Center for Anxiety and Related Disorders, Department of Psychological & Brain Sciences, Boston University.
Curr Opin Psychol. 2022 Dec;48:101472. doi: 10.1016/j.copsyc.2022.101472. Epub 2022 Sep 28.
This paper reviews the present literature examining how hope relates to PTSD and broader functioning after a trauma, including potential underlying mechanisms and significant factors impacting these relationships and the role of hope as a mechanism of change within interventions for PTSD. First, the ways in which trauma impacts hope are discussed. Afterwards, an overview is provided of cross-sectional and prospective research indicating that greater hope reduces the risk of PTSD and promotes positive outcomes of adversity. Next, potential underlying mechanisms and determinants of the relationship between hope and adjustment are explored, including adaptive appraisals, productive coping, and social support. Finally, evidence supporting the role of hope as a mechanism of change in treatments for PTSD is reviewed.
本文综述了目前有关希望与创伤后 PTSD 及更广泛功能之间关系的文献，包括潜在的潜在机制以及影响这些关系的重要因素，以及希望作为 PTSD 干预措施中改变机制的作用。首先，讨论了创伤对希望的影响方式。其次，概述了横断面和前瞻性研究，表明希望越大，患 PTSD 的风险越低，并促进逆境的积极结果。接下来，探讨了希望与适应之间关系的潜在机制和决定因素，包括适应性评价、富有成效的应对和社会支持。最后，回顾了支持希望作为 PTSD 治疗中改变机制的证据。
