Xie Tong, Huang Jingyuan, Liu Xiaoyan, Xu Wei
Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education, Faculty of Psychology, Beijing Normal University.
Psychol Trauma. 2024 Sep;16(6):1010-1018. doi: 10.1037/tra0001531. Epub 2023 Jun 1.
Existing literature has yielded mixed results regarding the relationships between posttraumatic stress symptoms (PTSS) and posttraumatic growth (PTG). The recent network analysis provided opportunities to investigate the associations between PTSS and PTG on a more fine-grained level. Previous cross-sectional network analyses were unable to address the directionality of the temporal relationships between components of PTSS and PTG. Therefore, the current study aimed to model cross-lagged network of components of PTSS and PTG with longitudinal data to unveil the direction of their relationships.
A sample of 202 adolescents ( = 14.36, 38% boys) who survived the Yancheng tornado were assessed with the Child PTSD Symptom Scale (CPSS) and Posttraumatic Growth Inventory (PTGI) at 9, 12, and 18 months following the tornado. Two cross-lagged panel networks were examined to model the temporal associations between components of PTSS and PTG.
The T1-T2 Network was much denser than the T2-T3 Network. The majority of cross-cluster edges were directed from PTSS to PTG. Interestingly, two major components of PTSS, shared vastly different relationships with PTG. While positively predicted components of PTG, exhibited negative predictive value on PTG.
The study highlighted the differential relationships that and shared with the PTG components, suggesting that interventions could benefit from mitigating avoidance and incorporating intrusion into positive change. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
现有文献对于创伤后应激症状(PTSS)与创伤后成长(PTG)之间的关系得出了不一致的结果。最近的网络分析为在更细粒度水平上研究PTSS与PTG之间的关联提供了机会。以往的横断面网络分析无法解决PTSS和PTG各成分之间时间关系的方向性问题。因此,本研究旨在利用纵向数据对PTSS和PTG各成分的交叉滞后网络进行建模,以揭示它们之间关系的方向。
对202名在盐城龙卷风灾害中幸存的青少年(平均年龄 = 14.36岁,38%为男孩)进行研究,在龙卷风过后9个月、12个月和18个月时,使用儿童创伤后应激障碍症状量表(CPSS)和创伤后成长问卷(PTGI)进行评估。研究了两个交叉滞后面板网络,以模拟PTSS和PTG各成分之间的时间关联。
T1 - T2网络比T2 - T3网络密集得多。大多数跨簇边是从PTSS指向PTG。有趣的是,PTSS的两个主要成分与PTG有着截然不同的关系。一个成分对PTG的各成分具有正向预测作用,而另一个成分对PTG具有负向预测价值。
该研究突出了PTSS的两个成分与PTG各成分之间的差异关系,表明干预措施可能受益于减轻回避行为并将闯入性体验纳入积极改变之中。(《心理学文摘数据库记录》(c)2024美国心理学会,保留所有权利)