青少年的自我同情对创伤后应激障碍与创伤后成长的影响:感恩的中介作用

采用自我同情量表、感恩问卷、创伤后应激障碍症状核查表和创伤后成长问卷对雅安地震4.5年后的499名中学生进行调查,以考察自我同情对创伤后应激障碍(PTSD)和创伤后成长(PTG)的影响,并检验感恩在其间的中介作用。结果发现,积极自我同情可以直接负向预测PTSD、正向预测PTG,消极自我同情可以直接正向预测PTSD;积极自我同情可以通过感恩负向预测PTSD、正向预测PTG,消极自我同情可以通过感恩正向预测PTSD、负向预测PTG。研究显示,积极的自我同情可以缓解青少年的PTSD、促进PTG的发展,而消极自我同情会加重青少年的PTSD;感恩在自我同情与PTSD和PTG之间发挥了显著的中介作用。     

创伤后成长的促进因素、模型及干预

创伤后成长(Post-traumatic Growth, PTG)是指人们在经历了严重的压力性生活事件或创伤性事件后, 由于对抗压力所引起心理的积极变化。本研究对国外创伤后成长进行归纳概括, 论述了促进创伤后成长的影响因素, 如人格特质、社会支持、益处寻求和意义建构。此外, 归纳了基于不同视角的PTG模型, 提出了促进PTG的干预策略, 针对PTG实证研究中某些相关变量的测量问题提出改进意见。未来应着重于开展具备多个评估点的纵向研究, 建构适用于不同人群的PTG理论模型。     

感恩与大学生创伤后成长的关系：社会支持和希望的中介作用

采用病毒暴露风险问卷、感恩问卷、领悟社会支持量表、希望量表和创伤后成长问卷,以2168名大学生为被试,考察新冠病毒肺炎疫情期间居家学习大学生的感恩对创伤后成长(PTG)的预测作用及社会支持和希望的中介作用。结果发现,有41.61%的大学生出现明显的PTG;在控制了性别、年级、居住地和病毒暴露风险后,感恩可以直接正向预测PTG,也可以分别通过社会支持和希望的中介正向预测PTG,还可以通过社会支持和希望的链式中介正向预测PTG。本研究提示心理干预工作者,要关注疫情期间大学生的心理成长,可以通过提高大学生的感恩、社会支持和希望从而促进PTG。     

共情对灾后青少年亲社会行为的影响：感恩、社会支持和创伤后成长的中介作用

以雅安地震极重灾区芦山县的542名中学生为被试, 在地震发生3.5年后, 采用人际反应指数量表测查被试的共情能力, 并在震后4.5年采用感恩问卷、社会关系网络问卷、创伤后成长问卷和亲社会行为问卷测查被试的感恩、社会支持、创伤后成长(posttraumatic growth, PTG)和亲社会行为, 从追踪的视角考察地震后青少年的共情能力对亲社会行为的影响, 并探讨感恩、社会支持和创伤后成长(PTG)在其中的中介作用。结果显示, 共情可直接正向预测亲社会行为; 共情对亲社会行为的预测可分别通过感恩、社会支持和PTG的中介进行; 共情还可以分别通过感恩经社会支持、感恩经PTG、社会支持经PTG、感恩经社会支持再经PTG的链式中介对亲社会行为起到正向预测作用。这一发现提示, 未来的创伤后心理辅导工作应更加关注青少年的积极心理和社会行为的发展。     

PTSD与PTG的关系:来自教师群体的追踪研究证据

采用追踪研究的方式,在汶川地震后一年和一年半两个时间点,对极重灾区的116名中小学教师进行问卷调查,通过建立交叉滞后模型,探讨其创伤后应激障碍(PTSD)和创伤后成长(PTG)在时间进程中的相互关系。结果显示:(1)震后一年和一年半的教师,其PTSD水平较低,PTG水平中等,两者具有一定稳定性;(2)在同一个时间点上,PTSD和PTG的相关不显著;(3)震后一年的PTG能显著负向预测震后一年半的PTSD,而震后一年的PTSD不能显著预测震后一年半的PTG。成长对于长期的创伤后负性应激降低有积极作用,可采用积极的视角来进行心理重建。     

