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创伤后应激障碍症状群与问题性智能手机使用之间的潜在层面关系。

Latent-level relations between PTSD symptom clusters and problematic smartphone use.

作者信息

Contractor Ateka A, Frankfurt Sheila B, Weiss Nicole H, Elhai Jon D

机构信息

Department of Psychology, University of North Texas, Denton, TX, USA.

VISN 17 Center of Excellence for Research on Returning War Veterans, Central Texas Veterans Health Care System, Waco, TX, USA.

出版信息

Comput Human Behav. 2017 Jul;72:170-177. doi: 10.1016/j.chb.2017.02.051. Epub 2017 Feb 22.

Abstract

Common mental health consequences following the experience of potentially traumatic events include Posttraumatic Stress Disorder (PTSD) and addictive behaviors. Problematic smartphone use is a newer manifestation of addictive behaviors. People with anxiety severity (such as PTSD) may be at risk for problematic smartphone use as a means of coping with their symptoms. Unique to our knowledge, we assessed relations between PTSD symptom clusters and problematic smartphone use. Participants ( = 347), recruited through Amazon's Mechanical Turk (MTurk), completed measures of PTSD and smartphone addiction. Results of the Wald tests of parameter constraints indicated that problematic smartphone use was more related to PTSD's negative alterations in cognitions and mood (NACM) than to PTSD's avoidance factor, Wald χ(1, = 347) = 12.51, = 0.0004; and more to PTSD's arousal compared to PTSD's avoidance factor, Wald χ(1, = 347) = 14.89, = 0.0001. Results indicate that problematic smartphone use is most associated with negative affect and arousal among trauma-exposed individuals. Implications include the need to clinically assess problematic smartphone use among trauma-exposed individuals presenting with higher NACM and arousal severity; and targeting NACM and arousal symptoms to mitigate the effects of problematic smartphone use.

摘要

经历潜在创伤性事件后常见的心理健康后果包括创伤后应激障碍(PTSD)和成瘾行为。问题性智能手机使用是成瘾行为的一种较新表现形式。患有焦虑症(如创伤后应激障碍)的人可能有问题性智能手机使用的风险,以此作为应对其症状的一种方式。据我们所知,我们评估了创伤后应激障碍症状群与问题性智能手机使用之间的关系。通过亚马逊的土耳其机器人(MTurk)招募的参与者(n = 347)完成了创伤后应激障碍和智能手机成瘾的测量。参数约束的Wald检验结果表明,问题性智能手机使用与创伤后应激障碍的认知和情绪负面改变(NACM)的相关性高于与创伤后应激障碍的回避因素的相关性,Wald χ(1, n = 347) = 12.51,p = 0.0004;与创伤后应激障碍的唤醒相比,与创伤后应激障碍的回避因素的相关性更高,Wald χ(1, n = 347) = 14.89,p = 0.0001。结果表明,问题性智能手机使用在受创伤个体中与负面影响和唤醒最为相关。这意味着需要对表现出较高NACM和唤醒严重程度的受创伤个体进行问题性智能手机使用的临床评估;并针对NACM和唤醒症状以减轻问题性智能手机使用的影响。

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