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交通意外幸存者的个人成长主动性与创伤后应激:混合模型表明随时间变化的群体成员变化。

Personal growth initiative and posttraumatic stress among survivors of transportation accidents: Mixture modeling indicating changes in group membership over time.

机构信息

Department of Psychology, Prairie View A&M University, Prairie View, Texas.

Department of Psychological Sciences, Texas Tech University, Lubbock, Texas.

出版信息

Stress Health. 2020 Aug;36(3):365-375. doi: 10.1002/smi.2935. Epub 2020 Feb 21.

Abstract

The current study explored subgroups in reported personal growth initiative (PGI) and posttraumatic stress symptoms (PTSS) and examined the changes in class memberships among survivors of a transportation accident. Participants at Time 1 were 602 adults who reported directly experiencing a transportation accident within the past year (M = 6.36; SD = 3.20). Of these participants, 171 adults completed the follow-up survey after 3 months (Time 2). Finite mixture modeling was conducted to identify the heterogeneity of PTSS in relation with PGI at each time point. At Time 1, a four-class model was the best-fitting model, and at Time 2, a three-class model was the best-fitting model. As hypothesized, when examined cross-sectionally, various subgroups were identified at each time point, finding subgroups with moderate to high levels of PGI but differing in their PTSS. However, when examining the longitudinal changes in class membership from Time 1 to Time 2, members of subgroups with higher PGI skills at Time 1 were more likely to be assigned to subgroups with lower PTSS at Time 2. The current study suggests a potential application of PGI skills in alleviating PTSS after a transportation accident and having a critical role in adjustment after hardship.

摘要

本研究探索了报告的个人成长主动性(PGI)和创伤后应激症状(PTSS)的亚组,并考察了交通意外幸存者中类别的变化。在第 1 时间点,有 602 名成年人直接报告在过去一年中经历过交通意外(M = 6.36;SD = 3.20)。在这些参与者中,有 171 名成年人在 3 个月后完成了随访调查(第 2 时间点)。采用有限混合模型来确定与每个时间点的 PGI 相关的 PTSS 的异质性。在第 1 时间点,四类别模型是最佳拟合模型,而在第 2 时间点,三类别模型是最佳拟合模型。正如假设的那样,当进行横截面分析时,在每个时间点都确定了各种亚组,发现具有中等到高水平 PGI 的亚组,但他们的 PTSS 不同。然而,当从第 1 时间点到第 2 时间点检查类别成员的纵向变化时,在第 1 时间点具有更高 PGI 技能的亚组的成员更有可能被分配到第 2 时间点具有较低 PTSS 的亚组。本研究表明,在交通意外后,PGI 技能在减轻 PTSS 方面具有潜在的应用,并在困难后调整中具有关键作用。

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