Piccardi Laura, Marano Assunta, Geraci Maria Angela, Legge Emanuele, D'Amico Simonetta
Dipartimento di medicina interna, sanità pubblica, scienze della vita e dell'ambiente, Università degli Studi dell'Aquila.
Psicologa, psicoterapeuta. L'Aquila.
Epidemiol Prev. 2016 Mar-Apr;40(2 Suppl 1):53-8. doi: 10.19191/EP16.2S1.P053.049.
to assess the presence of a characteristic coping strategy profile in a wide sample of preadolescents following a traumatic exposure (i.e., L'Aquila earthquake).
we have investigated the coping strategies through the Brief-Cope Coping Orientation towards Problems Experienced - new Italian version (COPE-NVI) devised to measure coping strategies on five levels: problem-oriented coping strategies, avoidance strategies, social-support strategies, positive attitude, transcendent orientation.
129 preadolescents exposed (75 females and 54 males) and 107 non-exposed to the trauma (54 females and 53 males), age-ranged 11-14 years, coming from L'Aquila and from another Italian region far away from the epicentre of the earthquake. The trauma exposure was assessed through a checklist considering the presence of negative factors such as death of relatives and friends and displacement from home. Participants were tested collectively at school during school time in accordance with their teacher. An exclusion criterion was the presence of psychic disorders following or preceding the trauma.
the need to develop a diagnostic protocol including coping measures aim to planning preventive actions for avoiding post-traumatic diseases.
the trauma exposure without consequent psychiatric disorders causes a high heterogeneity within coping dimensions, such phenomenon does not happen in the non-exposed group. Coping strategies are not affected by age and gender, but only by the exposure to the trauma. Furthermore, death of relatives/friends and displacements from home predict the use of specific coping strategies (i.e., social-support strategies and transcendent orientation).
coping is a dynamic process of adjustment to critical events that requires to direct cognitive and behavioural resources. The trauma exposure modifies coping strategies and dimensions. This study shows the importance to use coping tools for helping people in using positive and active resource of coping.
评估遭受创伤事件(即拉奎拉地震)的大量青春期前儿童样本中是否存在特定的应对策略特征。
我们通过《应对经历问题的简要应对方式 - 新意大利语版本》(COPE-NVI)调查了应对策略,该版本旨在从五个层面测量应对策略:问题导向型应对策略、回避策略、社会支持策略、积极态度、超然取向。
129名遭受创伤的青春期前儿童(75名女性和54名男性)以及107名未遭受创伤的儿童(54名女性和53名男性),年龄在11至14岁之间,来自拉奎拉以及意大利另一个远离地震震中的地区。通过一份清单评估创伤暴露情况,该清单考虑了诸如亲友死亡和离家流离失所等负面因素。参与者在学校上课时间根据老师安排集体接受测试。排除标准是创伤前后存在精神障碍。
需要制定一个诊断方案,包括应对措施,旨在规划预防创伤后疾病的行动。
遭受创伤但未引发精神障碍会导致应对维度内高度异质性,这种现象在未遭受创伤的组中未出现。应对策略不受年龄和性别的影响,仅受创伤暴露的影响。此外,亲友死亡和离家流离失所可预测特定应对策略(即社会支持策略和超然取向)的使用。
应对是一个适应关键事件的动态过程,需要引导认知和行为资源。创伤暴露会改变应对策略和维度。本研究表明使用应对工具帮助人们利用积极主动的应对资源的重要性。