Institute for Medical Psychology, University Medicine Greifswald, Germany.
Institute for Medical Psychology, University Medicine Greifswald, Germany.
Chin J Traumatol. 2022 Sep;25(5):264-271. doi: 10.1016/j.cjtee.2022.02.001. Epub 2022 Feb 22.
The present study examined the joint impact of coping and rumination after trauma on posttraumatic growth (PTG) and posttraumatic depreciation (PTD) based on the PTG model.
A cross-sectional study was conducted between October 2017 and May 2018. A sample of 253 individuals who had experienced a traumatic event in the last two years, was included. Participants completed an online self-reported survey, including demographic variables, trauma characteristics, the German Posttraumatic Growth and Depreciation Inventory - Expanded, the Brief COPE Inventory, and the Event Related Rumination Inventory. An analysis of correlation, a principal component analysis and hierarchical regression analyses were conducted. Statistical analyses were undertaken on SPSS (version 25.0; IBM, New York, USA).
After controlling for the effects of personal and trauma characteristics, self-sufficient coping and socially supported coping were found to favor the emergence of PTG. Event-related and recent deliberate rumination were positively related to PTG. Avoidant-focused coping and recent intrusive rumination were positively associated with PTD. Overall, the final models accounted for 46% and 58% of the variance in PTG and PTD.
Our findings confirm the PTG model and support the central role of deliberate rumination, self-sufficient coping and socially supported coping in the development of PTG. Our results indicate that a similar model of PTD with comparable influencing factors can be assumed: if the individual is stuck in ongoing intrusive rumination and uses more avoidance-focused coping, it might lead to more reports of PTD.
本研究基于创伤后成长模型,考察了创伤后应对和反刍对创伤后成长(PTG)和创伤后贬值(PTD)的共同影响。
2017 年 10 月至 2018 年 5 月进行了一项横断面研究。纳入了 253 名在过去两年内经历过创伤事件的个体。参与者完成了一份在线自我报告调查,包括人口统计学变量、创伤特征、德国创伤后成长与贬值量表-扩展版、简要应对方式量表和事件相关反刍问卷。进行了相关性分析、主成分分析和层次回归分析。统计分析采用 SPSS(版本 25.0;IBM,纽约,美国)进行。
在控制个人和创伤特征的影响后,发现自足应对和社会支持应对有利于 PTG 的出现。与事件相关的和近期的刻意反刍与 PTG 呈正相关。回避聚焦应对和近期的侵入性反刍与 PTD 呈正相关。总体而言,最终模型分别解释了 PTG 和 PTD 变异的 46%和 58%。
我们的研究结果证实了创伤后成长模型,并支持刻意反刍、自足应对和社会支持应对在 PTG 发展中的核心作用。我们的结果表明,可以假设 PTD 的类似模型具有类似的影响因素:如果个体陷入持续的侵入性反刍并更多地使用回避聚焦应对,可能会导致更多的 PTD 报告。