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评估创伤后应激障碍症状的日常生活体验。

Everyday life experiences for evaluating post-traumatic stress disorder symptoms.

机构信息

Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong SAR, People's Republic of China.

Department of Psychology, The University of Hong Kong, Hong Kong SAR, People's Republic of China.

出版信息

Eur J Psychotraumatol. 2023;14(2):2238584. doi: 10.1080/20008066.2023.2238584.

Abstract

Previous research has highlighted the importance of regularizing daily routines for maintaining mental health. Little is known about whether and how regularity of daily routines is associated with reduced post-traumatic stress disorder (PTSD) symptoms. We aimed to examine the associations between regularity of daily routines and PTSD symptoms in two studies ( = 796). In Study 1, prospective data were analysed with the latent change score model to investigate the association between sustainment of regular daily routines and change in PTSD symptoms over time amid massive civil unrest in Hong Kong in 2019. Study 2 used vignette as a quasi-experimental method to assess the ability of maintaining regular daily routines in face of a major stressor, and tested its associations with PTSD symptoms. In Study 1, increased regularity of diverse daily routines was inversely associated with increased PTSD symptoms amid the civil unrest in Hong Kong ( = -.427 to -.224, 95% confidence intervals [-.543 to -.359, -.310 to -.090], values < .01). In Study 2, a greater ability to maintain regular daily routines during stress was associated with lower levels of PTSD symptoms ( = -.285 to -.096, 95% confidence intervals [-.379 to -.189, -.190 to -.003], values < .05). Our findings suggest the benefit of considering diverse everyday activities in evaluating PTSD symptoms in both clinical and subclinical populations. Interventions with the direct focus on the role of daily living could promote psychological resilience during and after potentially traumatic events.

摘要

先前的研究强调了规律日常生活对维护心理健康的重要性。但对于日常生活的规律性是否以及如何与减少创伤后应激障碍(PTSD)症状有关,人们知之甚少。我们旨在通过两项研究(n=796)来检验日常生活规律性与 PTSD 症状之间的关联。在研究 1 中,我们采用潜在变化分数模型进行前瞻性数据分析,以探讨在 2019 年香港大规模动乱中,维持日常规律与 PTSD 症状随时间变化之间的关联。研究 2 使用情景模拟作为准实验方法来评估在面对重大应激源时维持日常规律的能力,并检验其与 PTSD 症状之间的关联。在研究 1 中,日常生活多样性的规律性增加与香港动乱期间 PTSD 症状的增加呈负相关(β=-.427 至-.224,95%置信区间[-.543 至-.359,-.310 至-.090],p 值均<.01)。在研究 2 中,在压力下维持日常规律的能力更强与 PTSD 症状水平更低相关(β=-.285 至-.096,95%置信区间[-.379 至-.189,-.190 至-.003],p 值均<.05)。我们的研究结果表明,在评估临床和亚临床人群的 PTSD 症状时,考虑日常生活中的各种活动是有益的。直接关注日常生活作用的干预措施可以在潜在创伤性事件发生期间和之后促进心理弹性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2566/10472851/49074447bd2f/ZEPT_A_2238584_F0001_OB.jpg

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