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不同年龄段洪水受害者的创伤后应激症状、共病精神症状及认知扭曲

Posttraumatic stress symptoms, co-morbid psychiatric symptoms and distorted cognitions among flood victims of different ages.

作者信息

Chung Man Cheung, Jalal Sabeena, Khan Najib Ullah

机构信息

a Department of Educational Psychology , The Chinese University of Hong Kong , Shatin NT , Hong Kong.

b Medical and Dental College, Bahria University , Karachi , Pakistan , and.

出版信息

J Ment Health. 2017 Jun;26(3):204-211. doi: 10.3109/09638237.2016.1149803. Epub 2016 Mar 3.

Abstract

BACKGROUND

In literature, the effect of age on posttraumatic stress disorder (PTSD) is inconclusive; the effect on flood-related PTSD is particularly unclear. Little is known on distorted cognitions among flood victims, although cognition distortions and PTSD have been linked among victims of other traumas.

AIMS

To investigate: (1) whether flood-related PTSD, psychiatric co-morbidity and cognitive distortions would differ according to age and (2) distinctive patterns of association between the preceding variables for different age groups.

METHODS

One hundred and fifty-four flood victims of different ages completed standardized questionnaires measuring PTSD, psychiatric co-morbidity and cognitive distortions.

RESULTS

Adolescents and young adults reported significantly fewer PTSD, psychiatric co-morbidity and distorted cognition symptoms than people who were older. Preoccupation with danger and hopelessness were associated with both outcomes for adolescents, people in their thirties and middle-aged/older people. For young adults, helplessness was associated with PTSD; hopelessness and preoccupation with danger with psychiatric co-morbidity.

CONCLUSIONS

Adolescents and young adults buffered against flood-related psychological distress better than older people. Distorted cognitions related to distress outcomes differently depending on age.

摘要

背景

在文献中,年龄对创伤后应激障碍(PTSD)的影响尚无定论;对与洪水相关的创伤后应激障碍的影响尤其不清楚。尽管认知扭曲与PTSD在其他创伤受害者中存在关联,但对于洪水受害者的认知扭曲情况知之甚少。

目的

调查:(1)与洪水相关的创伤后应激障碍、精神共病和认知扭曲是否会因年龄而异;(2)不同年龄组上述变量之间独特的关联模式。

方法

154名不同年龄段的洪水受害者完成了测量创伤后应激障碍、精神共病和认知扭曲的标准化问卷。

结果

青少年和年轻人报告的创伤后应激障碍、精神共病和认知扭曲症状明显少于年长者。对危险的过度关注和绝望与青少年、三十多岁的人和中年/老年人的这两种结果都有关联。对于年轻人,无助感与创伤后应激障碍有关;绝望和对危险的过度关注与精神共病有关。

结论

青少年和年轻人比年长者更能缓冲与洪水相关的心理困扰。与困扰结果相关的认知扭曲因年龄而异。

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