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预测退役军人创伤后应激障碍症状恢复的因素:心理灵活性、正念和自我同情的作用。

Predictors of recovery from post-deployment posttraumatic stress disorder symptoms in war veterans: The contributions of psychological flexibility, mindfulness, and self-compassion.

机构信息

Department of Veterans Affairs VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, TX, USA; Central Texas Veterans Health Care System, Temple, TX, USA; Texas A&M Health Science Center, College of Medicine, College Station, TX, USA.

Department of Veterans Affairs VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, TX, USA; Central Texas Veterans Health Care System, Temple, TX, USA; Texas A&M Health Science Center, College of Medicine, College Station, TX, USA.

出版信息

Behav Res Ther. 2019 Mar;114:7-14. doi: 10.1016/j.brat.2019.01.002. Epub 2019 Jan 7.

Abstract

Posttraumatic stress disorder (PTSD) is a major challenge among war veterans. This study assessed the contribution of several interrelated, modifiable psychosocial factors to changes in PTSD symptom severity among combat-deployed post-9/11 Veterans. Data were drawn from a longitudinal study of predictors of mental health and functional outcomes among U.S. Iraq and Afghanistan war Veterans (N = 117). This study assessed the unique contribution of psychological flexibility, mindfulness, and self-compassion to PTSD recovery, after accounting for established predictors of PTSD chronicity, including combat exposure, alcohol use problems, and traumatic brain injury. PTSD symptom severity was assessed using a clinician-administered interview, and PTSD recovery was defined as the change in symptom severity from lifetime worst severity, measured at baseline, to current severity at one-year follow-up. A mindful awareness latent factor comprised of all three variables measured at baseline predicted PTSD recovery beyond the other predictors of PTSD chronicity (f = 0.30, large effect). Each construct predicted PTSD recovery when tested individually. When tested simultaneously, self-compassion, but not mindfulness or psychological flexibility, predicted PTSD recovery. These findings suggest that mindful awareness of emotional distress predicts recovery from PTSD symptoms in war veterans, which supports the utility mindfulness-based interventions in promoting post-trauma recovery.

摘要

创伤后应激障碍(PTSD)是退伍军人面临的主要挑战。本研究评估了几个相互关联的可改变的社会心理因素对 9/11 后参战退伍军人 PTSD 症状严重程度变化的贡献。数据来自一项对美国伊拉克和阿富汗战争退伍军人心理健康和功能结果预测因素的纵向研究(N=117)。本研究评估了心理灵活性、正念和自我同情对 PTSD 恢复的独特贡献,同时考虑了 PTSD 慢性的既定预测因素,包括战斗暴露、酒精使用问题和创伤性脑损伤。使用临床医生管理的访谈评估 PTSD 症状严重程度,PTSD 恢复定义为从基线时的终身最严重症状严重程度到一年随访时的当前严重程度的变化。在基线时测量的由所有三个变量组成的正念意识潜在因素预测了 PTSD 慢性的其他预测因素之外的 PTSD 恢复(f=0.30,大效应)。当单独测试每个构建时,每个构建都预测了 PTSD 的恢复。当同时测试时,自我同情,但不是正念或心理灵活性,预测了 PTSD 的恢复。这些发现表明,对情绪困扰的正念意识预测了退伍军人 PTSD 症状的恢复,这支持了正念为基础的干预在促进创伤后恢复方面的效用。

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