(4):865-75. doi: 10.1017/S0033291715002378. Epub 2015 Dec 1.

Abstract

BACKGROUND

According to diathesis-stress models, personality traits, such as negative emotionality (NE) and positive emotionality (PE), may moderate the effects of stressors on the development of depression. However, relatively little empirical research has directly examined whether NE and PE act as diatheses in the presence of stressful life events, and no research has examined whether they moderate the effect of disaster exposure on depressive symptoms. Hurricane Sandy, the second costliest hurricane in US history, offers a unique opportunity to address these gaps.

METHOD

A total of 318 women completed measures of NE and PE 5 years prior to Hurricane Sandy. They were also assessed for lifetime depressive disorders on two occasions, the latter occurring an average of 1 year before the hurricane. Approximately 8 weeks after the disaster (mean = 8.40, s.d. = 1.48 weeks), participants completed a hurricane stress exposure questionnaire and a measure of current depressive symptoms.

RESULTS

Adjusting for lifetime history of depressive disorders, higher levels of stress from Hurricane Sandy predicted elevated levels of depressive symptoms, but only in participants with high levels of NE or low levels of PE.

CONCLUSIONS

These findings support the role of personality in the development of depression and suggest that personality traits can be useful in identifying those most vulnerable to major stressors, including natural disasters.

摘要

背景

根据素质-应激模型,人格特质,如消极情绪性(NE)和积极情绪性(PE),可能会调节应激源对抑郁症发展的影响。然而,相对较少的实证研究直接检验了在存在应激性生活事件的情况下,NE和PE是否作为素质起作用,并且没有研究检验它们是否调节灾难暴露对抑郁症状的影响。美国历史上损失第二惨重的飓风桑迪提供了一个填补这些空白的独特机会。

方法

共有318名女性在飓风桑迪来袭前5年完成了NE和PE的测量。她们还接受了两次终生抑郁症评估,后一次评估平均在飓风来临前1年进行。灾难发生后约8周(平均 = 8.40,标准差 = 1.48周),参与者完成了一份飓风应激暴露问卷和一项当前抑郁症状测量。

结果

在调整了终生抑郁症病史后,来自飓风桑迪的更高水平的应激预测了抑郁症状水平的升高,但仅在NE水平高或PE水平低的参与者中如此。

结论

这些发现支持了人格在抑郁症发展中的作用,并表明人格特质有助于识别那些最易受重大应激源(包括自然灾害)影响的人。

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