心理发展与教育 ›› 2017, Vol. 33 ›› Issue (2): 206-215.doi: 10.16187/j.cnki.issn1001-4918.2017.02.10
周宵1,2, 伍新春2, 安媛媛3, 林崇德2
ZHOU Xiao1,2, WU Xinchun2, AN Yuanyuan3, LIN Chongde2
摘要: 为考察地震后青少年创伤后应激障碍(PTSD)的潜在症状结构,本研究采用儿童创伤后应激障碍症状量表和儿童抑郁量表,对汶川地震一年后的746名中学生进行调查。利用验证性因素分析对竞争模型进行比较,结果发现包括侵入性、回避性、麻木性、精神痛苦性唤起和焦虑性唤起等5个症状的PTSD精神痛苦性唤起模型显著优于DSM-IV的PTSD模型、4维情感麻木模型和4维精神痛苦模型。效度分析的结果发现,PTSD精神痛苦性唤起模型具有良好的外部区分效度。所有结果均表明PTSD精神痛苦性唤起模型在汶川地震后青少年群体中具有良好的适用性,可以作为判定震后青少年PTSD症状的有效标准。
中图分类号:
B844
American[Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (IV ed.). Washington, DC:American Psychiatric Association.American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders:DSM-IV-TR.Washington, DC:American Psychiatric Association.American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5 ed.). Washington, DC:American Psychiatric Association.Armour, C. (2015). The underlying dimensionality of PTSD in the diagnostic and statistical manual of mental disorders:Where are we going? European Journal of Psychotraumatology,6, 28074.Armour, C., Elhai, J. D., Richardson, D., Ractliffe, K., Wang, L., & Elklit, A. (2012). Assessing a five factor model of PTSD:Is dysphoric arousal a unique PTSD construct showing differential relationships with anxiety and depression? Journal of Anxiety Disorders,26(2), 368-376.Armour, C., Müllerová, J., & Elhai, J. D. (2016). A systematic literature review of PTSD's latent structure in the Diagnostic and Statistical Manual of Mental Disorders:DSM-IV to DSM-5. Clinical Psychology Review,44(1), 60-74.Armour, C., Tsai, J., Durham, T. A., Charak, R., Biehn, T. L., Elhai, J. D., et al. (2015). Dimensional structure of DSM-5 posttraumatic stress symptoms:Support for a hybrid anhedonia and externalizing behaviors model. Journal of Psychiatric Research,61(2), 106-113.Ayer, L. A., Cisler, J. M., Danielson, C. K., Amstadter, A. B., Saunders, B. E., & Kilpatrick, D. G. (2011). Adolescent posttraumatic stress disorder:An examination of factor structure reliability in two national samples. Journal of Anxiety Disorders,25(3), 411-421.Baschnagel, J. S., O'Connor, R. M., Colder, C. R., & Hawk, L. W. (2005). Factor structure of posttraumatic stress among Western New York undergraduates following the September 11th terrorist attack on the World Trade Center. Journal of Traumatic Stress,18(6), 677-684.Bennett, D. C., Kerig, P. K., Chaplo, S. D., McGee, A. B., & Baucom, B. R. (2014). Validation of the five-factor model of PTSD symptom structure among delinquent youth. Psychological Trauma:Theory, Research, Practice, and Policy,6(4), 438-447.Boasso, A. M., Steenkamp, M. M., Fox, A. B., Nash, W. P., Larson, J. L., & Litz, B. T. (2016). The structure of PTSD in active-duty marines across the deployment cycle. Psychological Trauma:Theory, Research, Practice, and Policy,8(2), 127-134.Costa, M. F., Mendlowicz, M. V., Vasconcelos, A. G. G., Berger, W., da Luz, M. P., Figueira, I., et al. (2011). Confirmatory factor analysis of posttraumatic stress symptoms in Brazilian