Applying and Extending the Conservation of Resources (COR) Model to Trauma in U.S. Veterans

Andrea Munoz, Samuel Girguis, Loren Martin, Michael Hollifield
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Abstract

This was a novel pilot study about the relationship between PTSD severity and resource gain and loss using the conservation of resources (COR) model with U.S. Veterans. Higher PTSD severity was predicted to be associated with greater resource loss scores, and lower PTSD scores were predicted to be associated with greater resource gain scores. The sample size was limited (N = 19) due to the COVID-19 outbreak. Veterans completed a demographic questionnaire, the Montreal Cognitive Assessment (MoCA), the Combat Exposure Scale (CES), the PTSD Symptom Scale–Interview (PSS-I), the Conservation of Resources–Evaluation (COR-E), and two additional open-ended questions. A statistically significant negative medium effect size was found between PTSD diagnosis and resource gain (r(17) = −0.42, p = 0.039, one-tailed). A large effect size in resource gain scores between PTSD and non-PTSD groups was also found (t(17) = 1.880, p = 0.077, d = 0.87), with the non-PTSD group reporting more gain of resources than the PTSD group. Post hoc tests revealed that the resource gain score of the mild PTSD group was significantly higher than that of the severe + very severe PTSD group (p = 0.034). Results suggest that resource gain, when compared to resource loss, was the strongest predictor for a non-PTSD diagnosis.
将资源保护(COR)模式应用和扩展到美国退伍军人的心理创伤中
这是一项关于创伤后应激障碍严重程度与资源增益和损失之间关系的新型试点研究,采用的是美国退伍军人资源保护(COR)模型。根据预测,创伤后应激障碍严重程度越高,资源损失得分越高;创伤后应激障碍得分越低,资源获得得分越高。由于 COVID-19 的爆发,样本数量有限(N = 19)。退伍军人填写了一份人口统计学问卷、蒙特利尔认知评估(MoCA)、战斗暴露量表(CES)、创伤后应激障碍症状量表-访谈(PSS-I)、资源保护评估(COR-E)和另外两个开放式问题。在创伤后应激障碍诊断和资源获得之间发现了具有统计学意义的中度负效应(r(17) = -0.42,p = 0.039,单尾)。此外,还发现创伤后应激障碍组和非创伤后应激障碍组之间的资源获得得分存在较大效应(t(17) = 1.880,p = 0.077,d = 0.87),非创伤后应激障碍组比创伤后应激障碍组报告获得了更多的资源。事后检验显示,轻度创伤后应激障碍组的资源获得得分明显高于重度+极重度创伤后应激障碍组(p = 0.034)。结果表明,与资源损失相比,资源获得是非创伤后应激障碍诊断的最强预测因素。
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