术后乳腺癌患者体象对创伤后应激障碍和创伤后成长的影响：反刍的中介作用

为探讨乳腺癌患者反刍这一认知情绪调节方式在体象和创伤后应激障碍（PTSD）、创伤后成长（PTG）之间的中介作用,采用体象量表（BIS）、认知情绪调节问卷中文版（CERQ-C）、创伤后应激障碍量表（PSS）和创伤后成长问卷（PTGI）对150名乳腺癌术后患者进行研究。结果发现：（1）乳腺癌患者的体象可以正向预测PTSD和PTG;（2）乳腺癌患者的反刍在体象和PTSD的闯入性症状、回避性症状中起中介作用,在体象与PTG中的中介作用不显著。结果表明,体象既可以正向预测乳腺癌患者的PTSD和PTG,也可以通过反刍的中介作用影响PTSD。     

青少年核心信念挑战对创伤后成长的影响：反刍与社会支持的作用

采用核心信念问卷、反刍问卷、社会支持问卷和创伤后成长问卷, 以汶川地震4年半后的354名中学生为被试, 考察其核心信念挑战、侵入性反刍、主动反刍、社会支持与创伤后成长之间的关系。结果发现, 地震4年半后青少年创伤后成长的整体水平较高, 其中女生高于男生, 初二学生相对低于高年级学生。结构方程模型的结果显示, 侵入性反刍和主动反刍在核心信念挑战与创伤后成长之间起部分中介作用, 核心信念挑战可以直接正向预测创伤后成长, 也可以通过侵入性反刍对创伤后成长起负向预测作用、通过主动反刍对创伤后成长起正向预测作用、通过侵入性反刍经主动反刍正向预测创伤后成长; 社会支持在侵入性反刍影响创伤后成长的直接路径上不起调节作用, 但在侵入性反刍经主动反刍对创伤后成长的间接路径上起调节作用, 具体表现为侵入性反刍对主动反刍的正向预测作用随着社会支持的增加而降低。     

开放性人格对大学生创伤后成长的影响:有调节的中介效应

采用创伤后成长问卷(PTGI)、大五人格问卷、认知情绪应对问卷(CERQ-C)、社会支持量表和创伤基本情况调查表对233名有过创伤经历的大学生进行调查,旨在探讨积极重新关注和积极重评策略在开放性人格与创伤后成长的关系之间的中介作用,以及社会支持在其中的调节作用。结果显示:(1)开放性人格对大学生积极重新关注、积极重评和创伤后成长均有显著的正向预测作用;(2)积极重新关注和积极重评在大学生开放性人格与创伤后成长之间的关系中起中介作用。开放性人格可以通过积极重评间接促进PTG,还可以通过积极重新关注经积极重评的多重中介实现对PTG的正向预测。(3)社会支持可以调节开放性人格对创伤后成长的作用。具体表现为社会支持水平高时,积极重评在开放性人格与创伤后成长之间的中介效应显著,而社会支持水平低时该效应不显著。这些结果对于综合解释创伤事件发生后环境与个体因素对创伤后成长的作用路径与机制具有一定意义。     

中学生创伤后成长、创伤后应激障碍的发展趋势:心理复原力的预测效应

以问卷调查的方法对汶川震后初一年级的学生进行2.5年的追踪研究,通过多层线性模型(HLM)来探索创伤后成长(PTG)和创伤后应激障碍(PTSD)的发展趋势以及心理复原力对二者的预测效应。结果发现,随着时间的发展,心理复原力仅在第二次施测时呈显著下降趋势,PTSD与PTG均呈现出先下降后上升的非线性发展趋势;心理复原力的三个因子对PTG均有显著的正向预测作用,力量因子对PTSD有显著负向预测作用,其中,乐观因子可进一步预测PTG的发展速度,力量因子可进一步预测PTSD的发展速度;在灾后中学生PTG的增长、PTSD的降低中,心理复原力可以分别解释18.87%和14.74%的变异。     

