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二元应对在解释工伤事故受害者创伤后应激障碍症状和主观幸福感方面的预测价值。

The Predictive Value of Dyadic Coping in the Explanation of PTSD Symptoms and Subjective Well-Being of Work Accident Victims.

作者信息

Lameiras Susana, Marques-Pinto Alexandra, Francisco Rita, Costa-Ramalho Susana, Ribeiro Maria Teresa

机构信息

Faculdade de Psicologia, Centro de Investigação em Ciências Psicológicas, Universidade de Lisboa, Lisbon, Portugal.

Faculdade de Psicologia e de Ciências da Educação, Universidade de Coimbra, Coimbra, Portugal.

出版信息

Front Psychol. 2018 Sep 7;9:1664. doi: 10.3389/fpsyg.2018.01664. eCollection 2018.

Abstract

Work accidents may be considered dyadic stressors in so far as they not only affect the worker, but also the couple's relationship. Dyadic coping, as the process by which couples manage the stress experienced by each partner, can strengthen individual health and well-being as well as couple relationship functioning. Accidents at work have progressively been studied from a perspective that focuses on their negative effects on PTSS, anxiety, and depression. However, to a large extent, the dyadic coping processes and results following a work accident are still to be identified and clarified. In this study, we examined the predictive value of dyadic coping in the explanation of PTSS and subjective well-being of work accident victims. : This study comprised a sample of 62 individuals involved in work accidents within the last 24 months (61.3% males) and their partners ( = 124; = 46.25 years, = 11.18). All participants responded to the Dyadic Coping Inventory and the work accident victims also answered the PTSD Checklist - Civilian (PCL-C) and the Mental Health Continuum - Short Form (MHC-SF). Two hierarchical multiple regression analyses were performed using two different variable set models: Model 1 comprised the control variables gender and age, and Model 2 included the workers' and the partners' dyadic coping variables. : Results showed that dyadic coping reported by both workers and their respective partners (Model 2) was a significant predictor of workers' PTSS ( < 0.01) and subjective well-being ( < 0.001), explaining 31.2% of the variance in PCL-C and 68.7% in MHC-SF results. More specifically, the partners' supportive dyadic coping (by the self) and delegated dyadic coping (by the partner) were significant predictors of the workers' lower PTSS and virtually all the dyadic copying strategies of both the workers' and their partners' were significant predictors of the workers' higher subjective well-being. : Dyadic coping of both the workers and their partners predicts the workers' PTSS and subjective well-being. These findings point to the need to work with couples who have experienced a work accident, with a view to improving the workers' mental health outcomes.

摘要

工伤事故可被视为二元压力源,因为它们不仅会影响工人,还会影响夫妻关系。二元应对作为夫妻管理每个伴侣所经历压力的过程,可以增强个人健康和幸福感以及夫妻关系功能。人们越来越多地从关注工伤事故对创伤后应激障碍(PTSS)、焦虑和抑郁的负面影响的角度来研究工伤事故。然而,在很大程度上,工伤事故后的二元应对过程和结果仍有待确定和阐明。在本研究中,我们检验了二元应对在解释工伤事故受害者的创伤后应激障碍和主观幸福感方面的预测价值。:本研究包括62名在过去24个月内遭遇工伤事故的个体样本(61.3%为男性)及其伴侣(n = 124;平均年龄 = 46.25岁,标准差 = 11.1)。所有参与者都回答了二元应对量表,工伤事故受害者还回答了平民版创伤后应激障碍检查表(PCL - C)和心理健康连续体简表(MHC - SF)。使用两种不同的变量集模型进行了两次分层多元回归分析:模型1包括控制变量性别和年龄,模型2包括工人及其伴侣的二元应对变量。:结果表明,工人及其各自伴侣报告的二元应对(模型2)是工人创伤后应激障碍(p < 0.01)和主观幸福感(p < 0.001)的显著预测因素,解释了PCL - C结果中31.2%的方差和MHC - SF结果中68.7%的方差。更具体地说,伴侣的支持性二元应对(自我方面)和委托性二元应对(伴侣方面)是工人较低创伤后应激障碍的显著预测因素,工人及其伴侣的几乎所有二元应对策略都是工人较高主观幸福感的显著预测因素。:工人及其伴侣的二元应对预测了工人的创伤后应激障碍和主观幸福感。这些发现表明有必要与经历过工伤事故的夫妻合作,以改善工人的心理健康状况。

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