Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University.
Psychol Trauma. 2021 Jul;13(5):575-585. doi: 10.1037/tra0001015. Epub 2021 Jan 21.
This study aimed to explore whether posttrauma cognitions and maladaptive coping strategies mediated the association between perceived social support (availability of social network and quality of specific relationships) and posttraumatic stress disorder (PTSD) symptoms. A community sample of trauma survivors ( = 67, 84% female) completed self-report measures assessing relationship quality, perceived availability of social network support, PTSD symptoms, negative posttrauma appraisals and maladaptive coping strategies. Posttrauma appraisals mediated the association between quality of relationships (support, conflict and depth) and PTSD symptoms, and between availability of social network support and PTSD symptoms. Further, there was an indirect pathway between social support (quality of relationship and availability of social network) and PTSD symptoms through negative cognitive appraisals and maladaptive coping strategies (serial mediation). Our results are consistent with theoretical predictions that socially supportive (support, depth and social network availability) and unsupportive (conflict) relationships are associated with PTSD, through cognitive appraisal and coping processes. Clinical implications for further integrating interpersonal support into cognitive therapies were discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
本研究旨在探讨创伤后认知和适应不良应对策略是否在感知社会支持(社交网络的可用性和特定关系的质量)与创伤后应激障碍(PTSD)症状之间起中介作用。一个创伤幸存者的社区样本(n=67,84%为女性)完成了自我报告的测量,评估关系质量、感知社交网络支持的可用性、PTSD 症状、创伤后消极评价和适应不良应对策略。创伤后认知评估中介了关系质量(支持、冲突和深度)与 PTSD 症状之间的关联,以及社交网络支持与 PTSD 症状之间的关联。此外,社会支持(关系质量和社交网络可用性)和不支持(冲突)关系通过消极认知评估和适应不良应对策略(序列中介)与 PTSD 症状之间存在间接途径。我们的研究结果与理论预测一致,即有支持性(支持、深度和社交网络可用性)和无支持性(冲突)的关系与 PTSD 有关,这是通过认知评估和应对过程实现的。讨论了进一步将人际支持整合到认知疗法中的临床意义。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。