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直接和间接接触创伤的心理后果:黎巴嫩的经历。

The Psychological Outcomes of Direct and Indirect Exposure to Trauma: The Lebanese Experience.

作者信息

Abi-Habib Rudy, Kheir Wissam, Yaktine Nour, Maouch Mohamad El, Tohme Pia

机构信息

Department of Psychology and Education, School of Arts and Sciences, Lebanese American University, Beirut, Lebanon.

Department of Psychology, Faculty of Letters and Human Sciences, Université Saint-Joseph de Beyrouth, Beirut, Lebanon.

出版信息

Psychiatr Q. 2025 Apr 30. doi: 10.1007/s11126-025-10149-3.

Abstract

Studies have consistently highlighted a high prevalence of mental health difficulties following exposure to trauma. These symptoms can become even more prevalent if one experiences several traumatic events. This study is the first to explore the interaction effect of age and gender on the prevalence of psychological outcomes, including anxiety, depression, stress, and PTSD, investigating whether the impact of age on psychological health is different across genders. Our sample included 546 Lebanese adults who were exposed to both the 2020 Beirut Port explosion and the 2023 earthquakes. Participants completed the PCL-5, the DASS-21, and a series of demographic questions. Results showed that, in the context of direct exposure, the findings for male and female participants indicate that older age is associated with lower mental health symptomatology. Analyzing indirect exposure, age was not significantly correlated with psychological outcomes for males; however, significant negative relationships were observed for all outcomes for females. Findings are discussed from a cultural perspective, emphasizing recommendations for interventions targeting people affected by traumatic events, namely the importance of focusing on the young generation, namely females, who scored the highest on psychological difficulties following indirect exposure to trauma.

摘要

研究一直强调,遭受创伤后心理健康问题的患病率很高。如果一个人经历了几次创伤性事件,这些症状可能会更加普遍。本研究首次探讨年龄和性别对心理结果患病率的交互作用,包括焦虑、抑郁、压力和创伤后应激障碍,调查年龄对心理健康的影响在不同性别中是否存在差异。我们的样本包括546名黎巴嫩成年人,他们既经历了2020年贝鲁特港口爆炸,又经历了2023年的地震。参与者完成了创伤后应激障碍检查表(PCL-5)、抑郁焦虑压力量表(DASS-21)以及一系列人口统计学问题。结果表明,在直接暴露的情况下,男性和女性参与者的结果表明,年龄较大与较低的心理健康症状相关。在分析间接暴露时,年龄与男性的心理结果没有显著相关性;然而,在女性的所有结果中都观察到了显著的负相关关系。研究结果从文化角度进行了讨论,强调了针对受创伤事件影响人群的干预建议,即关注年轻一代,特别是女性的重要性,她们在间接接触创伤后的心理困难得分最高。

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