Shared and Unique Predictors of Post-Traumatic Growth and Distress
Shared and Unique Predictors of Post-Traumatic Growth and Distress
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DOI：
10.1002/jclp.20747
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发表时间：
2011-03-01
影响因子：
3
通讯作者：
Solomon, Zahava
中科院分区：
文献类型：
--
作者：
Dekel, Sharon;Mandl, Christine;Solomon, Zahava
这项前瞻性纵向研究比较了创伤前、创伤周围和创伤后的创伤后生长（PTG）和创伤后应激障碍（PTSD）的预测因素。共对103名以色列前赎罪日战争囚犯进行了30多年的跟踪调查。1991年对社会人口学变量、创伤暴露、囚禁反应、世界假设、社会支持和人格因素进行了评估，2003年对PIG和PTSD症状进行了评估。层次回归模型显示，虽然一些预测因子，即在囚禁期间失去控制和积极应对，可以预测PTG和PTSD，但其他预测因子只能预测一种结果而不能预测另一种结果。在控制PTSD和PIG时，自我控制性预测PIG，社会人口学因素预测PTSD。研究结果表明，有益的和致病的创伤结果有一些共同的前兆，但不是所有的前兆，强调了它们的多方面关系。(C) 2010 Wiley期刊公司中华临床医学杂志(7):344 - 344,2011。
This prospective longitudinal study compared pretraumatic, peritraumatic, and post-traumatic predictors of post-traumatic growth (PTG) and post-traumatic stress disorder (PTSD). A total of 103 Israeli former prisoners of the Yom Kippur War were followed over 30 years. Sociodemographic variables, trauma exposure, reactions in captivity, world assumptions, social support, and personality factors were assessed in 1991, and PIG and PTSD symptoms in 2003. Hierarchical regression modeling showed that although some predictors, namely, loss of control and active coping during captivity, predicted both PTG and PTSD, others predicted one outcome and not the other. Self-controllability predicted PIG while sociodemographic factors predicted PTSD when controlling for PTSD and PIG, respectively. The findings indicate that salutary and pathogenic trauma outcomes share some but not all precursors, underscoring their multifaceted relationship. (C) 2010 Wiley Periodicals, Inc. J Clin Psychol 67:241-252, 2011.