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台风暴露下的青年创伤后应激症状轨迹:一项三波纵向研究。

Trajectories of Posttraumatic Stress Symptoms Among Young Adults Exposed to a Typhoon: A Three-Wave Longitudinal Study.

机构信息

Institute for Disaster Management and Reconstruction (IDMR), Sichuan University, Chengdu, China.

Center for Global Health Equity, NYU Shanghai, Shanghai, China.

出版信息

Int J Public Health. 2023 Jan 4;67:1605380. doi: 10.3389/ijph.2022.1605380. eCollection 2022.

Abstract

We used a latent class growth model to identify distinct PTSS trajectories and correlates of these trajectories among young adults who experienced Typhoon Hato, the strongest storm to strike China in the last 50 years. A longitudinal survey (three-waves) was conducted to explore the mental health status and its correlates among young adults exposed to the typhoon. Data from 362 participants were analyzed a latent class growth model and multinomial logistic regression. Three distinct classes of PTSS trajectories were identified, including: "resilience" (86.46%), "recovery" (9.12%), and "deterioration" (4.42%). The higher levels of direct typhoon exposure, media use, and posttraumatic growth significantly predicted the higher likelihood of participants being in the "recovery'' class. In addition, more social support significantly predicted the higher possibility of being in the "resilience" class. Finally, more severe depressive and anxiety symptoms significantly predicted the higher likelihood of being in the "deterioration" class. Further research should develop interventions to enhance protective factors (e.g., posttraumatic growth, media use), decrease risk factors (e.g., depressive and anxiety symptoms), and thereby prevent PTSS.

摘要

我们使用潜在类别增长模型来识别在经历了中国近 50 年来最强风暴“天鸽”袭击的年轻人中出现不同创伤后应激症状轨迹的特征及其相关因素。我们进行了一项纵向调查(三波),以探索暴露于台风的年轻人的心理健康状况及其相关因素。对 362 名参与者的数据进行了潜在类别增长模型和多项逻辑回归分析。确定了三种不同的创伤后应激症状轨迹类别,包括:“韧性”(86.46%)、“恢复”(9.12%)和“恶化”(4.42%)。较高水平的直接台风暴露、媒体使用和创伤后成长显著预测了参与者更有可能属于“恢复”类。此外,更多的社会支持显著预测了属于“韧性”类的可能性更高。最后,更严重的抑郁和焦虑症状显著预测了属于“恶化”类的可能性更高。进一步的研究应该开发干预措施,以增强保护因素(如创伤后成长、媒体使用),减少风险因素(如抑郁和焦虑症状),从而预防创伤后应激症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/411c/9845259/a4d31ca59b47/ijph-67-1605380-g001.jpg

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