Turk Psikiyatri Derg. 2021;32(4):253-260. doi: 10.5080/u25892.
The present study aims to determine the effects of anxiety sensitivity, anxiety level, perceived stress and coping strategies on peritraumatic dissociation in post-earthquake acute stress disorder (ASD) patients.
Sociodemographic data form, Beck Anxiety Index (BAI), Perceived Stress Scale (PSS), Anxiety Sensitivity Index-3 (ASI-3), Coping with Earthquake Stress Scale, and Peritraumatic Dissociation Scale (PDEQ) were applied to 477 patients diagnosed with ASD.
Anxiety sensitivity cognitive sub-dimension explained 31.5%, anxiety explained 7%, and perceived stress explained 1% of the variation in peritraumatic dissolution development. A moderate positive correlation was determined between peritraumatic dissolution and anxiety, a weak positive correlation was found between peritraumatic dissolution and perceived stress, a weak positive correlation was determined between peritraumatic dissolution and positive thinking, and a very weak negative correlation was determined between peritraumatic dissolution and seeking social support. A moderate positive correlation was determined between peritraumatic dissolution and physical, cognitive and social sub-dimensions of anxiety sensitivity.
The most important finding in the study was the fact that the highest contribution to the development of peritraumatic dissolution was by the cognitive sub-dimension of anxiety sensitivity. It could be suggested that individuals with high anxiety sensitivity may experience higher peritraumatic dissolution and these individuals could have a higher risk of PTSD later on.
本研究旨在确定焦虑敏感、焦虑水平、感知压力和应对策略对地震后急性应激障碍(ASD)患者创伤前解离的影响。
对 477 名 ASD 患者应用人口统计学数据表格、贝克焦虑量表(BAI)、感知压力量表(PSS)、焦虑敏感指数-3(ASI-3)、地震应激应对量表和创伤前解离量表(PDEQ)。
焦虑敏感认知子维度解释了 31.5%、焦虑解释了 7%、感知压力解释了 1%的创伤前解离发展的变化。创伤前解离与焦虑之间存在中度正相关,与感知压力之间存在弱正相关,与积极思维之间存在弱正相关,与寻求社会支持之间存在非常弱的负相关。创伤前解离与焦虑的生理、认知和社会子维度之间存在中度正相关。
该研究的最重要发现是,焦虑敏感的认知子维度对创伤前解离的发展贡献最大。这表明,具有较高焦虑敏感性的个体可能经历更高的创伤前解离,并且这些个体以后可能有更高的 PTSD 风险。