primary care patients:An examination of seven alternative models. Journal of Anxiety Disorders,25(7), 950-963.Elhai, J. D., Biehn, T. L., Armour, C., Klopper, J. J., Frueh, B. C., & Palmieri, P. A. (2011). Evidence for a unique PTSD construct represented by PTSD's D1-D3 symptoms. Journal of Anxiety Disorders,25(3), 340-345.Elhai, J. D., Contractor, A. A., Tamburrino, M., Fine, T. H., Cohen, G., Shirley, E., et al. (2015). Structural relations between DSM-5 PTSD and major depression symptoms in military soldiers. Journal of Affective Disorders,175(3), 373-378.Elhai, J. D., Layne, C. M., Steinberg, A. M., Brymer, M. J., Briggs, E. C., Ostrowski, S. A., et al. (2013). Psychometric properties of the UCLA PTSD reaction index. Part Ⅱ:Investigating factor structure findings in a national clinic-referred youth sample. Journal of Traumatic Stress,26(1), 10-18.Elhai, J. D., & Palmieri, P. A. (2011). The factor structure of posttraumatic stress disorder:A literature update, critique of methodology, and agenda for future research. Journal of Anxiety Disorders,25(6), 849-854.Fendrich, M., Weissman, M., & Warner, V. (1990). Screening for depressive disorder in children and adolescents:Validating the Center for Epidemiologic Studies Depression Scale for Children. American Journal of Epidemiology,131(3), 538-551.Foa, E. B., Johnson, K. M., Feeny, N. C., & Treadwell, K. R. H. (2001). The Child PTSD Symptom Scale:A preliminary examination of its psychometric properties. Journal of Clinical Child Psychology,30(3), 376-384.Gentes, E., Dennis, P. A., Kimbrel, N. A., Kirby, A. C., Hair, L. P., Beckham, J. C., et al. (2015). Latent factor structure of DSM-5 posttraumatic stress disorder. Psychopathology Review,2(1), 17-29.Goenjian, A. K., Pynoos, R. S., Steinberg, A. M., Najarian, L. M., Asarnow, J. R., Karayan, I., et al. (1995). Psychiatric comorbidity in children after the 1988 earthquake in Armenia. Journal of the American Academy of Child & Adolescent Psychiatry,34(9), 1174-1184.Gökçen, C., ?ahing z, M., & Annagür, B. B. (2013). Does a non-destructive earthquake cause posttraumatic stress disorder? A cross-sectional study. European Child & Adolescent Psychiatry,22(5), 295-299.Gootzeit, J., & Markon, K. (2011). Factors of PTSD:Differential specificity and external correlates. Clinical Psychology Review,31(6), 993-1003.Green, B. L., Korol, M., Grace, M. C., Vary, M. G., Leonard, A. C., Gleser, G. C., & Smitson-Cohen, S. (1991). Children and disaster:Age, gender, and parental effects on PTSD symptoms. Journal of the American Academy of Child & Adolescent Psychiatry,30(6), 945-951.Hafstad, G. S., Dyb, G., Jensen, T. K., Steinberg, A. M., & Pynoos, R. S. (2014). PTSD prevalence and symptom structure of DSM-5 criteria in adolescents and young adults surviving the 2011 shooting in Norway. Journal of Affective Disorders,169(1), 40-46.Harpaz-Rotem, I., Tsai, J., Pietrzak, R. H., & Hoff, R. (2014). The dimensional structure of posttraumatic stress symptomatology in 