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叙利亚难民创伤中心、自我效能、创伤后应激和精神共病之间的关系:性别是否起调节作用?

The relationship between trauma centrality, self-efficacy, posttraumatic stress and psychiatric co-morbidity among Syrian refugees: Is gender a moderator?

机构信息

The Chinese University of Hong Kong, Department of Educational Psychology, Ho Tim Building, Faculty of Education, Shatin, NT, Hong Kong.

Zayed University, Abu Dhabi, United Arab Emirates.

出版信息

J Psychiatr Res. 2017 Nov;94:107-115. doi: 10.1016/j.jpsychires.2017.07.001. Epub 2017 Jul 3.

DOI:10.1016/j.jpsychires.2017.07.001
PMID:28697422
Abstract

This study examined the inter-relationship between trauma centrality, self-efficacy, posttraumatic stress disorder (PTSD) and psychiatric co-morbidity among a group of Syrian refugees living in Turkey, and whether gender would moderate the mediational effect of self-efficacy on the impact of trauma centrality on distress. Seven hundred and ninety-two Syrian refugees completed the Harvard Trauma Questionnaire, General Health Questionnaire-28, Centrality of Event Scale and Generalized Self-Efficacy Scale. The results showed that 52% met the cutoff for PTSD. Trauma centrality was positively correlated with PTSD, psychiatric co-morbidity and self-efficacy. Self-efficacy was negatively correlated with PTSD only. Gender did not moderate the mediational effect of self-efficacy on the path between trauma centrality and distress outcomes. To conclude, following exposure to traumatic events, more than half reported PTSD. Perception of the future and identity construction was affected. Signs of psychological distress were evident, alongside resilience, regardless of gender.

摘要

这项研究考察了创伤中心性、自我效能感、创伤后应激障碍(PTSD)和精神共病在土耳其生活的一群叙利亚难民之间的相互关系,以及性别是否会调节自我效能感对创伤中心性对痛苦影响的中介作用。792 名叙利亚难民完成了哈佛创伤问卷、一般健康问卷-28、事件中心性量表和一般自我效能感量表。结果表明,52%的人符合 PTSD 标准。创伤中心性与 PTSD、精神共病和自我效能感呈正相关。自我效能感仅与 PTSD 呈负相关。性别并没有调节自我效能感在创伤中心性与痛苦结果之间的中介作用。总之,在经历创伤事件后,超过一半的人报告患有 PTSD。对未来的感知和身份建构受到影响。无论性别如何,都存在明显的心理困扰迹象,同时也有韧性。

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