The relationship between childhood adversities and complex posttraumatic stress symptoms: a multiple mediation model.
The relationship between childhood adversities and complex posttraumatic stress symptoms: a multiple mediation model.
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童年逆境与复杂的创伤后应激症状之间的关系：多重中介模型
DOI：
10.1080/20008198.2021.1936921
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发表时间：
2021
影响因子：
5
通讯作者：
Zou L
中科院分区：
文献类型：
--
作者：
Guo T;Huang L;Hall DL;Jiao C;Chen ST;Yu Q;Yeung A;Chi X;Zou L
摘要背景：关于复杂创伤后应激障碍（CPTSD）的研究文献越来越多，但针对中国人群的研究仍然有限。越来越多的证据表明，不良的童年经历（ACE）与CPTSD症状的可能性较高，但潜在的调解作用的自我善良和自我判断的ACES-CPTSD的关系仍然研究不足。目的：本研究旨在考察中国大学生的ACE与CPTSD之间的关系，并检验自我仁慈和自我判断在ACE与CPTSD之间的中介作用。方法：本研究于2020年5月对1361名大学生进行了在线调查。对人口统计学变量（如年龄、性别、是否有兄弟姐妹、居住地、家庭结构和主观社会经济状况）、ACE、自我同情（自我善良和自我判断分量表）和CPTSD症状进行评估。在控制人口统计学变量后，一系列的结构方程模型检验了中介假设：自我善良和自我判断的ACE和CPTSD症状之间的关系的间接影响。结果如下：大学生的ACE与更严重的CPTSD症状（创伤后应激障碍和自我组织障碍症状）呈正相关。此外，这些直接途径是通过减少自我仁慈和增加自我判断来介导的。结论：研究结果具有实质性的理论和治疗意义，包括治疗复杂PTSD时的两个关键目标（即降低自我判断和提高自我善良）。大学生的ACE与更严重的CPTSD症状呈正相关，这些直接途径是通过减少自我善良和增加自我判断来介导的。
ABSTRACT Background: There is a growing research literature on complex posttraumatic stress disorder (CPTSD), yet studies that focused on Chinese populations are still limited. Accumulating evidence showed that adverse childhood experiences (ACEs) are associated with a higher likelihood of CPTSD symptoms, but potential mediating roles of self-kindness and self-judgement on the ACEs-CPTSD relationship remain understudied. Objective: The purpose of this study was to first examine the relationship between ACEs and CPTSD among Chinese college students, and then to test the mediating role of self-kindness and self-judgement on the ACEs-CPTSD relationship. Method: The study included 1361 college students for an online survey in May 2020. Demographic variables (e.g. age, gender, having sibling[s] or not, residence, family structure, and subjective socioeconomic status), ACEs, self-compassion (self-kindness and self-judgement subscales), and CPTSD symptoms were assessed. After controlling for demographic variables, a series of structural equation models tested the mediation hypothesis: indirect effects of self-kindness and self-judgement on the relationship between ACEs and CPTSD symptom. Results: ACEs of College students were positively associated with more severe CPTSD symptoms (posttraumatic stress disorder and disturbances in self-organization symptoms). Furthermore, these direct pathways were mediated by decreased self-kindness and increased self-judgement. Conclusions: Findings have substantial theoretical and treatment implications, including the two critical targets (i.e. lowering self-judgement and raising self-kindness) when treating complex PTSD. HIGHLIGHTS College students’ ACEs were positively associated with more severe CPTSD symptoms, and these direct pathways were mediated by decreased self-kindness and increased self-judgement.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
11
作者：
Colodro-Conde L;Couvy-Duchesne B;Zhu G;Coventry WL;Byrne EM;Gordon S;Wright MJ;Montgomery GW;Madden PAF;Major Depressive Disorder Working Group of the Psychiatric Genomics Consortium;Ripke S;Eaves LJ;Heath AC;Wray NR;Medland SE;Martin NG
通讯作者：
Martin NG
影响因子：
6.6
作者：
Cox, BJ;Fleet, C;Stein, MB
通讯作者：
Stein, MB
影响因子：
9.9
作者：
Hsieh, Yi-Ping;Shen, April Chiung-Tao;Hwa, Hsiao-Lin
通讯作者：
Hwa, Hsiao-Lin
影响因子：
2.3
作者：
Crapolicchio, Eleonora;Vezzali, Loris;Regalia, Camillo
通讯作者：
Regalia, Camillo