323,903 US veterans. Journal of Psychiatric Research,49(1), 31-36.Keane, T. M., Rubin, A., Lachowicz, M., Brief, D., Enggasser, J. L., Roy, M., et al. (2014). Temporal stability of DSM-5 posttraumatic stress disorder criteria in a problem-drinking sample. Psychological Assessment,26(4), 1138-1145.King, D. W., Leskin, G. A., King, L. A., & Weathers, F. W. (1998). Confirmatory factor analysis of the clinician-administered PTSD Scale:Evidence for the dimensionality of posttraumatic stress disorder. Psychological Assessment,10(2), 90-96.Liu, A., Tan, H., Zhou, J., Li, S., Yang, T., Sun, Z., et al. (2007). Brief screening instrument of posttraumatic stress disorder for children and adolescents 7~15 years of age. Child Psychiatry and Human Development,38(3), 195-202.Liu, L., Wang, L., Cao, C., Qing, Y., & Armour, C. (2016). Testing the dimensional structure of DSM-5 posttraumatic stress disorder symptoms in a nonclinical trauma-exposed adolescent sample. Journal of Child Psychology and Psychiatry,57(2), 204-212.Liu, P., Wang, L., Cao, C., Wang, R., Zhang, J., Zhang, B., et al. (2014). The underlying dimensions of DSM-5 posttraumatic stress disorder symptoms in an epidemiological sample of Chinese earthquake survivors. Journal of Anxiety Disorders,28(4), 345-351.Miller, M. W., Wolf, E. J., Harrington, K. M., Brown, T. A., Kaloupek, D. G., & Keane, T. M. (2010). An evaluation of competing models for the structure of PTSD symptoms using external measures of comorbidity. Journal of Traumatic Stress,23(5), 631-638.Miller, M. W., Wolf, E. J., Kilpatrick, D., Resnick, H., Marx, B. P., Holowka, D. W., et al. (2013). The prevalence and latent structure of proposed DSM-5 posttraumatic stress disorder symptoms in US national and veteran samples. Psychological Trauma:Theory, Research, Practice, and Policy,5(6), 501-512.Morina, N., B hme, H. F., Morina, L., & Asmundson, G. J. G. (2011). The structure of post-traumatic stress symptoms in young survivors of war. Psychiatry Research,186(2), 306-309.Palmieri, P. A., Weathers, F. W., Difede, J., & King, D. W. (2007). Confirmatory factor analysis of the PTSD Checklist and the Clinician-Administered PTSD Scale in disaster workers exposed to the World Trade Center Ground Zero. Journal of Abnormal Psychology,116(2), 329-341.Pan, X., Liu, W., Deng, G., Liu, T., Yan, J., Tang, Y.,et al (2015). Symptoms of posttraumatic stress disorder, depression, and anxiety among junior high school students in worst-hit areas 3 years after the Wenchuan earthquake in China. Asia-Pacific Journal of Public Health,27(2),1985-1994.Pietrzak, R. H., Tsai, J., Armour, C., Mota, N., Harpaz-Rotem, I., & Southwick, S. M. (2015). Functional significance of a novel 7-factor model of DSM-5 PTSD symptoms:Results from the National Health and Resilience in Veterans Study. Journal of Affective Disorders,174(4), 522-526.Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research:A critical review of the literature and recommended remedies. Journal of Applied Psychology,88(5), 879-903.Raftery, A. E. (1995). Bayesian model selection in social research. Sociological Methodology,25(4), 111-164.Satorra, A., & Bentler, P. M. (2001). A scaled difference chi-square test statistic for moment structure analysis. Psychometrika,66(4), 507-514.Schafer, J. L., & Graham, J. W. (2002). Missing data:Our view of the state of the art. Psychological Methods,7(2), 147-177.Schwarz, G. (1978). Estimating the dimension of a model. The Annals of Statistics,6(2), 461-464.Shevlin, M., McBride, O., Armour, C., & Adamson, G. (2009). Reconciling the differences between the King et al.(1998) and Simms et al.(2002) factor models of PTSD. Journal of Anxiety Disorders,23(7), 995-1001.Simms, L. J., Watson, D., & Doebbelling, B. N. (2002). Confirmatory factor analyses of posttraumatic stress symptoms in deployed and nondeployed veterans of the Gulf War. Journal of Abnormal Psychology,111(4), 637-647.Tsai, J., Harpaz-Rotem, I., Armour, C., Southwick, S. M., Krystal, J. H., & Pietrzak, R. H. (2015). Dimensional structure of DSM-5 posttraumatic stress disorder symptoms:Results from the National Health and Resilience in Veterans Study. Journal of Clinical Psychiatry,76(5), 546-553.Wang, L., Cao, C., Wang, R., Zhang, J., & Li, Z. (2012). The dimensionality of PTSD symptoms and their relationship to health-related quality of life in Chinese earthquake survivors. Journal of Anxiety Disorders,26(7), 711-718.Wang, L., Li, Z., Shi, Z., Zhang, J., Zhang, K., Liu, Z., et al. (2011). Testing the dimensionality of posttraumatic stress responses in young Chinese adult earthquake survivors:Further evidence for "dysphoric arousal" as a unique PTSD construct. Depression and Anxiety,28(12), 1097-1104.Wang, L., Long, D., Li, Z., & Armour, C. (2011). Posttraumatic stress disorder symptom structure in Chinese adolescents exposed to a deadly earthquake. Journal of Abnormal Child Psychology,39(5), 749-758.Wang, L., Zhang, L., Armour, C., Cao, C., Qing, Y., Zhang, J., et al. (2015). Assessing the underlying dimensionality of DSM-5 PTSD symptoms in Chinese adolescents surviving the 2008 Wenchuan earthquake. Journal of Anxiety Disorders,31(1), 90-97.Wang, M., Armour, C., Li, X., Dai, X., Zhu, X., & Yao, S. (2013). The factorial invariance across gender of three well-supported models:Further evidence for a five-factor model of posttraumatic stress disorder. Journal of Nervous and Mental Disease,201(2), 145-152.Wang, R., Wang, L., Zhang, J., Liu, Z., & Wu, K. (2012). The structure of acute stress disorder among Chinese adults exposed to an earthquake:Is dysphoric arousal a unique construct of acute posttraumatic responses? Scandinavian Journal of Psychology,53(5), 430-436.Watson, D. (2005). Rethinking the mood and anxiety disorders:A quantitative hierarchical model for DSM-V. Journal of Abnormal Psychology,114(4), 522-536.Watson, D., Clark, L. A., & Stasik, S. M. (2011). Emotions and the emotional disorders:A quantitative hierarchical perspective. International