Posttraumatic stress disorder symptoms in adolescents: risk factors versus resilience moderation

Posttraumatic stress disorder symptoms in adolescents: risk factors versus resilience moderation
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DOI:
10.1016/j.comppsych.2008.09.001
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发表时间:
2009-05-01
影响因子:
7.3
通讯作者:
Seedat, Soraya
Seedat, Soraya
中科院分区:
医学2区
文献类型:
--
作者:
Fincham, Dylan S.;Altes, Lucas Korthals;Seedat, Soraya

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背景:暴露于社区暴力和创伤、压力以及儿童期虐待和忽视已被确定为青少年出现创伤性应激障碍 (PTSD) 症状的危险因素。尽管有证据表明,复原力可能会缓和其中一些风险因素与 PTSD 症状之间的关系,但迄今为止,还没有研究对这些风险因素进行集体检验。 目的:我们的首要目标是检验社区暴力暴露、儿童期虐待和忽视、感知压力和 PTSD 症状之间的关系。我们的第二个目标是检验复原力在多大程度上调节了风险因素与 PTSD 症状之间的关系。方法:从南非开普敦大都市的 5 所公立中学抽取了 787 名参与者的方便样本。参与者被邀请一次性完成一系列问卷。结果:在参与者中,48.3% 是黑人,58.6% 是女性,31.6% 是八年级学生。在控制协变量后,我们发现暴露于社区暴力、感知压力以及童年虐待和忽视共同占 PTSD 症状方差的 33.4% (F-8.778, = 71.06, P
Background: Exposure to Community violence and trauma, stress, and childhood abuse and neglect have been identified as risk factors for the development of posuraumatic stress disorder (PTSD) symptoms among adolescents. Although evidence suggests that resilience may moderate the relationship between some of these risk factors and PTSD symptoms, no Studies to date have examined these risk factors collectively.Aims: Our first aim was to examine the relationship between exposure to community violence, childhood abuse and neglect, perceived stress, and PTSD symptoms. Our second aim was to examine the extent to which resilience moderated the relationship between risk factors and PTSD symptoms.Method: A convenience sample of 787 participants was drawn from 5 public secondary schools in the Cape Town metropole Of South Africa. The participants were invited to complete a battery of questionnaires on a single occasion.Results: Of the participants, 48.3% were Black, 58.6% were female, and 31.6% were in grade 8. After controlling for covariates, we found that exposure to community violence, perceived stress, and childhood abuse and neglect together accounted for 33.4% of the variance in PTSD Symptoms (F-8.778, = 71.06, P