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正念与城市中非洲裔美国高中生创伤后应激障碍症状严重程度的关系。

Mindfulness and Posttraumatic Stress Disorder Symptom Severity in Urban African-American High School Students.

机构信息

Department of Psychiatry, Virginia Commonwealth University, 1308 Sherwood Avenue, Box 980489, Richmond, VA, 23220, USA.

Department of Psychology, Loyola University Maryland, Baltimore, MD, USA.

出版信息

Psychiatr Q. 2021 Mar;92(1):85-99. doi: 10.1007/s11126-020-09774-x.

Abstract

OBJECTIVES

The aim of the current study was to examine the relations among mindfulness, posttraumatic stress disorder (PTSD) symptom severity, and stressful life events (SLEs) in African-American urban adolescents. Another aim was to examine mindfulness as a moderator of the relation between SLEs and PTSD symptom severity in this population.

METHOD

Eighty-eight African-American high school students from a low-income urban community completed measures of demographics, PTSD symptom severity, SLEs, and mindfulness.

RESULTS

Mindfulness was significantly negatively related to PTSD symptom severity, r(86) = -.70, p < .001, 95% CI [-.58, -79], and SLEs were significantly positively related to PTSD symptom severity, r(86) = .29, p = .003, 95% CI [.09, .47]. Mindfulness was an independent predictor of PTSD symptom severity after accounting for SLEs, B = -1.16, t(84) = -9.06, p < .001, 95% CI [-1.41, -0.90], and SLEs were an independent predictor of PTSD symptom severity after accounting for mindfulness, B = 0.49, t(84) = 2.92, p = .004, 95% CI [0.16, 0.82]. Mindfulness did not moderate the relation between SLEs and PTSD symptom severity, B = -.003, t(84) = -0.15, p = .89, 95% CI [-.04, .03].

IMPLICATIONS

This study has implications for both mindfulness as a potential protective factor against PTSD symptom severity and SLEs as a potential risk factor for increased PTSD symptom severity in African-American urban adolescents.

摘要

目的

本研究旨在探讨非裔美国城市青少年的正念、创伤后应激障碍(PTSD)症状严重程度和生活应激事件(SLEs)之间的关系。另一个目的是检验正念在该人群中 SLEs 和 PTSD 症状严重程度之间的关系中的调节作用。

方法

来自低收入城市社区的 88 名非裔美国高中生完成了人口统计学、PTSD 症状严重程度、SLEs 和正念的测量。

结果

正念与 PTSD 症状严重程度显著负相关,r(86)=-.70,p<0.001,95%置信区间[-.58,-79],SLEs 与 PTSD 症状严重程度显著正相关,r(86)=.29,p=0.003,95%置信区间[.09,.47]。在考虑 SLEs 后,正念是 PTSD 症状严重程度的独立预测因子,B=-1.16,t(84)=-9.06,p<0.001,95%置信区间[-1.41,-0.90],在考虑正念后,SLEs 是 PTSD 症状严重程度的独立预测因子,B=0.49,t(84)=2.92,p=0.004,95%置信区间[0.16,0.82]。正念不能调节 SLEs 与 PTSD 症状严重程度之间的关系,B=-0.003,t(84)=-0.15,p=0.89,95%置信区间[-.04,.03]。

结论

本研究对正念作为非裔美国城市青少年 PTSD 症状严重程度的潜在保护因素以及 SLEs 作为 PTSD 症状严重程度增加的潜在风险因素都具有重要意义。

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