社会支持、创伤后应激障碍与创伤后成长之间的关系:来自雅安地震后小学生的追踪研究

本文采用追踪研究的设计,在雅安地震后的6、12和18个月三个时间点,采用社会支持问卷、儿童创伤后应激障碍症状量表、DSM-5的PTSD核查表和创伤后成长问卷对303名小学生进行调查。通过建立交叉滞后模型,考察社会支持、创伤后应激障碍(PTSD)与创伤后成长(PTG)三者之间的关系,结果发现在震后6至18个月之间,PTG对PTSD没有显著的预测作用,震后6个月的PTSD对震后12个月的PTG具有显著的跨时间点的正向预测作用,但是该作用在震后12至18个月之间不再显著;震后6至12个月之间,社会支持对PTSD发挥单向的缓解作用,但与PTG之间不存在显著的预测作用;在12至18个月之间,PTSD可以单向地降低社会支持,且社会支持与PTG之间也存在显著的正向相互预测作用。     

Self-reported posttraumatic growth predicts greater subsequent posttraumatic stress amidst war and terrorism

Background and objective: This study tested three alternative explanations for research indicating a positive, but heterogeneous relationship between self-reported posttraumatic growth (PTG) and posttraumatic stress symptoms (PSS): (a) the third-variable hypothesis that the relationship between PTG and PSS is a spurious one driven by positive relationships with resource loss, (b) the growth over time hypothesis that the relationship between PTG and PSS is initially a positive one, but becomes negative over time, and (c) the moderator hypothesis that resource loss moderates the relationship between PTG and PSS such that PTG is associated with lower levels of PSS as loss increases. Design and method: A nationally representative sample (N?=?1622) of Israelis was assessed at three time points during a period of ongoing violence. PTG, resource loss, and the interaction between PTG and loss were examined as lagged predictors of PSS to test the proposed hypotheses. Results: Results were inconsistent with all three hypotheses, showing that PTG positively predicted subsequent PSS when accounting for main and interactive effects of loss. Conclusions: Our results suggest that self-reported PTG is a meaningful but counterintuitive predictor of poorer mental health following trauma.     

The contribution of self-compassion in the relationship between social support and posttraumatic growth

IntroductionDespite well-established evidence on the relationship between social support and posttraumatic growth (PTG), there remains a paucity of evidence regarding the mechanism that underlie this relationship.ObjectiveThis study examined the relationship between social support and PTG, while exploring self-compassion as an intermediatory factor in this association.MethodA cross-sectional study with 447 college students was conducted in Trabzon, Turkey. The data were analyzed using Structural Equation Modelling (SEM).ResultsResults indicated that perceived social support and self-compassion were associated with PTG. Furthermore, a significant indirect effect between social support and PTG via self-compassion emerged.ConclusionBased on the study findings, tailored intervention programs targeting self-compassion and perceived social support in trauma-exposed young adults may be useful for promoting posttraumatic growth.     

Predicting posttraumatic growth among Hurricane Katrina survivors living with HIV: the role of self-efficacy,social support,and PTSD symptoms

Abstract

The study tested the model of adaptation after trauma by Benight and Bandura (2004) indicating that posttraumatic recovery may be predicted directly by coping self-efficacy (CSE) and indirectly by social support. These relations were investigated in the context of posttraumatic growth (PTG) among Hurricane Katrina survivors living with HIV. Additionally, it was hypothesized that among individuals with more intensive Posttraumatic Stress Disorder (PTSD) symptoms, those with strong CSE would experience the strongest PTG. Cross-sectional data were collected among 90 patients with HIV who reinitiated care at the HIV outpatient clinic. Questionnaires were administered approximately 14 months after the hurricane. Higher CSE was related to higher PTG among the survivors who suffered from more intensive PTSD symptoms. Received social support was directly related to only one index of PTG, relating to others. Furthermore, although there was a significant relationship between social support and CSE, the indirect conditional effect of received social support on PTG was not confirmed. Similar results were obtained across the indices of PTG, controlling for the level of exposure to hurricane-related trauma. Cross-sectional design and convenience character of the sample warrants replications.     

