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儿童和青少年自然灾害幸存者中事件的核心地位与心理健康结果

Centrality of Event and Mental Health Outcomes in Child and Adolescent Natural Disaster Survivors.

作者信息

Mordeno Imelu G, Galela Debi S, Nalipay Ma Jenina N, Cue Miriam P

机构信息

Mindanao State University (Philippines).

Philippine Normal University (Philippines).

出版信息

Span J Psychol. 2018 Nov 27;21:E61. doi: 10.1017/sjp.2018.58.

DOI:10.1017/sjp.2018.58
PMID:30477589
Abstract

The experience of trauma could be considered a central event in one's life, such that it could be a core component of one's identity and life story. Indeed, trauma memories are well-remembered, vivid, intense, and easily accessible (Berntsen & Rubin, 2006). The present study investigated the mediating role of sensory-based trauma memory quality in the relationship between centrality of event and mental health outcomes among child and adolescent survivors of a natural disaster (N = 225) in its immediate aftermath. Results of mediation analyses revealed that centrality of trauma event is related to symptoms of acute stress disorder and depression through sensory-based trauma memory quality (indirect effect 95% C.I. [.06, .11] and [.04, .10], respectively). These findings support the contention that centrality of event is associated to heightened accessibility and vividness of sensory-based trauma memory quality, which in turn is related to an increase in trauma-related symptoms in the immediate aftermath of a natural disaster, where the reminders of trauma are particularly salient in the survivors' environment and daily activities.

摘要

创伤经历可被视为一个人生命中的核心事件,以至于它可能成为一个人身份认同和人生故事的核心组成部分。的确,创伤记忆记得清晰、生动、强烈且易于唤起(伯恩特森和鲁宾,2006年)。本研究调查了基于感官的创伤记忆质量在自然灾害刚发生后儿童和青少年幸存者(N = 225)的事件核心性与心理健康结果之间关系中的中介作用。中介分析结果显示,创伤事件的核心性通过基于感官的创伤记忆质量与急性应激障碍和抑郁症状相关(间接效应95%置信区间分别为[.06, .11]和[.04, .10])。这些发现支持了这样一种观点,即事件的核心性与基于感官的创伤记忆质量的更高易唤起性和生动性相关,而这反过来又与自然灾害刚发生后创伤相关症状的增加有关,此时在幸存者的环境和日常活动中,创伤的提示尤为突出。

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