创伤后认知和儿童和青少年内化症状之间的纵向关系
Anke de Haan1,2,3, Kristian Kleinke4, Eve Degen2
1Mental Health Research and Treatment Center (FBZ), Department of Clinical Child and Adolescent Psychology, Ruhr University Bochum, Bochum, Germany.
European journal of psychotraumatology
|October 1, 2024
概括
儿童和青少年的创伤后认知 (PTC) 随着时间的推移而变化,负面思想减少,积极思想增加. 最初的创伤后压力症状 (PTSS) 预测了以后的负面PTC.
科学领域:
- 发展心理学 发展心理学
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- 在潜在的创伤性事件 (PTE) 之后,对青少年创伤后认知 (PTC) 的自然过程的有限理解.
- 关于PTC与内化症状之间纵向联系的先前研究中不一致的发现.
研究的目的:
- 在儿童和青少年中调查功能障碍和功能性PTC的自然轨迹.
- 检查PTC与创伤后应激症状 (PTSS),抑郁和焦虑之间的纵向关联.
主要方法:
- 这是一项对115名儿童和青少年 (7-15岁) 的长度研究,在PTE后1,3个月和6个月进行评估.
- 使用重复测量 ANOVAs 用于症状和认知轨迹.
- 采用交叉滞后的小组分析来探索PTC和内化症状之间的双向关系.
主要成果:
- 功能障碍的PTC和内化症状随着时间的推移呈现下降,而功能性PTC增加.
- 功能障碍的PTC与内化症状有很强的关联;功能性的PTC显示了相反的关联.
- 最初的PTSS显著预测了随后的功能障碍PTC,支持认知痕模型.
结论:
- 功能障碍和功能性PTC,以及内化症状,在年轻人中随着时间的推移而相互联系.
- 研究结果支持认知痕模型,表明最初的创伤严重程度会影响以后的认知模式.
- 建议使用主体内部分析进行进一步的研究,以加深对这些纵向关系的理解.
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