社会支持对震后青少年创伤后应激障碍和创伤后成长的影响:自我效能感的中介作用

本研究采用创伤暴露问卷、社会支持问卷、自我效能感量表、创伤后应激障碍症状核查表和创伤后成长问卷,在汶川地震8.5年后对地震极重灾区的1185名中学生进行调查,考察社会支持对创伤后应激障碍（PTSD）和创伤后成长（PTG）的影响,并检验自我效能感在其中的中介作用。结果发现：在控制创伤暴露程度、性别和年龄等变量后,社会支持不仅可以直接负向预测PTSD、正向预测PTG,也可以通过自我效能感的中介作用负向预测PTSD、正向预测PTG。这表明,自我效能感在社会支持与PTSD、社会支持与PTG的关系中都具有部分中介效应。     

Posttraumatic Growth in Combat Veterans

Combat veterans and their families face significant challenges not only to their abilities to cope, but often to their fundamental belief systems. Traumatic events represent assaults on core beliefs, yet at times, produce cognitive processing that can ultimately result in personal transformations called posttraumatic growth (PTG). Clinicians can utilize a systematic therapeutic approach to facilitate PTG as they carry out a relationship of expert companionship. PTG in service members is described in this article, as well as the approach to facilitation of PTG.     

An item-level analysis of the Posttraumatic Growth Inventory: Relationships with an examination of core beliefs and deliberate rumination

Posttraumatic growth (PTG), positive change that may occur as a result of psychological struggle with a traumatic event, has been widely reported across cultures. However, there is some disagreement on how the self-reported PTG, measured by the PTG Inventory (PTGI), reflects the construct that is described in PTG theory. The current study was designed to conduct an item-level analysis of the PTGI to identify the type of growth that is explained by an examination of one's core beliefs and deliberate rumination — two major precursors for PTG, according to a PTG theoretical model. A multivariate multiple regression analysis predicting each of the PTGI items was conducted with young adults who experienced the Great East Japan Earthquake (N = 316). Results indicated that five out of 21 items were explained by both core beliefs' examination and deliberate rumination and 13 were explained by only core beliefs' examination. Three items were not accounted for by either core beliefs' examination or deliberate rumination. These findings indicate that most types of PTG assessed by the PTGI are likely to occur when core beliefs are challenged; however, some types of PTG may occur without cognitive effort. Future research should consider the variation within the PTGI.     

Associations Between Time Since Event and Posttraumatic Growth Among Military Veterans

Despite efforts to understand the antecedents, correlates, and consequences of posttraumatic growth (PTG), the role of time since a traumatic event (time since event) vis-à-vis PTG is not well understood. Part of a larger project exploring experiences following emotionally distressing events among military veterans (N = 197) using Amazon’s Mechanical Turk (Mturk), in the current study, we sought to clarify associations between the time since event and PTG. We used cluster-analytic techniques and analyses of variance to (a) determine the number of clusters, and (b) assess differences in core constructs of PTG and participant characteristics across clusters. Results revealed 4 significantly different groups (i.e., clusters) characterized by differential associations between PTG and time since event. These groups also differed significantly in challenge to core beliefs, level of PTSD symptoms, intrusive and deliberate rumination, and age. The immediate moderate-growth group (Cluster 1) experienced moderate levels of PTG over shorter periods of time, severe PTSD symptoms, and was significantly younger. The low-growth group (Cluster 2) was characterized by minimal PTG, regardless of time, the least challenge to core beliefs, and low amounts of intrusive and deliberate rumination. The long-term small-growth group (Cluster 3) was primarily characterized by small amounts of PTG over longer periods of time. The high-growth group (Cluster 4) was characterized by high PTG, regardless of time, greater challenge to core beliefs, the highest amount of deliberate rumination, and the highest number of PTSD symptoms. Findings underscore heterogeneity within military veterans’ experiences of PTG over time.     

