Post-traumatic stress disorder, social anxiety disorder, and depression in survivors of the Kosovo War: experiential avoidance as a contributor to distress and quality of life.
Post-traumatic stress disorder, social anxiety disorder, and depression in survivors of the Kosovo War: experiential avoidance as a contributor to distress and quality of life.
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DOI：
10.1016/j.janxdis.2008.06.006
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发表时间：
2009-03
影响因子：
10.3
通讯作者：
Priebe, Stefan
中科院分区：
文献类型：
--
作者：
Kashdan, Todd B.;Morina, Nexhmedin;Priebe, Stefan
关键词：
除了创伤后应激障碍（PTSD）之外，很少有关于战争幸存者心理障碍的研究。本研究的目的是研究创伤后应激障碍，社交焦虑障碍（SAD），抑郁症（MDD）和他们的协会与痛苦和生活质量在174阿尔巴尼亚平民幸存者的科索沃战争。这包括概念模型的测试表明，经验回避可能会影响焦虑和情绪障碍与心理功能之间的关联。这三种精神疾病中的每一种都与更大的经验回避和心理困扰以及更低的生活质量有关。作为一个难民与SAD和MDD的可能性较高。我们发现经验回避作为SAD和PTSD对生活质量的各自影响的部分中介的证据;经验回避并不介导疾病对全球痛苦的影响。我们还发现了对适度模型的支持，该模型显示只有没有SAD和低经验回避的战争幸存者报告生活质量提高; SAD或过度依赖经验回避的人报告生活质量低下。这是第三项独立研究，每项研究都使用不同的方法，为这种适度模型寻找实证支持。总的来说，我们提供了初步证据，主要是平民战争幸存者解决创伤后应激障碍，悲伤，抑郁症和经验回避的重要性。
Few studies have been conducted on psychological disorders other than post-traumatic stress disorder (PTSD) in war survivors. The aim of this study was to examine PTSD, social anxiety disorder (SAD), and major depressive disorder (MDD) and their associations with distress and quality of life in 174 Albanian civilian survivors of the Kosovo war. This included testing of conceptual models suggesting that experiential avoidance might influence associations between anxiety and mood disorders with psychological functioning. Each of the three psychiatric disorders was associated with greater experiential avoidance and psychological distress, and lower quality of life. Being a refugee was associated with a higher likelihood of having SAD and MDD. We found evidence for experiential avoidance as a partial mediator of the respective effects of SAD and PTSD on quality of life; experiential avoidance did not mediate the effects of disorders on global distress. We also found support for a moderation model showing that only war survivors without SAD and low experiential avoidance reported elevated quality of life; people with either SAD or excessive reliance on experiential avoidance reported compromised, low quality of life. This is the third independent study, each using a different methodology, to find empirical support for this moderation model. Overall, we provided initial evidence for the importance of addressing PTSD, SAD, MDD, and experiential avoidance in primarily civilian war survivors.
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影响因子：
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