心理发展与教育 ›› 2018, Vol. 34 ›› Issue (1): 98-104.doi: 10.16187/j.cnki.issn1001-4918.2018.01.12

• 灾后学生心理健康专题 • 上一篇    下一篇

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

安媛媛1, 苑广哲1, 伍新春2, 王文超2   

  1. 1. 南京师范大学心理学院, 南京 210097;
    2. 北京师范大学心理学部, 应用实验心理北京市重点实验室, 心理学国家级实验教学示范中心, 北京 100875
  • 出版日期:2018-01-15 发布日期:2018-01-15
  • 通讯作者: 伍新春,E-mail:xcwu@bnu.edu.cn E-mail:xcwu@bnu.edu.cn
  • 基金资助:

    北京市社会科学基金重大项目(15ZDA11);江苏高校品牌专业建设工程一期项目(PPZY2015B118);江苏高校哲学社会科学研究项目(2014JB093)。

The Relationship between Social Support, Posttraumatic Stress Disorder and Posttraumatic Growth among Adolescents after Wenchuan Earthquake: Understanding the Role of Self-efficacy

AN Yuanyuan1, YUAN Guangzhe1, WU Xinchun2, WANG Wenchao2   

  1. 1. School of Psychology, Nanjing Normal University, Nanjing, 210097;
    2. Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education, Faulty of Psychology, Beijing Normal University, Beijing, 100875
  • Online:2018-01-15 Published:2018-01-15

摘要: 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。

关键词: 社会支持, 自我效能感, PTSD, PTG, 青少年

Abstract: To examine the relationship among adopting traumatic exposure questionnaire, social support, self-efficacy, posttraumatic stress disorder (PTSD) and posttraumatic growth (PTG), this study investigates 1185 adolescents at 8.5 years after Wenchuan earthquake by using social support scale, the self-efficacy scale, the modified DSM-5 PTSD checklist and posttraumatic growth inventory. The structural equation model was used to examine the relationship, wherein the traumatic exposure would be controlled because its importance. The results found that after controlling for traumatic exposure, social support has direct and negative effect on PTSD, and it can also exert indirect and negative effect on PTSD via self-efficacy. In addition, social support has direct and positive effect on PTG, and it may also positively affect PTG via self-efficacy.

Key words: social support, self-efficacy, PTSD, PTG, adolescents

Anderson, J. C., & Gerbing, D. W. (1988). Structural equation modeling in practice:A review and recommended two-step approach. Psychological Bulletin, 103(3), 411-423.

Benight, C. C., Shoji, K., & Delahanty, D. L. (2017). Self-regulation shift theory:A dynamic systems approach to traumatic stress. Journal of Traumatic Stress, 30(4), 333-342.

Berger, R. (2015). Concepts and definitions:Protective aspects. In R. Berger (Eds.), Stress, trauma, and posttraumatic growth:Social context, environment, and identities (pp.12-14). New York, NY:Routledge.

Caprara, G. V., Steca, P., Gerbino, M., Paciello, M., & Vecchio, G. M. (2006). Looking for adolescents' well-being:Self-efficacy beliefs as determinants of positive thinking and happiness. Epidemiology and Psychiatric Sciences, 15(1), 30-43.

Cho, D., & Park, C. L. (2013). Growth following trauma:Overview and current status. Terapia Psicológica, 31(1), 69-79.

Cohen, S., & Syme, S. L. (1985). Issues in the study and application of social support. In S. Cohen & S. L. Syme (Eds.), Social support and health (Vol. 3, pp. 3-22). Orlando, FL:Academic Press.

Dell'Osso, L., Carmassi, C., Massimetti, G., Daneluzzo, E., Di Tommaso, S., & Rossi, A. (2011). Full and partial PTSD among young adult survivors 10 months after the L'Aquila 2009 earthquake:Gender differences. Journal of Affective Disorders, 131(1), 79-83.

Derivois, D., Mérisier, G. G., Cénat, J. M., & Castelot, V. (2014). Symptoms of posttraumatic stress disorder and social support among children and adolescents after the 2010 Haitian earthquake. Journal of Loss and Trauma, 19(3), 202-212.

Fan, F., Long, K., Zhou, Y., Zheng, Y., & Liu, X. (2015). Longitudinal trajectories of post-traumatic stress disorder symptoms among adolescents after the Wenchuan earthquake in China. Psychological Medicine, 45(13), 2885-2896.

Fan, F., Zhang, Y., Yang, Y., Mo, L., & Liu, X. (2011). Symptoms of posttraumatic stress disorder, depression, and anxiety among adolescents following the 2008 Wenchuan earthquake in China. Journal of Traumatic Stress, 24(1), 44-53.

