CHRONIC STRESS AS A MEDIATOR OF ACUTE STRESS - THE CASE OF HURRICANE HUGO
CHRONIC STRESS AS A MEDIATOR OF ACUTE STRESS - THE CASE OF HURRICANE HUGO
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DOI：
10.1111/j.1559-1816.1993.tb01032.x
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发表时间：
1993-08-16
影响因子：
2.5
通讯作者：
UHL, GA
中科院分区：
文献类型：
--
作者：
NORRIS, FH;UHL, GA
本研究探讨了急性灾害应激（伤害、生命威胁、财产损失、损失）可能产生持久心理困扰（抑郁、焦虑、躯体化、敌对）的一种机制。更具体地说，该研究探讨了七个领域的慢性压力（婚姻，父母，子女，财务，职业，生态，物理）的930个灾难受害者和控制的样本中的中介作用。研究结果为慢性应激介导急性灾难应激对心理困扰的长期影响的假说提供了有力的支持。损失的主要影响，虽然强度有限，但完全可以用受害者更高的经济，婚姻，子女和身体压力来解释。损伤的影响虽然相当强烈，但主要是由这些慢性应激领域介导的。同样，生命威胁的影响在很大程度上是由所有这些领域加上生态压力介导的。中介模型不适合理解财产损失的后果，因为它没有表现出对心理痛苦的主要影响。
This study explored one mechanism through which acute disaster stress (injury, life threat, property damage, loss) may produce lasting psychological distress (depression, anxiety, somatization, hostility). More specifically, the study examined the mediating roles of seven domains of chronic stress (marital, parental, filial, financial, occupational, ecological, physical) within a sample of 930 disaster victims and controls. The results provided strong support for the hypothesis that chronic stress mediates the long-term effects of acute disaster stress on psychological distress. The main effects of loss, though limited in strength, were completely explained by victims' higher financial, marital, filial, and physical stress. The effects of injury, though quite strong, were largely mediated by these same domains of chronic stress. Likewise, the effects of life threat were largely mediated by all these domains plus ecological stress. A mediational model was not appropriate for understanding the consequences of property damage because it did not exhibit a main effect on psychological distress.