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儿童能动性对战乱环境下创伤症状和心理困扰的正负影响。希望和生活满意度的中介作用。

Positive and negative effects of child's agency on trauma symptoms and psychological difficulties in war-like conditions. The mediating role of hope and life satisfaction.

作者信息

Veronese Guido, Mahamid Fayez, Obaid Hania, Bdier Dana, Cavazzoni Federica

机构信息

Department of Human Sciences and Education, University of Milano-Bicocca, Milan, Italy.

Department of Psychology, Stellenbosch University, Stellenbosch, South Africa.

出版信息

J Ment Health. 2024 Dec;33(6):749-758. doi: 10.1080/09638237.2024.2332801. Epub 2024 Mar 25.

Abstract

BACKGROUND

Children affected by war and political violence deploy agentic competencies to cope with trauma symptoms and psychological difficulties. However, it does not always act as a protective factor to help them adjust to potentially traumatic events.

AIMS

We expected to explore the association between agency, trauma symptoms and psychological difficulties and the mediating role of hope and life satisfaction in a group of child victims of military violence in Palestine.

METHODS

965 children aged 8 to 14 were assessed with self-reported measures, War Child Agency Assessment Scale, Children Revised Impact of events scale, Strengths and difficulties scale, Child Hope Scale and Brief Multidimensional Students Life Satisfaction Scale. Structural Equation Modelling was performed having Agency as a predictor, trauma symptoms, psychological difficulties as an outcome variable and life satisfaction and hope as a mediator.

RESULTS

We found a direct and positive effect of agency on trauma symptoms, psychological difficulties, and life satisfaction and hope on the two dependent variables. Life satisfaction and hope mediated the association between agency and the outcome variables.

CONCLUSION

Agency can help defend children from trauma and psychological maladaptation when it acts on life satisfaction and hope. At the same time, it might worsen psychological dysfunctions when working directly on trauma symptoms and difficulties. Clinical interventions must help children to foster agentic resources in activating hope and life satisfaction.

摘要

背景

受战争和政治暴力影响的儿童运用能动能力来应对创伤症状和心理困扰。然而,它并不总是作为一种保护因素来帮助他们适应潜在的创伤性事件。

目的

我们期望探讨能动性、创伤症状和心理困扰之间的关联,以及希望和生活满意度在一组巴勒斯坦军事暴力儿童受害者中的中介作用。

方法

采用自我报告测量工具对965名8至14岁的儿童进行评估,包括战争儿童能动性评估量表、儿童事件影响修订量表、优势与困难量表、儿童希望量表和简短多维学生生活满意度量表。以能动性作为预测变量,创伤症状、心理困扰作为结果变量,生活满意度和希望作为中介变量进行结构方程建模。

结果

我们发现能动性对创伤症状、心理困扰有直接的正向影响,生活满意度和希望对两个因变量也有直接的正向影响。生活满意度和希望在能动性与结果变量之间起中介作用。

结论

当能动性作用于生活满意度和希望时,它可以帮助儿童抵御创伤和心理适应不良。同时,当它直接作用于创伤症状和困扰时,可能会加剧心理功能障碍。临床干预必须帮助儿童在激活希望和生活满意度方面培养能动资源。

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