Relationship of posttraumatic growth to symptoms of posttraumatic stress disorder and depression: A pilot study of Iraqi students

Posttraumatic growth (PTG) and psychopathology are common outcomes following exposure to adversity and trauma. We examined the relationship of PTG to posttraumatic stress disorder (PTSD) and depression in a group of young Iraqi students with war trauma exposure. These young Iraqis had experienced an average of 13 different war‐related adversities. The prevalence of probable PTSD was 17.2% and probable depression 23.1%. PTSD was associated with higher and depression with lower PTG. In addition, the relationship between PTG and PTSD was stronger among males than females. Although PTSD and depression were relatively common, they were related to PTG in opposite directions.     

社会支持对青少年创伤后成长的影响:状态希望和积极重评的中介作用

采用创伤暴露程度问卷、社会支持问卷、状态希望量表、认知情绪调节量表和创伤后成长问卷,以雅安地震2.5年后的397名中学生为被试,考察其社会支持、状态希望、积极重评与创伤后成长（PTG）之间的关系。结果发现,雅安地震2.5年后青少年的社会支持可以直接正向预测PTG,不过,在社会支持与PTG之间纳入状态希望和积极重评后,社会支持不能直接地促进PTG,但却可以分别通过状态希望和积极重评来促进PTG,还可以经过状态希望由积极重评的多重中介来正向预测PTG。     

汶川地震8.5年后青少年的社会支持与创伤后成长的关系:自我效能感和自尊的中介作用

为考察汶川地震8.5年后青少年的社会支持、自我效能感、自尊与创伤后成长（PTG）之间的关系，利用社会支持问卷、自我效能感问卷、自尊量表和创伤后成长问卷对地震灾区的1185名中学生进行了调查。结果发现，创伤暴露程度对社会支持、自我效能感和自尊均不具有显著影响，但对PTG具有显著的预测作用；而在控制创伤暴露后，社会支持不仅可以直接促进PTG，也可以分别通过自我效能感和自尊促进PTG，还可以通过自我效能感经自尊的多重中介作用来促进PTG，表明自我效能感和自尊在社会支持与PTG的关系中发挥着显著的中介效应。这些结果说明社会支持对PTG影响的一个重要机制是通过提升个体的自我效能感、增加其自尊来实现的。     

Religious coping,general coping strategies,perceived social support,PTSD symptoms,resilience, and posttraumatic growth among survivors of the 2010 earthquake in Haiti

This study examines the relationships between coping strategies, perceived social support, resilience, PTSD symptoms, and posttraumatic growth (PTG) in a sample of 256 survivors of the 2010 Haiti earthquake. The results of the bivariate analysis suggested a significant positive correlation between PTG and resilience, PTSD symptoms, perceived social support, positive religious coping, and active coping. There was a significant positive relationship between perceived social support and resilience and between resilience and active coping. PTSD symptoms were positively correlated with both positive and negative religious coping. Results of the multiple regression analysis indicated that positive religious coping, active coping, perceived social support, resilience, and PTSD symptoms accounted for 34% of the variance in the participants’ PTG. The strongest predictor of PTG was positive religious coping, followed by active coping, perceived social support, resilience, PTSD symptoms, and negative religious coping. Implications and recommendations for future research were discussed.     

