Everyday life experiences for evaluating post-traumatic stress disorder symptoms.

Everyday life experiences for evaluating post-traumatic stress disorder symptoms.
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DOI:
10.1080/20008066.2023.2238584
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发表时间:
2023
影响因子:
5
通讯作者:
Hou, Wai Kai
Hou, Wai Kai
中科院分区:
医学2区
文献类型:
--
作者:
Liang, Li;Bonanno, George A.;Hougen, Clint;Hobfoll, Stevan E.;Hou, Wai Kai

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背景:以前的研究强调了规律的日常生活对于保持心理健康的重要性。对于日常生活的规律性是否以及如何与减少创伤后应激障碍(PTSD)症状相关,我们知之甚少。目的:在两项研究(N = 796)中,我们旨在探讨日常生活规律与PTSD症状之间的关系。方法:研究1采用潜在变化评分模型对前瞻性数据进行分析,探讨2019年香港大规模内乱中维持规律日常生活与PTSD症状随时间变化的关系。研究2使用小插曲作为准实验方法来评估在面对主要压力源时维持常规日常生活的能力,并测试其与PTSD症状的关联。结果:在研究1中,在香港内乱中,各种日常生活规律的增加与PTSD症状的增加呈负相关(β =−)。427 ~−。224, 95%置信区间[−。543 ~−。359年,−。310 ~−。[90], p值< 0.01)。在研究2中,在压力下保持有规律的日常生活的能力与较低水平的PTSD症状相关(β =−)。285 ~−。096, 95%置信区间[−。379 ~−。189年,−。190 ~−。[003], p值< 0.05)。结论:我们的研究结果表明,在临床和亚临床人群中评估PTSD症状时考虑多样化的日常活动是有益的。直接关注日常生活角色的干预措施可以在潜在创伤事件期间和之后促进心理恢复能力。日常生活(卫生、健康饮食、睡眠、家庭责任、锻炼、休闲和社会活动、工作/学习参与)的规律性增加与在广泛的内乱中PTSD症状的增加较少有关。在压力下保持规律生活的能力与PTSD症状呈负相关。直接关注日常生活的作用的研究和干预可以在潜在的创伤事件期间和之后促进心理弹性。
Background: Previous research has highlighted the importance of regularizing daily routines for maintaining mental health. Little is known about whether and how regularity of daily routines is associated with reduced post-traumatic stress disorder (PTSD) symptoms. Objective: We aimed to examine the associations between regularity of daily routines and PTSD symptoms in two studies (N = 796). Method: In Study 1, prospective data were analysed with the latent change score model to investigate the association between sustainment of regular daily routines and change in PTSD symptoms over time amid massive civil unrest in Hong Kong in 2019. Study 2 used vignette as a quasi-experimental method to assess the ability of maintaining regular daily routines in face of a major stressor, and tested its associations with PTSD symptoms. Results: In Study 1, increased regularity of diverse daily routines was inversely associated with increased PTSD symptoms amid the civil unrest in Hong Kong (β = −.427 to −.224, 95% confidence intervals [−.543 to −.359, −.310 to −.090], p values < .01). In Study 2, a greater ability to maintain regular daily routines during stress was associated with lower levels of PTSD symptoms (β = −.285 to −.096, 95% confidence intervals [−.379 to −.189, −.190 to −.003], p values < .05). Conclusions: Our findings suggest the benefit of considering diverse everyday activities in evaluating PTSD symptoms in both clinical and subclinical populations. Interventions with the direct focus on the role of daily living could promote psychological resilience during and after potentially traumatic events. Increased regularity of routines (hygiene, healthy eating, sleep, duties at home, exercising, leisure and social activities, work/study involvement) was related to less increase in PTSD symptoms amid widespread civil unrest. The ability to maintain regular routines during stress was inversely associated with PTSD symptoms. Research and interventions with the direct focus on the role of daily living could promote psychological resilience during and after potentially traumatic events.
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发表时间: 1999-01-01
影响因子: 6
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