主动反刍、创伤后应激障碍与创伤后成长的关系:一项来自汶川地震后青少年的长程追踪研究

doi:10.16187/j.cnki.issn1001-4918.2015.03.11

摘要/Abstract

摘要： 本文以追踪研究的方式, 在汶川地震后3.5年、4.5年和5.5年三个时间点, 采用反刍问卷、创伤后应激障碍问卷和创伤后成长问卷对汶川地震后245名中学生进行调查。通过建立交叉滞后模型, 考察主动反刍、创伤后应激障碍与创伤后成长的相互作用关系。结果发现, 震后3.5~5.5年间, 创伤后应激障碍对主动反刍具有跨时间点的正向预测作用, 主动反刍对创伤后应激障碍跨时间点的预测作用不显著;主动反刍与创伤后成长之间存在跨时间点的相互正向预测关系;创伤后应激障碍与创伤后成长之间跨时间点的直接预测作用不显著, 但震后3.5年的创伤后应激障碍可以通过震后4.5年的主动反刍间接地正向预测震后5.5年的创伤后成长;创伤后应激障碍与创伤后成长的横断关系随着时间历程的变化而逐渐减弱。

关键词: 主动反刍, 创伤后应激障碍(PTSD), 创伤后成长(PTG), 追踪研究

Abstract: The longitudinal study examined the course and bidirectional relation between deliberate rumination, posttraumatic stress disorder (PTSD) and posttraumatic growth (PTG). 245 secondary school students in the most severely affected area were investigated by self-report deliberate rumination, PTSD and PTG questionnaires at 3.5 year 4.5 year and 5.5 year after Wenchuan Earthquake. The cross-lagged structure equation analysis revealed that there are a one-way positively predictive relationship of PTSD onto deliberate rumination from 3.5 year to 5.5 year after earthquake. The bi-directional relationship between deliberate rumination and PTG was found, and PTSD have no directional relation to PTG from 3.5 year to 5.5 year after earthquake. Moreover, PTSD at 3.5 year have a indirectly positive effect on PTG at 5.5 year through deliberate rumination at 4.5 year after earthquake. In addition, the cross-sectional relationship between PTSD and PTG weaken with time change.

Key words: deliberate rumination, PTSD, PTG, longitudinal study

中图分类号:

B844

伍新春, 周宵, 陈杰灵, 曾旻. 主动反刍、创伤后应激障碍与创伤后成长的关系:一项来自汶川地震后青少年的长程追踪研究[J]. 心理发展与教育, 2015, 31(3): 334-341.

WU Xinchun, ZHOU Xiao, CHEN Jieling, ZENG Min. The Relationship among Deliberate Rumination, Posttraumatic Stress Disorder and Posttraumatic Growth: Evidence From Longitudinal Study of Adolescents after Wenchuan Earthquake[J]. Psychological Development and Education, 2015, 31(3): 334-341.

