Posttraumatic Growth and Posttraumatic Distress: A Longitudinal Study
Posttraumatic Growth and Posttraumatic Distress: A Longitudinal Study
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DOI：
10.1037/a0021865
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发表时间：
2012-01-01
影响因子：
6.3
通讯作者：
Solomon, Zahava
中科院分区：
文献类型：
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作者：
Dekel, Sharon;Ein-Dor, Tsachi;Solomon, Zahava
这项纵向研究考察了创伤后痛苦和创伤后成长(PTG)之间的过程和双向关系。对以色列前战俘和配对对照的样本进行了17年的跟踪调查。在三个时间点测量参与者的创伤后应激障碍(PTSD)、抑郁和焦虑症状。对PTG进行两次评估。应用自回归交叉滞后建模策略，初始PTSD预测随后的PTG高于和超过PTG稳定性，但反之亦然。PTG与抑郁和焦虑的交叉滞后关系不显著。此外，PTG轨迹分析显示，患有创伤后应激障碍的个体在不同时期报告的猪水平高于没有创伤后应激障碍的个体。因此，通过背书而不是没有创伤后应激障碍来促进和维持增长。这些发现是在PTG的幻觉和适应性概念的背景下讨论的。
This longitudinal study examined the course and bidirectional relation between posttraumatic distress and posttraumatic growth (PTG). A sample of Israeli ex-prisoners of war and matched controls were followed over 17 years. Participants' posttraumatic stress disorder (PTSD), depression, and anxiety symptoms were measured at three time-points. PTG was assessed twice. Applying an autoregressive cross-lagged modeling strategy, initial PTSD predicted subsequent PTG above and beyond PTG stability, but not vice versa. Cross-lagged relations of PTG to depression and anxiety were not significant. Moreover, analysis of PTG trajectory revealed that individuals with PTSD reported higher PIG levels across times than those without PTSD. Thus, growth is facilitated and maintained by endorsement rather than absence of PTSD. The findings are discussed in the context of the illusionary versus adaptive notion of PTG.