Mitchell Ryan, Hanna Donncha, Brennan Kate, Curran David, McDermott Brian, Ryan Margaret, Craig Kelly, McCullough Emma, Wallace Paulette, Dyer Kevin F W
1School of Psychology, Queen's University Belfast, Belfast, BT9 5BN Northern Ireland.
2Trauma Resource Centre, Belfast HSC Trust, Belfast, BT14 7GB Northern Ireland.
J Child Adolesc Trauma. 2018 Jun 18;13(1):11-19. doi: 10.1007/s40653-018-0220-1. eCollection 2020 Mar.
Rates of posttraumatic stress are elevated in individuals who have experienced childhood and/or cumulative trauma, and trauma appraisals have been suggested as a possible mediator of this effect. This study tested the proposed mediating role of trauma appraisals between both childhood and cumulative trauma, and two markers of trauma-related distress; posttraumatic stress and depression. Mediation models were developed and tested with data collected from a sample of trauma-exposed, treatment receiving adults ( = 106). Trauma appraisals fully mediated relationships between childhood trauma and PTSD/depression. Appraisals also mediated the relationships between cumulative trauma and depression. When appraisal subscales were simultaneously entered, alienation appraisals were the only significant mediator of these relationships. The study found support for the proposed mediating role of trauma appraisals between different forms of trauma and trauma related distress. Alienation appraisals were particularly emphasised.
经历过童年创伤和/或累积创伤的个体中，创伤后应激障碍的发生率会升高，并且创伤评估被认为可能是这种影响的一个中介因素。本研究检验了创伤评估在童年创伤和累积创伤与两种创伤相关困扰指标（创伤后应激障碍和抑郁症）之间所提出的中介作用。利用从106名遭受创伤且正在接受治疗的成年人样本中收集的数据，开发并测试了中介模型。创伤评估完全中介了童年创伤与创伤后应激障碍/抑郁症之间的关系。评估也中介了累积创伤与抑郁症之间的关系。当同时纳入评估子量表时，疏离评估是这些关系的唯一显著中介因素。该研究为创伤评估在不同形式的创伤与创伤相关困扰之间所提出的中介作用提供了支持。尤其强调了疏离评估。