Friedman, M. J., Resick, P. A., & Keane, T. M. (2014). PTSD from DSM-Ⅲ to DSM-5:Progress and Challenges. In M. J. Friedman, P. A. Resick, & T. M. Keane (Eds.), Handbook of PTSD: Science and Practice (2nd ed.) (pp. 3-20). New York, NY:Guilford Press.

García, F. E., Cova, F., Rincón, P., Vázquez, C., & Páez, D. (2016). Coping, rumination and posttraumatic growth in people affected by an earthquake. Psicothema, 28(1), 59-65.

García, F. E., Reyes, A., & Cova, F. (2014). Severity of trauma, optimism, posttraumatic growth and well-being in survivors of a natural disaster. Universitas Psychologica, 13(2), 575-584.

Guerra, C., Cumsille, P., & Martínez, M. L. (2014). Post-traumatic stress symptoms in adolescents exposed to an earthquake:Association with self-efficacy, perceived magnitude, and fear. International Journal of Clinical and Health Psychology, 14(3), 202-207.

Hirschel, M. J., & Schulenberg, S. E. (2009). Hurricane Katrina's impact on the Mississippi Gulf Coast:General self-efficacy's relationship to PTSD prevalence and severity. Psychological Services, 6(4), 293-303.

Holtmaat, K., Spek, N., Cuijpers, P., Leemans, C. R., & Verdonck-de Leeuw, I. M. (2017). Posttraumatic growth among head and neck cancer survivors with psychological distress. Psycho-Oncology, 26(1), 96-101.

Janoff-Bulman, R. (2010). Shattered assumptions. New York, NY:Simon and Schuster.

Jia, X., Ying, L., Zhou, X., Wu, X., & Lin, C. (2015). The effects of extraversion, social support on the posttraumatic stress disorder and posttraumatic growth of adolescent survivors of the Wenchuan earthquake. Plos One, 10(3), e0121480.

Jin, Y., Xu, J., & Liu, D. (2014). The relationship between posttraumatic stress disorder and post traumatic growth:Gender differences in PTG and PTSD subgroups. Social Psychiatry and Psychiatric Epidemiology, 49(12), 1903-1910.

Kaniasty, K., & Norris, F. H. (1993). A test of the social support deterioration model in the context of natural disaster. Journal of Personality and Social Psychology, 64(3), 395-408.

King, L. A., Scollon, C. K., Ramsey, C., & Williams, T. (2000). Stories of life transition:Subjective well-being and ego development in parents of children with Down Syndrome. Journal of Research in Personality, 34(4), 509-536.

Liu, D., Fu, L., Jing, Z., & Chen, C. (2016). Post-traumatic stress disorder and it's predictors among Tibetan adolescents 3 years after the high-altitude earthquake in China. Archives of Psychiatric Nursing, 30(5), 593-599.

Ma, X., Liu, X., Hu, X., Qiu, C., Wang, Y., Huang, Y., Wang, Q., Zhang, W., & Li, T. (2011). Risk indicators for post-traumatic stress disorder in adolescents exposed to the 5.12 Wenchuan earthquake in China. Psychiatry Research, 189(3), 385-391.

Maeda, U., Shen, B. J., Schwarz, E. R., Farrell, K. A., & Mallon, S. (2013). Self-efficacy mediates the associations of social support and depression with treatment adherence in heart failure patients. International Journal of Behavioral Medicine, 20(1), 88-96.

Norris, F. H., & Kaniasty, K. (1996). Received and perceived social support in times of stress:A test of the social support deterioration deterrence model. Journal of Personality and Social Psychology, 71(3), 498-511.

Pan, X., Liu, W., Deng, G., Liu, T., Yan, J., Tang, Y., Dong, W., Cui, Y., & Xu, M. (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), NP1985-NP1994.

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.

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.

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879-891.

Rimé, B. (2009). Emotion elicits the social sharing of emotion:Theory and empirical review. Emotion Review, 1(1), 60-85.

Schafer, J. L., & Graham, J. W. (2002). Missing data:Our view of the state of the art. Psychological Methods, 7(2), 147-177.

Schwarzer, R., & Jerusalem, M. (1995). Optimistic self-beliefs as a resource factor in coping with stress. In S. E. Hobfoll & M. W. de Vries (Eds.), Extreme stress and communities:Impact and intervention (pp. 159-177). Springer Netherlands.

Stein, D. J., Bandelow, B., Hollander, E., Nutt, D. J., Okasha, A., Pollack, M. H., Swinson, R. P., & Zohar, J. (2003). WCA recommendations for the long-term treatment of posttraumatic stress disorder. CNS Spectrums, 8(S1), 31-39.

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.

