Delcea Cristian, Rad Dana, Toderici Ovidiu Florin, Bululoi Ana Simona
Department of Forensic Medicine, Iuliu Hatieganu, University of Medicine and Pharmacy, 400000 Cluj, Romania.
Center of Research Development and Innovation in Psychology, Faculty of Educational Sciences Psychology and Social Sciences, Aurel Vlaicu University of Arad, 310130 Arad, Romania.
Healthcare (Basel). 2023 Nov 14;11(22):2959. doi: 10.3390/healthcare11222959.
Road traffic accidents can have profound psychological impacts on the individuals involved, encompassing both negative distress and positive growth. This study, guided by the conservation of resources (COR) theory, investigates the intricate relationship between posttraumatic growth (PTG), maladaptive cognitive schemas, and psychological distress in individuals involved in road traffic accidents. PTG reflects an individual's ability to derive positive changes from adversity, while maladaptive schemas represent negative cognitive patterns. Using a 122 sample of individuals involved in road traffic accidents, we examined direct and indirect effects within this complex network. Our findings reveal significant direct effects of PTG on psychological distress (β = 0.101, = 0.02). Particularly noteworthy are the indirect effects mediated by cognitive schemas, emphasizing the role of impaired autonomy and perceived performance deficiencies (β = 0.102, = 0.05). This suggests that individuals involved in road traffic accidents experiencing higher PTG levels may indirectly experience greater psychological distress through these maladaptive cognitive schemas. This study not only advances our understanding of the psychological consequences of road traffic accidents but also aligns with self-determination theory, emphasizing autonomy and competence as fundamental needs. Individuals involved in road traffic accidents may undergo profound shifts in perspective following the trauma, which our results support. Recognizing the nuanced relationship between PTG, maladaptive cognitive schemas, and psychological distress is crucial for tailoring interventions and support systems for individuals involved in traffic accidents. As PTG can coexist with distress, interventions should foster adaptive growth while addressing maladaptive schemas to promote resilience in the face of traumatic events.
道路交通事故会对相关个体产生深远的心理影响，既包括负面的痛苦，也包括正面的成长。本研究以资源守恒（COR）理论为指导，调查道路交通事故受害者的创伤后成长（PTG）、适应不良认知模式和心理困扰之间的复杂关系。PTG反映了个体从逆境中获得积极改变的能力，而适应不良模式代表了负面的认知模式。我们以122名道路交通事故受害者为样本，研究了这个复杂网络中的直接和间接影响。我们的研究结果显示，PTG对心理困扰有显著的直接影响（β = 0.101，p = 0.02）。特别值得注意的是认知模式介导的间接影响，突出了自主性受损和感知到的表现缺陷的作用（β = 0.102，p = 0.05）。这表明，经历较高PTG水平的道路交通事故受害者可能会通过这些适应不良的认知模式间接经历更大的心理困扰。本研究不仅增进了我们对道路交通事故心理后果的理解，还与自我决定理论相一致，强调自主性和能力是基本需求。我们的研究结果支持了这样的观点，即道路交通事故受害者在创伤后可能会经历深刻的观念转变。认识到PTG、适应不良认知模式和心理困扰之间的细微关系，对于为交通事故受害者量身定制干预措施和支持系统至关重要。由于PTG可能与痛苦并存，干预措施应在解决适应不良模式的同时促进适应性成长，以增强面对创伤性事件的恢复力。