Cross-Cultural Challenges to the Construct “Posttraumatic Growth”

Responses of individuals to traumatic events are varied. Traumatic events can lead to positive transformations that are known as posttraumatic growth (PTG). Most of the empirical studies of PTG have been addressed from a Western perspective. Theoretically, the concept appears to be cross-culturally valid, but there has been a fundamental deficiency in operationalizing the concept in regard to cultures that are non-Western. Cultural elements play an important role in influencing the behavior of individuals in the aftermath of trauma. Hence, it is important to conceptualize and measure PTG in the framework of the culture to which the individual belongs. The effects of culture come from both the immediate culture (proximal) and the broader (distal) sources that impact the nature of rumination, cognitive strategies, and the process of growth. This paper addresses various cross-cultural challenges to the construct PTG such as emic versus etic perspectives on PTG, proximate and distal influences of culture on PTG, specific cultural influences on rumination, cognitive strategies, and growth, cultural bias inherent in theories of PTG, and measurement issues of PTG across cultures.     

Paths from core belief disruption to post-traumatic stress symptoms and post-traumatic growth among Korean undergraduates: The mediating role of rumination

The post-traumatic growth (PTG) model proposes that cognitive processing is a key mechanism that leads to growth in the aftermath of traumatic events. Building upon the PTG model, the present study examined the paths from the disruption of core beliefs to post-traumatic stress symptoms (PTSS) and PTG via intrusive and deliberate rumination. The sample includes 370 Korean undergraduate students who reported at least one highly stressful experience in their lifetime. Structural equation modeling demonstrated that disruption of core beliefs predicted PTG both directly and indirectly through multiple pathways: via deliberate rumination, intrusive rumination, and the path from intrusive to deliberate rumination. The disruption of core beliefs positively predicted PTSS only through intrusive rumination. No bivariate relationship was found between PTSS and PTG. These findings support the different roles of intrusive rumination and deliberate rumination in mediating the paths from disruption of core beliefs to PTSS and PTG. Implications and limitations of this study were discussed.     

心理虐待对儿童认知情绪调节策略的影响：人格特质的中介作用

采用儿童认知情绪调节问卷、儿童版艾森克人格问卷、儿童心理虐待量表对405名8～12岁儿童进行研究,考察人格特质在心理虐待对认知情绪调节策略关系中的中介作用。结果发现：(1)儿童心理虐待与不适应性认知情绪调节策略呈显著正相关;儿童神经质与不适应性认知情绪调节策略呈显著正相关儿童内外倾与适应性认知情绪调节策略呈显著正相关(2)儿童神经质在心理虐待与儿童不适应性认知情绪调节策略关系间起到完全中介作用（3）该中介模型具有性别和年龄的测量等值性。研究结果显示,儿童心理虐待可以通过神经质的中介作用影响不适应性认知情绪调节策略。     