参考文献

Bluvstein, I., Moravchick, L., Sheps, D., Schreiber, S., & Bloch, M. (2013). Posttraumatic growth, posttraumatic stress symptoms and mental health among coronary heart disease survivors. Journal of Clinical Psychology in Medical Settings, 20(2), 164-172.
Butler, L. D., Blasey, C. M., Garlan, R. W., McCaslin, S. E., Azarow, J., Chen, X.-H., et al. (2005). Posttraumatic growth following the terrorist attacks of September 11, 2001: Cognitive, coping, and trauma symptom predictors in an internet convenience sample. Traumatology: An International Journal, 11(4), 247-267.
Cann, A., Calhoun, L. G., Tedeschi, R. G., Triplett, K. N., Vishnevsky, T., & Lindstrom, C. M. (2011). Assessing posttraumatic cognitive processes: The event related rumination inventory. Anxiety, Stress, & Coping, 24(2), 137-156.
Dalgleish, T., & Power, M. J. (2004). Emotion-specific and emotion-non-specific components of posttraumatic stress disorder (PTSD): Implications for a taxonomy of related psychopathology. Behaviour Research and Therapy, 42(9), 1069-1088.
Dekel, S., Ein-Dor, T., & Solomon, Z. (2012). Posttraumatic growth and posttraumatic distress: a longitudinal study. Psychological Trauma: Theory, Research, Practice, and Policy, 4(1), 94-101.
Dekel, S., Peleg, T., & Solomon, Z. (2013). The relationship of PTSD to negative cognitions: A 17-year longitudinal study. Psychiatry, 76(3), 241-255.
Ehlers, A., & Steil, R. (1995). Maintenance of intrusive memories in posttraumatic stress disorder: A cognitive approach. Behavioural and Cognitive Psychotherapy, 23(3), 217-217.
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.
Foa, E. B., & Rauch, S. A. (2004). Cognitive changes during prolonged exposure versus prolonged exposure plus cognitive restructuring in female assault survivors with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 72(5), 879-884.
Hobfoll, S. E. (2002). Social and psychological resources and adaptation. Review of General Psychology, 6(4), 307-324.
Hobfoll, S. E., Hall, B. J., Canetti-Nisim, D., Galea, S., Johnson, R. J., & Palmieri, P. A. (2007). Refining our understanding of traumatic growth in the face of terrorism: Moving from meaning cognitions to doing what is meaningful. Applied Psychology, 56(3), 345-366.
Janoff-Bulman, R. (2010). Shattered assumptions. New York: Simon and Schuster.
Joseph, S., & Linley, P. A. (2005). Positive adjustment to threatening events: An organismic valuing theory of growth through adversity. Review of General Psychology, 9(3), 262-280.
Joseph, S., & Linley, P. A. (2008). Trauma, recovery, and growth: Positive psychological perspectives on posttraumatic stress: John Wiley & Sons, Inc New Jersey.
Leung, Y. W. (2011). Posttraumatic growth among coronary artery disease patients: Degree, correlates, and outcomes. York University (Canada).
Lindstrom, C. M., Cann, A., Calhoun, L. G., & Tedeschi, R. G. (2013). The relationship of core belief challenge, rumination, disclosure, and sociocultural elements to posttraumatic growth. Psychological Trauma: Theory, Research, Practice, and Policy, 5(1), 50-55.
Linley, P. A., Joseph, S., & Goodfellow, B. (2008). Positive changes in outlook following trauma and their relationship to subsequent posttraumatic stress, depression, and anxiety. Journal of Social and Clinical Psychology, 27(8), 877-891.
Maercker, A., & Zoellner, T. (2004). The Janus face of self-perceived growth: Toward a two-component model of posttraumatic growth. Psychological Inquiry, 15(1), 41-48.
Nelson, S. D. (2011). The posttraumatic growth path: An emerging model for prevention and treatment of trauma-related behavioral health conditions. Journal of Psychotherapy Integration, 21(1), 1-42.
Pan, X., Liu, W., Deng, G., Liu, T., Yan, J., Tang, Y., et al. (2013). 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. doi: 10.1177/1010539513488625
Paunovic, N., & Öst, L. G. (2001). Cognitive-behavior therapy vs exposure therapy in the treatment of PTSD in refugees. Behaviour Research and Therapy, 39(10), 1183-1197.
Power, M. J., & Dalgleish, T. (1999). Two routes to emotion: Some implications of multi-level theories of emotion for therapeutic practice. Behavioural and Cognitive Psychotherapy, 27(2), 129-141.
Prati, G., & Pietrantoni, L. (2009). Optimism, social support, and coping strategies as factors contributing to posttraumatic growth: A meta-analysis. Journal of Loss and Trauma, 14(5), 364-388.
Sawyer, A., Ayers, S., & Field, A. P. (2010). Posttraumatic growth and adjustment among individuals with cancer or HIV/AIDS: A meta-analysis. Clinical Psychology Review, 30(4), 436-447.
Scrignaro, M., Barni, S., & Magrin, M. E. (2011). The combined contribution of social support and coping strategies in predicting post-traumatic growth: a longitudinal study on cancer patients. Psycho-Oncology, 20(8), 823-831.
Solomon, Z., & Dekel, R. (2007). Posttraumatic stress disorder and posttraumatic growth among Israeli ex-pows. Journal of Traumatic Stress, 20(3), 303-312.
Solomon, Z., & Dekel, R. (2008). The contribution of loneliness and posttraumatic stress disorder to marital adjustment following war captivity: A longitudinal study. Family process, 47(2), 261-275.
Soo, J., Webber, M. P., Gustave, J., Lee, R., Hall, C. B., Cohen, H. W., et al. (2011). Trends in probable PTSD in firefighters exposed to the World Trade Center disaster, 2001-2010. Disaster Medicine and Public Health Preparedness, 5(S2), S197-S203.
Taku, K., Calhoun, L. G., Cann, A., & Tedeschi, R. G. (2008). The role of rumination in the coexistence of distress and posttraumatic growth among bereaved Japanese university students. Death Studies, 32(5), 428-444.
Taylor, S. E. (1983). Adjustment to threatening events: A theory of cognitive adaptation. American Psychologist, 38(11), 1161-1173.
Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455-471.
Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15(1), 1-18.
Tracy, M., Norris, F. H., & Galea, S. (2011). Differences in the determinants of posttraumatic stress disorder and depression after a mass traumatic event. Depression and Anxiety, 28(8), 666-675.
Triplett, K. N., Tedeschi, R. G., Cann, A., Calhoun, L. G., & Reeve, C. L. (2012). Posttraumatic growth, meaning in life, and life satisfaction in response to trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 4(4), 400-404.
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.
Zoellner, T., & Maercker, A. (2006). Posttraumatic growth in clinical psychology-A critical review and introduction of a two component model. Clinical Psychology Review, 26(5), 626-653.
陈杰灵, 伍新春, 曾盼盼, 周宵, 熊国钰. (2014). PTSD 与 PTG 的关系: 来自教师群体的追踪研究证据. .心理发展与教育, 30(1), 75-81.
伍新春, 周宵, 林崇德, 陈杰灵. (2015). 青少年创伤后心理反应的影响机制及其干预研究. .心理发展与教育, 31(1), 117-127.
周宵, 伍新春, 安媛媛, 陈杰灵. (2014). 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 .心理学报, 46(10), 1509-1520.

