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创伤核心维度对焦虑和抑郁的影响:通过创伤后症状问卷(PTSQ)的潜在回归模型。

The impact of trauma core dimensions on anxiety and depression: a latent regression model through the Post-Traumatic Symptom Questionnaire (PTSQ).

机构信息

Department of Philosophy, Sociology, Education, and Applied Psychology, Section of Applied Psychology, University of Padova, Padua, Italy.

Center for Intervention and Research on Family studies - CIRF, Department FISPPA, University of Padova, Padua, Italy.

出版信息

Sci Rep. 2024 Oct 3;14(1):23036. doi: 10.1038/s41598-024-72274-6.

Abstract

Adverse life events (e.g., severe accidents, violence/abuse, organic disorders) can elicit traumatic responses characterized by intrusive thoughts, hyperarousal, and avoidance-highlighting the need for sound assessment tools. Also, these traumatic components could heighten anxiety and depression symptoms. This study aims included to: (1) assessing the psychometric properties of the Post-Traumatic Symptom Questionnaire (PTSQ) and delineating clinical cut-offs; (2) investigating how distinct trauma components contribute to anxiety and depression symptoms. Involving 761 participants who experienced a traumatic event, Part I tested the PTSQ psychometric properties, defining clinical cut-offs. Part II tested the impact of traumatic components on anxiety and depression symptoms, using a multiple multivariate latent regression model. PTSQ exhibited exemplary fit indices and robust psychometric properties. Clinically relevant cut-offs were identified. The differential contributions of intrusion, avoidance, and hyperarousal to anxiety and depression symptoms were evaluated, elucidating the strength and nature of these relationships. This study reaffirms the PTSQ as a psychometrically sound and reliable instrument. It underscores the effects of intrusion, avoidance, and hyperarousal on anxiety and depression symptoms in individuals with traumatic experiences. These insights advocate for evidence-based interventions aimed at alleviating the psychological suffering associated with trauma components, fostering adaptation and supporting psychological health.

摘要

生活中的逆境事件(例如,严重事故、暴力/虐待、器质性疾病)可能会引发创伤反应,其特征是闯入性思维、过度警觉和回避,这突出了需要有健全的评估工具。此外,这些创伤性成分可能会加剧焦虑和抑郁症状。本研究的目的包括:(1)评估创伤后症状问卷(PTSQ)的心理测量特性,并划定临床界限;(2)探讨不同的创伤成分如何导致焦虑和抑郁症状。研究涉及 761 名经历过创伤事件的参与者,第一部分测试了 PTSQ 的心理测量特性,确定了临床界限。第二部分使用多元多变量回归模型测试了创伤成分对焦虑和抑郁症状的影响。PTSQ 表现出了优秀的拟合指数和可靠的心理测量特性。确定了具有临床意义的界限。评估了闯入、回避和过度警觉对焦虑和抑郁症状的不同贡献,阐明了这些关系的强度和性质。本研究再次证实 PTSQ 是一种具有良好心理测量特性和可靠性的工具。它强调了闯入、回避和过度警觉对经历过创伤的个体的焦虑和抑郁症状的影响。这些见解提倡采取基于证据的干预措施,旨在减轻与创伤成分相关的心理痛苦,促进适应并支持心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7ef/11449904/83763d1dac94/41598_2024_72274_Fig1_HTML.jpg

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