Wan Jiachen, Cao Chengqi, Fang Ruojiao, Chen Chen, Wang Li
Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China.
University of Chinese Academy of Sciences, Beijing, China.
Stress Health. 2024 Dec;40(6):e3494. doi: 10.1002/smi.3494. Epub 2024 Oct 23.
The present study examined the transition patterns in latent classes of Post-traumatic stress disorder (PTSD) and post-traumatic growth among a sample of youth 4-13 months after an explosion accident in China. Latent profile analyses identified consistent three classes (Resilient, Growing, and High-Symptom) at both waves. Latent transition analysis found most Resilient individuals remained stable while most Growing and High-symptom individuals transferred. Logistic regression predicting transition pathways suggests younger individuals, males, and those who lack social support are prone to experience reduced post-traumatic growth, whereas individuals with higher trauma exposure are prone to develop PTSD. Our study provides empirical evidence supporting qualitative transitions in PTSD and post-traumatic growth levels from a person-centred perspective. This adds to the current knowledge on the heterogeneity of post-traumatic responses of human beings and offers valuable guidance for post-traumatic interventions among youths.
本研究在中国一次爆炸事故发生4至13个月后，对青少年样本中创伤后应激障碍（PTSD）的潜在类别和创伤后成长的转变模式进行了研究。潜在剖面分析在两个时间点均确定了一致的三类（复原型、成长型和高症状型）。潜在转变分析发现，大多数复原型个体保持稳定，而大多数成长型和高症状型个体发生了转变。预测转变途径的逻辑回归表明，年龄较小的个体、男性以及缺乏社会支持的个体更容易经历创伤后成长减少，而创伤暴露程度较高的个体更容易患上PTSD。我们的研究提供了实证证据，从以人为本的角度支持PTSD和创伤后成长水平的质性转变。这增加了当前关于人类创伤后反应异质性的知识，并为青少年创伤后干预提供了有价值的指导。
