Zhang Mingyu, Yang Fan, Chen Chen, Huang Ning, Guo Jing, Fan Juanjuan
School of Public Health, Peking University, Beijing, China.
Education Bureau of Qianxi County, Tangshan City, Hebei Province, China.
Eur Child Adolesc Psychiatry. 2025 Jun 2. doi: 10.1007/s00787-025-02761-2.
This study aims to conduct network analysis to identify the network structures of posttraumatic stress disorder (PTSD) symptoms, intolerance of uncertainty (IU), and personal growth initiative (PGI) in Chinese trauma-exposed children and adolescents. This study used data from 4,515 Chinese children and adolescents to investigate this relationship using undirected network analyses in combination with the Bayesian directed acyclic graph (DAG). The results indicate that IU has robust relationships with the specific symptoms 'exaggerated startle response', 'irritability/anger', and 'exaggerated startle response'. PGI shows strong relationships with the particular symptoms of 'difficulty concentrating', 'negative beliefs', and IU. The results of DAG show that key PTSD symptoms play a role in activating IU and PGI. These findings provide valuable insights into the association between PTSD symptoms, IU, and PGI, and offer significant guidance for developing intervention and treatment strategies for adolescents who have experienced trauma.
本研究旨在进行网络分析，以识别中国创伤暴露儿童和青少年中创伤后应激障碍（PTSD）症状、不确定性不耐受（IU）和个人成长主动性（PGI）的网络结构。本研究使用来自4515名中国儿童和青少年的数据，结合贝叶斯有向无环图（DAG），采用无向网络分析来研究这种关系。结果表明，IU与特定症状“夸张的惊吓反应”“易怒/愤怒”以及“夸张的惊吓反应”有密切关系。PGI与“注意力难以集中”“消极信念”以及IU的特定症状有密切关系。DAG结果表明，关键的PTSD症状在激活IU和PGI方面发挥作用。这些发现为PTSD症状、IU和PGI之间的关联提供了有价值的见解，并为制定针对经历过创伤的青少年的干预和治疗策略提供了重要指导。
