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时间能治愈谁的创伤?2011年奥斯陆爆炸案后创伤后应激障碍稳定性和变化的个体差异。

For Whom Does Time Heal Wounds? Individual Differences in Stability and Change in Posttraumatic Stress After the 2011 Oslo Bombing.

作者信息

Birkeland Marianne Skogbrott, Hansen Marianne Bang, Blix Ines, Solberg Øivind, Heir Trond

机构信息

Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway.

Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.

出版信息

J Trauma Stress. 2017 Feb;30(1):19-26. doi: 10.1002/jts.22158. Epub 2017 Jan 19.

Abstract

Prospective studies describing and predicting individual differences in the course of posttraumatic stress symptoms (PTSS) after disasters are scarce. The present study aimed to describe and predict individual differences in both the level and the rate of change in PTSS after the 2011 Oslo bombing, a terrorist attack directed at the Norwegian government. Survey data from ministerial employees (N = 256) were collected 10, 22, and 34 months after the bombing. We used latent growth modeling to examine the development of PTSS, and to identify the strength of predictor variables. High exposure, female sex, and high levels of neuroticism were associated with higher levels of PTSS 10 months after the traumatic event (β ranged from .25 to .30, p < .001), whereas social support was associated with lower levels of PTSS (β = -.30, p < .001). The combination of being female and high in neuroticism was associated with a faster decline in PTSS (β range: -.20 to -.39, p = .010 < .05). High exposure seemed to have a lasting influence by maintaining high levels of PTSS. Our findings suggested that being female, being highly exposed, and having low levels of social support were risk markers for enduring PTSS.

摘要

描述和预测灾难后创伤后应激症状(PTSS)过程中个体差异的前瞻性研究很少。本研究旨在描述和预测2011年奥斯陆爆炸案(针对挪威政府的恐怖袭击)后PTSS水平和变化率的个体差异。在爆炸发生后10、22和34个月收集了来自部长级雇员(N = 256)的调查数据。我们使用潜在增长模型来研究PTSS的发展,并确定预测变量的强度。高暴露、女性以及高神经质水平与创伤事件后10个月的PTSS较高水平相关(β范围为0.25至0.30,p < 0.001),而社会支持与较低的PTSS水平相关(β = -0.30,p < 0.001)。女性且神经质水平高的组合与PTSS更快下降相关(β范围:-0.20至-0.39,p = 0.010 < 0.05)。高暴露似乎通过维持高水平的PTSS产生持久影响。我们的研究结果表明,女性、高暴露以及低水平的社会支持是持续性PTSS的风险标志。

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