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潜在创伤性事件后的创伤后应激障碍、焦虑和抑郁症状:潜在类别与认知关联

Posttraumatic Stress Disorder, Anxiety, and Depression Symptoms After Potentially Traumatic Events: Latent Classes and Cognitive Correlates.

作者信息

Marqueses José M S, Sanz Jesús, García-Vera María Paz, Morán Noelia, Eisma Maarten C

机构信息

Department of Clinical Psychology, Complutense University of Madrid, Madrid, Spain.

Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, the Netherlands.

出版信息

J Nerv Ment Dis. 2023 Feb 1;211(2):141-149. doi: 10.1097/NMD.0000000000001580. Epub 2022 Sep 3.

Abstract

People exposed to potentially traumatic events (PTEs) may develop distinct symptom patterns, which may require different therapeutic approaches. We aimed to identify classes of people exposed to PTEs based on the presence of posttraumatic stress disorder (PTSD) clusters, anxiety, and depression and to explore which cognitive factors (rumination, worry, and negative cognitions) are associated with class membership. Latent class analyses were conducted to identify subgroups of 258 PTE-exposed Spanish adults. A three-class solution emerged: a resilient class with low odds of all symptoms ( n = 188); a partial PTSD class, characterized by partial PTSD clusters, moderate anxiety, and low depression ( n = 36); and a high symptom class, characterized by high PTSD, moderate anxiety, and low depression ( n = 34). These classes related meaningfully to rumination, worry, and negative cognitions. Distinct symptom patterns of PTSD clusters, anxiety, and depression can be distinguished in people exposed to PTEs and relate to cognitive risk factors of psychopathology.

摘要

暴露于潜在创伤性事件(PTEs)的人可能会出现不同的症状模式,这可能需要不同的治疗方法。我们旨在根据创伤后应激障碍(PTSD)集群、焦虑和抑郁的存在情况,识别暴露于PTEs的人群类别,并探讨哪些认知因素(反刍思维、担忧和消极认知)与类别归属相关。对258名暴露于PTEs的西班牙成年人进行了潜在类别分析,以识别亚组。出现了一个三类解决方案:一个所有症状几率都低的复原力类别(n = 188);一个部分PTSD类别,其特征是部分PTSD集群、中度焦虑和低度抑郁(n = 36);以及一个高症状类别,其特征是高度PTSD、中度焦虑和低度抑郁(n = 34)。这些类别与反刍思维、担忧和消极认知有显著关联。在暴露于PTEs的人群中,可以区分出PTSD集群、焦虑和抑郁的不同症状模式,并且这些模式与精神病理学的认知风险因素相关。

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