The impact of adolescent profiles of posttraumatic stress, emotion regulation, and disorganized attachment on posttraumatic growth and psychiatric symptoms: Academic stress and egocentrism as covariates.

IF 2.7 2区 心理学 Q2 PSYCHIATRY
Na Wang, Man Cheung Chung, Yabing Wang, Fangsong Liu
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引用次数: 0

Abstract

Objective: The present study aimed to examine the profile patterns of co-occurring posttraumatic stress disorder (PTSD), cognitive emotion regulation (CER), and disorganized attachment in traumatized adolescents. It also aimed to examine whether these adolescents with different profiles would differ in posttraumatic growth (PTG) and comorbid psychiatric symptoms after controlling for academic stress and egocentrism.

Method: Nine hundred and forty-nine (N = 949) adolescents were recruited from two secondary schools in China. They completed measures on PTSD, comorbid psychiatric symptoms, PTG, CER, disorganized attachment, and covariates of egocentrism and academic stress.

Results: Latent profile analysis identified a four-class model as the optimal solution: low trauma group (Class 1), adaptive copers (Class 2), moderate trauma group (Class 3), and high trauma group (Class 4). After controlling for demographics and levels of egocentrism and academic stress, Class 4 had more severe comorbid psychiatric symptoms than the other three classes. Class 3 had higher levels of comorbid psychiatric symptoms than Class 2 and Class 1, while these latter two were comparable in comorbid psychiatric symptoms. Conversely, Class 4 students had lower levels of PTG than individuals in the other three classes. Class 3 had similar levels of PTG to Class 1, and these two classes reported lower levels of PTG than Class 2.

Conclusions: Chinese adolescents may experience both negative and positive changes after stressful events. The extent of these psychological outcomes could vary depending on the adolescents' previous trauma experiences, emotion regulation, and attachment qualities. Implications for clinical practice were discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

青少年创伤后应激、情绪调节和无组织依恋对创伤后成长和精神症状的影响:学业压力和自我中心主义作为协变量。
目的:探讨青少年创伤后应激障碍(PTSD)、认知情绪调节(CER)和无组织依恋共同发生的特征模式。本研究还旨在探讨在控制学业压力和自我中心后,这些具有不同特征的青少年在创伤后成长(PTG)和共病精神症状方面是否存在差异。方法:从中国两所中学招募949名青少年(N = 949)。他们完成了PTSD、共病精神症状、PTG、CER、无组织依恋以及自我中心主义和学业压力协变量的测量。结果:潜在特征分析确定了一个四类模型作为最佳解决方案:低创伤组(1类)、适应性应对组(2类)、中度创伤组(3类)和高创伤组(4类)。在控制了人口统计学、自我中心主义和学业压力水平后,4类比其他三类有更严重的共病精神症状。第3类患者的共病精神症状水平高于第2类和第1类患者,而后两者在共病精神症状方面具有可比性。相反,四班学生的PTG水平低于其他三个班的学生。3班的PTG水平与1班相似,而这两个班的PTG水平低于2班。结论:中国青少年在经历压力事件后可能同时经历消极和积极的变化。这些心理结果的程度取决于青少年以前的创伤经历、情绪调节和依恋质量。讨论了对临床实践的启示。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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