Birkeland Marianne Skogbrott, Blix Ines, Solberg Øivind, Heir Trond
Norwegian Centre for Violence and Traumatic Stress Studies.
Psychol Trauma. 2017 Mar;9(2):207-213. doi: 10.1037/tra0000188. Epub 2016 Sep 19.
Cross-sectional studies have revealed that high levels of optimism can protect against high levels of posttraumatic stress after exposure to trauma. However, this is the first study to explore (a) the protective role of optimism in a longitudinal perspective and (b) optimism's protective effects on specific symptom clusters within the posttraumatic stress symptomatology.
This study used prospective survey data from ministerial employees (n = 256) collected approximately 1, 2, and 3 years after the 2011 Oslo bombing. To examine relationships between optimism and development of posttraumatic stress, we applied a series of latent growth curve analyses of both overall posttraumatic stress and the 5 clusters within the posttraumatic stress symptomatology (intrusions, avoidance, numbing, dysphoric arousal, and anxious arousal) with predictors and interaction terms.
The results showed that levels of exposure and optimism had main effects on starting levels of all clusters of posttraumatic stress. In addition, optimism had a protective-stabilizing effect on starting levels of avoidance, numbing, and dysphoric arousal. No associations between optimism and rate of change in symptoms clusters were found.
These results suggest that optimism may help to neutralize the effects of high exposure on levels of symptoms of avoidance, numbing, and dysphoric arousal but not on the symptoms of intrusions and anxious arousal. Thus, individuals high in optimism still experience intrusions and anxious arousal after trauma, but may be better equipped to cope with these so they do not develop into avoidance, numbing and dyshorical arousal. (PsycINFO Database Record
横断面研究表明,高度乐观可以预防创伤暴露后的高水平创伤后应激。然而,这是第一项从纵向角度探讨(a)乐观的保护作用以及(b)乐观对创伤后应激症状学中特定症状群的保护作用的研究。
本研究使用了2011年奥斯陆爆炸案发生后约1年、2年和3年收集的来自政府雇员(n = 256)的前瞻性调查数据。为了检验乐观与创伤后应激发展之间的关系,我们对总体创伤后应激以及创伤后应激症状学中的5个症状群(侵入、回避、麻木、烦躁性觉醒和焦虑性觉醒)进行了一系列潜在增长曲线分析,纳入了预测因素和交互项。
结果显示,暴露水平和乐观程度对创伤后应激所有症状群的起始水平均有主效应。此外,乐观对回避、麻木和烦躁性觉醒的起始水平具有保护稳定作用。未发现乐观与症状群变化率之间存在关联。
这些结果表明,乐观可能有助于抵消高暴露对回避、麻木和烦躁性觉醒症状水平的影响,但对侵入和焦虑性觉醒症状无效。因此,高度乐观的个体在创伤后仍会经历侵入和焦虑性觉醒,但可能更有能力应对这些情况,从而不会发展为回避、麻木和烦躁性觉醒。(PsycINFO数据库记录)