Department of Educational Psychology, Ho Tim Building, Faculty of Education, The Chinese University of Hong Kong, Shatin, NT, Hong Kong.
Zayed University, Abu Dhabi, United Arab Emirates.
Psychiatr Q. 2018 Dec;89(4):909-921. doi: 10.1007/s11126-018-9586-3.
It has been documented that trauma centrality is associated with posttraumatic stress disorder (PTSD) and psychiatric co-morbidity among Syrian refugees. Whether age would influence the levels of the above constructs and the association between trauma centrality and distress outcomes is unclear. This study compared age differences in 1) the levels of trauma centrality, posttraumatic stress disorder and psychiatric co-morbidity, and 2) models depicting the association between trauma centrality and distress outcomes among Syrian refugees. One thousand one hundred and ninety-seven refugees completed the Centrality of Event Scale, Harvard Trauma Questionnaire and General Health Questionnaire-28. Age groups were divided into young, middle-aged adults and adults of 45 or above. No significant group differences were found in the proportion of refugees meeting the diagnostic criteria for PTSD. Controlling for demographic variables, all subscales of trauma centrality and psychiatric co-morbidity were significantly different between groups. Young adults reported significantly less trauma centrality and psychiatric co-morbidity than the other groups. Multiple-indicator multiple-cause modelling showed that trauma centrality was significantly correlated with PTSD and psychiatric co-morbidity. Multi-group analysis showed the model for the young adult group to be significantly different from the middle-aged group model. To conclude, age did not seem to influence the severity of PTSD among Syrian refugees. The war had a less severe impact on young adults' sense of self and other psychological problems than those who were older. The way in which young and middle-aged adults responded to distress varied depending on environment and personal characteristics.
有文献表明，创伤中心性与叙利亚难民的创伤后应激障碍（PTSD）和精神共病有关。年龄是否会影响上述结构的水平以及创伤中心性与痛苦结局之间的关联尚不清楚。本研究比较了年龄在以下方面的差异：1）创伤中心性、创伤后应激障碍和精神共病的水平，2）描述创伤中心性与叙利亚难民痛苦结局之间关联的模型。1197 名难民完成了事件中心性量表、哈佛创伤问卷和一般健康问卷-28。年龄组分为青年、中年和 45 岁以上的成年人。符合 PTSD 诊断标准的难民比例在各组之间没有显著差异。控制人口统计学变量后，创伤中心性和精神共病的所有分量表在组间均有显著差异。青年组报告的创伤中心性和精神共病明显少于其他组。多指标多原因模型表明，创伤中心性与 PTSD 和精神共病显著相关。多组分析显示，青年组的模型与中年组的模型显著不同。总之，年龄似乎并没有影响叙利亚难民 PTSD 的严重程度。战争对年轻人的自我意识和其他心理问题的影响比对年龄较大的人的影响要小。年轻人和中年人应对痛苦的方式因环境和个人特点而异。
