Relation between lifespan polytrauma typologies and post-trauma mental health
Relation between lifespan polytrauma typologies and post-trauma mental health
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DOI：
10.1016/j.comppsych.2017.10.005
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发表时间：
2018-01-01
影响因子：
7.3
通讯作者：
Weiss, Nicole H.
中科院分区：
文献类型：
--
作者：
Contractor, Ateka A.;Brown, Lily A.;Weiss, Nicole H.
背景：大多数人经历过不止一次创伤。因此，重要的是要考虑创伤的数量和类型（多重创伤）与创伤后心理健康的关系。目前的研究调查了多重创伤模式与PTSD集群的关系（侵入、回避、认知和情绪的负面改变[NACM]，以及唤醒和反应性的改变[AAR]）、抑郁和冲动方面（缺乏毅力，缺乏预谋，消极的紧迫感，寻求感觉）使用基于网络的346名参与者的样本。年龄，性别，种族，和种族的协variates.Results：潜在类分析的结果表明，一个三级的解决方案：低经验，中等经验-占主导地位的威胁/间接PTE（中等经验），和高经验-占主导地位的人际PTE（高/人际）。多项逻辑回归结果表明，种族和性别是预测低与高/人际类，中等经验与高/人际类成员资格，分别显着的协变量。与其他班级相比，高/人际类在大多数PTSD集群、抑郁症以及缺乏毅力和消极紧迫感的冲动性方面得分更高。低和中等的经验类不同PTSD的回避和AAR集群（较低的前者）。结论：个人暴露于多种PTE类型，特别是人际创伤，可能会有更严重的创伤后症状的风险。(C)2017爱思唯尔公司All rights reserved.
Background: Most individuals experience more than one trauma. Hence, it is important to consider the count and types of traumas (polytraumatization) in relation to post-trauma mental health.Method: The current study examined the relation of polytraumatization patterns to PTSD clusters (intrusions, avoidance, negative alterations in cognitions and mood [NACM], and alterations in arousal and reactivity [AAR]), depression, and impulsivity facets (lack of perseverance, lack of premeditation, negative urgency, sensation seeking) using a web-based sample of 346 participants. Age, gender, race, and ethnicity were covariates.Results: Results of latent class analyses indicated a three-class solution: Low Experience, Moderate Experience - Predominent Threat/Indirect PTEs (Moderate Experience), and High Experience - Predominant Interpersonal PTEs (High/Interpersonal). Multinomial logistic regression results indicated that ethnicity and gender were significant covariates in predicting Low versus High/Interpersonal Class, and Moderate Experience versus High/Interpersonal Class membership, respectively. The High/Interpersonal Class had higher scores on most PTSD clusters, depression, and the impulsivity facets of lack of perseverance and negative urgency compared to the other classes. The Low and Moderate Experience Classes differed on PTSD's avoidance and AAR clusters (lower in the former).Conclusions: Individuals exposed to multiple PTE types, particularly interpersonal traumas, may be at risk for more severe post-trauma symptoms. (C) 2017 Elsevier Inc. All rights reserved.