Perceived benefit and mental health after three types of disaster
Perceived benefit and mental health after three types of disaster
复制标题
DOI：
10.1037/0022-006x.65.5.733
复制
发表时间：
1997-10-01
影响因子：
5.9
通讯作者：
Fisher, RH
中科院分区：
文献类型：
--
作者：
McMillen, JC;Smith, EM;Fisher, RH
创伤事件后成长和感知利益的研究被誉为压力研究最有前途的方向之一。然而，这项研究受到了几个方法上的限制。这些局限性在这项前瞻性研究中得到了解决，该研究考察了3种不同类型的灾难后的感知利益和心理健康调整。佛罗里达州麦迪逊龙卷风的幸存者感受到的受益率最高，其次是德克萨斯州基林大规模杀戮的幸存者，以及印第安纳州印第安纳波利斯飞机失事的幸存者。灾难后4-6周的感知受益预测3年后的创伤后应激障碍。感知利益缓和了灾难暴露的严重程度对心理健康诊断随时间变化的影响。如果没有感知到的益处，随着暴露严重程度的增加，恢复量会下降。如果感觉到了益处，随着暴露严重程度的增加，恢复量也会增加。对临床干预和未来研究的意义进行了讨论。
The study of growth and perceived benefit after traumatic events has been hailed as one of the most promising directions for stress research. This research, however, has been limited by several methodological limitations. These limitations are addressed in this prospective study, which examines perceived benefit and mental health adjustment after 3 different types of disaster. Survivors of a tornado in Madison, Florida, had the highest rates of perceived benefit, followed by survivors of a mass killing in Killeen, Texas, and survivors of a plane crash in Indianapolis, Indiana. Perceived benefit 4-6 weeks postdisaster predicted posttraumatic stress disorder 3 years later. Perceived benefit moderated the effect of severity of disaster exposure on mental health diagnosis change over time. Without perceived benefit, as exposure severity increased, the amount of recovery decreased. If benefit was perceived, as exposure severity increased, the amount of recovery increased. Implications for clinical interventions and future research are discussed.