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创伤后应激障碍症状在利奇马台风后父母和青少年中的表现:母女性别匹配效应的检验。

Posttraumatic stress disorder symptoms among parents and adolescents following Typhoon Lekima: Examination of the mother-daughter sex matching effect.

机构信息

Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou, Zhejiang, China.

出版信息

Dev Psychopathol. 2024 May;36(2):709-718. doi: 10.1017/S0954579422001511. Epub 2023 Feb 3.

Abstract

This study aimed to examine the same-sex matching effect of posttraumatic stress disorder (PTSD) symptoms from parents to children and the mediating role of children' sense of security and catastrophization. Longitudinal data from 447 parent-child dyads were acquired using self-report scales. Parents (77.0% mothers; = 40.15 years old) reported their PTSD symptoms 3 months after Super Typhoon Lekima, and children (55.9% girls; = 13.40 years old) reported their PTSD symptoms, sense of security, and catastrophization 3 months and 15 months after the typhoon. Results showed that intrusion in mothers predicated intrusion, avoidance, and hyperarousal symptoms in daughters, while avoidance and hyperarousal in mothers predicted the same symptoms in daughters. This was not observed in any other parent-child dyads. Moreover, mothers' intrusion positively predicted daughters' PTSD symptoms via daughters' sense of security and then catastrophization, while mothers' hyperarousal showed the opposite prediction. These findings suggest that a same-sex matching effect occurs from mothers to daughters in terms of intrusion, avoidance, and hyperarousal symptoms of PTSD. Thus, clinical interventions that target daughters' PTSD symptoms should also consider mothers' intrusion and avoidance symptoms. Moreover, it may be possible to develop interventions to improve daughters' sense of security.

摘要

本研究旨在探讨创伤后应激障碍(PTSD)症状从父母到子女的同性别匹配效应,以及儿童安全感和灾难化的中介作用。通过自我报告量表,从 447 对父母-子女对中获得了纵向数据。父母(77.0%为母亲; = 40.15 岁)在超强台风利奇马过后 3 个月报告了他们的 PTSD 症状,而儿童(55.9%为女孩; = 13.40 岁)在台风过后 3 个月和 15 个月报告了他们的 PTSD 症状、安全感和灾难化。结果表明,母亲的闯入预测了女儿的闯入、回避和过度警觉症状,而母亲的回避和过度警觉则预测了女儿的相同症状。在其他任何父母-子女对中都没有观察到这种情况。此外,母亲的闯入通过女儿的安全感,进而通过灾难化,正向预测女儿的 PTSD 症状,而母亲的过度警觉则呈现相反的预测。这些发现表明,在 PTSD 的闯入、回避和过度警觉症状方面,从母亲到女儿存在同性别匹配效应。因此,针对女儿 PTSD 症状的临床干预也应该考虑母亲的闯入和回避症状。此外,可能有可能制定干预措施来提高女儿的安全感。

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