Worry, worry attacks, and PTSD among Cambodian refugees: a path analysis investigation.
Worry, worry attacks, and PTSD among Cambodian refugees: a path analysis investigation.
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DOI：
10.1016/j.socscimed.2011.03.045
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发表时间：
2011-06
影响因子：
5.4
通讯作者：
Bryant, Richard A.
中科院分区：
文献类型：
--
作者：
Hinton, Devon E.;Nickerson, Angela;Bryant, Richard A.
关键词：
在受到创伤的柬埔寨难民中，本文调查了担忧（例如，当前生活关注的类型）以及担忧如何导致创伤后应激障碍（PTSD）。为了探索焦虑是如何导致创伤后应激障碍的，我们研究了焦虑的路径模型，看看某些关键变量（例如，焦虑诱发的躯体唤醒和焦虑诱发的创伤回忆）介导了焦虑和PTSD之间的关系。调查数据收集从2010年3月至2010年5月，在方便的样本201名成年柬埔寨难民参加精神病诊所在马萨诸塞州，美国。我们发现，在这一组中，担心是常见的（65%），担心往往是对当前生活的关注（例如，缺乏财政资源，儿童不上学，健康问题，对柬埔寨亲戚的担忧），这种担忧往往会引起恐慌发作：在整个样本中，41%（83/201）的患者患有“担忧发作”（即，导致恐慌发作的担忧发作）。“焦虑发作”与PTSD的存在高度相关。在整个样本中，广泛性焦虑症也非常普遍，并且与PTSD高度相关。路径分析显示，焦虑对PTSD严重程度的影响是通过焦虑引起的躯体唤醒、焦虑引起的灾难性认知、焦虑引起的创伤回忆、无法停止焦虑和易怒来介导的。最终的模型解释了有忧虑的患者中PTSD严重程度的75%的方差。公共卫生和治疗的影响，该研究的结果，担心可能有一个强大的影响创伤后应激障碍的严重程度在严重创伤的人群进行了讨论：担心和日常的关注是这些担心，过敏（因此，日常压力，过敏）人群的干预的关键领域。
Among traumatized Cambodian refugees, this article investigates worry (e.g., the types of current life concerns) and how worry worsens posttraumatic stress disorder (PTSD). To explore how worry worsens PTSD, we examine a path model of worry to see whether certain key variables (e.g., worry-induced somatic arousal and worry-induced trauma recall) mediate the relationship between worry and PTSD. Survey data were collected from March 2010 until May 2010 in a convenience sample of 201 adult Cambodian refugees attending a psychiatric clinic in Massachusetts, USA. We found that worry was common in this group (65%), that worry was often about current life concerns (e.g., lacking financial resources, children not attending school, health concerns, concerns about relatives in Cambodia), and that worry often induced panic attacks: in the entire sample, 41% (83/201) of the patients had “worry attacks” (i.e., worry episodes that resulted in a panic episode) in the last month. “Worry attacks” were highly associated with PTSD presence. In the entire sample, generalized anxiety disorder was also very prevalent, and was also highly associated with PTSD. Path analysis revealed that the effect of worry on PTSD severity was mediated by worry-induced somatic arousal, worry-induced catastrophic cognitions, worry-induced trauma recall, inability to stop worry, and irritability. The final model accounted for 75% of the variance in PTSD severity among patients with worry. The public health and treatment implications of the study’s findings that worry may have a potent impact on PTSD severity in severely traumatized populations are discussed: worry and daily concerns are key areas of intervention for these worry-hypersensitive (and hence daily-stressor-hypersensitive) populations.
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影响因子：
3.3
作者：
Hinton, DE;Chhean, D;Pollack, MH
通讯作者：
Pollack, MH
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影响因子：
5.4
作者：
Beiser, M;Hou, F
通讯作者：
Hou, F
影响因子：
7.4
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Lewis-Fernandez, Roberto;Hinton, Devon E.;Laria, Amaro J.;Patterson, Elissa H.;Hofmann, Stefan G.;Craske, Michelle G.;Stein, Dan J.;Asnaani, Ann;Liao, Betty
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Liao, Betty