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灾难后分离中的心理健康:依恋的作用。

Mental Health Following Separation in a Disaster: The Role of Attachment.

作者信息

Gallagher H Colin, Richardson John, Forbes David, Harms Louise, Gibbs Lisa, Alkemade Nathan, MacDougall Colin, Waters Elizabeth, Block Karen, Lusher Dean, Baker Elyse, Bryant Richard A

机构信息

Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.

Emergency Services, Australian Red Cross, Melbourne, Australia.

出版信息

J Trauma Stress. 2016 Feb;29(1):56-64. doi: 10.1002/jts.22071. Epub 2016 Jan 7.

Abstract

Short-term separation from close family members during a disaster is a highly salient event for those involved. Yet, its subsequent impact on mental health has received little empirical attention. One relevant factor may be attachment style, which influences patterns of support-seeking under threatening conditions. Individuals (N = 914) affected by the 2009 Victorian bushfires in southeastern Australia were assessed for disaster experiences, depression, posttraumatic stress disorder (PTSD) symptoms, and attachment style 3-4 years after the fires. Using multigroup structural equation modelling, individuals who reported separation from close family members during the bushfires (n = 471) were compared to those who reported no separation (n = 443). Cross-sectional results indicated that separated individuals had higher levels of PTSD symptoms. Furthermore, attachment anxiety was more strongly positively associated with depression among separated (b = 0.62) versus not separated individuals (b = 0.32). Unexpectedly, among separated individuals, attachment avoidance had a statistically weaker association with depression (b = 0.17 vs. b = 0.35) and with PTSD symptoms (b = 0.06 vs. b = 0.22). These results suggest that attachment anxiety amplifies a negative reaction to separation; meanwhile, for avoidant individuals, separation in times of danger may facilitate defensive cognitive processes.

摘要

在灾难期间与亲密家庭成员的短期分离,对相关人员来说是一个非常突出的事件。然而,其对心理健康的后续影响却很少受到实证关注。一个相关因素可能是依恋风格,它会影响在威胁情况下寻求支持的模式。对受2009年澳大利亚东南部维多利亚丛林大火影响的914名个体,在火灾发生3至4年后评估了他们的灾难经历、抑郁、创伤后应激障碍(PTSD)症状和依恋风格。使用多组结构方程模型,将在丛林大火期间报告与亲密家庭成员分离的个体(n = 471)与报告未分离的个体(n = 443)进行比较。横断面结果表明,分离的个体有更高水平的PTSD症状。此外,在分离的个体中,依恋焦虑与抑郁的正相关比未分离的个体更强(b = 0.62 vs. b = 0.32)。出乎意料的是,在分离的个体中,依恋回避与抑郁(b = 0.17 vs. b = 0.35)以及与PTSD症状(b = 0.06 vs. b = 0.22)的关联在统计学上较弱。这些结果表明,依恋焦虑会放大对分离的负面反应;同时,对于回避型个体,危险时期的分离可能会促进防御性认知过程。

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