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生活在持续的创伤现实中:对城乡社区老年人的影响。

Living in a continuous traumatic reality: Impact on elderly persons residing in urban and rural communities.

作者信息

Regev Irit, Nuttman-Shwartz Orit

机构信息

School of Social Work, Sapir College.

出版信息

Am J Orthopsychiatry. 2016;86(6):652-661. doi: 10.1037/ort0000165. Epub 2016 Feb 25.

DOI:10.1037/ort0000165
PMID:26913773
Abstract

This study is an exploration of the contribution of exposure to the continuous threat of Qassam rocket attacks to PTSD among elderly residents of urban and rural communities. Specifically, we examined the contribution of sociodemographic variables, psychological resources, and perceived social support to PTSD, and whether this relationship is mediated by cognitive appraisals. The sample consisted of 298 residents of 2 different communities: urban (n = 190), and rural (n = 108). We examined the main research question by calculating the correlations of the sociodemographic variables, the psychological resource (self-esteem), social support, and cognitive appraisals with the dependent variable (PTSD). Our model explained the variance in PTSD (53% for urban residents, and 56% for rural residents). Higher levels of PTSD were found among the urban residents. Most of the predictors contributed to PTSD, but differences were found between each type of community with regard to the combination of components. Results indicated that the type of community is related degree of protection against stress-related triggers such as Qassam rockets. The psychological resource (self-esteem) and cognitive appraisal variables were found to be important for older people facing a continuous threat, and can serve as a basis for professional intervention. (PsycINFO Database Record

摘要

本研究探讨了遭受卡萨姆火箭弹袭击的持续威胁对城乡社区老年居民创伤后应激障碍(PTSD)的影响。具体而言,我们考察了社会人口统计学变量、心理资源和感知到的社会支持对创伤后应激障碍的影响,以及这种关系是否通过认知评估起中介作用。样本包括来自2个不同社区的298名居民:城市社区(n = 190)和农村社区(n = 108)。我们通过计算社会人口统计学变量、心理资源(自尊)、社会支持和认知评估与因变量(创伤后应激障碍)之间的相关性来研究主要研究问题。我们的模型解释了创伤后应激障碍的方差(城市居民为53%,农村居民为56%)。城市居民中创伤后应激障碍的水平更高。大多数预测因素都对创伤后应激障碍有影响,但不同类型社区在各因素组合方面存在差异。结果表明,社区类型与抵御卡萨姆火箭弹等与压力相关的触发因素的保护程度有关。心理资源(自尊)和认知评估变量对于面临持续威胁的老年人很重要,可作为专业干预的基础。(PsycINFO数据库记录)

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