Rønning Line, Nordstrand Andreas Espetvedt, Anyan Frederick, Hjemdal Odin, Bøe Hans Jakob
Department of Psychology, Norwegian University of Science and Technology.
Institute of Military Psychiatry, Norwegian Armed Forces Joint Medical Services.
Psychol Trauma. 2025 Feb;17(2):446-456. doi: 10.1037/tra0001759. Epub 2024 Aug 22.
Over the past few decades, there has been a substantial increase of interest worldwide in how trauma can cause posttraumatic changes such as posttraumatic growth (PTG) and posttraumatic depreciation (PTD), and whether there exist gender-specific patterns of such changes. Despite the increase in interest, no studies have yet examined PTG and PTD in gender stratified models.
Latent profile analysis was used to explore PTG and PTD using the Posttraumatic Change Scale-Short Form in a gender stratified sample of Afghanistan veterans ( = 6,205, 8.3% females). Associations between profiles and predictors (trauma type), and outcome variables (anxiety, depression, and posttraumatic stress symptoms) were explored using R3STEP and Bolck-Croon-Hagenaars procedures in Mplus.
A three-profile model was found to be the best fitting model for female veterans, while a five-profile model was optimal for the male veterans, indicating there are gender-specific patterns in posttraumatic change. For both females and males, higher loads of trauma exposure were associated with conforming to the depreciation profiles, however, growth-related profiles also reported more trauma experiences than the no-change profile. Belonging to the depreciation profiles was associated with higher symptoms of anxiety, depression, and posttraumatic stress for both female and male veterans.
A person may experience posttraumatic depreciation in one life domain, and at the same time growth in another. Male and female veterans differ in their unique profiles of posttraumatic change. Awareness of idiosyncratic profiles of growth and depreciation may improve postdeployment support and intervention strategies. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
在过去几十年里,全球范围内对创伤如何导致创伤后变化(如创伤后成长(PTG)和创伤后衰退(PTD))以及这些变化是否存在性别差异模式的兴趣大幅增加。尽管兴趣有所增加,但尚未有研究在性别分层模型中考察PTG和PTD。
使用潜在剖面分析,通过创伤后变化量表简版,对阿富汗退伍军人的性别分层样本(n = 6205,8.3%为女性)进行PTG和PTD的探索。在Mplus中使用R3STEP和Bolck-Croon-Hagenaars程序,探索剖面与预测因素(创伤类型)以及结果变量(焦虑、抑郁和创伤后应激症状)之间的关联。
发现三剖面模型最适合女性退伍军人,而五剖面模型对男性退伍军人最优,这表明创伤后变化存在性别差异模式。对于女性和男性而言,更高的创伤暴露负荷与符合衰退剖面相关,然而,与成长相关的剖面也比无变化剖面报告了更多的创伤经历。属于衰退剖面与女性和男性退伍军人更高的焦虑、抑郁和创伤后应激症状相关。
一个人可能在生活的一个领域经历创伤后衰退,同时在另一个领域经历成长。男性和女性退伍军人在创伤后变化的独特剖面上存在差异。了解成长和衰退的特质剖面可能会改善部署后支持和干预策略。(PsycInfo数据库记录(c)2025美国心理学会,保留所有权利)