Maladaptive self-appraisals before trauma exposure predict posttraumatic stress disorder
Maladaptive self-appraisals before trauma exposure predict posttraumatic stress disorder
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DOI：
10.1037/0022-006x.75.5.812
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发表时间：
2007-10-01
影响因子：
5.9
通讯作者：
Guthrie, Rachel M.
中科院分区：
文献类型：
--
作者：
Bryant, Richard A.;Guthrie, Rachel M.
这项研究测试了负面评价是创伤后发生创伤后应激障碍(PTSD)的危险因素的观点。受训消防员(N=68)在训练期间(创伤暴露前)被评估创伤后应激障碍、创伤事件史和进行负面评价的倾向。用创伤后应激障碍量表(E.B.Foa，L.Cashman，L.Jaycox，&K.Perry，1997)和贝克抑郁量表(Version 2；A.T.Beck，R.A.Steer，&G.K.Brown，1996)对52名消防员(N=52)在开始执行消防员任务后(在创伤暴露后)进行了创伤后应激障碍和抑郁的重新评估。在随访时，12%的患者达到了创伤后应激障碍的标准。创伤前对自己的负面评价解释了随访时创伤后应激障碍严重程度的20%的差异。这些数据首次证明先前存在的负面评价是创伤后应激障碍的风险因素。
This study tested the proposal that negative appraisals represent a risk factor for developing posttraumatic stress disorder (PTSD) after trauma. Trainee firefighters (N = 68) were assessed during training (before trauma exposure) for PTSD, history of traumatic events, and tendency to engage in negative appraisals. Firefighters were reassessed 4 years later (N = 52), after commencing firefighter duty (after trauma exposure), for PTSD and depression using the Posttraumatic Stress Disorder Scale (E. B. Foa, L. Cashman, L. Jaycox, & K. Perry, 1997) and the Beck Depression Inventory (Version 2; A. T. Beck, R. A. Steer, & G. K. Brown, 1996). At follow-up, 12% met criteria for PTSD. Pretrauma negative appraisals about oneself accounted for 20% of variance in PTSD severity at follow-up. These data provide the first evidence that preexisting negative appraisals are a risk factor for PTSD.