Journal of Clinical and Health Psychology,11(3), 429-442.Weissman, M. M., Orvaschel, H., & Padian, N. (1980). Children's symptom and social functioning self-report scales comparison of mothers' and children's reports. Journal of Nervous and Mental Disease,168(12), 736-740.Ying, L., Wu, X., & Lin, C. (2012). Longitudinal linkages between depressive and posttraumatic stress symptoms in adolescent survivors following the Wenchuan earthquake in China:A three-wave, cross-lagged study. School Psychology International,33(4), 416-432.Ying, L., Wu, X., Lin, C., & Chen, C. (2013). Prevalence and predictors of posttraumatic stress disorder and depressive symptoms among child survivors 1 year following the Wenchuan earthquake in China. European Child & Adolescent Psychiatry,22(9), 567-575.Yufik, T., & Simms, L. J. (2010). A meta-analytic investigation of the structure of posttraumatic stress disorder symptoms. Journal of Abnormal Psychology,119(4), 764-776.Zhao, Q., Li, X., Fang, X., Zhao, G., Zhao, J., Lin, X., & Stanton, B. (2010). Difference in psychosocial well-being between paternal and maternal AIDS orphans in rural China. Journal of the Association of Nurses in AIDS Care,21(4), 335-344.曹倖, 王力, 曹成琦, 张建新. (2015). 创伤后应激障碍临床症状表型模型研究.[QX(Y10]北京师范大学学报 (社会科学版),(6), 87-99.汪向东. (1993).[QX(Y10]心理卫生评定量表手册(中国心理卫生杂志·增刊). 北京:中国心理卫生协会.温忠麟, 侯杰泰, 马什赫伯特. (2004). 结构方程模型检验:拟合指数与卡方准则.[QX(Y10]心理学报,36(2), 186-194.中华医学会精神科分会. (2001).[QX(Y10]中国精神障碍分类与诊断标准 (CCMD-3) (第3版). 山东:山东科学技术出版社.周宵, 伍新春, 袁晓娇, 陈杰灵, 陈秋燕. (2015). 青少年的创伤暴露程度与创伤后应激障碍的关系:核心信念挑战、主观害怕程度和侵入性反刍的作用.[QX(Y10]心理学报,47(4), 455-465. |
[1] | 王玉龙, 赵婧斐, 蔺秀云. 家庭风险因素对青少年自伤的累积效应及其性别差异[J]. 心理发展与教育, 2024, 40(2): 240-247. |
[2] | 王艳辉, 沈梓锋, 赖雪芬. 父母心理控制与青少年外化问题行为的关系:意志控制和越轨同伴交往的链式中介作用[J]. 心理发展与教育, 2024, 40(2): 248-256. |
[3] | 肖嘉林, 梁凯欣, 黄柳玥, 王恩娜, 黄巧敏, 何韵涵, 卢宝琳, 迟新丽. 积极发展资源在减少青少年抑郁水平中的累积效应、关系模式及特定资源的作用[J]. 心理发展与教育, 2024, 40(2): 257-269. |
[4] | 魏华, 丁慧敏, 陈武, 郝兴风, 熊婕. 父母低头行为与青少年网络欺负的关系:压力的中介作用与年龄的调节作用[J]. 心理发展与教育, 2024, 40(1): 114-121. |
[5] | 邹盛奇, 伍新春. 父母冲突与青少年同伴依恋的关系:亲子依恋的中介作用及性别差异[J]. 心理发展与教育, 2023, 39(6): 798-807. |
[6] | 彭海云, 盛靓, 邱凡硕, 周姿言, 辛素飞. 青少年心理减负从“无聊”开始——无聊倾向对青少年主观幸福感的影响机制[J]. 心理发展与教育, 2023, 39(6): 895-902. |
[7] | 刘庆, 冯兰. 父母婚姻质量和青少年同胞关系:教养方式的中介作用及其性别差异[J]. 心理发展与教育, 2023, 39(5): 654-662. |
[8] | 刘思含, 伍新春, 王歆逸. 父母教养方式的潜在类别及其与青少年学习投入和焦虑症状的关系[J]. 心理发展与教育, 2023, 39(5): 673-682. |
[9] | 沙晶莹, 张向葵, 刘千冬. 人以群分?学业动机比较对青少年同伴选择的影响[J]. 心理发展与教育, 2023, 39(5): 683-690. |
[10] | 张雯, 王振宏. 负性生活事件与青少年内化问题的关系:社会支持的中介作用和亲子亲和的调节作用[J]. 心理发展与教育, 2023, 39(5): 718-725. |
[11] | 洪新伟, 苗灵童, 范航, 宋明华, 朱婷婷, 刘燊, 张林. 父母婚姻冲突与青少年攻击行为的关系:情绪安全感和学校联结的作用[J]. 心理发展与教育, 2023, 39(5): 726-734. |
[12] | 王玉龙, 苏慧娟, 蔺秀云. 青少年自伤的分类:基于潜在剖面分析[J]. 心理发展与教育, 2023, 39(5): 735-742. |
[13] | 胡义豪, 徐璐妍, 卞小华, 周颖, 刘俊升. 同伴侵害与青少年抑郁的关系:班级攻击规范凸显性的调节作用[J]. 心理发展与教育, 2023, 39(4): 542-549. |
[14] | 辛国刚, 张李斌, 常睿生, 张云运. 青少年早期受欺凌发展轨迹:抑郁、自尊和学业成就的预测作用[J]. 心理发展与教育, 2023, 39(4): 568-579. |
[15] | 郑显亮, 陈慧萍, 王雪, 鲍振宙. 青少年网络利他行为的发展趋势及社会阶层的影响:一项追踪研究[J]. 心理发展与教育, 2023, 39(3): 333-341. |
|