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经历龙卷风之后:青少年创伤后成长的纵向轨迹及其与创伤后应激症状的关联

After Experiencing a Tornado: Adolescents' Longitudinal Trajectories in Posttraumatic Growth and Their Association with Posttraumatic Stress Symptoms.

作者信息

Zhao Jiaqi, An Yuanyuan, Li Xiaohui, Huang Jiali

机构信息

School of Psychology, Nanjing Normal University, No. 122 Ninghai Road, Gulou District, Nanjing, 210097, People's Republic of China.

School of Family and Consumer Sciences, Northern Illinois University, DeKalb, USA.

出版信息

Child Psychiatry Hum Dev. 2023 Jun;54(3):786-795. doi: 10.1007/s10578-021-01278-4. Epub 2021 Nov 29.

Abstract

This study investigated the trajectories in posttraumatic growth (PTG) among adolescents who survived from the Yancheng tornado in China, and explored the effects of posttraumatic stress symptoms (PTSS) on these trajectories. Participants (n = 246) finished 4 assessments at 6, 9, 12, and 18 months after the tornado. Growth mixture model and logistic regression were used to examine the heterogeneous trajectories and the role of PTSS for differentiating trajectories respectively. Two latent PTG trajectories were observed: group with decreasing PTG and group with fluctuant PTG, which might stem from the illusory component and the factual component of PTG respectively based on the two-component model; and adolescents with more PTSS had higher probabilities generating decreasing PTG, that is, illusory PTG. This study suggested differentiating PTG trajectories and related influencing factors to improve the post-disaster psychological interventions in a longitudinal perspective.

摘要

本研究调查了中国盐城龙卷风幸存者青少年的创伤后成长(PTG)轨迹,并探讨了创伤后应激症状(PTSS)对这些轨迹的影响。参与者(n = 246)在龙卷风发生后的6个月、9个月、12个月和18个月完成了4次评估。分别使用增长混合模型和逻辑回归来检验异质轨迹以及PTSS在区分轨迹中的作用。观察到两条潜在的PTG轨迹:PTG下降组和PTG波动组,根据双成分模型,这可能分别源于PTG的虚幻成分和事实成分;PTSS较多的青少年产生PTG下降即虚幻PTG的可能性更高。本研究建议从纵向角度区分PTG轨迹及相关影响因素,以改善灾后心理干预。

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