The protective role of maternal posttraumatic growth and cognitive trauma processing among Palestinian mothers and infants

War survivors use multiple cognitive and emotional processes to protect their mental health from the negative impacts of trauma. Because mothers and infants may be especially vulnerable to trauma in conditions of war, it is urgent to determine which cognitive and emotional processes are effective for preventing negative trauma impacts.” This study examined whether mothers’ high posttraumatic growth (PTG) and positive posttraumatic cognitions (PTC) protected (a) their own mental health and (b) their infants’ stress regulation and sensorimotor and language development from the effects of war trauma. The participants were 511 Palestinian mothers and their infants living in the Gaza strip. The mothers were interviewed in their second trimester of pregnancy (T1) as well as when the infant was four months (T2) and twelve months (T3). Mothers reported posttraumatic growth (PTG; Tedeschi & Calhoun, 1996) at T1 and posttraumatic cognitions (PTCI; Foa et al., 1999) at T2. They also reported their exposure to traumatic war events both at T1 and T3 and described their mental health conditions (e.g., PTSD and/or depressive and dissociation symptoms) at T3. The Infant Behaviour Questionnaire (IBQ) was used to measure infants’ stress regulation at T2 and sensorimotor and language development at T3. The results, based on regression analyses with interaction terms between trauma and PTG, showed that high levels of traumatic war events were not associated with high levels of PTSD, depressive, or dissociation symptoms among mothers showing high levels of PTG. This suggests that PTG may protect maternal mental health from the effects of trauma. In turn, positive maternal PTCs appeared to protect the infants’ stress regulation from the effects of war trauma. The study concludes by discussing ways to develop and implement preventive interventions for mother-infant dyads in war conditions.     

创伤暴露程度、主观害怕程度对儿童创伤后应激障碍影响的追踪研究:社会支持的调节作用

为了考察创伤暴露程度、主观害怕程度、社会支持与创伤后应激障碍（PTSD）之间的纵向关系,本研究采用创伤暴露程度问卷、主观害怕程度问卷、社会支持问卷与儿童创伤后应激障碍症状量表对雅安地震半年后的303名小学生进行测查,并于震后一年半时进行再次测查。逐步回归分析的结果发现,创伤暴露程度对地震半年后的PTSD具有显著的正向预测作用,对震后一年半的PTSD没有显著的预测作用;无论是震后半年还是一年半,主观害怕都可以加剧PTSD、社会支持都可以缓解PTSD;社会支持在创伤暴露程度与PTSD之间不起显著的调节作用,但却可以显著地调节主观害怕程度对震后一年半的PTSD的影响,表现为主观害怕程度对震后一年半的PTSD的正向预测作用随着社会支持水平的增加而降低。     

汶川地震四年半后青少年的感恩对PTG的影响：社会支持与主动反刍的中介作用

采用问卷法,对汶川地震四年半后的354名中学生进行测试,探究社会支持和主动反刍在感恩与创伤后成长（PTG）关系中的作用。结果发现,感恩不仅对PTG具有直接的正向预测作用,而且可以通过社会支持和主动反刍正向预测PTG,也可以通过社会支持经主动反刍的多重中介来正向预测PTG。说明社会支持与主动反刍在感恩与PTG之间起着部分中介作用,其中主动反刍在社会支持与PTG之间也有部分中介效应。     

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。     

Psychological Adjustment,Coping, and Emotion Regulation as Predictors of Posttraumatic Growth

Abstract

The present study examined factors contributing to reported benefits of traumatic experiences or posttraumatic growth (PTG) in a college sample. Specifically, we examined dimensions typically associated with trauma recovery (i.e., psychological functioning, coping, emotion regulation) and features of the trauma (i.e., number and recency of traumatic events, average, and maximal distress). Participants (N= 193) completed standardized questionnaires measuring these constructs. Results indicated that active coping and subjective well-being independently contributed to PTG, but social desirability and symptom distress were independent of growth. These results were consistent with study expectations. Although not specifically predicted, maximal trauma distress also uniquely predicted PTG. Contrary to expectations, effective emotion regulation did not contribute to PTG.     

