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社会支持作为“岁月号”沉船事故丹原幸存者创伤后痛苦与生活意义感认知之间的中介因素

Social Support as a Mediator of Posttraumatic Embitterment and Perceptions of Meaning in Life among Danwon Survivors of the Sewol Ferry Disaster.

作者信息

Lee So Hee, Nam Hee Sun, Kim Hak Beom, Kim Eun Ji, Won Sung Doo, Chae Jeong Ho

机构信息

Department of Psychiatry, National Medical Center, Seoul, Korea.

Maumtodoc Mental Health Clinic, Ansan, Korea.

出版信息

Yonsei Med J. 2017 Nov;58(6):1211-1215. doi: 10.3349/ymj.2017.58.6.1211.

Abstract

PURPOSE

Our research was designed to test and explore the relationships among embitterment, social support, and perceptions of meaning in life in the Danwon High School survivors of the Sewol ferry disaster.

MATERIALS AND METHODS

Seventy-five Sewol ferry disaster survivors were eligible for participation, and were invited to participate in the study 28 months after the disaster. Forty-eight (64%) survivors (24 males, 24 females) completed questionnaires; the Posttraumatic Embitterment Disorder (PTED) scale, the Functional Social Support Questionnaire (FSSQ), and the Meaning in Life Questionnaire (MLQ).

RESULTS

PTED scores were negatively correlated with scores on the FSSQ and the Presence of Meaning (MLQ-P) (r=-0.43 and -0.40, respectively). The hierarchical regression analysis showed that FSSQ scores may fully mediate the effects of PTED scores on MLQ-P scores, given that the indirect effect was significant whereas the direct effect was not (95% confidence interval=-0.5912 to -0.0365).

CONCLUSION

These findings imply that therapies targeting embitterment may play a vital role in increasing positive cognitions, such as those related to perceived social support and the meaningfulness of life.

摘要

目的

我们的研究旨在测试和探索“岁月号”渡轮灾难中丹源高中幸存者的痛苦、社会支持和生活意义感之间的关系。

材料与方法

75名“岁月号”渡轮灾难幸存者符合参与条件,并在灾难发生28个月后被邀请参与研究。48名(64%)幸存者(24名男性,24名女性)完成了问卷调查;创伤后痛苦障碍(PTED)量表、功能性社会支持问卷(FSSQ)和生活意义问卷(MLQ)。

结果

PTED得分与FSSQ得分及生活意义感问卷中的生活意义存在维度(MLQ-P)得分呈负相关(分别为r = -0.43和 -0.40)。分层回归分析表明,FSSQ得分可能完全中介PTED得分对MLQ-P得分的影响,因为间接效应显著而直接效应不显著(95%置信区间 = -0.5912至 -0.0365)。

结论

这些发现表明,针对痛苦情绪的治疗可能在增强积极认知方面发挥重要作用,比如那些与感知到的社会支持和生活意义相关的认知。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c302/5653487/9a2b21602a14/ymj-58-1211-g001.jpg

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