Department of Health Studies, University of Split, Split, Croatia.
Faculty of Humanities and Social Sciences, University of Split, Split, Croatia.
J Trauma Stress. 2021 Aug;34(4):691-700. doi: 10.1002/jts.22701. Epub 2021 Jun 13.
The present study aimed to identify the contributions of sociodemographic factors, psychological hardiness, and pandemic-related stressors to the development of peritraumatic distress and posttraumatic stress symptoms (PTSS) during the peak of the COVID-19 pandemic. We also examined the mediating contribution of peritraumatic distress with respect to the associations between PTSS and (a) individual characteristics and (b) pandemic-related stressors. A total of 1,238 participants (82.1% women, 17.9% men) aged 18-75 years were included in the study. Participants completed the Dispositional Resilience Scale, Peritraumatic Distress Inventory, and Posttraumatic Stress Disorder (PTSD) Checklist. The results showed that 11.5% of participants scored above the clinical cutoff for peritraumatic distress, and 12.8% of participants scored above the clinical cutoff for PTSS. Regression models showed that higher levels of peritraumatic distress were statistically predicted by female gender, β = -.12, p < .001; exposure to more than one stressor, β = .21, p < .001; lower levels of commitment to people and activities, β = -.12, p = .002; and resistance to challenges, β = -.17, p < .001. Additionally, male gender, β = .05, p = .007; younger age, β = -.05, p = .005; lower levels of commitment to people and activities, β = -.11, p < .001; lower ratings of hardiness with regard to challenge, β = -.04, p = .043; and more severe peritraumatic distress, β = .75, p < .001, predicted more severe PTSS during the pandemic. Peritraumatic distress mediated the associations between PTSS and both the number of experienced stressors and psychological hardiness.
本研究旨在确定社会人口因素、心理坚韧和与大流行相关的应激源对 COVID-19 大流行高峰期创伤后困扰和创伤后应激症状(PTSS)发展的贡献。我们还检查了创伤后困扰对 PTSD 与(a)个体特征和(b)与大流行相关的应激源之间关联的中介贡献。共有 1238 名 18-75 岁的参与者(82.1%女性,17.9%男性)参与了研究。参与者完成了性格韧性量表、创伤后困扰量表和创伤后应激障碍(PTSD)检查表。结果显示,11.5%的参与者创伤后困扰得分高于临床临界值,12.8%的参与者 PTSD 得分高于临床临界值。回归模型显示,较高的创伤后困扰程度与女性性别、β=-.12、p<.001;暴露于一个以上的应激源、β=-.21、p<.001;对人和活动的承诺程度较低、β=-.12、p=.002;以及对挑战的抵抗力较弱、β=-.17、p<.001有关。此外,男性性别、β=-.05、p=.007;年龄较小、β=-.05、p=.005;对人和活动的承诺程度较低、β=-.11、p<.001;坚韧程度对挑战的评分较低、β=-.04、p=.043;以及创伤后困扰程度较高、β=75、p<.001,都预示着大流行期间更严重的 PTSD。创伤后困扰中介了 PTSD 与经历的应激源数量和心理坚韧之间的关系。
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