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创伤后应激与人际敏感性:述情障碍的中介作用及情绪表达的调节作用。

Posttraumatic Stress and Interpersonal Sensitivity: Alexithymia as Mediator and Emotional Expressivity as Moderator.

机构信息

Karaganda State University, Karaganda, Kazakhstan.

Department of Educational Psychology, Faculty of Education, The Chinese University of Hong Kong, Ho Tim Building, Shatin, NT, Hong Kong.

出版信息

Psychiatr Q. 2019 Mar;90(1):249-261. doi: 10.1007/s11126-018-9612-5.

Abstract

This study examined 1) the link between PTSD from past trauma, interpersonal sensitivity and psychiatric co-morbidity, 2) mediational effects of alexithymia on 1), and 3) moderated mediational effects with emotional expressivity as the moderator. Five hundred and fifteen Kazakh students completed the Posttraumatic Stress Diagnostic Scale, General Health Questionnaire-28, Toronto Alexithymia Scale-20, Berkeley Expressivity Questionnaire and Interpersonal Sensitivity Measure. The results showed that 28% met the criteria for full-PTSD. Controlling for academic year, age and university major, PTSD from past trauma was significantly correlated with interpersonal sensitivity and psychiatric co-morbidity. Alexithymia mediated the impact of PTSD on interpersonal sensitivity and psychiatric co-morbidity. Alexithymia, however, did not interact with type of emotional expressivity to influence outcomes. Moderated mediational effects were not found. To conclude, following trauma, Kazakh students can experience heightened levels of interpersonal sensitivity and psychological symptoms. These problems are particularly severe for those who have difficulty getting in touch with their emotions.

摘要

本研究考察了 1)过去创伤后 PTSD 与人际敏感和精神共病之间的联系,2)述情障碍对 1)的中介作用,以及 3)以情绪表达为调节变量的调节中介作用。515 名哈萨克斯坦学生完成了创伤后应激障碍诊断量表、一般健康问卷-28、多伦多述情障碍量表-20、伯克利表达性问卷和人际敏感性量表。结果表明,28%的人符合完全 PTSD 的标准。控制学年、年龄和大学专业后,过去创伤后的 PTSD 与人际敏感和精神共病显著相关。述情障碍中介了 PTSD 对人际敏感和精神共病的影响。然而,述情障碍与情绪表达类型之间没有相互作用来影响结果。也没有发现调节中介效应。总之,在创伤后,哈萨克斯坦学生可能会经历更高水平的人际敏感和心理症状。对于那些难以与自己的情绪联系的人来说,这些问题尤其严重。

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