多维度评价

Viewed

Full text

Abstract

Cited

Shared

Discussed

[1]	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.
[2]	张玉平, 董琼, 宋爽, 舒华. 小学低年级儿童的阅读发展轨迹:早期语言认知技能的预测作用[J]. 心理发展与教育, 2023, 39(2): 210-218.
[3]	张潮, 程亚华, 李利平, 范雨婷, 伍新春. 汉语儿童词语结构意识在阅读理解中的预测作用[J]. 心理发展与教育, 2022, 38(2): 236-243.
[4]	周婷娜, 李宜逊, 李虹, 徐钟庚, 张锋, 程亚华. 汉语儿童口语流畅性与阅读理解的关系:一项三年追踪研究[J]. 心理发展与教育, 2021, 37(5): 691-700.
[5]	吴鹏, 张琪, 王杨春子. 父母教养方式与初中生网络受欺负行为的关系:一项追踪研究[J]. 心理发展与教育, 2021, 37(5): 719-726.
[6]	陈子循, 冯映雪, 宋文莉, 刘霞. 亲子分离与青少年同伴侵害和抑郁的关系:一项追踪研究[J]. 心理发展与教育, 2021, 37(3): 429-438.
[7]	韩瑽瑽, 陈英和, 于晓, 邓之君, 刘静, 侯江文, 林燕燕. 表面相似性对数量关系和相对大小关系理解的影响[J]. 心理发展与教育, 2020, 36(3): 257-264.
[8]	郑巧, 耿丽娜, 骆方, 李凌艳. 初中生学生投入的发展特点及其与同伴欺负的关系:一项三年追踪研究[J]. 心理发展与教育, 2020, 36(2): 157-167.
[9]	刘伟方, 张佳佳, 胡冬梅, 张明亮, 司继伟. 元认知监测与算术知识制约小学儿童心算策略运用能力的发展:一年纵向考察[J]. 心理发展与教育, 2019, 35(4): 439-446.
[10]	田媛, 宋友志, 周宗奎, 黄淳, 赵一倩. 青少年公正世界信念的发展轨迹及其影响因素:一项多水平分析[J]. 心理发展与教育, 2019, 35(2): 146-156.
[11]	方铖豪, 程亚华, 伍新春. 小学低年级儿童汉语语素意识、口语词汇知识对阅读能力的影响:一项追踪研究[J]. 心理发展与教育, 2019, 35(1): 57-67.
[12]	程亚华, 伍新春. 小学一年级阅读流畅性对二、三年级阅读理解的预测[J]. 心理发展与教育, 2018, 34(3): 314-321.
[13]	苏志强, 王钢, 刘传星, 张大均. 童年中晚期抑郁的发展及其与问题行为的并发:一项两年追踪研究[J]. 心理发展与教育, 2018, 34(2): 200-209.
[14]	伍新春, 王文超, 周宵, 陈秋燕, 林崇德. 汶川地震8.5年后青少年身心状况研究[J]. 心理发展与教育, 2018, 34(1): 80-89.
[15]	钟萍, 邓慧华, 张光珍, 梁宗保, 陆祖宏. 青少年友谊关系质量与社交焦虑的相互影响:一项交叉滞后分析[J]. 心理发展与教育, 2017, 33(6): 727-733.