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社区暴力、创伤后应激障碍、绝望、物质使用与城市环境中的暴力延续。

Community Violence, PTSD, Hopelessness, Substance Use, and Perpetuation of Violence in an Urban Environment.

机构信息

Rutgers New Jersey Medical School, 185 S Orange Ave, Newark, NJ, 07103, USA.

, Philadelphia, PA, USA.

出版信息

Community Ment Health J. 2021 May;57(4):622-630. doi: 10.1007/s10597-020-00691-8. Epub 2020 Jul 31.

DOI:10.1007/s10597-020-00691-8
PMID:32737673
Abstract

We investigated the relationships among chronic violence exposure, post-traumatic stress disorder (PTSD) symptom severity, hopelessness, substance use, and perpetuation of violence to facilitate the development of trauma-related interventions for residents of Newark, NJ. A convenience sample of Newark residents (N = 153) was recruited from community centers during various events in 2016-2017. Anonymous, self-report survey measures included a PTSD screen (PCL-C), Beck's Hopelessness Scale, the CAGE questionnaire, and a CDC Health Behavior Scale. Descriptive statistics, Pearson's correlations, Chi square analyses, logistic, and linear regressions were used for analysis. Thirty percent (95% CI [22.7, 37.4]) of our sample screened positive for PTSD. Drug and alcohol use, fighting, and hopelessness were related to severity of PTSD symptoms (p < 0.05). Female gender, CAGE scores, and hopelessness predicted the severity of PTSD symptoms (R = 0.354, p < 0.05). Our data has informed the development of a resilience support group currently in the pilot stage for community members.

摘要

我们调查了慢性暴力暴露、创伤后应激障碍(PTSD)症状严重程度、绝望感、物质使用与暴力延续之间的关系,旨在为新泽西州纽瓦克市的居民制定与创伤相关的干预措施。2016 年至 2017 年期间,我们在各种活动中从社区中心招募了纽瓦克市的便利样本(N=153)。匿名、自我报告的调查措施包括 PTSD 筛查(PCL-C)、贝克绝望量表、CAGE 问卷和疾病预防控制中心健康行为量表。我们使用描述性统计、皮尔逊相关、卡方分析、逻辑和线性回归进行分析。我们的样本中有 30%(95%置信区间[22.7,37.4])的人对 PTSD 进行了筛查。药物和酒精使用、打架和绝望感与 PTSD 症状的严重程度有关(p<0.05)。女性、CAGE 评分和绝望感预测了 PTSD 症状的严重程度(R=0.354,p<0.05)。我们的数据为目前处于试点阶段的社区成员的韧性支持小组的发展提供了信息。

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