LONGITUDINAL COURSE OF POSTTRAUMATIC GROWTH AMONG US MILITARY VETERANS: RESULTS FROM THE NATIONAL HEALTH AND RESILIENCE IN VETERANS STUDY
LONGITUDINAL COURSE OF POSTTRAUMATIC GROWTH AMONG US MILITARY VETERANS: RESULTS FROM THE NATIONAL HEALTH AND RESILIENCE IN VETERANS STUDY
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DOI：
10.1002/da.22371
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发表时间：
2016-01-01
影响因子：
7.4
通讯作者：
Pietrzak, Robert H.
中科院分区：
文献类型：
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作者：
Tsai, Jack;Sippel, Lauren M.;Pietrzak, Robert H.
创伤后生长发育(PTG)是一种重要的心理社会现象，但很少有研究对PTG的纵向过程进行评价。这项研究确定了美国退伍军人中具有全国代表性的当代样本在两年时间内的PTG病程，并研究了PTG病程的社会人口、军事、创伤、医学和心理社会预测因素。方法数据基于对1838名具有全国代表性的美国退伍军人的网络调查，这些退伍军人至少报告了一次潜在的创伤事件，并提供了两个时间点(2011年10月至12月和2013年9月至10月)的数据。结果PTG分为持续低(33.6%)、中度下降(19.4%)、升高(16.8%)、显著下降(15.7%)、持续高(14.5%)5个病程。报告至少中度PTG的退伍军人中，超过一半(59.4%)在2年后保持PTG水平。创伤后应激障碍症状、医疗条件、生活目标、利他主义、感恩、宗教信仰和积极的阅读生活方式预示着PTG的维持或增加。结论PTG具有异质性的病程，不仅常见，而且可以持续一段时间，特别是在存在创伤后应激和某些心理社会因素的情况下。临床医生和研究人员应该考虑创伤可能带来的个人成长，并帮助创伤幸存者找到随着时间的推移保持这种成长的方法。
BackgroundPosttraumatic growth (PTG) is increasingly recognized as an important psychosocial phenomenon, but few studies have evaluated the longitudinal course of PTG. This study identified courses of PTG over a 2-year period in a contemporary, nationally representative sample of U.S. military veterans, and examined sociodemographic, military, trauma, medical, and psychosocial predictors of PTG course. Methods Data were based on a Web-based survey of a nationally representative sample of 1,838 U.S. veterans who reported at least one potentially traumatic event and provided data at two time points (October-December 2011 and September-October 2013). Results Five different courses of PTG were identifiedConsistently Low (33.6%), Moderately Declining (19.4%), Increasing PTG (16.8%), Dramatically Declining (15.7%), and Consistently High (14.5%). More than half (59.4%) of veterans who reported at least moderate PTG maintained that level of PTG 2 years later. Posttraumatic stress disorder symptoms, medical conditions, purpose in life, altruism, gratitude, religiosity, and an active reading lifestyle predicted maintenance or increase in PTG. Conclusions PTG has a heterogeneous course and is not only common, but can persist over time especially in the presence of posttraumatic stress and certain psychosocial factors. Clinicians and researchers should consider the personal growth that can result from trauma and help trauma survivors find ways to maintain this growth over time.