儿童期心理虐待对青少年网络欺负的影响:领悟社会支持及性别的调节作用

近年来,网络欺负现象逐渐成为网络心理学研究的热点问题。青少年网络欺负的发生率约为60.8%,且每年都在呈增长的趋势,这对青少年正常的学习生活造成了严重的影响。故本研究主要探讨儿童期心理虐待对青少年网络欺负的影响,以及领悟社会支持和性别起到的调节作用。本研究以447名青少年作为被试(男生205人,女生242人,被试年龄范围为11~17岁,平均年龄为14.17±1.35岁),采用儿童期心理虐待量表、网络欺负问卷及领悟社会支持量表进行调查。运用SPSS 22.0及AMOS 21.0统计软件进行数据处理,Harman单因素法表明,本研究不存在严重的共同方法偏差问题。研究结果表明:(1)儿童期心理虐待与领悟社会支持呈显著负相关(r=-.14,p<.01),儿童期心理虐待与青少年网络欺负呈显著正相关(r=.44,p<.01),领悟社会支持与青少年网络欺负呈显著负相关(r=-.15,p<.01);(2)结构方程模型显示,模型各指标均达到了临界值(χ^2/df=2.67,GFI=.90,TLI=.91,CFI=.92,RMSEA=.07);(3)儿童期心理虐待对青少年网络欺负具有显著的正向预测作用(β=.21,p<.01),领悟社会支持对青少年网络欺负具有显著的负向预测作用(β=-.11,p<.05),同时,儿童期心理虐待与领悟社会支持的交互项对青少年网络欺负具有显著的负向预测作用显著(β=-.19,p<.01),简单斜率检验表明,对于低领悟社会支持水平的青少年,儿童期心理虐待对网络欺负有显著的正向预测作用(β=.54,p<.001);对于高低领悟社会支持水平的青少年,儿童期心理虐待对网络欺负的预测作用不显著(β=-.17,p>.05);(4)儿童期心理虐待与性别的交互项对青少年网络欺负具有显著的正向预测作用(β=.28,p<.001),简单斜率检验表明,对于男青少年,儿童期心理虐待对网络欺负有显著的正向预测作用(β=.54,p<.001);对于女青少年,儿童期心理虐待对网络欺负的预测作用不显著(β=.13,p>.05);由此可说明,儿童期心理虐待是青少年网络欺负出现的助推机制,而领悟社会支持和性别是青少年网络欺负出现的抑制机制,它可以弱化儿童期心理虐待对青少年网络欺负造成的创伤。     

Intrusive versus deliberate rumination in posttraumatic growth across US and Japanese samples

To examine the role of rumination in the aftermath of traumatic/stressful events, posttraumatic growth (PTG) and the four types of rumination (i.e., intrusive rumination soon after the event, intrusive rumination recently, deliberate rumination soon after the event, and deliberate rumination recently) were assessed retrospectively for participants from the USA (N=224) and Japan (N=431). The results from a hierarchical regression analysis revealed that the hypothesized relationships among the four types of rumination and PTG were largely supported. Intrusive rumination soon after the event was positively related to PTG but recent deliberate rumination most strongly predicted the current levels of PTG for both samples. Some evidence for cultural differences in the role of rumination in PTG was also observed. In the US sample, deliberate rumination recently was more important than the deliberate rumination in the immediate aftermath of the traumatic/stressful event, whereas in the Japanese sample, deliberate rumination both soon after and recently were positively related to PTG. The results illustrate the importance of considering rumination as multidimensional and as varying across time in its impact on PTG. Future directions and clinical implications were discussed.     

Variables Related to Posttraumatic Growth in Turkish Rheumatoid Arthritis Patients

Rheumatoid arthritis (RA) is a chronic, deteriorative disease, which can cause great psychological distress. Although RA has negative psychological consequences, it may also lead to positive changes, which has been given relatively little attention in the research literature. The Posttraumatic Growth Inventory (PTGI) has been used to evaluate growth in survivor’s thinking, feeling and/or behavior following the experiencing of traumatic or severely adverse life events. The purpose of the current study was to examine the domains of the PTGI and to identify variables related to Posttraumatic Growth (PTG) in 117 RA patients from Turkey, a secular, Islamic, non-western developing country. Results showed that the PTGI has three domains: relationship with others; philosophy of life; and self-perception. Regression analyses showed that problem-focused coping had significant contributions to the total PTG levels and PTGI domains of relationship with others and self-perception. Perceived social support appeared as a significant associate for the total PTG levels and for all three domains. In addition, age and perceived disease severity were found to be significantly related to some domains of PTG. Clinicians, aiming to increase positive experience of RA patients, may need to focus on and facilitate perceived social support and problem-focused coping to facilitate growth experiences.