Social support, coping, life events, and posttraumatic stress symptoms among former peacekeepers: a prospective study

This study examined both cross-sectionally and longitudinally the relationship between social support, coping strategies, additional stressful life events, and symptoms of posttraumatic stress disorder (PTSD) among Dutch former peacekeeping soldiers. Two groups of peacekeepers were investigated: 311 peacekeepers who participated in the peacekeeping operation in Lebanon between 1979 and 1985, and 499 peacekeepers who were deployed after 1990. These peacekeepers completed a questionnaire in 1996 and again in 1998. The results show that more negative social contacts and fewer positive social contacts were associated with more PTSD symptom severity. More use of the coping strategies ‘wishful thinking’ and ‘accepting responsibility’ was related to more PTSD symptoms. Conversely, more planful problem solving and seeking social support was related to less PTSD symptom severity. In addition, a bilateral relationship was found between additional stressful life events and PTSD symptom severity. The results indicate that social support and coping strategies may be valuable aspects of prevention and intervention programs.     

Moral elevation and compassionate goals predict posttraumatic growth in the context of a college shooting

Abstract

After a mass shooting, community members may experience not only distress, but also feeling uplifted or morally elevated by others’ prosocial responses to the trauma. Those experiencing elevation may be more likely to strive to support others (compassionate goals) and to endorse posttraumatic growth (PTG). However, the role of elevation in PTG, and the relative contribution of compassionate goals (both from and toward others), remains unknown. Students, faculty, and staff (N = 385) completed measures four months after a campus shooting, and a subset repeated measures at eight months (n = 82). As expected, compassionate goals toward others incrementally predicted higher PTG beyond perceptions of compassionate goals from others. Also, elevation concurrently and prospectively predicted higher PTG. Lastly, elevation mediated effects of others’ compassionate goals on PTG, as hypothesized (95% CI = 2.59 to 5.43). These findings have implications for understanding the social and emotional processes that facilitate PTG.     

Positive affect mediates the relationships between resilience,social support and posttraumatic growth of women with infertility

This study aims to explore the relationship between resilience, social support, positive affect and posttraumatic growth among Chinese women with infertility, and to examine the mediating role of positive affect. A convenience sample of 1733 women diagnosed with infertility was recruited from the infertility outpatient clinics at three reproductive hospitals in Shandong Province of China between May 2015 and April 2016. They completed a background questionnaire, the Posttraumatic Growth Inventory, the Perceived Social Support Questionnaire, the Connor-Davidson Resilience Scale, the Positive and Negative Affect Schedule. Individuals reported high levels of PTG (M = 64.81; SD = 16.20). Perceived social support (β = .11, p < .001), resilience (β = .18, p < .001) and positive affect (β = .46, p < .001) were related to PTG. Positive affect may play a mediating role in the relationships between resilience (.125, .201, p < .001), social support (.055, .121, p < .001) and PTG. This study examines the effects of resilience, social support, and positive affect on PTG among Chinese infertile women. Wherein, positive affect may play a mediating role in the relationships between resilience, social support and PTG.     

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。     

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。     

Peritraumatic dissociation mediates the relationship between acute panic and chronic posttraumatic stress disorder

Although peritraumatic dissociation predicts subsequent posttraumatic stress disorder (PTSD), little is understood about the mechanism of this relationship. This study examines the role of panic during trauma in the relationship between peritraumatic dissociation and subsequent PTSD. Randomized eligible admissions to 4 major trauma hospitals across Australia (n = 244) were assessed during hospital admission and within one month of trauma exposure for panic, peritraumatic dissociation and PTSD symptoms, and subsequently re-assessed for PTSD three months after the initial assessment (n = 208). Twenty (9.6%) patients met criteria for PTSD at 3-months post injury. Structural equation modeling supported the proposition that peritraumatic derealization (a subset of dissociation) mediated the effect of panic reactions during trauma and subsequent PTSD symptoms. The mediation model indicated that panic reactions are linked to severity of subsequent PTSD via derealization, indicating a significant indirect relationship. Whereas peritraumatic derealization is associated with chronic PTSD symptoms, this relationship is influenced by initial acute panic responses.