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测量经验性回避:创伤后遗症多维预测因素的证据

Measuring Experiential Avoidance: Evidence toward Multidimensional Predictors of Trauma Sequelae.

作者信息

Lewis Meaghan, Naugle Amy

机构信息

Department of Psychology, Western Michigan University, 3700 Wood Hall, Kalamazoo, MI 49008, USA.

出版信息

Behav Sci (Basel). 2017 Feb 20;7(1):9. doi: 10.3390/bs7010009.

DOI:10.3390/bs7010009
PMID:28230736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5371753/
Abstract

The current study sought to investigate measurement discrepancies in self-report assessment of experiential avoidance (EA). Recent research indicates that EA may be more appropriately conceptualized as a multidimensional construct, operationally defined in terms of specific avoidance strategies. To test this notion, EA was measured using two self-report assessment instruments, the Acceptance and Action Questionnaire-II (AAQ-II) and the Multidimensional Experiential Avoidance Questionnaire (MEAQ) in a convenience sample of university students. Measurement differences across measures and unique contributions to prediction of posttraumatic stress symptoms (PTSS) and engagement in problematic behaviors were evaluated. Both the AAQ-II and MEAQ were found to significantly mediate the effect of childhood trauma exposure on PTSS. However, when levels of PTSS were dummy coded into dichotomies of those with a likely PTSD diagnosis and those without, the MEAQ was a stronger predictor symptoms of those with a likely PTSD diagnosis than AAQ-II did. These results provide initial support for the discriminant validity of the MEAQ, which appears to be a more specific predictor of trauma-related symptoms.

摘要

本研究旨在调查经验性回避(EA)自我报告评估中的测量差异。近期研究表明,EA可能更适合被概念化为一个多维结构,根据特定的回避策略进行操作性定义。为了验证这一观点,在一个大学生便利样本中,使用两种自我报告评估工具,即接受与行动问卷第二版(AAQ-II)和多维经验性回避问卷(MEAQ)对EA进行测量。评估了各测量方法之间的测量差异以及对创伤后应激症状(PTSS)预测和问题行为参与的独特贡献。发现AAQ-II和MEAQ均显著介导了童年创伤暴露对PTSS的影响。然而,当将PTSS水平虚拟编码为可能患有创伤后应激障碍(PTSD)诊断者和未患诊断者的二分法时,对于可能患有PTSD诊断者,MEAQ比AAQ-II是更强的症状预测指标。这些结果为MEAQ的区分效度提供了初步支持,MEAQ似乎是创伤相关症状更具体的预测指标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9589/5371753/2276ac8f7473/behavsci-07-00009-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9589/5371753/458fe03491f6/behavsci-07-00009-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9589/5371753/477fd92d852e/behavsci-07-00009-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9589/5371753/17824913c0a8/behavsci-07-00009-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9589/5371753/2276ac8f7473/behavsci-07-00009-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9589/5371753/458fe03491f6/behavsci-07-00009-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9589/5371753/477fd92d852e/behavsci-07-00009-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9589/5371753/17824913c0a8/behavsci-07-00009-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9589/5371753/2276ac8f7473/behavsci-07-00009-g004.jpg

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