Longitudinal evaluation of the relationship between maladaptive trauma coping and distress: examination following the mass shooting at Virginia Tech.

Longitudinal evaluation of the relationship between maladaptive trauma coping and distress: examination following the mass shooting at Virginia Tech.
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DOI:
10.1080/10615806.2010.500722
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发表时间:
2011-05
期刊:
Anxiety, stress, and coping
影响因子:
--
通讯作者:
Grills-Taquechel AE
Grills-Taquechel AE
中科院分区:
其他
文献类型:
--
作者:
Littleton H;Axsom D;Grills-Taquechel AE

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越来越多的证据表明,个人使用的应对策略是创伤后痛苦的关键预测因素。然而,随着时间的推移,研究心理痛苦和应对之间的关系的纵向研究有限,而研究痛苦和应对之间可能存在互惠关系的研究就更少了,尽管先前的理论工作假设了这种关系。目前的这项研究模拟了痛苦(创伤后应激障碍和一般痛苦)和适应不良应对之间的关系,样本是368名暴露在弗吉尼亚理工大学(VT)大规模枪击事件中的大学女性。参与者在枪击发生后2个月、6个月和1年完成关于他们的痛苦、与枪击相关的应对和与枪击相关的创伤后应激障碍的网络调查。作为一项无关研究的一部分,他们还完成了枪击前心理痛苦的测量。一个带有潜在变量的结构交叉滞后模型支持随着时间的推移,不适应应对与一般心理困扰之间的相互关系。相反,评估创伤后应激障碍和适应不良应对之间关系的交叉滞后模型支持创伤后应激障碍症状随着时间的推移对应对的预测,但应对和适应不良应对之间并不存在相互作用关系。本文还讨论了这些发现对未来研究创伤性事件后的调整的影响。
Growing evidence supports that the coping strategies that individuals utilize are a key predictor of distress following trauma. However, there is limited longitudinal research examining the relationship between psychological distress and coping over time, and even less research examining the possibility of reciprocal relationships between distress and coping, despite the fact that prior theoretical work posits such a relationship. The current study modeled the relationship between distress (PTSD and general distress) and maladaptive coping over time in a sample of 368 college women exposed to the mass shooting at Virginia Tech (VT). Participants completed web surveys regarding their distress, shooting-related coping, and shooting-related PTSD 2 months, 6 months, and 1 year following the shooting. They also completed measures of their psychological distress prior to the shooting as part of an unrelated study. A structural cross-lagged model with latent variables supported a reciprocal relationship between maladaptive coping and general psychological distress over time. In contrast, the cross-lagged model evaluating the relationship between PTSD and maladaptive coping supported that PTSD symptoms predicted coping over time, but there was no reciprocal relationship between coping and PTSD. Implications of the findings for future work examining adjustment following traumatic events are discussed.
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