印度青少年的多创伤,防御机制,PTSD和复杂PTSD:一个调解模型
Paulo Ferrajão1, Carolina Isabel Batista2, Ask Elklit3
1Faculdade de Ciências Sociais e Tecnologia, Universidade Europeia, Quinta do Bom Nome, Estrada da Correia 53, Lisbon, 1500-210, Portugal. paulo.ferrajao@universidadeeuropeia.pt.
BMC psychology
|November 24, 2023
概括
青少年暴露于不良童年经历 (ACE) 与创伤后应激障碍 (PTSD) 和复杂PTSD有关. 不成熟和神经性防御机制调解这些关联,影响自我调节.
科学领域:
- 儿童心理学 儿童心理学
- 创伤研究 创伤研究
- 青少年发展 青少年发展
背景情况:
- 青春期是不良童年经历 (ACE) 的脆弱时期.
- 暴露于ACE会增加创伤后应激障碍 (PTSD) 和复杂PTSD的风险.
- 防御机制与ACE和心理症状之间的关系有关.
研究的目的:
- 检查印度青少年在ACE暴露和PTSD/复杂PTSD症状之间的关联中防御机制的调解作用.
- 研究涉及成熟,神经质和不成熟防御机制的特定途径.
主要方法:
- 对411名印度青少年 (平均年龄14.2岁) 的ACE直接和间接暴露的分析.
- 使用经过验证的自我报告问卷来检测ACE,PTSD,复杂PTSD和防御机制.
- 结构方程建模与串行多个调解分析 (Preacher & Hayes,2008).
主要成果:
- 不成熟和神经性防御机制调解了直接ACE暴露和PTSD症状之间的联系.
- 不成熟的防御机制也调解了直接ACE暴露和复杂PTSD症状集群之间的关系.
- 不适应性防御机制被确定为重要的调解者.
结论:
- 适应不良的防御机制损害了对创伤的反应中的自我调节和情绪调节.
- 这些机制有助于增加青少年PTSD和复杂PTSD症状的严重程度.
- 了解这些途径对于针对创伤青少年的干预至关重要.
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