在灾难发生11年后,老年人中,创伤后压力和创伤后生长之间的纵向关联
Hiroyuki Hikichi1, Kanako Taku2, Jun Aida3
1Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Epidemiology and psychiatric sciences
|June 26, 2024
概括
创伤后生长 (PTG) 与更好的健康结果有关,但强烈的创伤后压力 (PTS) 可能会阻碍其发展. 适度的心理斗争是PTG的关键,这表明有针对性的支持幸存者.
科学领域:
- 老年学是一门学科.
- 心理学 心理学 心理学
- 灾难医学 灾难医学
背景情况:
- 关于创伤后应激 (PTS) 和创伤后生长 (PTG) 之间的关联存在不一致的发现.
- 之前的研究忽视了灾难前的心理健康,PTG的有效性,以及依赖时间的混因素,如并发症.
- 在2011年日本地震和海中幸存下来的老年人被研究以解决这些局限性.
研究的目的:
- 探索PTS和PTG与老年人创伤相关疾病的关联.
- 通过边际结构模型来研究PTS和PTG之间的关联,以解决时间依赖的混问题.
- 在分析PTS和PTG时考虑灾难前的共变量.
主要方法:
- 灾难发生前7个月进行了基线调查,每3年进行一次后续调查.
- 收集的数据包括PTS,并发症 (抑郁症状,吸烟,饮酒) 和PTG.
- 分析涉及来自1489名老年成人幸存者的五波面板数据.
主要成果:
- 创伤后生长 (PTG) 与功能障碍和认知能力下降有保护性关联.
- 创伤后压力 (PTS) 与功能或认知能力下降没有显著相关.
- 严重受影响的PTS与较高的PTG得分有关,而PTS症状与PTG呈现反向的U形关联.
结论:
- PTG和PTS与功能和认知障碍有不同的关联.
- PTG可能不是一种虚幻的感知,适度的PTS对于实现PTG至关重要.
- 促进社会支持的干预措施可以通过鼓励故意反来促进PTG.
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