Thomas, J. L., Britt, T. W., Odle-Dusseau, H., & Bliese, P. D. (2011). Dispositional optimism buffers combat veterans from the negative effects of warzone stress on mental health symptoms and work impairment. Journal of Clinical Psychology, 67(9), 866-880.

Weathers, F. W. (2013). The PTSD checklist for DSM-5 (PCL-5):Development and initial psychometric analysis. Paper presented at the 29th Annual meeting of the International Society for Traumatic Stress Studies, Philadelphia, PA.

Wu, Y. C., Hung, F. C., & Chen, S. H. (2002). "Changes or not" is the question:The meaning of posttraumatic stress reactions one year after the Taiwan chi-chi earthquake. Journal of the Chinese Institute of Engineers, 25(5), 609-618.

Yang, J., Yang, Y., Liu, X., Tian, J., Zhu, X., & Miao, D. (2010). Self-efficacy, social support, and coping strategies of adolescent earthquake survivors in China. Social Behavior and Personality:An International Journal, 38(9), 1219-1228.

Ying, L. H., Lin, C. D., Wu, X. C., Chen, C., Greenberger, E., & An, Y. Y. (2014). Trauma severity and control beliefs as predictors of posttraumatic growth among adolescent survivors of the Wenchuan earthquake. Psychological Trauma:Theory, Research, Practice, and Policy, 6(2), 192-198.

Ying, L. H., Wu, X. C., Lin, C. D., & 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.

Zhou, X., Wu, X., Fu, F., & An, Y. (2015). Core belief challenge and rumination as predictors of PTSD and PTG among adolescent survivors of the Wenchuan earthquake. Psychological Trauma:Theory, Research, Practice, and Policy, 7(4), 391-397.

Zhou, X., Wu, X., Li, X., & Zhen, R. (2016). The role of posttraumatic fear and social support in the relationship between trauma severity and posttraumatic growth among adolescent survivors of the Yaan earthquake. International Journal of Psychology. http://doi.org/10.1002/ijop.12281.

Zhou, X., Wu, X., & Zhen, R. (2017). Understanding the relationship between social support and posttraumatic stress disorder/posttraumatic growth among adolescents after Ya'an earthquake:The role of emotion regulation. Psychological Trauma:Theory, Research, Practice, and Policy, 9(2), 214.

戴艳, 雷鸣, 周宵, 姚梅, 蒋林洁, 陈希, 刘瑶. (2014). 创伤暴露程度对中学生创伤后应激障碍的影响:复原力的调节作用. 心理发展与教育, 30(1), 61-67.

黎志华, 尹霞云. (2015). 社会支持对大学生希望的影响机制:自尊和自我效能感的中介作用. 心理发展与教育, 31(5), 610-617.

王才康, 胡中锋, 刘勇. (2001). 一般自我效能感量表的信度和效度研究. 应用心理学, 7(1), 37-40.

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. 心理学报, 36(2), 186-194.

温忠麟, 张雷, 侯杰泰, 刘红云. (2004). 中介效应检验程序及其应用. 心理学报, 36(5), 614-620.

伍新春, 张宇迪, 林崇德, 臧伟伟. (2013). 中小学生的灾难暴露程度对创伤后应激障碍的影响:中介和调节效应. 心理发展与教育, 29(6), 641-648.

臧伟伟, 张宇迪, 伍新春. (2009). 汶川地震外迁学生的PTSD状况及其与社会支持的关系. 华南师范大学学报(社会科学版),(4), 59-63+160.

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.

邹泓. (1999). 中学生的社会支持系统与同伴关系. 北京师范大学学报(社会科学版),(1), 34-42.
[1] 韩建涛, 钱俊妮, 张婕妤, 庞维国. 创造力与大学生生命意义感:积极情绪和创造性自我效能感的作用[J]. 心理发展与教育, 2024, 40(2): 187-195.
[2] 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.
[3] 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.
[4] 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.
[5] 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.
[6] 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.
[7] 谢莉, 金辉, 王志英, 叶桥键, 杨喜兰. 导师排斥感知对研究生科研创造力的影响:科研自我效能感和科研焦虑的双向链式中介作用[J]. 心理发展与教育, 2023, 39(6): 833-841.
[8] 苑媛, 梁周健, 张丽. 结构性校园氛围与中学生抑郁:社会支持的中介作用和性别的调节作用[J]. 心理发展与教育, 2023, 39(6): 869-876.
[9] 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.
[10] 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.
[11] 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.
[12] 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.
[13] 周晓慧, 刘妍希, 陈欣, 王一集. 父母教育卷入对初中生生活满意度的影响:校内人际关系和学业自我效能感的链式中介作用[J]. 心理发展与教育, 2023, 39(5): 691-701.
[14] 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.
[15] 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.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!