Posttraumatic Cognitions and Posttraumatic Stress Symptoms Among War-Affected Children: A Cross-Lagged Analysis
Posttraumatic Cognitions and Posttraumatic Stress Symptoms Among War-Affected Children: A Cross-Lagged Analysis
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DOI：
10.1037/a0033875
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发表时间：
2013-08-01
影响因子：
4.6
通讯作者：
Qouta, Samir
中科院分区：
文献类型：
--
作者：
Palosaari, Esa;Punamaki, Raija-Leena;Qouta, Samir
在一项对受战争影响儿童的纵向研究中，我们首先测试了创伤后认知（PTCs）是否介导了最初和后来的创伤后应激症状（PTSS）之间的关系。其次，我们分析了PTCs和PTSS在水平和潜在变化分数的交叉滞后模型中相互影响的相对强度。参与者是240名10-12岁的巴勒斯坦儿童，他们在一场重大战争后的3个月、5个月和11个月报告PTSS和PTCs措施。结果表明，PTCs没有调解之间的初始和后来的PTSS。PTCs的水平和变化在统计学上显著预测了PTSS的后期水平和变化，但PTSS对后期PTCs的预测没有统计学意义。结果与PTCs在PTSS随时间的发展和维持中起核心作用的假设一致，但它们不支持初始PTSS通过阴性PTCs发展为慢性PTSS的假设。
In a longitudinal study of war-affected children, we tested, first, whether posttraumatic cognitions (PTCs) mediated the relationship between initial and later posttraumatic stress symptoms (PTSSs). Second, we analyzed the relative strength of influences that PTCs and PTSSs have on each other in cross-lagged models of levels and latent change scores. The participants were 240 Palestinian children 10-12 years of age, reporting PTSSs and PTCs measures at 3, 5, and 11 months after a major war. Results show that PTCs did not mediate between initial and later PTSSs. The levels and changes in PTCs statistically significantly predicted later levels and changes in PTSSs, but PTSSs did not statistically significantly predict later PTCs. The results are consistent with the hypothesis that PTCs have a central role in the development and maintenance of PTSSs over time, but they do not support the hypothesis that initial PTSSs develop to chronic PTSSs through negative PTCs.