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正念、创伤后应激症状、抑郁和社会功能障碍在中国青少年龙卷风中的表现:创伤后认知变化的中介作用。

Mindfulness, posttraumatic stress symptoms, depression, and social functioning impairment in Chinese adolescents following a tornado: Mediation of posttraumatic cognitive change.

机构信息

School of Psychology, Nanjing Normal University, Nanjing, PR China.

School of Educational Science, Yancheng Teachers University, Yancheng, PR China.

出版信息

Psychiatry Res. 2018 Jan;259:345-349. doi: 10.1016/j.psychres.2017.09.088. Epub 2017 Oct 2.

Abstract

Previous studies have shown that mindfulness is associated with less negative traumatic outcomes in people who experienced traumatic events. The present study investigated how mindfulness is related to posttraumatic stress disorders (PTSD) symptoms, depression and social functioning impairment in Chinese traumatized adolescents by considering the role of posttraumatic cognitive change (PCC). A total of 247 Chinese adolescents, who had experienced a severe tornado six months prior to this study, were recruited to complete a series of questionnaires. Results showed that the proposed model fitted the data very well (χ = 16.200, df = 8, χ/df = 2.025, GFI = 0.983, CFI = 0.991, TLI = 0.976, RMSEA = 0.063). Further analyses revealed that PCC mediated the relation between dispositional mindfulness and all negative posttraumatic outcomes (including PTSD symptoms, depression and social functioning impairment). Limitations, clinical implications, and directions for future research were discussed.

摘要

先前的研究表明,对于经历创伤事件的人来说,正念与较少的负面创伤后结果有关。本研究通过考虑创伤后认知变化(PCC)的作用,探讨了正念与中国创伤后青少年的创伤后应激障碍(PTSD)症状、抑郁和社会功能障碍之间的关系。共有 247 名中国青少年在研究前六个月经历了一场严重的龙卷风,他们被招募来完成一系列问卷。结果表明,所提出的模型非常适合数据(χ=16.200,df=8,χ/df=2.025,GFI=0.983,CFI=0.991,TLI=0.976,RMSEA=0.063)。进一步的分析表明,PCC 中介了特质正念与所有负面创伤后结果(包括 PTSD 症状、抑郁和社会功能障碍)之间的关系。讨论了局限性、临床意义和未来研究方向。

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