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创伤后负性和正性效应对女性家庭暴力受害者的中介作用。

The Mediating Role of Cognitive Processing in the Relationship Between Negative and Positive Effects of Trauma Among Female Victims of Domestic Violence.

机构信息

University of Lodz, Poland.

出版信息

J Interpers Violence. 2021 Dec;36(23-24):NP12898-NP12921. doi: 10.1177/0886260520903141. Epub 2020 Feb 6.

Abstract

Exposure to domestic violence may lead not only to negative but also positive consequences of trauma. Negative effects are indicated by posttraumatic stress symptoms (PTSSs), and positive effects by posttraumatic growth (PTG) changes. PTG has been conceptualized to follow experiences of PTSSs. Therefore, the positive and negative effects of trauma appear to be related to one another. The cognitive processing may play a special role in determining whether the positive and negative consequences of trauma exposure are experienced. The aim of the study was to establish the mediating role of multiple patterns of cognitive processing, reflected by the cognitive strategies used to cope with trauma, in the relationship between negative and positive posttraumatic changes in women following domestic violence. Data were obtained from 63 Polish women who had experienced domestic violence. The age of the respondents ranged from 19 to 71 years ( = 42.25, = 14.81). The Polish versions of the following standardized tools were used: the Posttraumatic Stress Disorder Checklist (PCL-5), the Posttraumatic Growth Inventory (PTGI), and the Cognitive Processing of Trauma Scale (CPOTS). PTSS severity appeared to be negatively related to that of PTG. Negative coping strategies were positively related to the PTSS severity but negatively to PTG, while positive strategies were negatively related to the PTSS severity but positively to PTG. Cognitive strategies for coping with trauma, such as resolution/acceptance, downward comparison, and regret, appeared to play a mediating role in the relationship between PTSS severity and PTG. Positive coping strategies strengthen the occurrence of positive posttraumatic changes while strategy of regret weakens the PTG changes occurrence. The process of adaptation and human development among people who have experienced traumatic events is favored by the use of more frequent positive and less frequent negative strategies of dealing with trauma.

摘要

遭受家庭暴力不仅会导致创伤的负面后果,还可能带来积极后果。创伤后应激症状(PTSS)表明了负面影响,而创伤后成长(PTG)的变化则表明了积极影响。PTG 被概念化为经历了 PTSS 之后的变化。因此,创伤的积极和消极影响似乎相互关联。认知加工可能在决定个体是否经历创伤暴露的积极和消极后果方面发挥特殊作用。本研究的目的是确定认知加工模式的中介作用,这些模式反映了用于应对创伤的认知策略,这些策略在经历家庭暴力的女性中,与创伤后消极和积极变化之间的关系中发挥作用。研究数据来自 63 名经历过家庭暴力的波兰女性。受访者的年龄从 19 岁到 71 岁不等(=42.25,=14.81)。使用了以下标准化工具的波兰语版本:创伤后应激障碍检查表(PCL-5)、创伤后成长量表(PTGI)和创伤认知加工量表(CPOTS)。PTSS 的严重程度与 PTG 的严重程度呈负相关。消极的应对策略与 PTSS 的严重程度呈正相关,与 PTG 呈负相关,而积极的应对策略与 PTSS 的严重程度呈负相关,与 PTG 呈正相关。应对创伤的认知策略,如解决/接受、向下比较和遗憾,似乎在 PTSS 严重程度与 PTG 之间的关系中发挥了中介作用。积极的应对策略会增强积极的创伤后变化的发生,而遗憾的策略则会削弱 PTG 变化的发生。在经历创伤事件的人群中,适应和人类发展的过程得益于更频繁地使用积极策略和更不频繁地使用消极策略来应对创伤。

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