解开二次创伤性压力和代理创伤:一个构造还是两个?
Stephanie Gusler1, Ginny Sprang1, Caitlyn Hood2
1Center on Trauma and Children, University of Kentucky.
Psychological trauma : theory, research, practice and policy
|October 12, 2023
概括
二次创伤性压力 (STS) 和代理创伤 (VT) 是相关但不同的构造. 扩展的STS定义可能会捕捉一些,但不是所有的,间接创伤暴露的认知影响.
科学领域:
- 心理学 心理学 心理学
- 创伤研究 创伤研究
- 心理健康 心理健康
背景情况:
- 间接的创伤暴露可以导致专业人士的严重心理痛苦.
- 精神疾病诊断和统计手册,第5版,文本修订 (DSM-5-TR) 扩大了二次创伤性压力 (STS) 的定义,包括负面情绪和认知症状.
- 代理创伤 (VT) 作为与STS一起的一个独特构造的实用性需要进一步研究.
研究的目的:
- 调查STS的扩展定义是否完全涵盖间接创伤暴露的影响.
- 要确定代理创伤 (VT) 是否仍然是评估间接创伤暴露反应的有价值和独立的构造.
- 探索STS和VT之间的重叠和区别.
主要方法:
- 对613名与创伤幸存者工作的专业人员进行了在线调查.
- 使用相关性分析来检查STS和VT之间的关系.
- 使用网络分析来评估STS和VT的独特和共享组件.
主要成果:
- 研究样本报告了高水平的STS和间接创伤暴露.
- 增加的每日间接创伤暴露与大多数STS和VT领域有关.
- 较少的专业经验与所有STS和VT领域相关.
- 网络分析表明,STS和VT是不同的,但相关的构造.
结论:
- 扩展的STS定义,包括负面情绪/认知,可能不能完全捕捉或取代VT.
- 额外的STS症状可能会加强STS和VT之间的联系.
- 当前的STS措施可能会解释一些,但不是所有的,间接创伤暴露的认知影响.
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